Doctor’s Life Simulator

Immediately afterwards, Han Hu explained his own views:

... Some studies have pointed out that the incidence of intestinal flora imbalance in patients with appendix removed is significantly higher than that of people who have not removed appendix ... Existence is reasonable, although surgery has been developed for so many years, but for the human body There are still a lot of mysteries we need to explore... Therefore, if the organs can be preserved, we should keep them as much as possible, not one size fits all.

After listening to Director Han's remarks, many participating experts nodded slightly: What Director Han said is very reasonable. Are there really useless organs in the human body? Is it really possible to cut everything at will?

Now Huaguo has established the "Gallbladder Preservation Group", which advocates preserving the gallbladder as much as possible; gynecology is also advocating the preservation of the uterus as much as possible. Although they can't clearly say that the preservation of the uterus has any effect, they experience that preserving the uterus can delay aging. , Stabilizing endocrine effects, etc.

Seeing that everyone accepted his opening, Han Hu continued to analyze:

In addition, ERAT is a very good solution for many children and elderly frail patients, as well as patients who cannot be operated for various reasons, in addition to those who have special needs for beauty. Therefore, ERAT is really popularized in prefecture-level city hospitals, and it will not lack a stable source of disease as Director Cheng thinks.

In addition, the core part of this procedure is endoscopic retrograde angiography (ERA), which can be used to diagnose acute appendicitis.

If the leakage of contrast agent is found under the ERA, the perforation of gangrene can be judged, and the operation can be transferred to general surgery. For mild appendicitis, it is the best indication for ERAT at present.

As mentioned earlier, some patients can be effective through conservative treatment, but the obstruction is not relieved, and it is easy to relapse. ERAT itself is already very minimally invasive, and it can immediately contact the obstruction and relieve abdominal pain immediately. To put it bluntly, it's just a colonoscopy.

There was an 8-year-old boy who had appendicitis in children, and the pain was unbearable. We did an ERAT for him, and when we got off the stage, we ran around the endoscopy room. There was no pain at all, and our family members, including us, were very relieved.

Imagine, if this type of surgery can be promoted in municipal hospitals, patients will have such a good choice, and not everyone has the ability to come to the provincial capital to see a doctor!

...

Director Han said a lot and then looked at Director Cheng: "So I think that the ERAT operation carried out by the First Hospital of Hecheng City this time has important experimental significance for our Provincial Medical Association."

In the conference room, most of the physicians were persuaded by the picture drawn by Director Han. Compared with the independent ERAT department in the concentrated area of ​​Director Cheng, Director Han's plan can naturally benefit more patients in need.

Seeing everyone's reaction, the effect frowned slightly, but soon found the place to attack, that is Qin Lang:

"All that said, it's just Director Han's wishful thinking. I don't believe that the First Hospital of Hecheng City can carry out this kind of surgery, and it's such a young doctor."

"Of course, we have talked so much, but the most important thing is how the Hecheng No. 1 Hospital is carrying out the ERAT technique. Facts speak louder than words. Why don't we form a delegation and go to Hecheng No. 1 Hospital to investigate the situation? It's clear."

Director Han clasped his hands together and looked at the results.

"But now the First Hospital of Hecheng City has just started to carry out this technique. The sample is too small to be convincing."

If it is just an operation, even a flying knife can be used, and the medical records I have seen are countless, and the results are naturally meticulous.

"This is very simple. I can contact Director Zhuang Tong of the emergency department of Hecheng No. 1 Hospital and ask him to focus on the ERAT operation in the next week. After a week, our expert team will go to the field. Maybe, you will meet again. to other surprises."

Han Hu had just read the two medical records that Ma Shuya had given him before, one was ERAT, and the other was naturally a genius-like improved surgical procedure: suspended gasless laparoscopic appendectomy.

Of course, one of the reasons for this investigation was naturally his appreciation for Qin Lang itself. The second reason was that he tried his best to promote the construction of a provincial-level acute abdomen subject in the First Hospital of Hecheng City. Get a foot in the door.

"Qin Lang, don't let me down."

Although Han Hu has not seen Qin Lang's ERAT operation with his own eyes, he has full confidence in Qin Lang after having experienced the previous events.

"Then it's a word."

The effect is naturally to believe in his own experience. He just can't stand Qin Lang's small fresh meat. Through false packaging, he sets up a person. How can he focus on specializing in technology and let this kind of person become popular in the academic circle. Shui Qi is simply an insult to the older generation of doctors like them, who have a lot of hard work.

...

...

After the academic conference in Hangcheng, before the delegation set off, Zhuang Tong received a call from Hang Hu.

Of course, he was looking forward to it and was anxious. This was a great opportunity to show his face in the first hospital of Hecheng City, but it might also directly lead to the stillbirth of his provincial subject program.

Zhuang Tong directly called Qin Lang, who was the cause of the incident, and Director Pang, who was in charge of the plan for the provincial-level discipline point of acute abdomen, to the office.

"You are also clear about the things on Weibo's hot search."

"This time, Qin Lang's attack caught all of us by surprise. We originally wanted to take a long-term plan, but now the ERAT procedure can only be carried out in advance. I have already received a call from Director Han of Zijingang First Hospital, and a week later they A team of experts will be organized to visit and study in our hospital.”

Zhuang Tong frowned, a little worried.

"Is there any effect?"

Director Pang's comments on the results on Weibo and his slight disdain for the First Hospital of Hecheng City naturally made him very resentful.

"Of course, Director Pang, you know that there are different opinions in the Provincial Medical Association on the establishment of a provincial-level acute abdomen discipline in our hospital. Director Han naturally supports us, but this Director Cheng has always disagreed with Director Han. , it has always been a suppressive attitude towards our hospital."

"So, within a week, I want you to find a way to complete a sufficient number of ERAT cases, you need to establish a statistic, we need a good enough cure rate and minimal complications. I have contacted all the brother units in Hecheng. , as long as suitable patients are screened, they will be sent to our hospital."

"The abdominal pain was relieved immediately after ERAT, and there was almost no time in bed, so the next five days are indeed enough time to build a very convincing database. I need at least 40 cases."

For a week, the average is eight per day, and Qin Lang and Director Pang have an average of four per person per day, which can basically be completed.

After all, the success of an operation depends on the patient's recovery and a good prognosis. During the operation, no matter how perfect the operation is, infection and complications are caused during the operation, and the operation will be judged unsuccessful. of.

"Director Pang, Lang Qin, the operation this time is very critical, and it is related to the construction of the provincial-level discipline center for acute abdomen in our emergency department, so I hope you can complete it perfectly. When Director Han and Director Cheng arrive, I will give them a surprise."

Zhuang Tong looked at Qin Lang and Director Pang very seriously.

"Guaranteed to complete the mission."

Director Pang and Qin Lang answered in unison.

"Very good, the two of you are in charge of the chief surgeon. As for the mirror assistant and the first assistant, if there are not enough staff, I will be transferred from the general surgery department. I have also discussed with Director Zu."

"OK."

For the upcoming visit to the provincial capital, even if they feel pressure, they are also full of enthusiasm to prove themselves.

"Qin Lang, Director Han is also very interested in your suspension-type laparoscopic appendectomy. In addition to ERAT, I also need to do a few more in this week."

Zhuang Tong added, although he put a lot of pressure on Qin Lang, Zhuang Tong still wanted to see where his limits were.

"Okay, I know."

The small meeting about ERAT ended quickly, when Qin Lang and Director Pang walked out of the office.

Many patients are already on their way to the First Hospital of Hecheng City, especially Wang Xinxin's Weibo post, which made many patients realize that the First Hospital of Hecheng City still has this kind of non-invasive treatment for appendicitis.

In the next five days, Qin Lang and Director Pang will be the masters of ERAT at the same time.

[Ding, new task: Complete 40 ERAT operations and 5 suspended gasless laparoscopic appendectomy within one week. Quest reward: 1.1 life simulation points, 2. Talented super surgery field: can see 10 times clearer surgery field. 】

On the first day, Director Pang completed four operations and was exhausted. Under the physical strength potion, Qin Lang easily completed eight operations. Except for the lunch break, in the morning and afternoon, one operation followed another operation. There is no rest. At the same time, a suspended pneumoperitoneum laparoscopic appendectomy was performed.

The most admirable thing is that he did not leave a helper for the final stitching, he did it all by himself.

The next day, Director Pang naturally had four more units. As he got older, his energy recovery was naturally slow. In addition, he had a 20-hour+ major operation a few days ago. There was a long break in each operating room on this day.

Qin Lang naturally completed eight sets in a row, without any rest in the middle, and he was so stingy that his assistant did not even get the stitches and knots. At the same time, a suspended pneumoperitoneum laparoscopic appendectomy was performed.

On the third day, Director Pang watched Qin Lang's operation volume, smoked a cigarette silently, and calculated the average operation volume of the two people according to the current calculation method of per capita salary, so only two operations were performed.

Then, during the daytime, Qin Lang is a normal uninterrupted eight stations. At the same time, a suspended pneumoperitoneum laparoscopic appendectomy was performed.

Well, there are 5 units per capita, which has already reached the standard. Is there any!

On the fourth day, Director Pang was stubborn, and his ambition was a thousand miles away, and his legs were weak, so he only made one.

During the day, Qin Lang made eight consecutive sets. He was so devoted that he didn't even have a lunch break. After finishing eight more sets, he completed one hanging type. There was still time, so he made two more ERAT sets.

At the end of the fourth day, the per capita operation volume was 5.5! Not decrease but increase!

Director Pang has a bold idea...

On the fifth day, Director Pang was drunk and stared at the sword, dreamed of blowing the corner, and slept at home for a day.

Qin Lang is naturally non-stop again, and gets off work during the day. Due to the continuous repetition of ERAT these days, Qin Lang finds that with the accumulation of the operation volume, his speed and completion degree have been further improved! And for ERAT has its own special experience!

This day~www.readwn.com~ Qin Lang is intoxicated, come one, make one, make one, come one...

In the end, after a few waves of changes between the assistant and the instrument nurse, the operation was stopped because of exhaustion.

Director Pang was lying at home, and the per capita operation volume soared to 8 today!

Director Pang has the illusion that he is a negative number! The less you do, the higher the total?

The operation was completed in five days: 61 EARTs and 4 suspended laparoscopic appendectomy. In addition to the previous one of Wang Xinxin, Hecheng First Hospital, the database of the first batch of EART pilot projects has been established perfectly.

[Congratulations to the host for completing the task: 40 ERAT surgeries and 5 suspended pneumoperitoneum laparoscopic appendectomy were completed within one week. Obtained quest rewards: 1.1 life simulation points, 2. Talented super magic field: can see 10 times clearer magic field. 】

On the sixth day, Qin Lang was forced to take a day off by Zhuang Tong and Director Pang, and the seventh day was also the last day of the week.

The expert group led by Director Han and Director Cheng came to Hecheng First Hospital.