Doctor's Life Simulator

Chapter 353 Top Event: Huaguo Heart Conference

When Qin Lang was fighting with all the heroes, Wang Rou was arguing fiercely with the rest of the lab members in the laboratory of Qin Shi Pharmaceutical Company.

"Dr. Wang, you should go in and talk about it. Didn't you agree, Director Qin, to design a clinical phase III plan for us. It's been a long time, and he's still holding a video conference over there."

"Look how long it's been. Director Qin will go to the Second Hospital of Harbin Medical University tomorrow. Today is only one day. If we continue to hold meetings, we will not be able to come up with results, and we will have to wait for him to come back to continue the research. This time will be delayed." , we missed the most critical link, and our entire preliminary work was in vain.”

After all, once this kind of experiment is running, if it is stopped halfway, the loss will be huge.

This is also the reason why Wang Rou is so anxious.

"Okay, I know, I'll go in and ask if I can put this consultation aside and study the data of the Phase III clinical trial first."

Wang Rou is also aware of the importance of this matter.

Wang Rou smiled, controlled her voice, and walked into Qin Lang's office.

At the moment, Qin Lang is still conducting a video consultation. On the screen of the Second Hospital of Harbin Medical University, the members of the medical team are being humiliated by Qin Lang's perfect answer. When they don't know how to end it, they see Wang Rou suddenly open the door .

Qin Lang also noticed Wang Rou who walked in, knowing that the other party must be anxious, and just as the consultation was coming to an end, Qin Lang directly covered the camera:

"Professor Liu, I think our consultation is almost done. For the remaining details, let's talk face-to-face when I arrive at your hospital tomorrow. I still have something to deal with."

"Row."

Professor Liu also walked down the steps, signaling to Dr. Chen to cut off the signal and relieve everyone's plight.

"Well, let's continue the consultation."

Professor Liu coughed lightly, indicating to continue the consultation.Everyone's mentality is a little broken.

On the other side, Wang Rou looked at Qin Lang anxiously, blinking her eyes.

Qin Lang immediately comforted: "Dr. Wang, right now, give me half a day, and I will give you the sorted data!"

After comforting Wang Rou, Qin Lang invited her out.

Half a day later, Qin Lang provided Wang Rou with the data analysis and the best phase III clinical trial plan.

Seeing Qin Lang's results, Wang Rou was a little shocked: "Director Qin, actually sorted out the plan in less than a day!"

The team members of the laboratory, some admired and some doubted Director Qin's conclusion.

After all, Qin Lang's statistical calculation speed is too scary.

Wang Rou, on the other hand, was shocked, but it was not unacceptable. After all, she had majored in mathematics and met those real mathematics masters.

Genius cannot be measured by common sense.

"Director Qin, why don't you give up surgery and do drug research and theoretical research? It's a pity not to do scientific research with your talent and ability."

Wang Rou suggested very sincerely.

"No need, I'm a doctor after all, medicine is just a casual thing."

Of course, it is impossible for Qin Lang to give up medicine, "The time is almost up, so I will go to the airport first, and there will be another operation in the Second Hospital of Harbin Medical University tomorrow."

After Wang Rou took the third-phase experimental plan given by Qin Lang with some regrets, she immediately arranged for verification and implementation.

Phase III clinical trials, on the basis of Phase I and Phase II clinical trials, apply experimental drugs to a wider range of patient volunteers, conduct expanded multi-center clinical trials, and further evaluate the effectiveness and tolerance of drugs.

As long as the Phase III clinical trial is completed, it can provide a basis for the approval of the drug registration application.Of course, this stage is also the busiest and most concentrated part of the clinical research project.

Without Qin Lang's design plan, many detours would be taken and a lot of money would be spent. However, with Qin Lang's plan, the phase III clinical trial process was greatly shortened.

With the cooperation and support of Ming's Pharmaceutical Group and the First Affiliated Hospital of Zijingang University, Wang Rou's team is still capable of this task.

On the second day, Qin Lang arrived at the Second Hospital of Harbin Medical University on time.

After the next conference, the expert group of the Second Hospital of Harbin Medical University was completely convinced by Qin Lang.

When Qin Lang arrived at the Second Hospital of Harbin Medical University, he received a warm welcome, and many doctors even asked Qin Lang face-to-face a lot of questions.

Qin Lang naturally knew everything. His extensive knowledge and extraordinary attainments in heart surgery made the doctors of Harbin Medical University's cardiology department admire him more and more.

Accompanied by director Chen Minjie, Qin Lang went to see the patient, Ye Jian.

In the ward, Ye Jian was accompanied by his son. Ye Jian's son had just obtained an MBA and a double master's degree in international economics and trade from Australia. This was also what Ye Jian was most proud of.

Although the second heart change is about to take place, Ye Jian's mental state is still very good. Seeing Director Chen and Qin Lang, they communicated happily.

Especially when he saw Qin Lang, who was about the same age as his son, he talked very energetically:
"Director Qin, after my last operation, my son was just 13 years old, and he didn't know his father, who was going to undergo a "heart-changing" operation. He was just a playful kid. After graduation, I got a postgraduate admission letter from a university in Australia."

Having said that, Ye Jian glanced at his son in relief, and continued:
"My son's tuition fees for the two years after his postgraduate study were all earned by himself, and he did not worry my wife and I. Originally, I planned to go to Australia this year to attend his graduation ceremony and travel overseas by the way, but my physical condition has declined since the beginning of the year, and the plan was rejected. Delay, my son also returned to Chengdu on the eve of graduation, and stayed with me."

Next, Ye Jian talked about the gratitude of the husband and wife since the first heart transplant was successful, and the words were full of gratitude to the doctors of the Second Hospital of Harbin Medical University. Professor Liu arranged for Qin Lang to give As soon as he helped, there was no question or dissatisfaction at all.

Instead, he praised Qin Lang for his youth and promise: "Director Qin, you can rest assured about the operation. After the first heart transplant, every extra day you live is the best gift from heaven."

Ye Jian's attitude was very optimistic, and he continued:

"In the past ten years, my wife and I have guaranteed two domestic trips. Up to now, Xinjiang is the only province in the country that has not visited the past. I have also done a lot of public welfare in the past ten years."

Listening to Ye Jian's annual excursions, especially his sentence:

"What I want is a high-quality life. I can travel, work, pick up my wife, climb mountains, travel far, and enjoy a more colorful life than ordinary people. This makes me happier than living in a hospital for many years."

Qin Lang is also deeply moved. This may be the happiest time for a doctor to use surgery to bring a healthy body to the patient, so that they can enjoy life optimistically, happily and warmly.

"Director Qin, I'm ready. My family and I will face the results of the operation calmly and optimistically. My family and I are grateful for the new life bestowed by advanced medicine, and we are also grateful and calm to accept the results of the surgery. At the same time, I am also challenging a new survival record."

"Director Qin, in the past ten years, I have been doing what I want to do, doing things that are beneficial to others, living a high-quality life, and worthy of every day that life bestows on me."

"it is good."

Qin Lang was also infected by the patient's optimism, nodded slightly, and turned around to go to the final preoperative preparation with Director Chen.

An hour later, Ye Jian's second heart transplant operation officially began.

Professor Liu is the chief surgeon, and Qin Lang is the first assistant.

The entire procedure of the operation has been deduced several times before the operation.

The recipient was pushed into the operating room 2 hours before the donor heart arrived, and the medical staff quickly established extracorporeal circulation.

"Yizhu, cooperate with me in the collection of heart offerings."

Professor Liu gave the order seriously, and at the same time as the operation began in the operating room, the multi-camera cameras had already started to record. After all, this is a highly difficult second heart transplant operation of great academic value.

The second assistant assisted in adjusting the patient to the supine position, and performed routine iodine tincture disinfection of the chest and abdomen skin.

"Systemic heparinization at 3mg/kg prevents thrombosis in the small blood vessels of the donor heart."

Professor Liu gave instructions from the side, and Qin Lang also participated in the formulation of this plan.

"One assistant starts the chest cut."

Professor Liu continued to control the rhythm of the operation, and Qin Lang on the side quickly took the scalpel and began to make an incision in the center of the patient's chest.

"Intraoperative inspection of the donor heart without trauma, deformity, and heart disease."

Qin Lang quickly completed the incision, cut open the pericardium at the same time, and completed the preliminary inspection.

In the observation room, the rest of the expert team were nervously watching the operations in the operating room.

"Director Qin, it's really amazing. This free hand, no ordinary doctor can learn it in ten years."

"Yeah, especially when you watch him ligate the superior vena cava 4cm above the junction of the superior vena cava and the right atrium. It's too detailed. I'll have to watch this video several times afterward."

"Isolation of the aortic and pulmonary arteries with cold perfusion needle vascular clamps"

Qin Lang has fully entered the rhythm.

Professor Liu on the side finally felt the ease of Director Dong before, this help is really considerate.

Soon Qin Lang completed the perfusion of cardioplegia, and cut the right upper pulmonary vein and superior vena cava 3 minutes later.

"Ice saline for local cooling."

Qin Lang gave the order directly, and the equipment nurse saw Professor Liu's tacit reaction, and immediately cooperated.

After the heart was cooled for 2 minutes, Qin Lang controlled the scalpel and quickly cut off the superior and inferior vena cava distal to the ligation, cut off the ascending aorta under the aortic blocking forceps, and cut off the pulmonary artery from the bifurcation of the left and right pulmonary arteries.

"Excellent operation."

"This level of concentration is astonishing. Director Qin is simply a surgical machine."

"How does it feel, the second heart transplant has become very common under Director Qin's operation."

"Yeah, I have the same feeling, floating, floating."

All the doctors watched Qin Lang's operations pleasing to the eye, and couldn't help expressing emotion.

"Under normal circumstances, there is a process of myocardial ischemia in donor heart collection. The time from brain death to donor blockage of the ascending aorta and the start of cold perfusion is warm ischemia time. The shorter the time, the better, and it can generally reach 5 minutes It's already very powerful. But this time, under Director Qin's operation, it was completed in less than 3 minutes. It's terrible!"

Not to mention the members of the expert group in the observation room, even Professor Liu was unexpected. What Qin Lang did was better than he could imagine.

"Professor Liu, I will trim the donor heart next."

After Qin Lang said something, he began to operate.

Professor Liu raised his eyebrows. Generally speaking, the pruning of a donor heart is very difficult, and the experience requirements for the surgeon are very strict.

Professor Liu originally wanted to operate it himself, but now that Qin Lang took it directly, Professor Liu hesitated for a while, and agreed to Qin Lang's request.

In the observation room, the members of the expert team all stared wide-eyed, and were amazed to see Qin Lang begin to trim the offering heart.

"This is the job of the chief surgeon. Professor Liu is so relieved to hand over such an important step to Director Qin."

"Look, Director Qin has already cut the right atrium from the inferior vena cava ostium to the right atrial appendage to the root of the right atrial appendage."

"Quickly, this completes the trimming of the stumps of the aorta and pulmonary artery."

Amid the admiration of everyone, Qin Lang checked the mitral and tricuspid valves, and sutured the patent foramen ovale above.

In the final step, Qin Lang made an X-shaped cross-cut incision along the four pulmonary vein entrances and cut the posterior wall of the left atrium to make a separate opening.

"Director Qin, Niu Pi, your heart is ready so soon."

"Yes, Director Qin's basic skills are too solid. In particular, the operation of this step is all carried out in 4 ℃ saline, and the donor heart is carried out under the horizontal plane without colliding with the container. This operation is difficult for The stability of the hand and the fineness of the operation are too demanding."

As the second assistant, Chen Minjie also had to accept that this Qin Lang not only did the job of the chief surgeon, but also took care of himself as the second assistant.

"The next step is to perform resection of the recipient's diseased heart."

After Qin Lang completed the treatment of the donor heart, Professor Liu at the side gave the second step of instructions relaxedly and excitedly.

Since Ye Jian's heart was transplanted for the second time, it was several times more difficult than the first one, and the requirements for the operation were also several times higher.

Watching Qin Lang begin to cut open his chest, the expert group in the observation room also held their breath.

"Extracorporeal circulation blood cooling to 30 ℃."

As the second assistant, Director Chen reported the observation results from the sidelines.

"OK, tighten the superior and inferior vena cava bands. Block the ascending aorta"

After getting the report, Qin Lang began to carry out the next operation.

Twenty minutes later, Qin Lang severed the interatrial septum, and the recipient's heart was removed entirely.

The final step is to reimplant the donor heart.

Donor heart implantation includes left atrial anastomosis, right atrial anastomosis, aortic anastomosis and pulmonary artery anastomosis.

It can be seen that at this stage, the requirements for anastomotic skills are so high, which is also one of the biggest difficulties of this operation.

"Cold Saline Gauze Pad. 4-0 Polypropylene Suture."

Regarding this, Qin Lang remained calm as usual, and the movements of his hands did not deform at all with the passage of time.

Qin Lang placed the donor heart into the recipient's pericardial cavity, lined the donor heart with cold saline gauze pads, and anastomosed the left atrium with 4-0 polypropylene sutures. The left atrium at the opening of the left superior pulmonary vein corresponds to the left atrium, and the suture is continuously sutured clockwise to the middle of the atrial septum, and then the other end of the suture is continuously sutured counterclockwise along the top of the atrium to the middle of the atrial septum, and tied with the first end.

"Clean and neat, the stitches at each anastomosis are well-proportioned, the tension is consistent, and there is no blood leakage at the anastomosis. This completes the left atrium anastomosis. It is really a pleasure to see Director Qin's anastomosis skills."

In the observation room, these doctors, even though they had seen Qin Lang's anastomotic skills several times, were once again impressed by Qin Lang's anastomotic skills.

"Beautiful!"

Next, Qin Lang quickly and neatly completed the anastomosis of the right atrium, aorta and pulmonary artery.

"Exhaust the left heart and ascending aorta, and open the aortic clamp. Thorough hemostasis"

Soon, Ye Jian's third heart started beating vigorously, synchronously, and the extracorporeal circulation was stopped.

A second heart transplant operation recorded in the medical history of heart transplantation was successfully completed under the strong operation of Qin Lang.

Professor Liu also announced in amazement: "The operation is complete!"

After the operation was completed, Professor Liu excitedly led the expert team to celebrate, and of course expressed his gratitude to Qin Lang.

Before sending Qin Lang away, Professor Liu talked to Qin Lang alone:

"Director Qin, this operation was completed beautifully, and the whole operation has been videotaped. This will be a miracle in the history of heart transplantation. Therefore, I will recommend it to the organizer of the Huaguo Heart Congress and use it as this A video of the surgery performed at the finale of a Huaguo Heart Congress."

"Huaguo Heart Congress?"

Seeing Qin Lang's blank expression, Professor Liu gave a detailed introduction:
Director Qin, this Huaguo Heart Congress is a Huaguo Heart Congress jointly organized by the Huaguo Medical Association and the National Center for Cardiovascular Diseases.

It is the highest-level cardiovascular conference in China, and this year's conference will be held at the National Convention Center in the imperial capital in one month.

The theme of this conference is "Integration, Quality, and Innovation" (Integration, Quality, and Innovation).

This Huaguo Heart Congress aims to comprehensively demonstrate new achievements in clinical prevention and basic research of cardiovascular diseases, introduce new progress in translational medical research, and explore future trends in individualized diagnosis and treatment, prevention and scientific research, thereby further promoting the development of Huaguo Heart Disease. The development of cardiovascular disease in the country.

The content of this conference, in addition to adding plenary conferences and hot summits as in previous years, and covering basic medicine of cardiovascular disease, prevention and epidemiology, community population prevention and control, imaging and functional testing, cardiology and interventional therapy, cardiovascular surgery, nursing In addition to forums with nearly 30 topics such as science and other topics, an international seminar on cardiovascular hybridization technology has also been added.

The communication methods of the entire conference include: expert lectures, surgical broadcast (video) demonstrations, hot debates, expert interviews, paper exchanges, etc.

It is preliminarily estimated that more than 7000 domestic and foreign experts in the field of cardiovascular disease will participate in this event.

For this conference, the National Center for Cardiovascular Diseases also sincerely invites the Cleveland Clinic of the United States to cooperate fully. Under the joint efforts of the two top medical groups, it will be a unique international academic feast...

After listening to Professor Liu's introduction, Qin Lang was also quite shocked.

This meeting is really a top event!What a great honor to be the finale guest!

The organizers are the Huaguo Medical Association and the National Center for Cardiovascular Diseases, and the location is the top-tier National Convention Center.

"Director Qin, I will send you the invitation letter of the Huaguo Heart Conference later, welcome to attend the conference on time. This conference will invite the top doctors in the industry, as well as experts and professors from various hospitals to give lectures, It is a very good exchange and learning opportunity.”

Professor Liu patted Qin Lang on the shoulder and admired Qin Lang very much. Professor Liu was originally one of the vice presidents of the Huaguo Medical Association, and he also intended to introduce Qin Lang to join the Huaguo Medical Association through the conference.

"Okay, Professor Liu, I will attend on time."

It is naturally an honor for Qin Lang to participate in such a high-level conference.

Also participating in the conference, being invited to participate in the conference and meeting the world as an entourage, that is a world of difference.

After bidding farewell to Professor Liu, director Chen Minjie had already prepared the car, and personally sent Qin Lang to the airport, and handed Qin Lang a bank card before boarding the plane.

"Director Qin, this is the cost of this operation, a total of 20 yuan. The password is six six."

Qin Lang smiled and nodded, then put away the bank card.

"Director Qin, thank you very much for your cooperation in this operation. I hope to continue to come to our hospital for guidance and exchange if I have the opportunity in the future."

After seeing Qin Lang's ability, Chen Minjie was completely convinced. Of course, there was still deep envy, especially for the 20 operation fee.

It can only be said that the earning power of high-level doctors is too strong.

Especially at Qin Lang's age, money is limitless.

When Qin Lang returned to Hecheng, Professor Liu had already recommended the video of this second heart transplant operation to the organizer of the Huaguo Heart Congress. Soon, he received a response from the organizer and readily agreed to present the video This historic operation is set to be the only few demonstration operations.

(End of this chapter)