Doctor's Life Simulator

Chapter 335 The Feast of the First Hospital of the City: Director Qin's Ventricular Correction Demonstration
In the hospital bed of the city's first hospital, Tang You and his cousin looked at Qin Lang suspiciously:

"Doctor Qin, what's the matter? Director Qian has arranged a time? Can we go there now?"

"No, there is no need for Director Qian to perform the operation. The success rate of the operation on Director Qian's side is only [-]%. I decided to perform the operation on Lin Lin myself."

"Ah, you, come in person?"

Tang You was a little confused. When will Dr. Qin know how to perform cardiovascular surgery?
"I will perform this operation, and I have a success rate of more than [-]%."

Qin Lang and Tang You explained to her cousin, and then they were going to see Director Zhu in the Department of Cardiovascular Medicine.

Although he was away for a few days, Qin Lang was still a doctor in the city's first hospital.

In the Department of Cardiovascular Medicine, although Director Zhu and Dr. Sun suggested that Lin Lin go to Zijingang No. [-] Hospital for surgery.But I was a little unwilling in my heart, so I started to search and searched on medical forums to see if there was a better way to deal with it.

Naturally, I saw a post on the top of the post, which was the video of Qin Lang's surgery shared by Zijingang No. [-] Hospital on the forum.

Watching this operation video, Director Zhu and Dr. Sun were both shocked, the latest "one and a half" ventricular correction in China!

It is indeed the top team of Zijingang First Hospital.

However, what puzzled them was that the founder's name was so familiar, how could it have the same name and surname as Director Qin, the influential figure in the city's First Hospital.

Wouldn't it be so coincidental?

After all, Qin Lang had not done any research in the cardiovascular field before.How long has it been since I went to Zijingang No. [-] Hospital?

It is impossible to reach this level.

After the two watched the operation again, they were sure again that the chief surgeon must be an experienced and senior doctor.

Just why haven't I heard of it?

Director Zhu and Dr. Sun chatted for a while, and then went to get busy.

Just as Director Zhu was starting to study another case, Qin Lang walked in.

Director Zhu was of course very surprised to see Qin Lang.

Having gone through a series of previous operations, the current directors of various departments in the First Municipal Hospital are quite familiar with Qin Lang.

Regarding Qin Lang not coming in person, Director Zhu was very puzzled, and a thought flashed in his mind, but he quickly suppressed it, it was impossible.

After the two exchanged pleasantries for a while, Qin Lang proposed the idea of ​​performing the surgery and proposed a mature plan in detail.

Director Zhu confirmed in disbelief that this Qin Lang was the one who pioneered the first "one and a half" ventricular correction surgery in the country on the forum.

It turned out to be him!Director Zhu was in a trance.

However, with the endorsement of Zijingang No. [-] Hospital, Director Zhu of course agreed to Qin Lang's request.

At the same time, he also asked to personally help Qin Lang.

He was also very curious to what extent Qin Lang could do such a difficult operation!
Soon, under the impetus of Director Zhu, the cooperating personnel of the whole operation were mobilized.

Doctor Sun, who had already prepared another case, suddenly received a call from Director Zhu.

Director Zhu actually planned to operate on the 15-bed patient, didn't he mean to send it to the First Affiliated Hospital of Zijingang University?

Dr. Sun walked towards the operating room in confusion, and saw Qin Lang who was unrecognizable under the surgical gown where the chief surgeon was. He was very surprised, where did this boss come from?

Moreover, Director Zhu himself was his assistant, which really surprised him.

However, Dr. Sun was just a junior doctor after all, and he didn't dare to talk too much, so he obediently took the position of the second assistant.

As soon as the staff arrived, the operation officially started. Since the patient had severe heart failure, cardiac glycosides and diuretics were used in advance to control the heart failure.

Knowing that it was Qin Lang who performed the surgery, Chen Wenhao immediately rushed over to assist Qin Lang in anesthesia when he got the news.

"Director Qin, long time no see."

Chen Wenhao yelled happily, and then started the routine general anesthesia with endotracheal intubation, and at the same time performed hypothermic extracorporeal circulation.

It is really a pleasure to see Qin Lang's operation again, and Director Qin has entered a new field.

"Scalpel"

Qin Lang gave the first order, and the equipment nurse quickly cooperated.

Qin Lang used the holding bow pose to make an incision in the center of the patient's chest. Under the perfect incision, the incision and exposure were completed with only a few neat strokes.

"It still smells like that."

Chen Wenhao was on the side, watching Qin Lang's pleasing operation, it really couldn't be compared with the doctors of the first hospital in other cities.

"Director Zhu, carefully observe whether the location of the major blood vessels is consistent with the disease, whether there is stenosis, and further check the type of single ventricle."

Qin Lang calmly began to issue one order after another.

Director Zhu was concentrating, tried his best to keep up with Qin Lang's rhythm, and began to carry out various operations. As expected of Director Qin, the directors of all departments sighed for themselves. At the beginning, Director Zhu's pressure increased greatly.

It seems that all the compliments on Qin Lang on this forum are worthy of their names.

"Director Zhu, check whether the coronary vessels are deformed or not, and try to choose transatrial repair"

"Okay, Director Qin."

Director Zhu was still considering whether to propose his own ideas, but Qin Lang directly proposed the best solution to him.

"Awesome, Director Qin has too much control over the entire operation."

Dr. Sun at the side silently memorized Qin Lang's operation sequence, and the more he read it, the more he admired it.

"Director Qin, what should we do when some patients need to undergo ventricular repair?"

Dr. Sun completely regarded Qin Lang as an expert invited by Director Zhu to rescue the scene, and he was not ashamed to ask.

"If it is a transventricular repair, then a fish mouth incision can be used, and the location of the ventricular incision should avoid the coronary vessels."

Without even thinking about it, Qin Lang blurted out that he was too familiar with ventricular corrective surgery.

"Oh, I see."

After hearing Qin Lang's teaching, Dr. Sun's eyes lit up, and he deduced it in his mind, that's what happened, I learned it!
Next, one of the difficulties in this operation is to expose the two sets of atrioventricular valves and the connected chordae and RT muscles through the atrial incision. The positioning of the ventricular septum is very dependent on the doctor's experience and clinical judgment.

Director Zhu, who was in the first assistant position, was also staring at Shu Ye intently. He also wanted to know how Qin Lang would deal with it.

Since the patient had no atrioventricular valve overriding, Qin Lang thought for a while, and chose the thick trabecular muscle between the right and left RT muscles as the dividing line, and selected Sichuan suture to make the marking line.

Director Zhu secretly praised: "What a trabecular part as the dividing line, it's exquisite."

"Half pericardial patch scissors"

In the operating room, Qin Lang gave orders like a storm without any pause at all. Dr. Sun had a smooth feeling of watching at 2x speed and without intermediate advertisements.

Director Zhu also observed carefully. The selection of the next mesh needs to be trimmed appropriately according to the actual situation of the patient. This step is a test of experience and eyesight, and it is also the key to the success of this operation.

Looking at Qin Lang's operation, I was also a little nervous: "Prune and improve the patch directly on the spot. If you cut too much or not enough, it will be fatal."

However, under Qin Lang's control, everything went smoothly.

"Awesome, according to the septation of the ventricle, it is cut into an oblong patch of suitable size, and it is reinforced with continuous sutures and mattress needles. I have practiced for several years for this set of operations before I dare to perform the operation. tower."

"Director Qin's pruning is the same as the previous cutting. It's all done with one knife, and it's not messy at all."

"It's too powerful. Before Director Qin's operation, all the doctors in the city's No. [-] hospital were overshadowed."

Doctor Sun on the side also expressed emotion.

If it was placed in other hospitals, young doctors like Qin Lang dared to describe it like this, and would have been sprayed to death by old experts and senior chief physicians, but at this moment, Director Zhu did not feel offended at all, on the contrary, he agreed with it very much. Nodding, I also sighed in my heart:
"No wonder, old guys like Zhuang Tong and Zhou Heng said that as long as Qin Lang stands on the operating table, all the other doctors will be supporting."

On the operating table, the patch trimmed by Qin Lang was completely equal to the size of the two ventricular cavities after it was placed.

Dr. Sun looked at it and had an illusion:
"Looking at it this way, this operation seems to be very simple."

Dr. Sun muttered naively.

For Dr. Sun's ignorant muttering, Director Zhu, as a senior expert who has done so many sets, silently shed tears in his heart.

Sure enough, seeing this kind of genius surgery, rookies are easy to drift, and they all have an illusion:
Isn't it just to cut a hole, cut a patch, and sew it for reinforcement.

How easy!I will definitely learn it as soon as I learn it.

The fact is that once you do it, you will lose it!
All walks of life, at all times and in all over the world, are just like this.

In the operating room, the Qin corridor continued to the next step, and the separated blood flowed from the left atrium through the mitral valve through the left ventricular outflow tract and then into the aorta.
After 10 minutes, the operation was successfully completed.

Director Zhu followed through the whole operation, and slammed his mouth, a little unfinished.

An idea came to mind, Qin Lang is now studying in Zijingang No. [-] Hospital, and finally came back, or let him do more operations, so that the doctors in his department can learn it all at once?
After having this idea, Director Zhu communicated with Qin Lang and Dr. Sun immediately.

"Good good!"

"Director Zhu, let me go and see. Recently, our department has several patients with different symptoms who need ventricular correction. Yes, let Director Qin guide us."

Director Zhu has heard that Qin Lang is a famous physical monster, so he doesn't care if he demonstrates a few more sets.

The so-called fat water does not flow into the fields of outsiders, and it is better to do it at home if you go to Zijingang to do it. It will make seven or eight little nurses tired, and three or four assistants will be trivial.

"Then it's settled, Xiao Sun, go and call the doctors in the department. Give everyone 10 minutes to prepare. Everyone prepares their own dry food, mineral water, diapers, self-heating hot pot and so on. We will gather in the observation room after 10 minutes."

"okay!"

After hearing Director Zhu's order, Dr. Sun quickly notified all available physicians in the Department of Cardiovascular Medicine.

At the same time, arranging the surgeries that have accumulated recently, representative ones, difficult ones, and complex operations, all of which everyone wants to see, start to gather in the operating room where Qin Lang is located one by one.

Director Zhu rubbed his hands together, and smiled: "Director Qin, I will trouble you, and show it to colleagues in the department. Don't worry, there are a large number of suitable patients this time."

[Ding, new task, crazy show operation, showing various ventricular correction operations for colleagues in the city's first hospital.Task reward: every time a case is completed, 1 life simulation point will be rewarded. 】

Qin Lang didn't expect that it was just to save a field, but now it has become a lot of simulation point rewards, which is great!I am worried about where to get so many simulation points, after all, the research and development of new drugs will require a lot of simulation points.

"Director Zhu, it's better to obey than to be respectful."

Qin Lang was full of energy.

On the other hand, the little nurse at the side felt her legs go weak. She was familiar with Dr. Qin's deeds about the perpetual motion machine.

Ten minutes later, Qin Lang's second ventricular correction operation began.

In the observation room, Director Zhu personally led the team, while Dr. Sun and others took turns supporting Qin Lang.

After looking at the patient's information, he signaled for simultaneous video recording, and at the same time began to explain to several doctors in his department.

Turning around, I saw many doctors from other departments. One of the female doctors felt Director Zhu's gaze and smiled: "Director Zhu, we heard that Director Qin is performing surgery demonstrations here. Come and observe and learn."

"Hey, you are Director Qin's high-frequency movements and standard postures."

Another female doctor directly exposed, wiped her saliva, and stared at the big screen intently.

"."

"Director Zhu, let's see if Director Qin's basic skills are as solid as the legend says."

Another intern was waiting with great anticipation for Qin Lang's operation.

Director Zhu didn't speak, and continued to look to the other side.

"Crack click click."

Several little nurses looked up solemnly, and while eating, they looked at death as if they were at home:

"Director Zhu, we are always prepared. The sisters in front can't stand it anymore. We are on the wheel. Even if it is a wheel battle, we must resist Director Qin's terrifying physical strength."

The corner of Director Zhu's mouth twitched, and he suddenly regretted letting Qin Lang do a protracted battle. Qin Lang's blood must be fine, but he was a little worried about the physical strength of his doctor.

At the same time, he hurriedly took a sip of the tea that only saw goji berries and ginseng without water, and then professionally introduced:

"According to the hemodynamic study, the total vena cava/pulmonary artery anastomosis with extracardiac catheter for this patient consumes the least energy and is the best surgical choice. Therefore, Director Qin will demonstrate this operation for us next."

Listening to Director Zhu's introduction, the doctors in the Department of Cardiovascular Medicine looked at it seriously. After all, this operation is the most common and routine operation today.

They also wanted to know how Director Qin's classic technique was different.

The preoperative preparations were no different from other surgical procedures. After Chen Wenhao completed the anesthesia, Qin Lang began the operation.

"First aid, confirm extracorporeal circulation and cardiac arrest."

Qin Lang gave the order.

"Confirmed."

"Elbow cannula. Scalpel"

Hearing Qin Lang's order, in the observation room, a resident doctor asked with some confusion: "Why is this elbow intubation used?"

Director Zhu immediately explained: "The use of elbow intubation and superior and inferior vena cava intubation."

Sure enough, the next moment, the first assistant completed the corresponding intubation.

And Qin Lang directly cut off the pulmonary artery and fully freed the pulmonary artery.

Seeing Qin Lang's rapid operation, several interns were a little dazed. The speed was so fast that it was over before they could see clearly.

Everyone's face was flushed, it was so embarrassing.

A few rookies looked at Director Zhu in bewilderment for help.

Director Zhu was angry and funny at the same time. Seeing that these guys came into the City No. [-] Hospital a few days later than Qin Lang, they couldn't even understand Qin Lang's operation.

It's better to lose goods than goods, and to die than people.

Originally, this observation was to let these doctors memorize these techniques more deeply, so Director Zhu explained very patiently:

"You see, Director Qin started to mobilize the pulmonary artery after cutting off the pulmonary artery, including the distal end and the left and right pulmonary arteries. Next, he transected at the junction of the superior vena cava and the right atrium."

After hearing Director Zhu's splitting of actions, these little doctors realized that Director Qin had completed so many operations in such a short few seconds.

"Director Zhu, it's so fast, can you recognize it clearly? Oh, Director Qin is performing an end-to-side anastomosis between the distal end and the right pulmonary artery. I wish there was a pause button."

An attending physician, who had a relatively deep understanding of this operation, asked with some doubts.

Director Zhu was also at a loss for words. When a normal doctor performs this step, he will always spend a little time to distinguish the blood vessels and design the cut-off point. There is no one like Qin Lang who doesn't need to think about it, and just cuts across the board.

It’s no wonder they can’t understand it. This feeling is like a math teacher lecturing on it. At the beginning, I can understand it, but I lost my mind a little in the middle, looked at the girl I love, and woke up again. Haven't kept up.

Of course, my beloved girl has never had sex in this life.

Director Zhu coughed lightly: "Director Qin, is that an ordinary person? Afterwards, when the video comes down, you go back and watch it at 0.5x speed. In the future, when you do it yourself, you still have to be fully prepared, and you can't learn from Director Qin. This kind of operation."

"Oh."

The attending hospital sighed regretfully.

In less than 1 minute, Qin Lang completed the textbook-level end-to-side anastomosis, and then started the end-to-end anastomosis of the distal pulmonary artery and the proximal superior vena cava.

Seeing Qin Lang's operation, everyone in the observation room fell silent, and only admired him when he finished.

Director Zhu also said: "Except for our Department of Cardiovascular Medicine, the doctors in the other departments here today are not in vain. You can see how Director Qin handles various details, especially in various anastomoses. He can always find the best suture method for the part, and these details are what you have to constantly understand."

Hearing Director Zhu's teachings, these young doctors also took it seriously. Director Qin's surgery, every part, is at the textbook level, especially the handling of this kind of details, which is very delicate and ironic.

"Expanded polytetrafluoroethylene artificial blood vessel. Scissors"

While everyone in the observation room was feeling emotional, Qin Lang had already entered the next critical step without stopping.

Director Zhu directly compared gestures, signaled everyone to be quiet, and reminded:
"This operation is also the essence of this operation. You must first pay attention to Director Qin's selection of materials, using segmented expanded polytetrafluoroethylene artificial blood vessels. Next, you will see Director Qin's next operation."

"It is! My God!"

In the observation room, these little doctors all exclaimed. Director Qin directly started to build this section of artificial blood vessel with scissors. Qin Lang was on the operating table, and began to improve the surgical equipment according to local conditions!
Directly, Qin Lang cut the artificial blood vessel longitudinally, and then sutured between the opening of the superior and inferior vena cava in the right atrium and the right wall of the right atrium to form a tubular channel composed of half of the artificial blood vessel and the other half of the right atrium wall, so as to connect The inferior vena cava opens and separates from the right atrium and right ventricle.

Seeing Qin Lang's operation, several attending physicians were dumbfounded.

This kind of operation, how should I put it, for example, is that the craftsman bought a celadon bowl, then broke it, and then reassembled it piece by piece with kintsugi, and completed the celadon bowl after kintsuki, directly The price has skyrocketed a hundred times, and the artistic atmosphere has also increased a hundred times in appearance.

Qin Lang is now cutting open the artificial blood vessel, and then recombining it with the corresponding venous blood vessel to form a general artificial blood vessel like a tubular channel in the right atrial wall.

With this exquisite channel, the blood flow of the inferior vena cava enters the pulmonary artery through the anastomosis between the proximal end of the superior vena cava and the pulmonary artery through this channel, perfectly achieving the purpose of correction.

"Hey, what is Director Qin doing here?"

On the screen, Qin Lang took a micro-drill from the equipment nurse and made a small hole with a diameter of 3mm in this artificial blood vessel.

Director Zhu was also slightly stunned for a while before he figured out what he was thinking, and said slightly excitedly:

"Everyone remember this small hole. Since such a tubular channel has been reconstructed, although the problem of blood flow into the pulmonary artery has been solved, the pressure of the vena cava system may be too high after the operation, so Director Qin set up a small hole here. .”

It's like there is often a small hole on the lid of the pot bought at home, just to provide an outlet for the entire pot to decompress when the steam pressure is too high.

After hearing Director Zhu's explanation, all the doctors trembled. Director Qin's technique was too detailed.

"It really was a worthwhile trip, I learned a lot."

"Director Qin, Niu Boyi (broken sound)!"

And at the end of this operation, Director Zhu saw Qin Lang's ability to handle it with ease, and suddenly had a bold idea, why not take this opportunity to send all the intractable diseases in the department.

After this village, there is no such shop.

Director Zhu directly sent a WeChat message to the resident doctor who arranged the case.

When Qin Lang was demonstrating the operation in the city's No. [-] hospital, the director of Zijingang No. [-] hospital, Wen Yunqi, also returned to the hospital.

Accompanying him was Ming Dong of Ming's Pharmaceutical Group. Since the last time under the intermediate hub of Qinlang, Ming's Pharmaceutical Group and the First Affiliated Hospital of Zijingang University have established a more in-depth cooperation.

And this time, Ming Dong's goal is very clear, that is, the new drugs and consumable devices recently developed by his company want to demonstrate the operation through the Department of Cardiovascular Medicine of Zijingang No. [-] Hospital.

"President Wen, this time the desflurane-NO developed by our company has a significant protective effect on the lungs of children with pulmonary hypertension after ventricular correction under cardiopulmonary bypass, so I want to conduct a surgical demonstration through your department. The whole Our company will take care of the conference funds, venue, and preparatory work. Now I hope to find a surgeon in your department who is good at ventricular correction.”

Ming Dong talked to Dean Wen very politely.

After Wen Yunqi heard this, he thought about it for a while, but he didn't refuse:
"Ming Dong's suggestion is really good. I also agree with the effect of your company's desflurane-NO. As for the candidate for the chief surgeon, you really need to choose carefully. Now that you have done it, you can simply carry it out at the provincial level. "

"That is, that is."

Hearing that Wen Yunqi agreed, Ming Dong was naturally very excited. After all, Zijingang No. [-] Hospital is still very influential in Zhejiang Province. If the market can be opened in Zhejiang Province, the profit will be very considerable.

In fact, in the past few years, a large amount of the company's funds have been invested in the research and development of smoking cessation drugs, and there has been no progress. Therefore, these few secondary research and development projects cannot have problems again, otherwise the operation of the entire company will be in trouble.

And if there are no new results, the report for this quarter will be very ugly. Therefore, Ming Dong must launch these new drugs and medical devices.

At the same time, it is also good to withdraw funds for further research and development, the smoking cessation drug project that the entire group is optimistic about.

During this period of time, Ming Dong also invested a lot in Qin Lang's body. From the perspective of the group's senior management, it is also an investment that takes a long time to produce.

"Speaking of which, Professor Yang from the Cardiovascular Medicine Department of the 301 People's Liberation Army Hospital in the Imperial City happened to come to our hospital for an exchange today, or Ming Dong can consider lobbying Professor Yang. If there is a doctor of Professor Yang's level, the meeting specifications may be fine. Take it to another level."

Wen Yunqi half-jokingly, half-seriously said, in fact, Professor Yang's status in the field of cardiovascular medicine is very high in China, and his network is even more terrifying. If Professor Yang can be invited to this meeting, the entire meeting It is not impossible to name Huaguo with a higher level and rank!
"It would be great if I could convince Professor Yang. Dean Wen, you can help me out with a word. In return, I am willing to increase the investment in your hospital's new laboratory by [-]%."

"Ming Dong, please be polite. Now Professor Yang is waiting for us in Director Huang's office, please!"

Wen Yunqi calmly got another big benefit, of course he was in a good mood.

Soon, Wen Yunqi and Ming Dong came to Director Huang's office.

When I came to the office, I saw Director Huang, Professor Yang, and Deputy Director Qian gathered around the computer, watching a video.

(End of this chapter)