Doctor's Life Simulator

Chapter 342 I'm sorry, there are no seats left (for subscription)

Yang Guoshu also pulled his lips slightly, looking at the young man on the screen with admiration.

Director Zhu took out a piece of beef jerky from his pocket, ate a few mouthfuls, and drank another sip of tea, as if he was going to fight for a long time.

Seeing Director Zhu's eating action on the bright side, Wen Yunqi and Yang Guoshu suddenly realized something, and looked at Zhu Le with sharp eyes.

Director Zhu stopped chewing all of a sudden, and smiled awkwardly:
"It's definitely not what you think. I also grew up last time."

While covering up, he took out some beef jerky from his pocket and stuffed them to Wen Yunqi and Yang Guoshu.

After receiving the beef jerky, the two big bosses looked a little better, but they always felt that the last time they were in the observation room of the city's No. [-] Hospital, there was a faint smell of beef.

On the screen, Qin Lang performed the final operation and quickly completed the last step.

The first one, the demonstration operation was successfully completed.

And when the directors were about to take a break, in the operating room, the second demonstration operation was ready.

At the same time, the patient's information was also sent up.

Seeing the situation of the second patient, these directors are really not calm now.

"This is going to break the sky, is it another domestically created improved technique?"

The patient's medical record reads: Double outlet right ventricle (DORV) with complete atrioventricular septal defect (AVSD).

"Double ventricle correction? What kind of improved surgery is this?"

"Director Zhu, it seems that a lot of effort has been put into this demonstration operation!"

While the rest of the directors of the Department of Cardiovascular Medicine were surprised, Yang Guoshu and the others had already seen Qin Lang demonstrate once, so they were naturally very calm. The words are dark and cool.

Wen Yun took a sip of tea in surprise, and still answered the same way: "Don't worry, directors, take your time!"

In the No. [-] observation room, another doctor came in, but after entering, he was stunned.

"What's the situation, there are so many people."

The attending physician took a look at the huge observation room, only half of the seats were used up, and the other space was empty. He wanted to find a place to sit down, but there was no seat left.

The attending physician pulled it down, and a doctor in the back row wanted to ask what was going on, but the other doctor took off his hands on his shoulders impatiently, then made a gesture of silence, pointed to the screen, and signaled to watch carefully.

Before the attending physician wanted to ask, the other party had already turned his head and stared at the screen intently, for fear of missing a second.

At this time, Zhao Yunfeng stood up, sent a copy of the patient's medical records to the attending physician, and whispered in his ear at the same time:
"The second observation room is full. You can go to the third observation room next door. It's still empty. It may be full soon."

The attending physician glanced at Zhao Yunfeng, but recognized Zhao Yunfeng as the staff member who organized the meeting, and nodded.

I looked at the case information suspiciously, what is the situation, is this patient special, so attractive.

".The patient is moderately stunted in growth and development, and has moderate heart failure. Examination: a grade 3/4 systolic murmur can be heard in the third and fourth intercostal spaces on the left sternal border, and P3 hyperactivity; chest X-ray shows: whole heart Enlarged, significantly increased blood in both lungs, protruding pulmonary artery segment, cardiothoracic ratio 6-2, combined malformations including: single atrium, double superior vena cava”

After reading it, the attending physician was stunned: "It turned out to be DORV-AVSD! Director Qin actually tried such a rare and difficult-to-perfect disease in the demonstration surgery. No wonder so many people are fascinated by it."

When the attending physician was amazed, Qin Lang also started his second demonstration operation on the screen.

Looking at the screen, the attending physician had long forgotten that he didn't have a seat, and just stood there straight.

"Why is this an operation under general anesthesia, hypothermia, and extracorporeal circulation? Is it an improved original operation?"

The attending physician's whole heart beat. If it was the first operation, it would be great. Being able to participate in the observation and return to the Imperial Hospital is also a kind of talk.

"Strictly speaking, it can't be said to be the first game, but the technique is indeed created by Director Qin."

Zhao Yunfeng who was on the side had watched the video of this technique a long time ago, and said lightly from the side.

The attending physician in the imperial capital looked at Zhao Yunfeng in surprise, and Zhao Yunfeng said with some regret:
"If you had come in earlier, you would have seen the first demonstration operation just now, which is the world's first modified Nikaidoh operation to correct adult Taussig-Bing heart anomalies."

"what!"

The attending physician from the imperial capital couldn't close his mouth in surprise, and he said regretfully after a while:

"I actually missed the world premiere of the modified Nikaidoh operation. Damn, I finally followed the director to participate in an Asia-Pacific level academic exchange, and I missed the essence."

The doctor in charge of the imperial capital suddenly regretted that he couldn't honestly come to observe the first demonstration operation. This feeling is like watching the World Cup. After squinting for a while, when I woke up, I realized that the score was already 3-0. After a while, the referee had already blown the whistle for midfield.

Literally missed the whole summer.

When the doctor in charge of the imperial capital was regretful, Zhao Yunfeng patted him on the shoulder: "It's still too late, Director Qin still needs several surgeries."

"What's the use of several sets? I want to watch the world's premiere technique."

The attending physician of the imperial capital took a sour look at the few clever ghosts who had just come in earlier, envious of their eyesight.

There is such a good thing, I don't know to come out and let me know.

"Who told Director Qin that today he will only demonstrate one of the world's premiere techniques, and there will be more later."

Zhao Yunfeng looked at the depressed and remorseful imperial physician in charge, and said something angrily and amusingly.

"Ah? Really!"

The doctor in charge suddenly regained his energy, and thought again, there are still several sets, looked at the happy doctors sitting in front of him, thought for a while, and rushed out of the second observation room.

After the attending physician walked out of the second observation room, he quickly rushed to the third observation room.

Of course, he didn't tell these self-righteous guys. Thinking of their regret after knowing the truth later, the attending physician suddenly regained his psychological balance.

Regarding the behavior of the attending physician, the remaining stubborn forces were still talking about it, few people noticed, and even if they saw it, they didn't pay much attention to it.

Wang Xueqing's seat was just facing the door of the third observation room. Seeing the attending physician rushing into the third observation room, she was a little puzzled, but after watching for a while, she continued to look at the small salon. Several physicians were blowing business with each other.

In the back office, Sun Siyi was sipping tea, waiting for Zhao Yunfeng to come in with a sad face.

However, what he waited for was the staff, who was so excited to walk in:
"Brother Sun, it's amazing. It's really just like what Zhao Yunfeng judged. Now the second observation room is full, and the third observation room is slowly getting in. It won't be long before the third observation room will be full. .”

"What did you say!"

Sun Siyi jumped up from his chair and looked at the staff in surprise.

"Zhao Yunfeng is really good. Fortunately, he prepared three observation rooms in advance. This time, Director Qin is also amazing. Although I don't understand it very well, those chief doctors from all over the country are full of praise. What's more, they bluntly said that they have lived in vain for decades, and they feel ashamed compared to Director Qin."

Hearing what the staff member said, Sun Siyi sat down on the chair weakly, his eyes were a little dull.

"Wrong bet."

After thinking about it, this time, in order to protect myself, I was almost invisible in the organization of the meeting. All the logistics and preparation staff only knew that Zhao Yunfeng was busy day and night.

And it was rare for him to show his face, so he still played the role of reprimanding and blocking Zhao Yunfeng.

After all, the eyes of the masses are discerning. If this meeting is really a complete success, he, Sun Siyi, didn't do anything, and always dragged his feet. He simply handed over the great credit to Zhao Yunfeng and helped He established an image of a bright eye.

"Depend on!"

Sun Siyi swears, why is this young Qin Lang so powerful?
Could it be that Dong Ming really only valued Qin Lang's talent?
"Go, have a look."

Sun Siyi couldn't sit still anymore, and rushed directly to the third observation room.

When Sun Siyi entered the third observation room, seven to eighty eight seats in the third observation room had already been taken up, and Qin Lang on the screen had already completed the second operation demonstration.

"Next, Director Qin will perform the third demonstration operation, which will be another modified operation pioneered in the country: Danielson angioplasty plus valvuloplasty ring to correct adult type A/B Ebstein heart anomaly."

At the same time, under Zhao Yunfeng's arrangement, the staff sent up the case of the third patient.

Ebstein's heart anomaly exists between adolescents and adults. The clinical manifestations are generally complaints of decreased exercise tolerance and palpitation after activity. However, this patient had preoperative cyanosis and hepatomegaly accompanied by edema of the lower limbs. Preoperative two-dimensional echocardiography It suggested that the septal leaflet of the tricuspid valve dropped 30mm, and the anterior leaflet was poorly developed.
After watching this case, the physicians in the observation room also became excited, and missed the first one. Fortunately, it came in early. This third one is the groundbreaking Danielson angioplasty plus valvuloplasty ring correction for the first time in the country. Can be observed from beginning to end.

"look forward to."

"This academic conference is really not in vain."

"No, now I understand why this is an Asia-Pacific academic conference on ventricular correction. The three improved surgeries so far are enough to be recorded in medical history."

"After this demonstration operation is completed, the name of Qin Lang will resound in the field of cardiovascular medicine, envy!"

When the doctors rejoiced that they had become the witnesses of history, Qin Lang also gave the order for this station.

When the third operation was performed in Qinlang, the third observation room was gradually full, and those who entered later could only stand behind and look at the screen.

In the venue, there are fewer and fewer doctors who are still conducting small salons. Lu Wenjun and Wang Xueqing also feel the subtlety of the situation.

"Have you noticed that there are fewer and fewer people in this lobby, and they all entered the observation room."

Wang Xueqing's field of vision was right on the observation room, and he didn't pay much attention to it at first, but more and more people went in, so he couldn't help but become vigilant:

"You said, is there really some amazing demonstration in the observation room?"

"How is it possible, Qin Lang is younger than you and me, how accomplished he is in ventricular corrective surgery."

Lu Wenjun took a sip of red wine and said something softly, but he was a little shaken deep in his heart.

"Want to go have a look?"

The other doctor couldn't hold back anymore. After all, this academic conference was originally here to observe and demonstrate the operation. At the beginning, everyone was outside, so it didn't matter, but now there are only a few of them left, so the situation is not good. Same.

In particular, my own chief physician and superior physicians are all inside. If I really missed something exciting, it would be hard to explain when my superior physician questioned me.

"Then take a look."

The attending physician at the far end was also ready to move.

"Let's go."

Wang Xueqing thought about it, and got up anyway, after all, if something goes wrong, there must be a demon.

Lu Wenjun took another sip of his wine, looked at the backs of Wang Xueqing and the others, and finally followed.

"Wait for me."

Soon several people entered the third observation room, and when they walked in, they were stunned. There was no room inside, and they had to stand to watch.

Standing and watching a deputy chief physician of the First Hospital of Hecheng City perform surgery?

Lu Wenjun was about to turn around and walk out on the spot, but at this time, Wang Xueqing was standing in the front and had already received the case information sent by the staff and the demonstration content of this operation.

"It turns out that the tricuspid valve is moved down, Ebstein's heart deformity, this is a rare congenital complex deformity, the occurrence distance is only 1/210000, the lesion is abnormal development of the tricuspid valve, the valve ring is enlarged, the valve leaflet is moved down, closed Insufficiency and atrialized right ventricle formation prevail."

Wang Xueqing happened to be studying this technique recently, so when he saw this information, he couldn't move.

Lu Wenjun didn't know much about this case, so he asked, "Is this case difficult to deal with?"

"Of course, patients with severe tricuspid valve depression often suffer sudden death during exercise, and many patients will suffer from life-threatening arrhythmias. Danielson's plastic surgery is currently the mainstream method for correcting tricuspid valve depression, but this operation is still There is a disadvantage, that is, after the repair of the tricuspid valve, it is easy to recover severe tricuspid regurgitation in the medium and long term after the operation. On the tricuspid valve ring in situ, the tissue structure of the autologous tricuspid valve ring in situ is not dense and the tension is not strong. It is easy to cause the recurrence of tricuspid regurgitation. However, the director and I have studied for a long time, but still can't find a better one. solution."

Wang Xueqing said regretfully, and then excitedly looked at the screen:

"I didn't expect that this demonstration operation turned out to be an improvement of this operation method. It's really great!"

For a doctor who is obsessed with medical skills, seeing an improved technique that he has been thinking about is simply the happiest thing in the world.

Just as Lu Wenjun was about to ask again, Wang Xueqing motioned him to shut up, then stood up straight and looked at the screen.

In the operating room, Qin Lang has completed all the operations in the early stage. Although he has performed the operation for several hours, he is still in high spirits and gives orders with full of energy.

"Spacer.Seam."

Watching Qin Lang's operation, Wang Xueqing's entire scalp became numb, and he sighed softly: "It turned out to be a mattress suture with 6 needles and gaskets, and this suture technique... amazing! "

Wang Xueqing was attracted in at once, watching Qin Lang insert the needle from below the septum and posterior valve attachment line, and then concentrate on the original position of the tricuspid annulus with very light and agile movements.

Seeing this step, Wang Xueqing was only envious of Qin Lang's basic skills, but when he took a step and Qin Lang's self-made petal ring appeared, Wang Xueqing was stunned.

It's not just him, any doctor who has understood and studied it will be boiling at this moment.

"Director Qin actually discarded the De Vega ring in the original technique. The artificial valve ring he is using now has never been seen before."

"This is for a surgery, creating a device?"

In the operating room, Qin Lang ignored the people watching outside the screen. This artificial ring was indeed specially customized by him according to the system's plan. It was impossible to make it in such a short time, but at Qin Lang's request, Jin Yaner had to work overtime overnight. Arrange manpower.

Finally rushed out the day before the operation.It can also be seen that Ming's Pharmaceutical Group attaches great importance to Qin Lang.

Of course, in return, Qin Lang licensed the patent of the Tang-C artificial valve ring to Mingshi Pharmaceutical Group.

Ten minutes later, Qin Lang completed the Danielson plasty plus valvuloplasty ring correction!

[Ding, new achievement: launch a medical device developed by myself in the demonstration operation, reward: 1 life simulation point]

Lu Wenjun didn't have much impact on this improved surgery, but for this surgery, he designed a brand new Tang-C artificial valve ring, which shocked him, who had worked so hard to create surgical instruments before.

"Is this Qin Lang so powerful?"

Lu Wenjun looked at the young man on the screen and became a little dazed. It turned out that his achievements were not worth mentioning in front of this young man.

In particular, I learned that Qin Lang has demonstrated three self-created surgeries in succession.

"That's the real talent."

Lu Wenjun sighed, and suddenly regretted that he had the nerve to blow water outside just now, and his face turned red all of a sudden.

And when Lu Wenjun blushed, in the operating room, Qin Lang didn't seem to rest at all, and directly started the fourth operation, which was finally no longer an original operation.

Of course, this technique is also very unique, that is, in this technique, Desflurane-NO exclusively developed by Ming's Pharmaceutical Group has been added.

Protective effect of desflurane-NO on the lungs of children with congenital heart disease complicated with pulmonary hypertension during cardiopulmonary bypass surgery.It can more conveniently assist the chief surgeon to perform complex operations.

Under Qin Lang's perfect operation, the operation is naturally very successful, and as a publicity in the future, this operation will be bundled with Qin Lang's groundbreaking operation before, and will be published on the medical forum together for more Physicians and more hospitals learned about the new drug.

After completing this operation, Qin Lang is still like a perpetual motion machine. He has performed several operations. While watching these doctors feel refreshed and happy, they are also hungry, especially the last batch that came in. They are so hungry and tired It's numb, but Qin Lang doesn't take a rest even if he's the main knife, so how can they leave with the good intentions to observe.

Wang Xueqing and Lu Wenjun were also in extreme pain, their legs were numb from standing: "I really want to go out and sit for a while."

However, Qin Lang in the operating room has no intention of stopping at all.

Soon, under Qin Lang's uninterrupted operations, the first wave of medical staff brought from the city's No. [-] Hospital could no longer bear it, and they were directly replaced by a group of doctors from the First Affiliated Hospital of Zijingang University, who had been eager to try for a long time. But Chen Wenhao still persisted.

Unknowingly, the surgery has gone from morning to midnight, nearly [-] hours. Although, for these director-level doctors, it is very common to do a [-]-hour operation, but, like Qin Lang , different patients in a row, different surgical procedures, this is the first time they have seen it.

In the observation room, the atmosphere became somewhat subtle.

In particular, Wen Yunqi and Yang Guoshu in the first row were all alive and well under the nourishment of the beef jerky that Director Zhu poured out from his pocket from time to time.

Watching Jule take out beef jerky and small biscuits from his pocket from time to time, these chief physicians swallowed their saliva silently, and were embarrassed to ask for it.

Of course, Director Zhu didn't intend to share with them at all, and even made a break.

What's even worse is that the staff on the side only know how to pour tea for them.

Hungry, looking at Director Zhu and the others nibbling on beef jerky, the chief physicians were inexplicably aggrieved.

However, when they saw Qin Lang in the operating room, who was still conscientiously demonstrating the operation for them, they had no right to complain.

After all, the chief surgeon never took a break, and they were ashamed to ask for a break.

Besides, Qin Lang's demonstration operation is not the kind of parallel import, but real dry food, especially the original improved operation interspersed in it.

For Qin Lang and the others, they naturally love and hate each other, and they also have a kind of awe.

Seeing Qin Lang's solid basic skills, such a crazy amount of operations and frequency of operations, they also automatically made up their minds. Qin Lang's skills must have been accumulated through such obsessive surgical methods.

Several directors were even moved in their hearts. After returning home, they wanted to give devil training to their little doctors.

In the operating room, Qin Lang began another operation.

After another five hours, Qin Lang finally completed the last operation with a lot of enthusiasm.

[Ding, new achievement, completed the demo operation at the Asia-Pacific Ventricular Correction Academic Conference, reward: 2 life simulation points]

(End of this chapter)