Doctor’s Life Simulator

Zu Liang looked at the still calm and calm memorial hall again, and nodded, since Director Zhuang had spoken, he naturally wouldn't humiliate the Director.

Of course, to be honest, he didn't think Qin Lang was so young that he could give any opinion on such a weighty consultation.

Zu Liang looked at Qin Lang, looking at his young and handsome appearance, and finally thought of a possibility, Qin Lang's appearance is really good, and he has the potential to become a star doctor.

Could it be that Zhuang Tong improved his resume by participating in various surgeries and consultations of various weights.

When the time is right, when I get it on an academic forum, I will introduce Qin Lang, who is a handsome person who has been packaged and has an unreal resume, to form an effect of a top star doctor.

Just like today's traffic niche students, Internet celebrities, and high-value star doctors are very capable of winning goodwill and popularity for the emergency department of the city's first hospital.

Moreover, as the director of general surgery, I know very well that Zhuang Tong is currently working on building a provincial-level subject for acute abdomen, and the best way is to launch an influential star doctor.

This consultation and the particularity of the patient can be gilded for Qin Lang, even if it is just soy sauce, but when it comes to packaging, it is enough to render it.

After thinking about this, Zu Liang also tacitly understood, he can only feel that it is good to be young, handsome and have a background.

The only thing that surprised him was that Director Pang, who had always been known for his fairness and rigor, also began to participate in the creation of star doctors without blushing.

It seems that the pressure of the provincial key disciplines of acute abdomen really makes them unscrupulous.

A young man who sighed with emotion, Zu Liang also automatically ignored Qin Lang and began to study this case.

After all, their advanced age and special status still make them feel pressure.

Director Pang has done the preliminary work and projected the patient data.

Zhuang Tong began to introduce the patient's situation: "This time the patient has a special situation and a special identity. President Hong personally called me and told me that this time the operation can only be successful."

Zhuang Tong first set the tone for the consultation.

"Patient: Chai Long, 94 years old, clinically diagnosed with acute appendicitis.."

Listening to Director Zhuang's introduction, Li Ming and Zu Liang are also feeling the pressure. Chai Long is still very influential in Hecheng. His disciples and former officials are all over the upper class of Hecheng. The position of the component.

They were deeply honored that Chai Long was able to come to their city's first hospital for surgery, and they were slightly apprehensive. They did it well. It was a good thing to gain fame and fortune in the Hecheng medical circle, but they also failed and could not afford the consequences. of.

"Older patients have obvious organ function decline, severe decline in body function, and a state of compensation. When acute appendicitis is complicated, the clinical symptoms are often not obvious, the disease progresses rapidly, and perforation is prone to lead to diffuse peritonitis. Therefore, it is necessary to make a clear diagnosis as soon as possible, and timely Surgery. Therefore, we don’t have much time, and we hope to clarify the plan and the main surgeon at this consultation.”

Zhuang Tong explained the difficulty of the operation and the purpose of the consultation, and then looked at Director Pang, who studies acute abdomen.

Director Pang organized the following language to express his views:

"For appendicitis resection, the traditional way is to prescribe OA, but with the development of laparoscopic technology, LA has become the gold standard, with less trauma, faster recovery, less pain, shorter hospital stay and low incidence of postoperative complications, etc. Advantages. So, I think the use of laparoscopic technique is beyond doubt, just because the patient is too old..

Director Pang frowned and continued to express his concerns:

"However, in order to ensure the exposure of the surgical field and facilitate the operation in the operating room, it is necessary to establish and maintain a co2 pneumoperitoneum pressure of 13~15mmhg, but from your experience, we all know that pneumoperitoneum will have an impact on the body's physiological function, and the heart rate will increase. fast, increased blood pressure, decreased cardiac output, increased airway pressure, decreased spo2, restrictive ventilatory dysfunction, etc. Therefore, there is still great uncertainty in performing la.

Zhuang Tong nodded: "Director Pang's concerns are not unreasonable, but this operation is absolutely not allowed to have accidents, so do you have any better suggestions?"

Several senior attending physicians frowned, it was really tricky, it was because the patient was too old.

[Ding, new task: surgical improvement! The host proposed an improved laparoscopic appendectomy with a success rate of more than 90% in the department consultation, and at the same time persuaded everyone to be qualified as the chief surgeon. Mission reward: 1.1 life simulation points]

"My personal opinion is to perform laparoscopic appendectomy, but due to the particularity of the patient, the following three points need to be done: First, it is natural to speed up the appendectomy during the operation and reduce the impact of CO2 as much as possible. The second is to fully drain the drainage to prevent the possibility of infection and inflammation in the later stage. After all, the patient is too old. If the drainage is not clean, it will cause complications, which will be difficult to bear due to the patient's constitution. The third point is nutritional support to ensure adequate nutrition. Increases the growth rate of granulation and accelerates the healing of the patient.'

Zu Liang put forward his opinion, and then looked at everyone: "Just to achieve these three points, we need a chief surgeon with extremely fast surgery, a tacit support, and an experienced nursing teacher."

"A very fast main knife?"

Thinking of this, the two chief directors turned their attention to Director Pang, who had the deepest research on appendicitis surgery.

As for Director Pang himself, a young figure flashed in his mind, but he immediately stopped the thought. How could he be so embarrassed to let Qin Lang take on such an important burden.

Li Ming naturally thought of Qin Lang, but his thoughts went faster. After all, such an elderly patient with appendicitis surgery has such a special status. It was Qin Lang who was unlucky alone.

The emergency department and general surgery department of the entire city's first hospital will be affected.

For a junior doctor, still so young, to perform such an important appendicitis operation, it feels like a big scandal broke out in a certain department, and it was finally revealed that it was done by a temporary worker.

The saliva of public opinion alone can drown several people present at the consultation, not to mention the censure from the patient's family.

"It seems that only Director Pang is qualified to be the chief swordsman this time."

Li Ming expressed his opinion straight to the point.

Zhuang Tong, Zu Liang and others all agreed. The surgical plan and the selection of the main surgeon are actually not controversial. If everyone can contribute later, that is, to improve the details of the entire operation, and try to make the three points proposed by Director Zu to the best of their ability. Perfect.

"Then decide on the candidate for a help."

Dr. Li Ming began to advance to the next stage

"If you are a helper, it is natural to have the most tacit understanding with Director Pang, and this is still up to Director Pang to decide."

Zu Liang smiled slightly and looked at Director Pang, who was in his prime. In fact, he was also very curious about who Director Pang would choose.

Director Pang has three resident doctors, and Liu Peichun is the one who has partnered the most in appendicitis operations. However, Dr. Liu is not a good candidate.

Director Pang felt everyone's gaze and looked directly at Qin Lang: "Doctor Qin, how about helping me complete this operation?"

Li Ming didn't have too many accidents, and he also looked at Qin Lang: "Doctor Qin, this is a once-in-a-lifetime opportunity, dare you?"

Zhuang Tong also looked at Qin Lang expectantly. Director Pang was able to hand over such an important operation to him to support the mirror, which shows that he values ​​him.

Compared with the three people who had seen Qin Lang's surgery, Zu Liang was a little unbelievable.

"Director Pang, I don't think it's right, this operation is so important, I suggest choosing from senior resident doctors."

Zu Liang questioned that Qin Lang was too young.

Zu Liang is not optimistic about Qin Lang. In order to gild Qin Lang, Director Pang also worked too hard. In normal operations, choosing Qin Lang to hold the mirror will naturally not affect the final result, but the time requirement for this operation is very high.

In case, Qin Lang could not control the surgical field during the operation, which would drag down the operation time and prolong the operation time. Then they discussed the plan for a long time and all efforts were lost.

Zu Liang looked at Zhuang Tong very seriously: "Director Zhuang, you also know the weight of this patient, but there is nothing wrong."

Zhuang Tong slowly took a sip of tea, put down the cup, and did not express his position, but looked at Qin Lang with a solemn tone: "Qin Lang, what do you think about yourself? Director Pang made you his assistant because he fully trusted you, but You must be clear about the importance of this operation, if something goes wrong on the way, not only you, Director Pang, but even me will be finished.'

Facing Zhuang Tong's powerful aura, the other doctors also stared at Qin Lang. "I agree with Director Zu, it is really inappropriate for me to be an assistant."

Qin Lang said unexpectedly.

Hearing Qin Lang's answer, Li Ming and Zu Liang were stunned. They were so righteous? They were a little self-aware, but they gave up so quickly, so they couldn't help but despise them. It seems that Director Zhuang and Director Pang chose it. People are embarrassed.

Director Pang was stunned for a moment, but he was not angry, just a little disappointed.

Li Ming grabbed the cup and looked at Qin Lang thoughtfully.

Zhuang Tong tapped the table a few times with his two fingers. He didn't speak. He lowered his head slightly and smiled lightly. He didn't blame Qin Lang, he just felt a little pity.

"Then ask Director Pang to change another one to help...

Zu Liang swept across Qin Lang's face with disdain and continued to advance the consultation.

"I think it's not just right for me to be the first assistant, but it's also wrong for Director Pang to be the chief knife."

Qin Lang directly interrupted Zu Liang's words and looked at Zhuang Tong, who was disappointed.

"Um?'

Zhuang Tong was slightly shocked, Qin Lang's confident and conceited eyes at this moment were very familiar, and he blurted out:

"Qin Lang, what do you mean?"

Qin Lang stood up, pushed his seat back, walked to Director Pang's place, and inserted a USB flash drive he had prepared into the computer.

Then he looked at the surprised people: "I don't think laparoscopic appendicectomy is very appropriate."

Director Pang pricked up his ears, and the familiar feeling of Qin Lang in his eyes returned. The three are inappropriate, and the sound is loud! Looking at Qin Lang's confident appearance.

Zu Liang and Li Ming have a sense of absurdity. This is obviously a consultation between the director and the senior attending. How can it feel that Qin Lang is the protagonist this time.

"I don't think traditional laparoscopic appendectomy is the best solution for this patient. So I wanted to propose a new approach."

After Qin Lang finished speaking, everyone was stunned.

Li Ming wanted to start spraying, but when he saw that Qin Lang had prepared a USB flash drive, he had a serious attitude and the ambiguous attitude of Zhuang Tong and Director Pang.

He also slowed down his tone: "Qin Lang, then you can talk about it. If you can't tell one, two or three, you will look good."

Zu Liang was very quiet, but he didn't look at Qin Lang, but observed with Zhuang Tong and Director Pang, because he wondered if this was a play by the three of them~www.readwn.com~Zu Liang thought for a while. After that, he entered a state of tranquility like water, and being able to sit in the position of the director of general surgery naturally has a deep sense of government and self-restraint.

This is probably a very important step in packaging Qin Lang. This Zhuang Tong usually does not move like a mountain, but when he makes a move, it is earth-shattering. He even counts himself into it. Then we have to see how capable the young man he packaged is.

However, even if Zhuang Tong and Director Pang gave you a plan, Qin Lang, who he would have to question for a while, showed his arrogance. He was handsome and skilled, how could it be so easy.

On the side of Director Pang, there was pure expectation, grinning: "Qin Lang, tell me quickly?" "The improvement plan I propose is the suspension type gasless laparoscopic appendectomy." Qin Lang said as he put himself A photo of a surgical illustration drawn by hand on white paper is displayed. ps: Thanks for the dangerous 1000 coins of the tunnel machine, the boss, please try to code words

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