Doctor’s Life Simulator

Li Ming thought about it for a while, the risk is too great, if it is a normal patient, he is willing to take this risk, but of course he is not willing to operate on such a patient.

Such patients and their families are not worth it.

However, he is a doctor after all, Li Ming thought about it:

"It's just that the patient is in a critical condition and has just come back from the rescue. If the time is delayed due to the transfer, it is likely to cause irreversible consequences. It would be great if there was an operation plan with controllable risks."

In terms of self-protection, the two doctors reached an agreement, but from a doctor's point of view, the patient's life always comes first, so if there is a better controllable plan, Dr. Li will still operate.

"Dr. Li, it's easier said than done to find a better surgical plan, and doing an unfamiliar surgical procedure is a risk in itself. The attitudes of patients and their families have hidden dangers of medical disputes in the future. I don't think we should do so. Think about it, let them transfer to the hospital."

After all, something really happened after that. When this family member made trouble, mud fell from the crotch, not shit, but shit.

Qin Lang agrees with the rational consideration of the two doctors. In the final analysis, there is still a lack of a confident plan. As it happens, Qin Lang has:

"Actually, the main contradiction now is that the risk of surgery is too high, and laparoscopic cholecystectomy alone does have some limitations. However, we can improve the success rate of surgery by improving the surgical method. This operation is not impossible. Can try."

"As long as the operation goes smoothly, this matter will be solved."

The two senior chiefs looked at Qin Lang who was talking.

Chen Feng was a little surprised. Since he had never participated in a consultation with Qin Lang before, in his concept, a junior doctor, this kind of moment is just to attend the meeting, listen to advice, and gain insights.

How could he be so bold in putting forward his own opinions, and, at the beginning, it was to improve the technique?

On the contrary, Li Ming did not have too many surprises. He did not stop or question Qin Lang's words.

Instead, I looked forward to hearing him explain.

When Chen Feng saw Li Ming's attitude, he also lowered his heart. He was also curious about what Qin Lang could say.

"For this patient, I recommend endoscopic retrograde cholangiopancreatography (ercp), endoscopic RT sphincterotomy (est) combined with laparoscopic cholecystectomy (lc)."

In the simulation world, Qin Lang has obtained the best treatment plan and put forward a new idea straight to the point.

Li Ming and Chen Feng both fell into deep thought after hearing Qin Lang's plan, and then quickly understood the reasoning. These three techniques are very commonly used in the field of liver and gallbladder, but they are used together. Not many, but not without precedent.

When you think about it, it's really very feasible.

Taking it apart, Li Ming and Chen Feng have all done the three techniques, especially ercp and lc, which can be said to be very skilled.

But the combination of the three techniques has never been tried.

Ignoring the expressions of the two, Qin Lang continued to explain why he suggested this comprehensive technique:

"The reason why it is considered that laparoscopic cholecystectomy is risky for Hu Jie. The biggest hidden danger is that the patient's preoperative stone distribution and stenosis cannot be clearly understood. At the same time, conventional cholecystectomy has a large amount of intraoperative blood loss, and postoperative The recovery time is also longer, and Hu Jie has just been rescued, so there are too many uncertainties."

"However, if ercp+est+lc is used, the incision is smaller, there is no need to disrupt the sphincter of oddi, and the stone can be removed under direct vision of the choledochoscope."

"On the other hand, ercp can clearly understand the preoperative stone distribution and stenosis of the patient, and the operation during the operation is convenient, avoiding the occurrence and infection of residual abdominal stones, and during the operation, ercp water injection can be used to observe whether there is bile leakage, etc., to prevent Complications occur."

"In addition, patients do not need to use a T-tube after surgery, which is beneficial to the recovery of the patient's digestive function, which is very suitable for patients like Hu Jie."

"To sum up, I think Hu Jie's ercp + est + lc has a very high success rate in the treatment of cholecystolithiasis combined with extrahepatic bile duct stones, and it can significantly reduce the amount of intraoperative blood loss, shorten the postoperative recovery time, and is safe. Can try."

After Qin Lang expressed all his opinions, he closed his small notebook and waited for the response of the two attending physicians.

Li Ming was the one who had the most research on cholecystectomy and had the most practical experience. After listening to Qin Lang's analysis, he started to simulate the operation in his mind. .

Chen Feng did not express his position directly, but wanted to see Dr. Li's attitude: "Dr. Li, what do you think?"

After thinking about it, Dr. Li said very decisively:

"I support Qin Lang's opinion. If endoscopic retrograde cholangiopancreatography (ercp), endoscopic rt sphincterotomy (est) combined with laparoscopic cholecystectomy (lc) are used, the success rate of this operation has already been Within the controllable range, this risk is still acceptable. Of course, it is necessary to communicate with the patient carefully before surgery."

After listening to Li Ming's opinion, Chen Feng nodded. The two reached a consensus:

"Surgery can be performed. Since the success rate can be controlled, as long as the operation is successful, the so-called entanglement between patients and their families will cease to exist."

As the chief swordsman, Li Ming made a final decision and was ready to take on this responsibility, but he had not yet expressed his position.

"If the two doctors agree, I'm willing to give it a try, and I'll be the chief surgeon."

Qin Lang vigorously expressed his willingness to be the chief surgeon.

The two attending, obviously did not expect Qin Lang to be so brave, to perform such a difficult operation, and to be such a troublesome family member. He even jumped into the fire pit.

"Qin Lang, this is not a joke. Even I dare not say that it can be done successfully. After all, this operation is very complicated and requires high requirements for the surgeon. Can you do it? If you can't, don't force it."

Li Ming's sincere persuasion, if he can't do it, try to be brave, and then he has a medical accident, and the family members and patients are obviously not fuel-efficient lamps, not to be unhappy for themselves.

"I can."

Qin Lang looked at Li Ming seriously and then at Chen Feng.

With a master-level cholecystectomy, plus various talent blessings, ten times the surgical field, perfect basic surgical skills, and the results of the simulated world, Qin Lang is of course doing his part.

"I agree."

"I agree."

Li Ming and Chen Feng finally came to a conclusion and the small consultation was over.

After deciding on the operation, the most important thing is of course the communication before the operation and the signature of the family.

Qin Lang and Li Ming went to the patients and their families together.

When Hu Jie's husband saw Qin Lang, his expression changed, and he didn't think: "Why are you! What are you doing here?"

"Doctor Qin is the chief surgeon of your wife's operation this time. What do you think he is here for?"

Li Ming had some resistance to this family in his heart~www.readwn.com~ said sharply.

"You said, this young doctor will be my wife's chief surgeon? No, absolutely not, so young, you can't do it just by looking at the level. I don't agree."

Hu Jie's husband immediately began to refuse, his face full of resistance and questioning.

"I hope you calm down. Dr. Qin is a very powerful doctor in our department. You sit down first and we will talk slowly."

Li Ming waved his hand for the patient to sit down.

"I do not believe."

Hu Jie's husband took a few glances at Qin Lang. He was so young, and he had a verbal conflict with Qin Lang before, so he naturally had a lump in his heart.

"I asked for a more senior physician to operate on my wife, preferably the chief physician."

Hu Jie's husband looked at Li Ming, ignoring Qin Lang directly, his eyes were full of resentment. 18619/10547256