Doctor's Life Simulator

Chapter 351 Invitation from the Second Hospital of Harbin Medical University, a surgery recorded in history (addition for the purple muscle boss)
Qin Lang looked up and smiled slightly: "Add 4mmol of MgSO6 and 50ml of 65% glucose solution to each liter of Collin's solution, which is the so-called improved Collin's solution. As for the perfusion volume, the perfusion pressure is 60mmHg, and the perfusion time lasts for more than 20 minutes."

In addition to the formula, Qin Lang directly mentioned the improvement plan of the infusion:

"During lung perfusion, ventilate with low tidal volume to keep the lungs in a half-expanded state so that the perfusate can be evenly distributed. Compared with traditional perfusate, improved Collin's solution can have better prognosis and fewer complications, and can also avoid The ventricles swell."

After listening to Qin Lang's introduction, all the doctors nodded and recorded it. They really didn't know such details before.

Next, Qin Lang naturally explained in detail the plan adopted by the donor's heart and lung and the recipient's cardiopulmonary resection plan.

Soon, during the consultation, the operation plan proposed by Qin Lang was determined, and a heart transplant was performed.

And in Harbin City, the capital of Long Province thousands of miles away, in the Second Hospital of Harbin Medical University, the second general consultation on Ye Jian's second heart transplant was also being held.

Professor Liu and Dean Zhang co-chaired it. The chief physician under Professor Liu, Chen Minjie, was also the most vocal this time. He cooperated with Professor Liu's assistant and took the lead in reporting the completed work:
"Professor Liu, Dean Zhang, yesterday afternoon, Ye Jian was transferred to the ICU for monitoring after internal medicine treatment. In the evening, his physical condition has improved."

Listening to Director Chen's report, both Professor Liu and Dean Zhang nodded to indicate to continue.

"After a day and a night of preparation, with the cooperation of the pharmaceutical company and other units, blood warming equipment, a special intraoperative defibrillator, and esophageal ultrasound equipment have been dispatched this morning."

Dr. Chen looked at the equipment and medicine list in his hand, and reported carefully. After talking about what was ready, he continued to add the preparation time for the remaining medicines: "The special blood protein medicine will arrive at the hospital tomorrow at the latest, and the immune rejection medicine can be prepared before evening." complete."

Due to Ye Jian's special situation, in order to be safe, Professor Liu and the expert team specially designed special drug equipment for this second heart transplant.

After Director Chen, the Department of Anesthesiology, ICU, Radiology, and Nephrology also expressed their opinions and preoperative preparations.

After listening to everyone's reports, Professor Liu made a summary: "After this second consultation, the whole plan of the second heart transplant operation was basically demonstrated. Various special equipment and special drugs are also under preparation, except Apart from the hardware, the last issue is the candidates for the chief surgeon, first assistant and other cooperating physicians for this operation."

Hearing Professor Liu's words, the doctors present wanted to be selected, but they didn't want to be selected.

After all, Ye Jian's second heart transplant was another high-level challenge and milestone event in Huaguo's medical history.

The chance of being able to carry out a second heart transplant operation is extremely low. Most of the second heart transplant operations are carried out on patients who have been transplanted for more than ten years. At present, there are very few patients in China who can survive for more than ten years after heart transplantation. .

There are not many international precedents to follow, so for the doctors present, including Professor Liu, the medical treatment available for this operation is almost zero.

Under the premise that there is no medical data and experience to find, Ye Jian's second heart transplant operation is unprecedentedly difficult. At the same time, if the operation can be successful, it will promote the evaluation of heart transplant surgery, overcome the worldwide problems of organ transplantation, improve transplantation technology, Advances in medical science and technology in many aspects such as pathology, pharmacology, and basic medical research are of great significance.

Of course, the doctors present all knew that if they succeed, they will be successful, but the probability of failure is higher. Of course, they are not afraid of failure, but they are worried that due to their poor skills, the whole operation will be dragged down. As a result, the efforts of Professor Liu and all medical teams were in vain.

Dean Zhang and Professor Liu were waiting quietly. They naturally hoped that someone would step forward and take the responsibility.

To be honest, Professor Liu didn't have a 100% favorite candidate in his mind, and he had to choose the big one, so Director Chen could barely participate.

Chen Minjie lowered his head at the moment, feeling a little confused. To be honest, this is a once-in-a-lifetime opportunity for him, but he really has no idea about the second heart transplant operation, especially the operation plan designed by Professor Liu. The difficulty of operation is too high.

Since it is a second operation, the main surgeon and the first assistant must complete the whole set of operations within five hours. Such a short operation requires a high degree of concentration and concentration.

As far as Chen Minjie's basic skills are concerned, he can still do well, but if he is fast and good, he almost feels embarrassed.

"Do you want to recommend yourself?"

Chen Minjie couldn't make a decision right now.

In the consultation room, there was a moment of silence, which was a bit scary.

Regarding this, Professor Liu and Dean Zhang were slightly disappointed, especially Professor Liu looked at it very meaningfully, Chen Minjie who lowered his head and didn't know what to think.

It was very similar to the students in the school, when the teacher asked questions, they turned into quails one by one.

Professor Liu gave a wry smile, and he didn't blame them. It was because this operation was too difficult, and there was no precedent to follow. After all, no one could perform the first operation as if nothing had happened.

Looking at his watch, Professor Liu directly broke the silence:

"Okay, about the candidate for this operation, I will discuss it with Dean Zhang later, and I will inform you of the results. It just so happens that there will be a heart transplant at Union Medical College Hospital. I was originally the one who performed it, because Ye Jian's The reason, I turned it down, but due to my sudden refusal, Director Dong of Xiehe Hospital couldn't find a better replacement for a while, so he chose to go to the battle in person, but Director Dong is still worse than me after all, so he invited me Give him remote guidance."

"It happens to be a difficult heart transplant operation. The patient is older. Compared with Ye Jian's, the difficulty of some operations is not much worse. Now that the plan has been decided, the big guys will go and observe it with me. , the level of heart transplantation in Xiehe Hospital. Maybe, I can get some inspiration from their operation."

Hearing Professor Liu's suggestion, the doctors were of course very happy and relaxed. From their point of view, Director Dong's surgery level is not as good as that of Professor Liu. For a while, the main thing is not to look at Director Dong, but to see Professor Liu How to guide.

Soon, Professor Liu got in touch with Director Dong of Union Medical College Hospital, and the remote surgery guidance system synchronized with the screen of the Union Medical College Hospital's operating room.

"Professor Liu, we are about to start donor heart and lung collection, which is the first step. Please, keep a close eye on it."

After Director Dong asked the screen, he gave Qin Lang an encouraging look: "Director Qin, let it go, I will be the chief surgeon, and Professor Liu from the Second Hospital of Harbin Medical University will be the remote guide."

On the other side of the screen, the expert team of the Second Hospital of Harbin Medical University was exhausted after a round of intense general consultations. They just took this opportunity to take a break, and did not pay much attention to this heart transplant performed by Xiehe.

After all, they are now researching a second heart transplant, which is not comparable to the ordinary heart transplant of Xiehe.

What's more, they accompanied Professor Liu to guide each other.

"How do you feel that this doctor who cooperates with Director Dong is a little young?"

In the observation seats, some doctors noticed Qin Lang's aura in the operating room.

"I don't know which chief physician of Xiehe. His surname is Qin. It seems that there is no such a powerful person in the capital."

"It's just to cooperate with Director Dong's help. It's normal that the reputation is not obvious, but it can't be underestimated. It can't be said that there are some skills worth learning during the operation."

A deputy chief physician commented relatively objectively.

"I hope, but I see Xuan, it's already very good that he can operate it smoothly, I hope Professor Liu can be less worried."

"Look, look."

The doctors in the medical team chatted casually.

Professor Liu also felt guilty that Director Dong could only invite such a junior because of his absence. I hope there will be no mistakes in the surgery.

In the operating room, Qin Lang has already begun to collect the donor's heart and lungs.

"Scalpel"

Qin Lang took the scalpel directly without any politeness, made a transthoracic midline incision, opened the chest to expose the pericardium, and made a wide incision to the pulmonary veins on both sides, freed the ascending aorta, innominate artery, and superior vena cava. vein
A series of operations, in a smooth flow, will complete the previous steps in a while.

The expert group of the Second Hospital of Harbin Medical University, who were originally lazy, were all shocked by Qin Lang's one-handed operation.

Between lightning and flint!
Even if Professor Liu watched Qin Lang's operation, waves rose in his heart.

"This level of first aid is quite good!"

"Heparin 3mg/kg prostaglandin E 120ng/(kg·min)."

Qin Mude's emotional surgical machine, the corridor, has completely entered the state, and the high position ligation and cutting of the superior vena cava are another wave of fast extreme operations.

"I'm afraid I'm watching a teaching operation?"

The expert group of the Second Hospital of Harbin Medical University was shocked by Qin Lang's inhuman operation.

"Vascular clamp cold crystalloid cardioplegia modified collin lung protection solution"

When Qin Lang gave another order, everyone in the observation room frowned, especially some relatively young doctors, all looked at the most authoritative Professor Liu in the field.

Professor Liu felt everyone's doubts, and smiled wryly: "I don't know much about this improved protective solution. It should be the latest achievement of Xiehe Hospital."

"Oh."

Several members of the expert group let out a soft oh, feeling a little uncomfortable in their hearts. All along, they felt that the Cardiac Surgery Department of the Second Hospital of Harbin Medical University, especially in the field of heart transplant surgery, is leading Concorde. The donor heart and lungs are taught to be human at the stage of harvesting.

"It's just a small improvement, it's just a small skill."

Doctor Chen comforted himself.

Looking at the screen, Qin Lang was still operating at a high frequency non-stop, and all the expert groups in the observation room fell silent.

The expression also became very serious. The original remote guidance of Professor Liu seems to have changed.

Professor Liu also thought about it, and came up with a strange idea. Could it be that Director Dong was dissatisfied with his pick, and found a master to disgust him?Without himself, they also have some top performers in Xiehe, and they are also the assistant of Director Dong.

Professor Liu raised his eyebrows. He was very confident in his heart transplant attainment and experience. It was impossible for him to hang himself with just anyone.

Next, Qin Lang's operation was quite satisfactory, and the lung perfusion was quickly completed.

"Scalpel and Needle Forceps."

Using the pen-holding technique, Qin Lang cut open the left atrial appendage accurately and quickly, and drained the pulmonary perfusion fluid. Afterwards, he cut the aorta at the level of the innominate artery, clamped the trachea above 5 tracheal rings on the carina and cut it off.

The heart and lungs were separated upward from the mediastinum, the lower pulmonary ligament was ligated and cut off, and the heart and lungs were removed from the thoracic cavity and immersed in 4°C normal saline.

A whole operation, done in one go!
"It's amazing. Which chief physician is this in China? Such an operation skill should be famous in theory. Why haven't I heard of it?"

Although the doctors of the expert group of the Second Hospital of Harbin Medical University did not want to admit it, Qin Lang's skills were really good.

Professor Liu put his hands on his chest. So far, the operation of this mysterious first assistant is amazing. Although Professor Liu can achieve it in terms of operation, such a fast pace and such sustained focus, at Professor Liu's current age, it is already a little bit Powerless.

"The collection of the donor's heart and lungs is completed, and the next step is to enter the second stage, the removal of the donor's heart and lungs."

Director Dong presided over the progress of the entire operation, but he was just shouting slogans. The basic operations of the entire operation were all completed by Qin Lang.

To be honest, Director Dong has never performed a surgery so easily. He only needs to control the entire process. The basic operation does not need to speak. Qin Lang has completed it perfectly with one look and one point.

"Director Qin, the most important thing in the recipient's cardiopulmonary resection is to protect the phrenic nerve, vagus nerve, and recurrent laryngeal nerve and to completely stop the bleeding. Minimize mobilization of the tissues around the trachea to preserve the blood supply. No problem?"

Qin Lang didn't turn his head, and responded directly with the operation on his hand.

"This free hand is too powerful!"

"It's just at the textbook level."

"I suddenly had an immature suggestion. We didn't choose someone to cooperate with Professor Liu in the second heart transplant. It's not that there is the most suitable candidate ready-made."

A chief physician said something casually, and when the words fell, everyone in the observation room was slightly taken aback.

Even Professor Liu was stunned by this thought, and then thought, if this director Qin can maintain this level of the whole operation, he is really the best candidate!
However, chief physicians of this level usually operate on the basis of relationships and favors.Professor Liu is very convinced that there is no such person in his circle of friends.

If you rashly invite an unfamiliar doctor to throw a knife, others may not agree.

Professor Liu looked at Qin Lang's textbook-level operations, and suddenly had an absurd idea in his mind, like a world where he is a long-established martial arts giant, while Qin Lang is a junior who has been in seclusion for many years The younger generation, who has practiced his skills hard, has a low reputation, and wants to use this operation to step on himself and become famous in one battle!
However, how could he, Professor Liu, be so easily used as a stepping stone by others.

"Everyone should observe the operation first. As for Ye Jian's operation candidates, we will discuss later."

Professor Liu thought for a while and directly interrupted everyone's thoughts, and simply watched Qin Lang's next operation carefully. After all, this heart transplant has just begun.

Qin Lang's performance also aroused his competitive spirit.

"Professor Liu, I actually want to help."

Chen Minjie whispered to himself, and suddenly regretted why he didn't recommend himself earlier, now that Professor Liu might invite the mysterious doctor on the screen, Chen Minjie felt a little unbalanced.

As the saying goes, worry about gains and losses.

However, now is not the right time to make a statement. Dr. Chen looked at the screen depressedly.

Five minutes later, Qin Lang completed the minimum limit of dissociation, completely retaining the blood supply.

"Scalpel Heparin"

Qin Lang performed a median sternotomy incision on the recipient again, and pulled the sternum to both sides.

In the observation room, Professor Liu's mentality has also changed. He completely regarded Qin Lang's operation as a demonstration operation, and explained directly:
"Pay attention to Director Qin's operation. If you encounter pleural adhesions after incision of both sides of the pleura, remember to separate the adhesions before heparinization. Pay attention to Director Qin's operation, cut the pericardium longitudinally, and transplant the heart after heparinization Intubation established extracorporeal circulation."

"Afterwards, the removal of the diseased heart is one of the core difficulties of the whole operation. I have concluded that the removal of the diseased heart can be divided into three steps, so that the complexity of the overall resection operation can be avoided."

Professor Liu is indeed an expert in this field. Not long after his words fell, Qin Lang started to operate verbatim.

First of all, Qin Lang only preserved the ascending aorta, superior and inferior vena cava, and 4 pulmonary veins during heart resection, and then resected the posterior wall of the left atrium very decisively.

Seeing Qin Lang's decisiveness and swiftness, the doctors in the observation room felt their scalps go numb for a while. Director Qin was too courageous.

"Director Qin is really confident, I admire him."

"That's right. An ordinary doctor would have to confirm this kind of operation before daring to perform the operation."

"Steady and ruthless, even Professor Liu can't do this."

Doctor Chen also sighed in his heart, this director Qin is really too strong.

"vascular clamp"

In the operating room, Qin Lang had completely taken the lead in the operation, and Director Dong on the side could only nod his head and give a few approving glances at the right time.

The tool man is the real hammer!

Qin Lang picked up two vascular forceps and lifted the left pericardial cutting edge forward to the left, fully showing the direction of the phrenic nerve, and then made a longitudinal incision 2 cm behind the phrenic nerve.

Seeing this, there was an exclamation in the observation room, especially those chief physicians who had participated in many heart transplants:

"Director Qin, is this distance okay? Under normal circumstances, 3cm is already the limit. Also, this incision is far smaller than the conventional incision. Under normal circumstances, it at least extends down to the diaphragm and up to the pulmonary artery. This is considered Mistake?"

Professor Liu also frowned slightly, a little incomprehensible, such a small incision, can really provide enough vision?

In the operating room, Director Dong's complexion also changed. Qin Lang's operation was really too fast, and he was too steady before, but he didn't react when he came suddenly.

I brought it up with a heart. After all, the success of a surgery depends not on the upper limit of the operation, but on the lower limit of the operation. Even if some operations are excellent, if there is a mistake in one place, all previous efforts will be wasted.

"Too bad, Director Dong's expression has changed."

In the observation room, Dr. Chen was always observing the movement in the operating room, and began to sweat for the reckless Director Qin.

"If it stops, it may be too late to re-enlarge the incision."

Professor Liu also expressed his suggestions through the microphone, after all, he has dealt with too many emergencies.

In the operating room, Director Dong agreed with his own experience and tried his best to control his tone: "Director Qin, it's okay to make a small mistake. Let's take it easy and increase the incision again. Don't be rash."

"No, it's enough."

It was Qin Lang's indifferent words that answered Director Dong, and then took the scalpel from the equipment nurse, and started the pericardiectomy in front of the phrenic nerve under the almost blind vision.

"Director Qin, you!"

Before Director Dong could finish speaking, Qin Lang had successfully completed the pericardial resection, while perfectly preserving the phrenic nerve and the wide pericardial cord of blood vessels.

"Electric knife"

Qin Lang gave an order, which echoed coldly in the operating room.

In the observation room, Professor Liu and the others held their breaths. Indeed, Director Qin's operation was too frightening.

Director Dong was even more desperate, and wanted to take over Qin Lang's control, but Qin Lang's operation was already halfway through, and changing people at this time would cause even greater hidden dangers.

"Director Qin, keep your hands steady, keep your hands steady."

Director Dong's tone was begging for mercy.

Qin Lang ignored it, and still concentrated on performing the extreme operation. In the center of the residual left atrium posterior wall, he cut the left atrium posterior wall longitudinally through the oblique sinus, and lifted the residual left atrium and the connected left pulmonary vein forward. , using an electric knife to separate it from the posterior mediastinum, close to the pulmonary vein, perfectly avoiding the vagus nerve.

"Damn, what did I see that I can still do this?"

In the observation room, several chief physicians couldn't believe their eyes, and then recalled the prelude to Qin Lang's almost blind practice:
"Smart, if you operate this way, in addition to increasing the speed, it will also reduce many postoperative complications."

In the operating room, Director Dong saw it more intuitively. His heart beat a few times before he said in disbelief, "Director Qin, this seems to be different from the operation plan you designed before, right?"

"Oh, during the operation, I found that the patient's condition was worse than before, so I adopted a more difficult operation with minimal damage."

Qin Lang said calmly. After all, surgery is such a thing. In addition to the plan in advance, it is also very common to adapt to changes during surgery. Of course, the requirements for a doctor's on-the-spot judgment and decision are very high.

"alright."

Director Dong silently agreed, at his age, it was rare for him to experience the thrill of a roller coaster.

In the observation room, interested people also noticed Director Dong's words, the plan for this operation was actually designed by Director Qin.

In the operating room, Qin Lang did not stop what he was doing, and pulled out the left lung to the right front through the pleural incision, fully freed the hilum, ligated the bronchial artery, and then freed and cut off the left pulmonary artery.

"I really knelt down to Director Qin. If I keep doing this, I feel that this five-hour operation can be completed in less than four hours."

"This operation, this speed, I really think Director Qin is the best candidate for Ye Jian's surgery."

A chief physician who was optimistic about Qin Lang before made this suggestion again.

Professor Liu, who was still thinking about it, at this moment, also agreed with this idea. Looking at Qin Lang, his eyes were full of anticipation. His medical team wanted this doctor.

"It's just, how can I persuade Director Qin to join our team? It seems that we can only communicate with Director Qin after the operation is over."

When Professor Liu was thinking about how to invite Qin Lang, Director Chen at the side of course sensed Professor Liu's intentions, and felt sour in his heart.However, he also had to admit that Director Qin's skills were far superior to his.

Looking at how relaxed Director Dong is now, you can see how satisfying Director Qin's assistant is. Dr. Chen even feels that in this case, the position of the chief surgeon is not far from the dog.

"Clamp"

Qin Lang gave the order again, skillfully used the clamp to clamp the left main trachea, and cut off the distal end.

The left lung was successfully removed!
Afterwards, Qin Lang followed suit and completed the removal of the right lung.

"It's pleasing to the eye."

In the observation room, Professor Liu said a rare sigh. Hearing Professor Liu's praise, the members of the medical team of the Second Hospital of Harbin Medical University were very surprised. After all, Professor Liu is famous in the hospital for his eyes above the top. He is even more honest with the doctors under him, and he has never seen a doctor who can get such praise from him.

After all, Professor Liu is already a top player in the field of heart transplant surgery, and he has not seen a better operation than him for many years.

The removal of the left and right lungs was completed, and then the trachea was exposed from the right side of the aorta and the trachea was freed.

"Everyone carefully observe Director Qin's operation to see how he frees the trachea. We must pay attention to preserving the tissues around the trachea to ensure the blood supply to the trachea."

In the operating room, Qin Lang completed the dissociation very quickly, and calmly issued the last order of the second stage:
"Tracheotomy with a scalpel and removal of the recipient's heart and lungs"

Hearing Qin Lang's words, Director Dong at the side also heaved a sigh of relief, very satisfied with Qin Lang's operation.

The toolman's chief surgeon yawned, and continued to shout slogans: "Director Qin, the next step is the third stage, which is the final step, donor cardiopulmonary resection and combined transplantation!"

Qin Lang nodded, and immediately switched to the top of the donor's tracheal carina, and the silver scalpel cut it sharply.

"Excellent. If I were to cut off the trachea, I would at least have to trim it a little bit before entering the next step. Director Qin, this cut will be clean. This ability to control is too strong."

A chief physician has been completely convinced by Qin Lang, and his tone is full of admiration.

"Yes, it's really an honor for us to be able to witness such a heart transplant. Afterwards, when Professor Liu invites Director Qin to the medical team, I must ask him in person how he did such a superb job. skill based."

In the observation room, the members of the medical team all agreed to join Qin Lang to assist Professor Liu in the surgery.

Before, everyone was still struggling with who would help, but at this moment, they no longer think about it!

Director Chen Minjie looked a little downcast. It might have been the most important moment in his medical career, but he was pushed away by his own hesitation.

If before, I recommended myself earlier and decided to help me, at this moment, at most, everyone would appreciate Director Qin, and would not think of asking him to replace me.

"Take part of the endotracheal secretions for bacterial culture. The second assistant sucks up the endotracheal secretions"

Qin Lang continued to give instructions without haste, clear and precise!
"Okay, Director Qin."

As usual, this kind of order should be issued by the chief surgeon. Even if Xiehe's second assistant receives Qin Lang's order, he will confirm with Director Dong again. But at this moment, Director Dong himself has become a mascot. In addition to calling 666, No constructive comments.

Therefore, the second assistant obediently followed Qin Lang's instructions.

"The chief surgeon assisted me in placing the donor's right lung into the right chest cavity through the recipient's right atrium and phrenic nerve, and the left lung into the left chest cavity through the left phrenic nerve."

Director Dong let out a sigh, and immediately cooperated with Qin Lang's operation.

"4-0 Polypropylene Wire Surgical Scissors."

Qin Lang trimmed the trachea, and then began to suture the tracheal membrane continuously.

"This hand stitching is too powerful."

"Yes, it is obvious that the cut trachea of ​​the donor and the recipient have different calibers. It is very difficult to suture on the membrane."

"Smart, you see, Director Qin is constantly fine-tuning the stitch distance and margin when suturing the membranous part, and even changed to "8" suture at the cartilage part. After suturing this section, he started continuous suturing again. pretty!"

After 3 minutes, the anastomosis is complete!

"This speed is really fast!"

"Now I really want to take off Director Qin's surgical gown and mask, and see who the chief doctor is. The basic skills are too solid."

"Second assistant, ventilate the patient's lungs"

Qin Lang continued to give orders, and at this point, it has basically entered the final stage.

Director Dong also watched Qin Lang's operation expectantly. Qin Lang completely followed the standard heart transplantation method, cutting the right atrium of the donor heart upwards from the inferior vena cava, and using 4-0 polypropylene thread to connect the right atrium of the donor heart and the recipient. The atrial opening was sutured continuously, and finally the aorta was anastomosed continuously with 4-0 polypropylene suture.

Speaking of it, it was just suturing, but due to the particularity and fragility of the parts during the period, the requirements for the control of strength and accuracy were very strict.

Of course, in addition to standard and precision, Qin Lang's speed is unparalleled, which further reduces postoperative complications.

"Open the superior and inferior vena cava, exhaust the gas in the heart, and open the ascending aorta!"

Ten minutes later, Qin Lang gave an exciting order.

"Placing pacing leads."

"The heart rate is maintained at around 110 beats/min!"

"Complete hemostasis to stop extracorporeal circulation"

When Qin Lang gave the last order, the whole difficult heart transplant operation was declared a success!

"Amazing!"

In the observation room, the expert team from the Second Hospital of Harbin Medical University also applauded. The final time of the whole operation stayed at three hours and 58 minutes!
Professor Liu was also very excited, restrained his impulse, and said into the microphone: "Director Dong, Director Qin, congratulations on successfully completing this difficult heart transplant operation, and our colleagues and I have benefited a lot. "

"Originally, Director Dong invited me to guide the operation, but this one made me feel ashamed. Director Qin's solid basic skills are the only ones I have ever seen in my life."

"Professor Liu is polite."

In the operating room, after the operation was completed, Director Dong was completely relaxed and even more excited.

Too long face!

"Director Dong, I have an unfeeling request. After Director Qin and you change clothes, can you have a long-distance communication with us. I want to hear Director Qin's experience on this operation, so that we can learn from it. Some tricks."

Professor Liu made a very sincere request, and the members of the expert team behind him were also very curious about who the talented Director Qin was under the surgical gown.

"Director Qin, would you like to take some time to share this operation with the doctors at the Second Hospital of Harbin Medical University?"

If before the operation, Director Dong would have agreed directly for Qin Lang. After all, he is much higher than Qin Lang in terms of qualifications and age, and Qin Lang is a younger brother in front of him.

However, after this operation, he has completely regarded Qin Lang as a doctor of the same level, and dared not make decisions for Qin Lang without authorization, for fear that he would be annoyed. After all, the level of a doctor and his temper are positively related to some extent.

"can."

Of course, Qin Lang had no problem and agreed.

"Okay, okay, that's really an honor. Director Qin, Director Dong, you go to the changing room first, and we will connect later."

Ten minutes later, Qin Lang and Director Dong logged into the remote system again.

Seeing Qin Lang's youthful appearance, the doctors at the Second Hospital of Harbin Medical University were all stunned.

"Are you Director Qin who had the operation just now?"

Qin Lang smiled slightly, and communicated with Professor Liu in a neither humble nor overbearing manner.

"Director Qin, I was supposed to be in charge of this operation, but now there is a very critical second heart transplant case in our hospital, so I have to stay to lead and organize."

Professor Liu explained the reasons for his absence, and explained the difficulty of Ye Jian's surgery and its value and significance in the history of heart transplantation to Qin Lang. Finally, he was very much looking forward to and sincerely invited:

"Director Qin, after the observation just now, I and the expert group of our hospital agreed that your surgical level is very suitable for this difficult second heart transplant in our hospital. Therefore, on behalf of the Second Hospital of Harbin Medical University, I implore Director Qin I can come to our hospital tomorrow, overcome difficulties with my medical team, participate in the third general consultation, and the final second heart transplant after that."

Hearing Professor Liu's invitation, Director Dong was also shocked. He didn't expect that the Second Hospital of Harbin Medical University would engage in such a big event.

Director Dong also looked at Qin Lang expectantly. Qin Lang originally wanted to refuse. After all, he had just completed Concord's throwing knife, and now he just wanted to go back to Hecheng to continue the research and development of new drugs for smoking cessation.

[Ding, a new mission, to participate in the second heart transplant in the Second Hospital of Harbin Medical University, recorded in medical history.Mission reward: 1.3 life simulation points]

Seeing that Qin Lang fell into silence, Professor Liu on the other side of the screen raised his stake again:
"Director Qin, this time I invite you to come over to assist with the surgery, and our hospital will bear the specialist fees afterwards, which will not be lower than the surgery performed by Xiehe."

Hearing what Professor Liu said, Director Dong also raised his eyebrows. He saw how young Qin Lang had earned 20+ a week through flying knives. Sure enough, high-end doctors are making too much money in China.

"Director Qin, in addition to the remuneration, this operation in our hospital itself can be overloaded in the history of medicine. I believe this is a once-in-a-lifetime opportunity for any doctor. Director Qin's participation in our operation is very beneficial. And there is no harm. As for, if there is an accident during the operation later, it will be fully borne by our hospital."

Listening to Professor Liu's continuous increase, even in the expert group of the Second Hospital of Harbin Medical University, everyone was a little envious of the attention Qin Lang received.

In particular, Director Chen Minjie, who looked depressed, was so envious.

(End of this chapter)