Doctor's Life Simulator

Chapter 371 was selected into the list and won the Nobel Prize in Medicine Project Award
"Director Zhu, what's your situation? I need an explanation!"

Deputy Director Qian asked Director Huang for his words. He couldn't believe it. Although Qin Lang was very talented, this was a plan that they spent a lot of time discussing together, the first plan.

Qin Lang listened to it once, and even if he started the operation, he dared to directly modify the plan demonstrated by the expert during the operation, which is too reckless.

They didn't think about the function of the suddenly used HTK fluid at all. What if something unexpected happens?
They were not doing animal experiments, but a real patient. If Director Zhu couldn't give a reasonable explanation, Deputy Director Qian and Director Huang were going to stop the operation.

The remote equipment in the operating room was still very smooth. Director Zhu immediately raised his head and looked at the remote display:

"Director Huang, Deputy Director Qian, it's my fault that I made an oolong in this matter. In fact, I did not invent this technique. It was hinted by Director Qin that I proposed to use double The concept of polar radiofrequency forceps. In fact, before us, Director Qin has already formulated a more complete and optimized plan."

"As for why HTK liquid is used."

Director Zhu wanted to explain, but there was an exclamation from the other end of the screen.

"Qin Lang, you said that this plan was actually created by Qin Lang?"

Wen Yunqi also suddenly became interested, this brat really gave him a huge surprise every time.

Dean Wen asked into the microphone: "Qin Lang, tell me why you use HTK fluid instead of cold-blooded cardioplegia?"

In the operating room, when the temperature of the nasopharynx and the others dropped to 32°C, Qin Lang immediately issued an order:
"Block the aorta and the superior and inferior vena cava, and perfuse the aortic root with HTK solution to protect the myocardium."

First Assistant Director Zhu immediately began to cooperate, and at the same time the nurse was also providing perfusion fluid, and the whole operation was arranged in an orderly manner.

Qin Lang continued to clarify the detailed operation:

"Infuse HTK solution at 4°C with a single infusion dose of 30 ml/kg. During the perfusion process, use a suction tube to suck away the HTK solution from the coronary sinus. The initial perfusion pressure is about 100 mm Hg, and the perfusion pressure decreases after cardiac arrest. to about 50 mm Hg, and the total perfusion time was 6 min."

"Okay, Director Qin."

Under Qin Lang's clear instructions, the rest of the medical staff began to follow suit. In the observation room, several doctors were envious of their strong ability to control the field.

Only then did Qin Lang look up at the monitor, facing the old acquaintance on the other side of the screen, Dean Wen Yunqi explained:

"Conventional cold-blooded cardioplegia is not impossible, but because it requires multiple infusions, it has certain risks and increases the difficulty of the operation. So I used a more optimized HTK solution."

"HTK solution was invented by German Professor Bretschneider and his colleagues in 1975, and was improved in 1979 by adding histidine/histidine salt buffer system and α-α-ketoglutarate on the basis of low sodium and microcalcium. ,"

"The "balance effect" is a remarkable feature of HTK solution. It can completely perfuse the intravascular space and tissue space, and finally lead to the balance of temperature, ion and oxygen metabolism inside and outside the cells. It is desired to achieve a better perfusion effect. Because the cells It takes 3-5 minutes for internal and external ion balance, 2-4 minutes for internal and external temperature balance of cells, and 5-7 minutes for oxygen metabolism balance. Therefore, when the perfusion time of HTK solution is maintained for 6-8 minutes, the best myocardial protection effect can be achieved.

Moreover, the biggest advantage of HTK solution is that it only needs to be infused once to achieve the myocardial protection effect for 2~3 hours. It is convenient, long-lasting and does not affect the operation of the surgeon. The only disadvantage is that it is relatively expensive. "

After listening to Qin Lang's analysis, Director Huang on the side was silent for a while. He didn't know the shortcomings of cold-blooded cardioplegia, but since he learned this technique, he has been operating according to the industry's gold standard. It seems to him that as long as he improves his proficiency, it can be avoided as much as possible for a veteran like him, and he is even proud of making up for the shortcomings of the technique with his own skills.

He never thought that he could directly replace it with HTK solution like this. Based on his clinical experience, he knew clearly that this small step directly reduced the difficulty of this operation by an order of magnitude.

After one infusion of HTK solution, there is a 2-3H myocardial protection effect, which makes it possible for many attending physicians to operate this operation.

For the hospital, being able to carry out this operation several times at once is undoubtedly a great boon for patients who are hard to find.

"Director Qin, you are doing very well."

Director Huang praised him sincerely.

In the remote observation room, some understood the deep meaning of Qin Lang's operation, some half-understood, and some didn't understand it.

In short, Director Qin is as sharp as ever!
In the operating room, Qin Lang was engaged in the next operation, and began to cut the left atrium longitudinally along the interatrial groove, and started the ablation line of the left atrium.

Seeing Qin Lang's operation on the screen, the doctors in the observation room were amazed.

Especially Qin Lang's switch and connection between bipolar ablation forceps and single-stage pen.

For the ablation of the isthmus of the left atrium, the bipolar ablation forceps could not reach the mitral annulus, so Qin Lang switched to the monopolar RF pen for "supplementary ablation" to make the ablation line reach the mitral annulus.

Afterwards, the heart is turned upwards, and the ablation line of the mitral valve isthmus is extended by using a monopolar pen on the epicardium to fully ablate the coronary sinus.

"Suture Scalpel"

After completing the ablation of the main body, Qin Lang began to treat the left atrial appendage again.

Soon Qin Lang completed the excision, suture, suturing, ligation, and inner suturing.

After 10 minutes, Qin Lang completed all the ablation lines.

Next, there is valve shaping.

Another 10 minutes later, the entire operation was officially completed.

"Clap clap clap!"

In the observation room, Dean Wen took the lead in applauding, and Director Huang was also unsatisfied, and some wanted to talk.

Deputy Director Qian immediately understood, licked his face and said to Director Zhu: "Director Zhu, after the video of this operation, can you send it to me so that the young doctors in our department can study hard."

Director Zhu was a little flattered to hear that the director of the Cardiovascular Department of Zijingang Hospital asked him for the operation video. This time, he was once again in the hands of Qin Lang.

Sure enough, a top surgeon can support a department!
"Of course, of course."

Director Zhu nodded immediately. It has to be said that Qin Lang really did his own work, and only one operation raised the status of the Department of Cardiovascular Medicine in the First Hospital of Hecheng City.

While Director Huang and Deputy Director Qian were playing Qin Lang's surgery video, Dean Wen was going to ask Qin Lang to share his experience with the young doctors in his hospital.

"Director Zhu, like this, after the operation is over, I want to have another video conference. I want to invite Qin Lang to share his experience with the doctors in our hospital. The improvement of this operation method is really shocking. gone."

"Of course!"

Director Zhu has a dignified face, and he is already happy in his heart.

"Okay, let's connect via video later."

Before the meeting, Dean Wen made another phone call to Qin Lang in private:
"Qin Lang, you did a very good operation today. I took a week to write a paper. Let me recommend it for you. It will be directly published in the "Chinese Journal of Cardiovascular Diseases", plus your previous paper on heart transplantation. A special issue can be issued directly.”

Hearing Dean Wen's words, Qin Lang was also very happy. Of course, he knew the importance of "Huaxia Journal of Cardiovascular Diseases".

Not to mention its special issue.

Of course, in addition to letting Qin Lang publish the paper, Dean Wen also has a little selfishness,
"Qin Lang, this time for your thesis, I will introduce you to a senior sister, who is also my doctoral student. If you have any thesis that you can't write, I will ask your senior sister Liu Qiqi to help you sort it out."

Dean Wen transitioned here very naturally, saying that he asked Liu Qiqi to assist Qin Lang in writing the thesis, but in essence he asked Qin Lang to take Liu Qiqi along to help her complete her doctoral thesis.

Liu Qiqi has been studying for a long time, but she has not been able to graduate. It's not that she doesn't work hard, it's purely a matter of talent.

Dean Wen himself has too many things to do, so he doesn't have the energy to spend too much time on Liu Qiqi, and the field of her research is so difficult that ordinary people can't handle it.

And Qin Lang is the best choice, and Dean Wen continued to introduce the situation of his student to Qin Lang:
"Liu Qiqi is two years older than you, and she is my doctoral student. It's just her research project "CHA2DS2-VASc scoring system for identifying high-risk patients with atrial fibrillation after cardiac surgery: Meta analysis". The workload of this scoring system is very heavy. It is large and cumbersome, so I haven’t graduated with a doctorate yet.”

Qin Lang sighed with some sympathy. It is too difficult to be a female doctor, especially a female doctor of medicine. Fortunately, I have a simulator, otherwise I am now under Professor Shen Xi's school, so I don't even have to think about graduating.

With Qin Lang's current ability, it is only because of his qualifications and procedural reasons. Otherwise, with his current achievements, a doctor's degree is more than enough for any paper.

For example, the modified maze operation this time, as long as it can be published in the "Chinese Journal of Cardiovascular Diseases", a doctorate degree is more than enough.

However, Qin Lang was not in a hurry at all, and took his time.

This time, Dean Wen gave him an olive branch, and of course it was to further establish an intertwined relationship with Qin Lang, and everyone provided convenience to each other.

This is the case in the medical field, which requires contacts and resources to form a strong circle.

Undoubtedly, the current Qin Lang can already build a huge network of relationships with him as the core.

The faction of Zijingang No. [-] Academy, the relationship between Shenxi and Wu Jizong's lineage, can represent many, many things behind it.

When Qin Lang and Liu Qiqi worked together to start writing related papers.

There was also good news from Wang Rou's team.

After completely taking over the production line and R&D line of smoking cessation drugs from Ming's Pharmaceutical Group, the entire smoking cessation drug project, under the strategic planning of Qin Lang, the new drug is officially launched!

Qin Lang's new drug is a smoking cessation drug simulated by the research and development laboratory. Of course, it is not comparable to a defective product like Pfizer. With detailed and complete phase III clinical trial data, bupropion has successfully passed the approval of the Drug and Food Administration. Also approved by the US FDA.

For Qin Lang's new drug, Pfizer is of course staring at the back, but they have invested tens of millions of dollars in the team, and they can't find any problems with bupropion. They can only envy and envy Qin's Pharmaceutical The company's research and development capabilities.

Before, Huaguo's illegal construction committee specifically praised Qin's pharmaceutical company. This time, Qin Lang's new drug was launched, and it has withstood the supervision and inspection of the industry in all aspects.Therefore, these government departments also gave a boost.

In addition to the domestic market, Qin's Pharmaceutical Group's new smoking cessation drug has also been successfully launched overseas.

In addition to the United States, in Europe, America, Southeast Asia and other countries, the smoking cessation drug has achieved great success as soon as it is launched.

With the help of this smoking cessation drug, Qin Lang's worth has also risen.

And Ming's Pharmaceutical Group also relied on its investment in Qin's Pharmaceutical Company, and its stock price rose further, and Qin Lang, as the chief scientist of Ming's Pharmaceutical Group's drug research and development experiments, also gained fame and fortune.

After another few months, Qin Lang's name finally appeared in this year's Forbes Under 30 Elite List. Although it was only at the bottom of the list, it was not easy.

The list covers entrepreneurs, managers and people in show business, sports, technology and culture.In addition to wealth, it is also a list of multi-dimensional inspections from influence, performance, and innovation, which can be said to be very valuable.

Not only a model for young people, but also an idol of the new generation, Qin Lang can be selected as a scientist in the medical field, which is also admirable and admirable.

[Ding, congratulations to the host for completing the long-term mission: completely defeating Pfizer's conspiracy, launching his own smoking cessation drug, saving Ming's Pharmaceutical Group, and being included in the Forbes Under 30 elite list.Obtain task rewards: 1. Obtain a research project: cancer therapy that inhibits negative immune regulation. (Note: This research result has the potential to win the Nobel Prize in Medicine)]

Qin Lang was very excited when he saw this high-end project.

This is a completely two-dimensional thing from ordinary surgery, which requires talent and chance. This kind of cutting-edge theoretical research basically has no way forward, and it completely needs to be explored and researched by oneself.It takes a lot of time and effort to get into it.

The research direction obtained by Qin Lang provides a brand-new principle for cancer treatment, that is, to attack tumor cells by stimulating the inherent ability of the human immune system.

Qin Lang has a general understanding of the idea of ​​this topic, but it is still in its infancy stage, and it needs to invest a lot of time to promote it in depth.

This research requires Qin Lang to find a special protein. If the immune system of the human body is compared to a car, then this protein is like the brake of the car. By releasing the brake, immune cells will be released to attack the tumor.This will be a completely new direction for treating patients.

This topic is also a very suitable breakthrough direction for Qin Lang. After all, Academician Wu Jizong and Professor Shen Xi are top experts in the field of immunology. I am their disciple, so I can naturally borrow their resources to the greatest extent. .

[Ding, new mission: long-term mission, through brand-new research in the field of immunology, to win the Nobel Prize in Physiology or Medicine.Task rewards: 1.1 life simulation points, 2. Obtain new permissions, future medical field. 】

(End of this chapter)