Doctor’s Life Simulator

Chapter 160: Home Tutoring Dr. Joe and Dr. Tang

Remember [New] for a second,! "Doctor Qin, let's start now. The first procedure starts with the repair of the free skin flap at the wrist striated part of the superficial palmar branch of the radial artery.

After Tang Yue packed up, she took out her tablet and began to discuss with Qin Lang. She was still very serious and professional in her work.

Qin Lang also sat aside and began to discuss with Tang Yue in detail the ideas of the whole thesis and the subsequent developments:

"We can be divided into control group and research group according to different surgical treatment methods. The control group is treated with local pedicled transfer flap repair, and the research group is treated with free skin flap repair at the wrist striated part of the superficial palmar branch of multiple types of veins. Defect repair effect, operation time, intraoperative blood loss, wound healing time, postoperative complication rate, and patient satisfaction in the two groups."

Tang Yue also admires Qin Lang's clear thinking and perfect plan:

"Okay, Dr. Qin, then we need to clarify the inclusion criteria and exclusion criteria for patients, as well as the candidates for the main surgery."

Qin Lang thought for a while, and then made a decision:

"In this way, the inclusion criteria can be admission to the hospital within 12 hours after a sudden accidental injury, the patients and their families informed and consented to this study, and patients with combined burns, coagulation disorders, and patients with comminuted finger joint fractures were excluded."

Several topics have been carried out now. Qin Lang has a very large authority in the treatment center. Basically, as long as the staff deployment arrangement is proposed, Director Wei will fully support:

"As for the candidate for the director of this operation, let Deputy Director Huang Kaihang cooperate with our operation. I will arrange the patient's admission and other matters for you. You can concentrate on data statistics and evaluation of defect repair effects. It is mainly about the aesthetics of defect repair, the survival of the skin flap, and the evaluation of the two points of the finger pulp.

Listening to Qin Lang's professional and meticulous arrangement, Tang Yue was also a little surprised, it was really amazing.

After that, the two made a systematic arrangement for the unfolding of several other techniques, respectively, the two attending physicians, You Daren and Wu Youtu, were also brought over to study the subject.

Unconsciously, the two of them were working until the evening.

At this time, Qiao Yiyi also completed a day's experiment and returned home.

As soon as the door was opened, Qiao Yiyi saw two people at the dining table chatting hotly together.

"Yiyi, how's your progress today?"

Qin Lang saw that Qiao Yiyi, as the leader of the research group, although he would delegate power, he still had to pay attention to the progress that should be made. If there was a problem, he would adjust it in time.

Hearing Qin Lang's question, Qiao Yiyi thought for a while, and then pushed the boat along the way: "Brother Qin, our experiment today went very smoothly, but there are really a few small problems that I want to report to you."

Qiao Yiyi saw that Tang Yue had already occupied the magpie's nest, so she came to the coffee table in the living room and took out the data of her experiment today:

"Brother Qin, then come here and help me take a look."

Qin Lang would also attach great importance to this topic, so he walked over and left Tang Yue.

Tang Yue frowned slightly, but didn't say anything. She quietly began to absorb and digest Qin Lang's previous arrangements.

After Qiao Yiyi called Qin Lang over, she started her output:

"Brother Qin, it looks like it. When we tested the content of hydroxyproline today, we encountered some questions. Why can the change in mechanical properties be reflected by the content of hydroxyproline? What is the principle?"

Before, Qiao Yiyi just followed Qin Lang's design ideas to do testing with a little understanding. Today, the studious member Huang Ping asked her a little bit, and then Qiao Yiyi found that she didn't seem to understand the reason.

When Qiao Yiyi asked this question, Tang Yue was also attracted, as if it was indeed a new knowledge point. Even she pricked up her ears and listened, she was also curious how Qin Lang would explain it.

For this, Qin Lang did not explain in detail before, but patiently told Qiao Yiyi:

"Collagen fibers in tendons are composed of collagen molecules and collagen, and hydroxyproline is a specific amino acid contained in collagen. Therefore, the detection of hydroxyproline content can indirectly reflect the protein content in collagen fibers and the tissue Structural changes."

In order to make Qiao Yiyi understand better, Qin Lang further analyzed:

"During the freeze-thaw process, ice crystal damage and solute damage will cause the structure of the peptide bonds and other molecular bonds between the collagen peptide chains of the tendon to be destroyed, and more hydroxyproline will be released as free amino acid molecules, which will also change the The structure and function of protein molecules and collagen fibers lead to a decrease in hydroxyproline content."

"According to the latest journal report in the United States, higher hydroxyproline content means higher maximum load and elongation rate, which is also consistent with the detection results of our experimental hydroxyproline content."

After listening to Qin Lang's explanation, Qiao Yiyi suddenly realized, his eyes were full of admiration:

"Brother Qin, you are amazing."

-Tang Yue next to her was also shocked. This Doctor Qin was so knowledgeable and knowledgeable. No wonder he was able to become Professor Shen Xi's graduate student.

"Mr. Shen still has a vision, I must calm down and study with Qin Lang in the first hospital of the city."

Tang Yue also has very big ideals in her heart. She wants to become a scientific research expert and make her own contribution to the medical cause of China.

However, Qin Lang is the object she wants to study hard at this stage, so she is not to be outdone!

"Dr. Qin, I also have a question. The repair of multi-type radial artery superficial palmar branch free **** at the wrist striated area requires a high level of operation. There is still a big gap between the level of Deputy Director Huang Kaihang and yours. So, does this operation not take into account the influence of the operator's operation level on the incidence of postoperative complications of the patient?"

Facing Tang Yue's question, Qin Lang also frowned. Indeed, different surgical techniques have completely different results in the hands of doctors of different levels.

He just thought about things at his own level.

Some procedures are 70 points in difficulty, but ordinary doctors can achieve 65 points, and top doctors can achieve 70 points, and the difference is not big.

However, some techniques are 90% difficult. No matter how hard an ordinary doctor works, he can only achieve a 65% effect, but if a top doctor can achieve a 90% effect, that's a world of difference.

This is how Qin Lang improved this technique. He can achieve 90 points, but Deputy Director Huang Kaihang may only be able to achieve 65 points, which does not reflect the superiority of this technique.

Qin Lang thought about it and added some auxiliary steps to reduce the difficulty of the operation. After all, not everyone can be as good as him: "Before Director Huang's operation, color Doppler ultrasound was added to identify the blood vessels and puncture of the affected finger. In order to reduce the preoperative misjudgment, we should strengthen the observation of the damage and variation of the superficial palmar branch blood vessels. During the intraoperative microscope-assisted suture, pay attention to avoid damage to the recurrent branch of the median nerve and the thenar branch...”

After listening to Qin Lang's plan, Tang Yue nodded slightly: "Doctor Qin, with retrograde blood supply mode, I still have a question, can you come and have a look together...

Qin Lang, of course, did not refuse any questions at work. After all, he was the leader of the research group, so he walked from the sofa in the living room to the dining room and sat beside Tang Yue.

Qiao Yiyi pursed her lips slightly, that is, after digesting the advice that Qin Lang gave her just now, and after she understood it thoroughly~www.readwn.com~, she went to find new difficulties and questions again.

After all, with Tang Yue's efforts, she couldn't be subordinate to others.

After a while, when Qin Lang finished tutoring Tang Yue, Qiao Yiyi also called out, "Brother Qin, I have another question that I need you to answer."

The three of them, Qiao Yiyi and Tang Yue, were fighting with high spirits, and Qin Lang's bows from left and right were constantly advancing the progress of the project.

Time passed minute by minute.

Under the stamina potion, Qin Lang's physique is not covered, even if it is to deal with two people, it is very easy and comfortable, and, not afraid of two people asking, as long as he dares to ask, he can solve it satisfactorily, and can also output additional output.

"Do you have anything else to ask?"

Qin Lang was very satisfied with these two assistants, both in terms of curiosity and work ability.

Qiao Yiyi's eyes were a little tired: "Brother Qin, no, no, I need to digest."

Tang Yue was also a little tired, and his head was a little overloaded. It was really too much knowledge instilled in Qin Lang today: "Doctor Qin, I can't do it anymore."

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