Doctor’s Life Simulator

In the operating room, Director Lin quickly started the removal of necrotic tissue.

After entering the front of the pancreas in the lesser omentum, Dr. Liu and Qin Lang were surprised to use their fingers to separate and remove the necrotic tissue of the pancreas.

I have to say that this kind of senior director has a lot of experience, and the art masters are bold!

In order to be able to reach all areas of pancreatic necrosis and effusion, it is necessary to expose the entire pancreas. In the field of vision, it is seen that a dense cavity tissue package has been formed, and there is even a high degree of adhesion and edema locally.

Seeing this scene, Director Lin was also afraid for a while. Fortunately, Qin Lang's early prediction and proper handling made it possible for him to perform surgery on the patient.

Director Lin pondered for a moment, then put his fingers into the separation, opened windows at multiple locations of fluid accumulation, and made all the open windows communicate with each other through post-separation exploration.

Especially in the area of ​​the pancreatic head, the front of the pancreatic head can be accessed by opening a window on the right side of the root of the transverse mesocolon.

Looking at the complex structure inside the pancreas, Qin Lang and Dr. Liu were also filled with emotion, worthy of such a high-level operation.

After completing this step, Director Lin started flushing and placing drainage.

A drainage tube was placed along the entire long axis of the pancreatic bed, passing behind the colonic hepatic and splenic flexures, and exiting from the lateral abdominal wall.

The whole movement is very delicate and gentle, and Qin Lang's scalp is also numb.

This whole operation is very important for the grasp of the heat. If the clearness is too thorough, it is easy to damage the adjacent organs and blood vessels, resulting in complications such as bleeding and intestinal fistula. If the debridement is not thorough, there will be too much necrotic tissue. , may require reoperation.

"Amazing!"

Qin Lang memorized these operations carefully, and in the next simulation, he can play the role of building a high house.

The entire operation was performed very smoothly by Director Lin with the assistance of Director Zhuang.

Even after the last step, Director Lin and Director Zhuang did not expect that the operation would go so smoothly.

Soon, everyone sent the patient to the ward, and the patient's family also greeted him.

The patient's mother was very anxious, her eyes were red, and she looked at several doctors. She was especially impressed by Qin Lang, who was on the island in the heart of the lake and gave orders decisively.

He stepped forward and grabbed Qin Lang's hand:

"Doctor, how is my daughter?"

"Don't worry, under the operation of Director Lin, Director Zhuang and Director Pang, the patient's condition has stabilized. It only needs to cooperate with the treatment next, and the condition can basically be controlled. It is out of danger."

Qin Lang was to comfort the family members in a soft voice.

"Thank you, doctor, thank you doctor."

The patient's family would not say anything else, but just kept thanking them. Then, when they looked at Director Zhuang and the others, they couldn't tell who was who, so they thanked them for a while.

Seeing the family's reaction, several doctors were both proud and relieved after sending the patient away.

Several people also began to review and reflect, and they were all emotional.

Director Zhuang said solemnly: "This operation can be so smooth, it really depends on Dr. Qin's first diagnosis and command at the scene, so that everyone has enough time to deal with and operate later. ."

Director Lin also praised Qin Lang:

"Doctor Qin, when I opened the pancreas today, I was really scared for a while. If the diagnosis was confirmed half an hour later, it might be too late for rescue. This time, you really did a great job."

Director Lin said with some envy, "If I hadn't known that you were a physician at the burn center, I would have really wanted to recruit you. With your talent and talent, it would be great to come to our general surgery department."

Director Zhuang also agreed, and then started poaching people directly: "Doctor Qin, we will continue to work together well for the next six months. After that, if you think the emergency department is good, you can stay. We will not go back to the burn department."

When Director Lin listened to Director Zhuang's words, his eyes lit up, yes, why didn't he expect that he could draw it slowly, so he said, "Doctor Qin, if you have time in the future, come to my general surgery more often, you can learn from the emergency department. Some surgical procedures will only be more refined and deeper when you come to my general surgery, and then I will personally be your assistant."

For Director Lin's kindness, Qin Lang was of course unwilling to ask for it. The more opportunities for different departments, the more tasks that can be stimulated.

Seeing that the two directors were so optimistic about Qin Lang, Dr. Liu was really envious.

After Director Zhuang and Director Lin spoke for a while, everyone broke up.

Physician Liu and Qin Lang continued to go to the duty room, while Director Pang came, and was going to make a round of inspections in the ward. As for Director Zhuang and Director Lin, they also went home and continued to sleep and rest.

Back in the duty room, Dr. Liu took out a small notebook and asked Qin Lang again for the identification skills of today's peritoneal puncture.

Of course Qin Lang does not treasure himself. For him, it is a great blessing to be able to pass on and carry forward the medical knowledge he knows.

Every time a doctor improves and masters a skill, it can give patients more hope at a critical moment.

In addition to the knowledge in conventional textbooks, Qin Lang also refined some essential identification skills that he mastered, which is very targeted.

Listening to Qin Lang's detailed explanation, Dr. Liu also benefited a lot.

"Doctor Qin, you are amazing. If I hadn't known your age, I would have thought you were an old expert in acute abdomen diagnosis."

"Not to mention this paracentesis, in some specific cases, it is really the best auxiliary diagnosis method, simple, fast and efficient!"

Dr. Liu gave Qin Lang a thumbs-up comparison.

After the explanation was completed, Dr. Liu absorbed it by himself and realized it.

While Qin Lang was drinking the tea made from wolfberry fruit from Cheng Yunfeng, he relaxed a little, and suddenly the phone vibrated.

Qin Lang took it out and looked at it. It was an email notification. After reading it carefully, Qin Lang was also a little overjoyed.

The next week will be the opening ceremony of his postgraduate study. When the time comes, he will go to the First Affiliated Hospital of Zijingang University to attend the opening ceremony, and he will officially start his postgraduate career.

According to the instructions on the email, in addition to the speeches from the school leaders, the entire opening ceremony will invite many senior brothers and sisters who have returned with honor. It is indispensable, among them, that the representative figures will come back to make a bragging speech.

This kind of thing, when he was still a student, Qin Lang also looked forward to that one day he would be able to return to his alma mater and become a role model in the eyes of all the juniors.

It's just a pity that after so many years, he still participates in this kind of opening ceremony as a student. I just don't know, when the time comes, at the opening ceremony, what kind of resumes will those senior brothers and sisters who have made a name for themselves in the industry have.

"The opening ceremony of the graduate student at the First Affiliated Hospital of Zijingang University~www.readwn.com~ Think about it, Qin Lang is still very much looking forward to it, and he is getting better and better step by step!

While Qin Lang was thinking about it, there was another situation outside. A woman in her twenties was in a hurry. She hurriedly hugged a child who was only one or two years old and entered the emergency department.

For the emergency department of a tertiary hospital, it is so busy, with waves of unrest.

Physician Liu naturally started the consultation immediately. The child's condition was very bad, accompanied by upper respiratory tract infection, tonsil inflammation, a certain degree of chills, diarrhea and nausea, accompanied by high fever, and pain in the entire abdomen. .

Acute gastroenteritis? Gastrointestinal upper respiratory tract infection confusion? Mesenteric lymphadenitis? Acute appendicitis?

One by one possible symptoms appeared in Dr. Liu's mind. Because many children could not describe themselves or describe inaccurate medical history and subjective symptoms, early diagnosis was very difficult.

Especially in the early diagnosis of appendicitis in children, infants and young children are particularly prone to delay diagnosis, and some are confirmed after perforation occurs. It is reported that the perforation rate is 30% to 40%, and infants and young children can reach 90%.

Confused, Dr. Liu suddenly had a good idea. Isn't this just a good time to learn paracentesis with Qin Lang? Why don't you try it to assist in the diagnosis?