Doctor’s Life Simulator

[You follow Professor Shen Xi to learn the surgical techniques in the field of oncology. In the next time, in addition to rotating in the emergency department of the first hospital in the city, you are looking for opportunities to come to Zijingang first hospital to practice surgery. During this period, your talent: Fuzhi was activated, and a month later, your laryngeal dehiscence tumor resection reached an advanced level, which Shen Xi and Han Hu reluctantly accepted. ]

[Afterwards, you continued to study the surgical techniques in the field of oncology. Because you mastered the management of massive bleeding in thoracic tumor surgery, you played an important and key role in several operations. Shen Xi and Han Hu appreciate you very much. ]

[Next, you continue to work and study back and forth between the two hospitals. Six months later, your previous research topic in the burn department came to fruition. At the same time, several surgical procedures in the emergency department were also promoted. You entered both the Society of Burn Surgery and the Society of General Surgery. At the same time, the attending physician was promoted. ]

[In order to study laryngeal dehiscence tumor resection and pleural tumor resection, you began to participate in many operations with Zu Liang, director of general surgery, and Zhou Heng, director of thoracic surgery. ]

[At the age of thirty-five, you were promoted to chief physician, and Wei Guoqiang served as the executive vice president of the First City Hospital due to his outstanding contribution to the treatment center. And you, in addition to the field of burns, have become a top expert in laryngeal dehiscence tumor resection, pleural tumor resection, and the management of massive bleeding during thoracic tumor surgery. ]

[Forty years old, you continue to study these spells. At the same time, you followed Professor Shen Xi to start a topic on tumor exosomes and liquid biopsy. The significance of the topic lies in the early diagnosis of tumors, real-time monitoring, personalized treatment, precise drug targeted therapy and prognosis evaluation. ]

[At the age of forty-five, your skills in dealing with massive hemorrhage during thoracic tumor surgery have taken another step to the perfect level. Combined with your perfect suturing technique, you have mastered the new suturing method of the double vessel stapler. This method, in the treatment of thoracoabdominal aorta, has less trauma, quicker postoperative recovery, and is safer, more effective and minimally invasive. There are few postoperative complications, and it has clinical promotion value. In addition to truly achieving minimally invasive treatment, shortening the length of hospital stay and increasing the utilization rate of beds, it is beneficial to the patient himself, the patient's family and the society. ]

[At the age of forty-six, you proposed to use the Habib4X coagulation electrode to perform radiofrequency ablation with a hemostatic cutting machine during the resection of intrapleural tumors. This instrument, which was originally used in liver resection, was perfectly applied to tumors in the pleural cavity. ]

[At the age of 50, several tumor surgeries that you have specialized in all your life have entered the perfect level. However, on the topic of tumor exosomes and liquid biopsy, Shen Xi's wish was still not fulfilled. This topic was eventually put on hold due to your lack of energy. ]

[At the age of fifty-five, your physical strength and energy are no longer suitable for you to perform surgery on the front line. ][At the age of fifty-eight, because of your average health, you retire early. ]

[You end your career as a doctor. )

[Simulation ends, physician career evaluation, chief physician 64/80]

[You may retain one of the following abilities]

[1. Fifty-eight-year-old doctor skills]

[2. The clinical experience of fifty-eight years old]

[3. The wisdom of practicing medicine at the age of fifty-eight]

Qin Lang directly chose the second option, waiting for these spells to be upgraded to the perfect level. [Congratulations to the host for obtaining the clinical experience of fifty-eight years]

[Host: Qin Lang

professional skills

Grade: Chief Physician 64/80

professional skills:

Basic surgical operations (incision, suturing, exposure, etc.) are perfect

Burn plastic technology can .. (omitted)

General surgery skills.. (omitted)

Pleural Tumor Resection: The Master Class

Treatment of intraoperative hemorrhage in thoracic tumor surgery: perfection, mastering the new Habib4X coagulation electrode, the new suture method of the double-vessel stapler

Laryngeal dehiscence tumor resection: perfect

Common Skills:

Vision: +1

Smell: +1

Aura of the main knife: It can make the cooperating assistants feel at ease, and at the same time improve their operation level to a certain extent

The super recovery main knife's wound surface recovers after surgery, and the healing speed is accelerated by 20%

Super Magic Field: Can see 10 magic fields without this

..omit)]

Qin Bang looked at the simulation results this time, and sure enough, some basic surgical procedures in the burn department and emergency department before, as long as you spend time, you can basically get results.

However, this time the subject of the tumor field is different. Even if it has spent a lifetime trying to simulate it, there is still no result.

It seems that after that, we can only simulate too many lives, or break through these difficult topics by increasing the wisdom of doctors.

Medicine, as expected, becomes more and more difficult. It is not only a matter of time and volume of operations, but also requires talent, inspiration, and luck.

Zu Liang calculated that he had 6 remaining life simulation points. When he followed Professor Zhou Ming to finish the topic in the tumor field, he ended the simulation in one go.

It is hoped that some achievements will be made by then. After all, it is a milestone to find a reliable method for the early diagnosis of tumors.

Of course, before that, Zu Liang needs to lay a solid foundation step by step, constantly stimulate various tasks, and get the punishment of life simulation points.

After thinking about it, Zu Liang said to Yan Zhengqi:

"Doctor Yan, Director Han hasn't come to watch my surgery recently. I'm waiting for the next laryngeal dehiscence tumor resection. I hope you can invite him over. As for Professor Shen, I will personally invite him.

Under the perfect laryngeal dehiscence tumor resection, Qin Bang is of course full of pride, and even wished that there would be no such machine now.

Regarding Qin Bang's request, Dr. Yan was obviously a little wrong. This Professor Shen was persuaded by your appalling operation just now. Would you like to invite the next one?

Director Han didn't come these days, and that's what he meant. After all, there was no obvious progress, and they were very busy.

Physician Yan really wanted to say to Zu Liang, can't you count your current level?

However, seeing Qin Bang's confident and earnest request, he finally agreed:

"Then after you go back these few days, after a good review and summary, I will arrange the next operation for you. After that, Director Han and Professor Shen will come back to watch. I hope you don't disappoint them. Otherwise, please come over. , but it's not worth it.

Although Dr. Yan didn't quite understand it, he still insulted Zu Liang's decision. However, at that time, what the two directors thought would be beyond his control.

After the operation, Zu Liang was used to running on both sides and drove back to the first hospital in the city.

Dr. Yan went to Director Han and asked Zu Liang to watch his next laryngeal dehiscence tumor resection.

Han Hu was a little surprised by Zu Liang's request. After all, in his department, the little doctor would hide from him as far as possible, so how could he dare to ask him to watch and guide him.

"It seems that Zu Liang has had a lot of confidence after the surgery these days. Okay, I'll go watch on the sidelines then.

Han Hu responded, and was also curious about how well Zu Liang had practiced, so he dared to invite him.

Physician Yan wanted to tell Director Han not to expect too much, but he finally held back. In fact, he didn't know what medicine was sold in Zuliang gourd.

Obviously today's surgery is still a novice, is it possible that the next one can make rapid progress?

When Yan Zhengqi arranged Zu Liang's next operation, Zu Liang had already returned to the First City Hospital. In the general surgery department of the first hospital of the city.

Today is the day that Qin Bang performed surgery on the patient with middle esophageal cancer.

Tan Bang was originally scheduled to be the chief surgeon, and Director Shen Xi, the director of thoracic surgery, came to check on the side, but it was very unfortunate that a very mild patient appeared in the thoracic surgery department, requiring a multi-department joint operation. Crisis surgery.

Director Zhuang Tong from the Emergency Department, Director Chu Tianxiong from the Department of Orthopedics, Director Tan Bang from the Department of Thoracic Surgery, and Director Wei Guoqiang from the Department of Plastic Surgery and Burns also participated in the consultation.

After Shen Xi made arrangements, of course, Tan Bang also needed to readjust the surgical team. In order to be able to stagger the operation with Director Zhou as much as possible, the operation time was moved back, but Director Zhou's operation was too long. He was the first to end it, and after a while, Director Zhou came over.

Chen Feng called a few doctors under his command to hold a meeting, and then decided that Zhou Heng and Tan Bang would be the chief and Chen Feng's assistants.

And I heard that Zu Liang followed Zhou Ming to learn chest tumor surgery these days. At the same time, Qin Bang's suture technique itself is the best of the city's first hospital surgery. After Chen Feng knew that Zu Liang returned to the emergency department, he asked Qin Lang to take care of Zu Liang. Liang also invited over together.

Zu Liang was honored to be invited by Director Zu, and he was also very interested in the resection of this esophageal cancer.

The reason why Qin Bang invited Zu Liang to the surgical team was his idea, although he was confident that with his experience and qualifications, there would be no major bleeding during the operation. But after all, in the choice of surgical route, the method he adopted was not optimal, so he was called Shang Zuliang, which was a backup.

If there is really heavy bleeding during the operation, Zu Liang can at least contribute to the suture.

Before the operation, Chen Feng carried out the clinical staging without this according to the plan made together with Director Zhou, and learned in detail the exact location of the tumor, the depth of local invasion, and the relationship with important surrounding structures such as large blood vessels.

In order to be more precise, a contrast agent was injected into both upper extremities at the same time, so that the famous veins on both sides were turbidly visualized.

After completing the general anesthesia of the patient, there is no such thing as an operation.

With the patient lying on the right side, Director Zu made a chest wall incision along the full length of the patient's sixth rib, very sparsely incising the muscle layer, and entering the chest from the rib bed.

Zhou Heng, who was on the side, assisted Qin Bang, and after a while, he pushed the front of the lungs away to reveal the posterior mediastinum.

As the director of general surgery of the city's first hospital, Chen Feng still had two brushes, and after a while, he completed the cutting of the mediastinal pleura.

"End, free esophageal tumor!"

Chen Feng took a deep breath and cheered up his spirits. Without this, the most critical and safest way to dissociate is ~www.readwn.com~ Since the esophageal tumor is close to the thoracic aortic arch, the field of vision is very poor. Experienced in a hundred battles, but there are inevitably mistakes in judgment.

A proper esophageal artery was accidentally torn, and in an instant, a large amount of blood spurted out! Nothing!

Chen Feng's complexion changed greatly, and Zhou Heng and Qin Lang on the side were all the same.

This kind of tumor surgery ruptured blood vessels, causing massive bleeding. If not handled properly, the consequences are extremely minor!

"Qin Bang, you go to the thoracic surgery operating room to find Director Shen Xi and inform the situation here. According to the time, they should be soon.

"Zhouheng hemostatic forceps, preparation of hemostatic gauze, assisting me in the hemostasis of blood vessels, clearing the bleeding spots on the side, and providing a turbid vision!"

"Zu Liang, stand by and wait until Dr. Chen and I stop the bleeding, and then assist me in suturing the blood vessels. The faster the suturing, the better.

Chen Feng issued three orders in a row with a solemn expression. After all, it was the moment of life and death. After taking the hemostatic forceps in Tan Bang's hand, he quickly stopped clamping the bleeding blood vessels and surrounding tissues. The surgical field is cloudy.

However, what was surprising was that Chen Feng clamped one section, and another crack appeared. "No, Zu Liang, hurry up and help me, now I can only stop the bleeding and suture at the same time.

Looking at this situation, Qin Bang was also somewhat unexpected. Over the years, this patient's hemorrhage was the mildest he had ever encountered.

[Ding, new task: Through various techniques, hemostasis for the patient, completes the suture at the same time, and assists Director Zu to complete the follow-up esophageal cancer resection. Task punishment: 1.1 life simulation points, 2. The theory of exosomes in early diagnosis of various tumor diseases: entry level. ]

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