Doctor’s Life Simulator

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[After everyone's discussion, I still can't come up with the best plan. You're perfect for tendon sutures, but there's nothing you can do about inflammation control. You can only do your best to suture. In the process of surgery, your spiritual talent was activated, and the method of internal locking suture was improved, and half-knot locking suture was adopted, which achieved the tensile strength of early rehabilitation to a certain extent, and reduced the suture to a certain extent. Thread for tendon damage. 】

[Everyone greatly appreciates your improved half-knot lock method. After a bold idea, Professor Shen Xi and Deputy Director Shen Jiamo came up with a general idea, which is to use photochemical tissue bonding technology, combined with a medium, to wrap the tendon wound and combine your suture method. 】

[It's just that the time is too tight, and the two of them couldn't think of a suitable medium in a short time, as well as a mature way to deal with it. As the best time for surgery is approaching, there is still no solution, so you can only bite the bullet and perform the surgery with a flawed plan. 】

[Finally, due to Chen Mu's keloid constitution, the re-injury after suturing destroyed the blood supply and synovial nutrition, resulting in a severe inflammatory reaction, foreign body (suture) rejection, abnormal scar hyperplasia, and adhesion of surrounding tissues. , resulting in limited finger movement. 】

[Chen Mu had to transform and gave up playing the musical instrument he was best at. Soon he lost his support in the highly competitive entertainment industry and gradually quit the entertainment industry. And because of the stage accident, his hand movement was restricted. As the organizer of Zijingang University and the treatment team, Zijingang First Hospital became a joke. The dignified Zijingang First Hospital couldn't even do a single tendon repair operation. As for the keloid physique behind it, no one cares. 】

[For this reason, Professor Shen Xi and Deputy Director Shen Jiamo are very self-blame and annoyed, and then they also specially engaged in a project to break through the tendon repair of patients with keloid constitution. However, it is very difficult to treat such patients. After more than ten years, there was still no decisive breakthrough, and it was stranded when Shenxi was ordered to deal with another national medical project. 】

[Ending this simulation, the solutions to these issues are contingent and specific, and cannot be overcome by time accumulation. Have you acquired medical wisdom for the condition? 】

Qin Lang naturally chose the wisdom of practicing medicine, and also understood the settings of the simulator. Some specific topics and research areas are not broken through by individuals, but only by the extraordinary wisdom of doctors.

[Congratulations to the host for obtaining the medical wisdom for the case. 】

[Through the bold design of Deputy Director Shen Jiamo and Professor Shen Xi, you follow their ideas, use photochemical tissue adhesion technology, combine the amniotic membrane, and your improved half-knot locking suture method, which can perfectly solve the problem of early recurrence. Tensile strength required for health, as well as serious inflammation and tissue adhesion problems in keloids. 】

[Note: Laser machine: iridexoculighttx from the United States, the output wavelength is 532nm, the irradiation density is 0.5w·cm-2, and the energy is the best light parameter 200j·cm-2 (400s). The photosensitizer is rose bengal (Rosebengal, rb), a sigma company in the United States, concentration: 1 g·l-1 (0.1%). 】

【Amniotic membrane: Taken from the mother who has ruled out infectious diseases, the amniotic membrane is bluntly separated from the placenta under sterile conditions... After special treatment, the tendon injury area is wrapped. 】

Qin Lang smirked slightly, and finally had a perfect solution. Sure enough, it was a very complicated and subtle solution. If it weren't for the wisdom of practicing medicine through the simulator, and simply relying on self-exploration, it would take a lifetime to really spend a lifetime in vain.

While walking, Qin Lang said to Dr. Lu Min: "According to the patient's condition, I really have an immature plan, which will require Professor Shen and Director Shen to discuss together in a while."

Hearing that Qin Lang said there was a plan, Lu Min was overjoyed. Maybe it was because Qin Lang showed extraordinary stitching skills yesterday, which gave him a great impression of and trust in Qin Lang.

Soon, several people rushed to the conference room.

Shaoqing, Deputy Director Shen Jiayang and Professor Shen Xi also came to the conference room. The two bosses were a little surprised when they saw Qin Lang also here. However, after thinking about it, I thought that Qin Lang was very reasonable again. After all, With his suture technology, he is indeed the best candidate right now.

"Professor Shen, Director Shen, please take a seat."

Director Zhou presided over the multi-department expert consultation. After being polite, and waiting for Director Han Hu to connect remotely, he went straight to the point and raised the dilemma he encountered.

Lu Min also pointed out the serious consequences that he would have for Chen Mu's keloid constitution.

After listening to Lu Min's analysis, Shen Jiamo also nodded again and again. In the field of burn and plastic surgery, keloid is also a very difficult topic, and there is no good solution yet, but Deputy Director Shen Jiamo still put forward some ideas of his own. and ideas:

"...The occurrence of scars is inseparable from the healing after tissue damage. The repair process of tissue damage is also the process of scar formation, and damage is the initiating factor of scarring. Therefore, to solve keloid damage, the root cause is to solve Tissue damage. Therefore, I think that in the process of suturing the patient's tendon, the first element is to reduce the damage as much as possible through the design of the suturing method while ensuring the tensile strength of early exercise..."

Professor Shen Xi also took over the words of Shen Jiaqi and continued to add:

"In my years of research on tumor prevention and treatment, I have seen a tumor origin theory of keloids in foreign countries, that is, keloids and tumors have similar clinical manifestations, pathogenesis, and diagnosis and treatment methods. The bad side is that The research on keloids and tumors, in general, have great complexity and arduousness, and cannot be done overnight.”

"However, from another perspective, we can learn from the oncology treatment plan to try to weaken the keloid after tendon suture this time. Combined with Director Shen's non-destructive point of view, I am currently researching a brand new photochemical tissue adhesion technology."

"That is, after the photosensitizer is used on the wound surface, after the photosensitizer molecule is activated by the laser, the internal conformation changes, electron transfer occurs between the excited state photosensitizer and the collagen molecule, and the collagen molecule with positive or negative polarity is formed. The polar collagen molecules are covalently cross-linked, so that the tissue can be quickly and effectively connected and bonded, and the wound can be closed."

"So, I think it is possible to design a new suture method to ensure the tensile strength of early exercise, combined with photochemical tissue bonding technology, to form a closed protective film through a medium, so that the tendon position at the suture is less likely to occur, or even not Inflammation and birth scarring occur."

Listening to Professor Shen Xi's thoughts and ideas, everyone in the conference room admired him. He is indeed a scientific research leader and an academician of Shen Xi!

Qin Lang is also a five-body project. UU Kanshu www.uukanshu.com himself stood under the top-level design of Professor Shen Xi in the simulation world, and only created the final plan.

People like Professor Shen Xi are the ones who rely heavily on the development of human medicine.

This is the crystallization of the real doctor's wisdom!

Regarding the ideas and design directions proposed by Professor Shen and Director Shen, Lu Min and Director Zhou also fell into contemplation. The two bosses have given a very feasible direction, and the next step is to test them.

Director Han Hu is also thinking, what suture method can meet Professor Shen Xi's assumption?

"Teacher, I have thought of a brand-new suture method that can fit your idea!"

When everyone was in trouble, Qin Lang was ready to control the rhythm and guide step by step the perfect plan that he had obtained by standing on the shoulders of giants.

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