Doctor’s Life Simulator

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"Hey, Qin Lang, I'm Han Hu. You are still at Zijingang University today. I have a patient with a hand injury. The situation is complicated and needs the assistance of a top surgeon... I'll contact you later. Lu Min will be your assistant, and Director Zhou of our department will also assist in checking."

After yesterday's test, Han Hu knew very well that Qin Lang's tendon suture level was at the top level in Zhejiang Province, even better than him, so he called him immediately to invite him.

After all, now Qin Lang is Professor Shen Xi's graduate student, and he is also his little nephew.

"No problem, Director Han, I happened to be at the music festival. I'll come over now to assist with the treatment."

Qin Lang naturally would not refuse. It is the doctor's job to save and treat people. Moreover, in the field of hand injury and tendon repair, he is also confident to give patients the best surgical treatment.

Qin Lang took Tang Yue directly, and the two of them squeezed out of the crowd together, and went to the general surgery department of Zijingang First Hospital together with Principal Kong and the others.

...

...

In the clinical teaching room of general surgery.

Lu Min was in front of the table, training on tendon suturing.

He was accompanied by a little junior sister who kept time for him.

After Qin Lang, Professor Shen Xi and others left, Lu Min specially brought over the tendons sutured by Qin Lang and analyzed it carefully. As Director Han's proud disciple, after Director Han's suggestion and explanation, Coupled with the observation of Qin Lang's sutured tendons, he quickly understood the entire suture method of Qin Lang.

So, he began to try to use Qin Lang's inner-lock suture method to practice.

Eight tendons, using this interlocking suture method is obviously a dimension more complicated than his previous improved kessler method. Even the golden hands of the general surgery department of the First Hospital of Zijingang, after yesterday and today's hard training, are proficient in this kind of inner lock. After lock stitching. Still much slower than the improved kessler method.

After the eight tendons were sutured, Lu Min wiped the sweat from his forehead and looked at his little junior sister expectantly: "How?"

The little sister looked at the stopwatch and looked at the senior brother, her eyes were a little distressed, and she shook her head with a wry smile: "Sixteen minutes and eight minutes."

Lu Min threw his fists with both hands and smashed it lightly on the table, obviously he was very dissatisfied with his time.

With the same stitching method, Qin Lang was able to do it in more than eleven minutes, but it took him so long:

"He's so strong!"

After that, Lu Min and the junior sister conducted a data test together. After the data of the first tendon came out, Lu Min knew that not only the speed, but also the tensile strength was worse.

"Director Han is right. This type of interlocking suture method can only be used flexibly by physicians with sufficient experience. Although he has already dominated the general surgery department of Zijingang No. 1 Hospital, he still needs a lot of hard work from Qin Lang. ."

Just have a goal!

Before, Lu Min had always been arrogant and arrogant, and felt that his stitching level was invincible among his peers, but now he has lost his way and gave him new fighting spirit.

"Junior sister, if you give me another chance, you must record Dr. Qin's stitching process carefully, analyze and study it carefully."

Lu sensitive sighed, and was ready to continue practicing sewing.

At this time, Han Hu's phone call came.

"Lu Min, I have an operation outside the hospital, and I'm rushing back. Principal Kong will bring a patient here in a while. It's Chen Mu, a well-known domestic musician. There was a major stage accident at the music festival. The palm has been damaged in the eye and needs to be repaired immediately with tendons and blood vessels, and there may even be nerve damage. I have asked Director Zhou to preside over the consultation, and you will immediately rush over to assist."

Hearing what Director Han said, Lu Min naturally responded immediately.

He is very experienced in the repair and suture of tendons and blood vessels in his hands. Although he is incomparable to a monster like Qin Lang, he is still very confident within the scope of Zhejiang Province.

He also knew very well that when Director Han gave him this call in person, he was absolutely trusting and entrusting him.

Deputy Director Zhou Jiaping, although he is the Deputy Chief Physician of General Surgery, but his research field is external abdominal hernia and gallbladder system diseases, so hand repair is not his main field. Just preside over the situation.

After that, it was he who was the real master of stitching, Director Han's most proud elite disciple!

"Little Junior Sister, clean up for me. I'm going to attend a consultation to perform hand repair surgery on Chen Mu, a well-known domestic musician."

When the little junior sister heard that it was Chen Mu, she also snorted softly, really wishing that she could also be the chief swordsman for such a celebrity.

"Senior Brother Lu, come on!"

The younger sister looked at Senior Brother Lu with admiration, and she was even more motivated to do chores for Senior Brother.

Lu Min received an order from Director Han, regained his self-confidence, and strode to the ward.

When he came to the general surgery ward, Director Zhou, Principal Kong, the school doctor, the patient Chen Mu, and the manager of the insurance company were all present.

Although Director Zhou does not specialize in the field of hand repair, he still has the basic qualities and judgments he should have.

When I saw Lu Min coming, I introduced it to Principal Kong and the patient:

"This is the most proud disciple of Director Han in our department, Lu Min. He is also the top suture doctor in our department. He is very experienced and capable."

For Director Zhou's practical introduction, Lu Min was very useful, that is, he checked the patient's condition.

When Lu Min was looking at the materials, Director Zhou explained:

"Chen Mu is mainly stab wounds and cuts by sharp objects on acrylic plates. Skin and muscle injuries are minor problems. The most serious injury is his finger tendon injury. If the recovery after suture is not good, it will affect his finger function. . Therefore, we need to develop a solution that is as lossless as possible."

Principal Kong interrupted: "It's not as much as possible, but it must be restored to its original function. Chen Mu is a musician, and her fingers are her second life."

The insurance company manager on the side also looked ugly, and pleaded with Director Zhou and Dr. Lu:

"Two doctors, you must restore Chen Mu's hand function perfectly. Her hand is insured. If the function cannot be restored, she will be compensated for 20 million yuan!"

Hearing what the insurance company manager said, everyone was a little surprised.

However, thinking about the well-known domestic musicians of Chen Mu's level, they are relieved, the claims are high, and the annual insurance premiums are also amazing.

Just like the pianist Lang Gina's hands are as high as 100 million yuan, and the insurance premium needs to be tens of millions.

Mo Wenwei endorsed shampoo products in her early years, and advertisers also bought nearly 10 million Hong Kong dollars of insurance for her. If her hair was hurt during the production of the advertisement, such as hair loss caused by dyeing and perming, the insurance company will make corresponding compensation. .

When Fan Huohuo participated in "Walking Man", it is said that the program team also bought a 100 million insurance for her face. As long as her face is slightly damaged, the program team can get 100 million compensation to Fan Huohuo.

Time management guru Luo Bishi also once purchased an insurance with an insured amount of up to NT$300 million for his pair of electric eyes, and so on.

Therefore, for Chen Mu's hands, whether it is from her career, or from the loss of school, the reputation of Zijingang University Affiliated Hospital requires a perfect cure.

All of a sudden, the list on Lu Min's shoulder suddenly became heavier. In the past, Director Han was carrying it, but today it was only himself, and he was a little flustered.

However, Lu Min's professionalism is still very strong. The general equipment of Zijingang First Hospital is also the most advanced, using the latest 3.0tmri and the use of special coils, Siemens; 3.0t superconducting magnetic resonance imager, The 4-channel small flexible coil has the advantages of good soft tissue contrast and multi-directional imaging.

Looking at the fine anatomical structure of the tendons and ligaments of the fingers, Lu Min quickly evaluated the location and extent of the injury, and combined the conclusions of doctors specializing in musculoskeletal imaging diagnosis.

The interlocking suture method that Qin Lang used before came to Lu Min's mind. After yesterday and today's assault, although the speed and suture quality were not as good as Qin Lang's, he believed that he could deal with this patient.

The structure of the extensor tendon mainly includes sagittal bundle, central bundle, medial and lateral bundle, terminal tendon, etc. After careful examination, Lu Min breathed a sigh of relief. In general, there is still a possibility of perfect repair.

This time I really want to thank Qin Lang, and of course I have my own efforts and hard work!

It's just that the operation plan needs to be further designed and optimized. After this wave has stabilized, Lu Min is in high spirits.

"Principal Kong, Dr. Huang, Manager Wu, like this, we have a basic understanding of the patient's situation and have a general direction. However, because the patient is a musician, tendon repair is much higher than the requirements of ordinary people, so we need to internally One more consultation to discuss options...so..."

Principal Kong, school doctor, insurance company manager and others are naturally very sensible, and they are also very recognized for Lu Min's professionalism:

"Yes, yes, then we will wait for the good news from Director Zhou, Dr. Lu."

"Director Zhou, I need to look at the patient's condition again. After that, I will go to the conference room to demonstrate a plan."

Zhou Jiaping nodded and asked Lu Min to check and watch it again.

Lu Min came to Chen Mu, asked again, and took a closer look at the affected hand, and suddenly found an unexpected detail.

"Chen Mu, this knife scar is on your left arm!"

A very bad premonition hit me.

Chen Mu endured the pain and said to Lu Min:

"This scar was accidentally scratched by me again before. It would have been sutured, but who would have known that I have a very special keloid physique. So such a small caterpillar was left."

Hearing Chen Mu's words, Lu Min's whole head roared: "Oops!"

The suture of the tendon will inevitably bring new damage to the tendon. At the same time, the suture exists in the tissue as a foreign body, which will cause an excessive inflammatory response, thereby increasing the adhesion between the repaired area and the surrounding tissue, and also delaying the repair of the tendon tissue.

For ordinary people, through extreme suturing skills and early functional exercise, it is possible to restore function without affecting the playing of the instrument.

Originally, through Qin Lang's interlocking suture method~www.readwn.com~, the tensile strength can be doubled, and through early and timely exercise, he is confident to restore her function.

Internal locking suture is based on the kessler grasping suture, supplemented by a buckle structure at the tendon heart, using the internal locking structure and the suture running in the tendon fibers to provide greater traction to enhance tensile strength.

However, when encountering Chen Mu's keloid constitution, the increase of sutures will only aggravate the damage to the tendons, and her inflammatory reaction will only be more severe, resulting in severe adhesions.

However, if the modified kessler method is used, one cannot ensure the inflammatory response, and second, the strength is not as good as that of the interlocking suture. As for other suture methods, the strength is even less.

What should be done now requires a two-pronged solution that can not only meet the tensile strength, but also reduce the inflammatory response due to keloid constitution.

Lu Min is a little overwhelmed, this operation needs a backbone.

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