Doctor’s Life Simulator

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Peng Yun looked at Qian Liang with envy.

At first, she thought she was lucky and was selected by Director Lu, but now she feels that following Qin Lang is not bad. Dr. Qin really feels like a spring breeze, and his three views are also very positive.

If it were her, her medical team would not be able to help after being suppressed by Director Lu like this. After all, now she is from Lu Yu, and she has no personal relationship with Qin Lang. She can only say that Qin Lang has a pure character and really puts patients first.

However, Peng Yun was still a little worried: "Doctor Qin, is there really no problem with such a large area of ​​severe burns?"

Qin Lang carefully observed the patient's condition again, and he made a surgical plan. In order to make the patient's recovery more perfect and obtain mission rewards, Qin Lang added a new technique:

"Dr. Peng, you can rest assured. In addition to our medical team's new improved microskin transplantation, I am going to give the patient an adjuvant treatment with negative pressure closed drainage (vsd)."

"Negative pressure closed drainage technology?"

Peng Yun is a bit confused, but when is the microskin transplantation surgery, and there is still such a step?

Even Qian Liang on the side was a little dazed. He also didn't see Qin Lang do this technique. Why, every operation, Dr. Qin can come up with new tricks.

However, he has gotten used to it, and Doctor Qin is so good.

Soon, Qin Lang communicated the specific plan with the two doctors. After Peng Yun heard it, he was really confused. After a while, he pretended to go to the toilet. After arriving in the bathroom, he directly called Director Lu and informed Qin Lang of the operation plan.

"Are you saying that on the basis of the original improved microskin transplantation, Dr. Qin added the vsd negative pressure sealing and drainage technology?" The other end of the phone was obviously amazed.

"Yes, Director Lu, I have no experience with the VSD negative pressure sealing drainage technology, so I don't know whether it is reasonable, whether to let Dr. Qin continue the operation or change the plan."

Since he was Lu Yu's uncle, Peng Yun certainly didn't dare to make an assertion.

The other end of the phone was silent for a while, and said in a somewhat excited tone:

"I totally agree with Dr. Qin's plan. I also thought about adding the vsd negative pressure sealing drainage technology to the improved microskin transplantation, but I was worried about the level of the doctors in the city's first hospital, so I didn't add it."

Lu Yu is analyzing with Peng Yun:

"Because of deep wound tissue damage, high infection rate, poor skin healing, and high disability rate in patients with deep burns, a physiological environment with strong anti-infection is extremely important for wound repair in burn patients. Ischemia and edema are important factors that hinder wound healing. Because of this, the metabolites and toxic substances produced by the wound, as well as the oxygen and nutrients required for wound repair, must be completed through blood circulation."

"The vsd improves the microcirculation of the wound through negative pressure suction, removes the necrotic tissue around the wound in time, reduces tissue edema, and promotes the growth of granulation tissue. The vsd can form a closed system around the wound, so that the toxins and effusion produced by the patient's wound can be eliminated. Waiting for adequate drainage to avoid frequent dressing changes to damage the wound granulation tissue of the patient, which can promote the growth of granulation tissue.

"It's just that this technique requires a very high level of the chief surgeon, and it is even more difficult to effectively combine it with the modified microskin graft. Even I only dare to imagine it, but I haven't actually tried it."

"Before, I followed our Director Xie and had the honor to observe a microskin graft combined with vsd-assisted surgery. After surgery, the patient's skin graft survival rate was significantly improved, and the healing time of the skin graft and the donor site was shortened. ."

In her words, Lu Yu highly praised Qin Lang's brand-new technique. If the patient was not her uncle, she would be inconvenient to come forward, and she really wanted to observe it.

Hearing the excitement in Director Lu's tone, Peng Yun was also somewhat unexpected:

"so smart?"

Peng Yun did not expect Director Lu to rate the plan proposed by Qin Lang so highly.

"Of course. The vsd technology was pioneered by fleischma of the University of Ulm in Germany. In recent years, the top hospitals in the imperial capital have applied it to the clinic, especially the drainage of various wounds. The negative pressure sealing drainage technology is widely used in some other surgical procedures in general surgery. It has achieved good results and has gradually begun to be used in orthopedics and general surgery.”

On the other end of the phone, Qin Lang sloppily introduced that this is also a frontier research field in the burn department. She has a clear understanding of the principles and the ins and outs. If it weren't for the different positions and the inappropriate timing, she really wanted to go to Qian Liang's operating room. , let's discuss together.

Speaking of medical research, Qin Lang had already forgotten about her uncle's injury, and she kept giving Peng Yun the science vsd technology. After all, she could become an elite doctor in the Imperial Capital Jishuitan Hospital. Qin Lang still has her unique attainments and technical skills. Perseverance.

"The principle of vsd technology is that, firstly, the closure maintains the high negative pressure as the drainage power, and at the same time isolates the drainage area from the outside world, effectively preventing contamination and cross-infection."

"Second point, high negative pressure sealing can continuously drain the exudate, necrotic tissue, bacteria, toxins, etc. of the wound, so that the drainage area can achieve "zero accumulation", and the wound can quickly obtain a clean environment."

"The third point is to increase the blood supply of the wound, improve the microcirculation of the wound, and promote the growth of granulation tissue. vsd can significantly enhance the proliferation and microvascular density of vascular endothelial cells and fibroblasts in the superficial dermis of the wound edge tissue."

On the other end of the phone, Qin Lang was obviously getting more and more interested, and his tone was a little excited.

"The fourth point is to regulate the activity of gelatinase in the wound, improve the microcirculation in the wound, inhibit the degradation of collagen and gelatin, and promote the healing of the wound."

"Finally, it can reduce peri-wound edema and reduce vascular permeability. vsd can significantly promote wound healing by enhancing the expression of substance P and calcitonin-related gene peptides secreted by peripheral nerve endings and affecting the expression of endogenous epidermal growth factor. effect."

After introducing the principles and the superiority of the technique, the other end of the phone sighed, obviously regretting that Qian Liang was born on the opposite side of her.

Shao Qing, Qin Lang said the last sentence:

"Dr. Peng, Dr. Qin's operation is a very meaningful operation regardless of the patient level. I hope you can watch it. After you finish, describe the operation process to me. Please."

Lu Yu nodded while holding the phone, apparently not expecting that Director Lu would have such an opinion on Qian Liang's surgical plan.

After coming out of the toilet, Lu Yu hurriedly ran to the disposal room and said to Qian Liang, "Doctor Qin, your surgery plan, I think it's perfect... Well, can I watch it during the surgery?

Qian Liang didn't feel anything, but Peng Yun's face was not very good-looking. In his opinion, Qi Ce had already agreed to operate on her relatives. , to see for yourself.

Seeing that Qian Liang did not approve, Peng Yun shook his head, Qin Lang was still too young and had a good temper.

If you change to a more senior doctor and perform surgery on her family by yourself, you have to watch on the sidelines, and you will lose face.

"Doctor Peng, you can come and observe, but keep quiet, don't talk crookedly, and don't allow other people to come and watch. So as not to affect Dr. Qin's operation."

Peng Yun is a few years older than Qian Liang. Apart from being an assistant to Qian Liang, of course the rest must be escorted. Now Qian Liang is the treasure of their medical team.

Moreover, although following Qian Liang, Peng Yun always succeeded physically, but he really benefited a lot, and I don’t know if it was an illusion. Following Qian Liang’s surgery, I unknowingly memorized a lot of operating skills. Yun can be sure that he has definitely improved a lot from half a month ago~www.readwn.com~ In addition, the most important thing is that, following Qian Liang's recent completion of so many operations, the operation fee allocated is very objective! Xiaojiao The wife has raised her pocket money from five yuan to ten yuan a day!

This month will be the biggest bonus he has ever had in his career.

"Doctor Qian, Dr. Qin has a heart. I understand."

Of course, Lu Yu will observe the operation quietly, and it is even more impossible to find other doctors to watch it together. The fewer people who know about this operation, the better.

"Then Dr. Qin, I took my relatives to sign it first, and paid the fee."

In order to prevent Qian Liang and the others from knowing the identities of Qin Lang's aunt and uncle, Lu Yu directly communicated with them to arrange preparations before the operation.

After everything was ready, Qian Liang's operation officially ended soon.

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