Doctor's Life Simulator

Chapter 87 Shocked to Heaven and the Disliked Director Yang!
[You were expelled from the city's first hospital.Yang Yi and Yang Yue were also excluded by Director Tian Bo and Dean Sun.Hand surgery has once again become one of the core departments of the treatment center.Yang Yi and Yang Yue returned to the Department of Hand Surgery of the Military Hospital. 】

[You followed your twin sisters to the military hospital, and unexpectedly you went to the oral surgery department. With your perfect basic surgical skills, you successfully gained a foothold in the oral surgery department.Next, the practice of extensive neck dissection was performed. 】

[30 years old, Tang Yue never forgets you.You turned her down.Continue to be an ordinary attending physician in oral surgery. 】

[At 40 years old, Tang Yue's heart is never dead for you.You turned her down.Continuing in oral surgery, your neck dissection is increasingly refined. 】

[At the age of 50, Tang Yue returned from the United States and became a top female professor in China and a leader in the field of scientific research.Tang Yue came to see you again.You turned her down.Continuing in Oral Surgery, your skills are blessed to the mind.You have improved the placement of negative pressure drainage tubes during neck dissection for squamous cell carcinoma of the tongue, which simplifies the operation steps and does not need to deliberately avoid the anastomosis of large blood vessels and vascular pedicles. The placement method is simple, and the secondary damage to the patient is lower. Drainage effect is sufficient. 】

[55 years old, you retired from the military hospital.Tang Yue finally took you down.You ended your career as a doctor. 】

[Simulation ends, doctor career evaluation, attending physician 39/40]

【You can retain one of the following abilities】

[155-year-old doctor skills]

[2.55-year-old clinical experience]

[3.55-year-old medical wisdom]

Qin Lang watched the simulation of this life, but he didn't expect that he would refuse in every possible way. Tang Yue still had a deep affection for him and missed him all his life.

The damn charm!

In addition, it is this damn director Tian Bo and Dean Sun who really linger. It seems that we need to act first to clear up this scourge.

However, careful planning is needed, and with the advantage of the simulator, Qin Lang believes that he will settle his old and new grudges together.

"Choose the second item."

[Ding, congratulations to the host for gaining 55 years of clinical experience. 】

[Host: Qin Lang
professional skills

Grade: Associate Chief Physician 48/60
professional skills:
Rounds: Master
Tube Bed: Master
Debridement: Master Class

Basic surgical operations (cutting, suturing, exposure, etc.): perfect level
Escharotomy: Master Class

Skin Grafting: Master Class

Rhinoplasty: Master Class

Double Eyelid Surgery: Master Class

Fascia Grafting: Advanced
Mucosal Grafting: Advanced
Tracheostomy: Advanced
Long bear technique: master level

Free skin flap transplantation: master level (creating a new surgical method)

Neck dissection: master level (creating improved surgery)
Other burn tech abilities (omitted): Advanced
Negative Pressure Drainage (VSD) Technique: Master Class

Special Skills:
Blessing to the Mind: There is a chance to create (improved) spells (real or simulated world)
Pain Relief: Debridement, there is a chance to reduce the pain of patients during dressing changes

Black Heart: The Bodhisattva lowers his eyebrows, the Vajra stares glaringly, and is no longer soft-hearted towards the wicked]

For Qin Lang, two lives were simulated, but in the operating room, it was only between lightning and flint.

Just when Director Yang made up his mind to start separating the vagus nerve, Qin Lang walked out from Shen Jiachen's side.

"Director Yang, I have confidence in the neck dissection. Moreover, I am young and strong, and I have confidence in the separation, the force control of the scalpel, and the ability to continue. Leave it to me!"

Hearing what Qin Lang said, deputy director Shen Jiachen and Wei Guoqiang were slightly taken aback. Thinking of Qin Lang's perfect basic surgical skills before, as well as the calmness and meticulousness in the operating room, Shen Jiachen said:

"Director Yang, I believe he can do it!"

With Shen Jiachen's words, Director Yang chose to believe, but he would watch the whole process: "Okay, then I will assist."

Director Yang was also a decisive person, and directly gave up the position of the chief surgeon to Qin Lang.

With the information in his mind and the repeated rejection of Tang Yue's lymphatic dissection, Qin Lang quickly got started.

The scalpel began to separate accurately, and with the perfect level of separation technology and incision technology, it was really a pain in the ass.

"Great control."

Recently, Director Yang was shocked. Director Wei of the First Hospital of Hecheng City is so powerful?

Due to the deliberate obfuscation of Deputy Director Shen Jiachen and Qin Lang, these people now think that the chief surgeon is Director Wei Guoqiang.

Tang Yue followed at the end, also in a trance for a while, and praised the figure in front: "Qin Lang, is your director very good?"

However, that figure didn't seem to want to pay attention to her, and took a step forward.

Tang Yue frowned, this Qin Lang was quite aloof, but now she was not in the mood to talk, so she started to pay attention to the operating table.

The Qin corridor descends directly from the front side of the internal carotid artery, gradually moves to the front of the common carotid artery through the outside of the carotid sinus, and then begins to carefully separate along the walking variation of the vagus nerve.

"This, how does it feel, he seems to have foreseen it in advance, and his reflexes and control are too powerful."

Director Yang looked at Qin Lang's operation, how did he feel, as if he had separated his normal vagus nerve and that's it.

"Slow down, slow down, let's be safe."

After all, Director Yang reminded him a little worriedly.

Qin Lang didn't care about this, and continued to separate in one go.

".Electrotome, vascular forceps"

Qin Lang unceremoniously turned against the customer, and loudly summoned the equipment nurses from Zijingang No. [-] Hospital.

After a while, Qin Lang used vascular forceps to separate the internal jugular vein, cut it off after a clean ligation, and performed a double ligation at the lower end.

Another 5 minutes later, Qin Lang completely separated the vagus nerve amidst everyone's unbelievable expressions.

In the observation room, Vice President Lin looked at Qin Lang's smooth operation and blinked his eyes: "That's it?"

Does this Yang Tangjue want to play me?This separation is not enough to have hands!
"But having said that, the operation process of the Director Wei invited by Shen Jiachen is really pleasing to the eye."

Seeing that Qin Lang completed the first difficulty, the separation of the vagus nerve, Vice President Lin felt a little relieved, but he knew that the operation had just begun.

In the operating room, the same is true for Director Yang and Director Yu.

"Do you want me to do the neck dissection instead?"

Having solved the first difficulty of the vagus nerve, Director Yang felt that he was doing well again.

However, where can Qin Lang hand over the power, he directly began to separate the supraclavicular and posterior triangular tissues, cut off the supraclavicular fascia with an electric knife, and separated the fatty connective tissue in the supraclavicular fossa upward along the surface of the prevertebral fascia.

With the perfect level of basic surgical skills, Qin Lang is handy, and the whole operation is extremely beautiful.

"Bravo."

Tang Yue sighed again, and then she was shocked when she realized that the figure in front of her was just like him.

"It seems that Director Wei is also hiding his secrets. Even his confidant younger brother doesn't know the true face of Lushan."

Next, Qin Lang skillfully dissected the transverse carotid artery and kept it after separation.
Three minutes later, Qin Lang found and cut off the accessory nerve at the depth of the front edge of the trapezius muscle according to the two horizontal points on the clavicle.
After 10 minutes, Qin Lang cut off the sensory nerve of the cervical plexus at the branch of the phrenic nerve, and protected the muscular branch emanating from the cervical plexus and going deep.
After 15 minutes, the cervical sheath was dissected upward along the lateral side of the band muscle, and the veins in the thyroid gland, the superior thyroid vein, and the common facial vein were cut off and ligated.

The next step is to dissect the submandibular area, find the external maxillary artery and vein in front of the masseter muscle at the edge of the mandible with a scalpel, and cut off the ligation.

After that, the separation and protection of the facial nerve was performed with the scalpel dancing!
Seeing Qin Lang's proficient operation, Director Yang was amazed: "It's really amazing. After this video of this operation, I must let the doctors in my department study hard."

Twenty minutes later, Qin Lang had found and protected the hypoglossal nerve on the superficial side of the artery above the bifurcation of the carotid artery. Soon, the internal jugular vein was ligated and cut, and the upper end was double ligated.

Mercury was pouring down to the ground, and the entire neck specimen was completely removed.

Due to the large neck wound after neck lymphatic dissection, there is a lot of blood and exudate in the postoperative wound, and it is necessary to place a negative pressure drainage tube in time to remove the blood and exudate in time.

The conventional placement plan is to place a negative pressure drainage tube before and after the common carotid artery, and one is located in the submandibular area, which is responsible for draining the front of the common carotid artery and the submandibular area in the submental area.

The other one is located at the back of the neck and is responsible for draining the posterior triangle of the neck. Both drainage tubes are kept at a certain distance from the great vessels of the neck and the vascular pedicles of the flap.

Moreover, in order to prevent postoperative displacement of the drainage tube, special fixation is required during the operation. Generally, the drainage tube is fixed to the nearby soft tissue with sutures. These steps also lead to time-consuming and inconvenient surgical operations.

Therefore, Director Yang is carefully preparing to complete this work:
"Director Wei, you have a break, and I will place the drainage tube."

However, Qin Lang directly stopped him, motioned him not to move, and gave a strange order to the equipment nurse:

". Kejibang Medical Collagen Sponge. Two drainage tubes."

Director Yang was stunned, he didn't understand, and he felt aggrieved. Did he just feel disgusted by him?
PS: Good news, it’s going to be on the shelves on Friday, and I’m going to start saving manuscripts. Keep reading these few days, and I’ll repay you guys with an update on Friday!

(End of this chapter)