Doctor’s Life Simulator

When Lu Yu entered the operating room again, Du Ming was lying down, leaning on his squinted eyes, reluctantly preparing to sign and agree to the operation.

"Qin Lang, are you really sure?"

Lu Yu still did not give up.

Qin Lang didn't speak yet, but Du Ming spoke to Lu Yu.

In fact, when Du Ming was in the previous county hospital, he heard the hesitation and refusal of the director of the department, and did not dare to treat himself. One was for fear of not being cured, and the other was for fear of taking responsibility.

Therefore, he is very aware of Director Lu's concerns.

After thinking about it, Du Ming was beyond the maturity of his age. To Director Lu, Qin Lang said:

"Director Lu, Physician Qin, I know you are as young as me. I also know that my condition is very complicated and serious. An old doctor didn't dare to operate on me before, but Physician Qin was willing to operate on me and informed me. All my conditions. Of course, I hope to be cured. If there is an accident during the operation, I won't blame Dr. Qin. Director Lu, I believe in him, don't you believe in him? "

"I..."

Looking at the tolerant and sensible Du Ming, Lu Yu didn't know what to say, and his nose was a little sour.

Du Ming scribbled a few strokes, and smiled a little embarrassedly: "I'm really not used to writing while lying down, it's ugly."

Throwing the pen casually, Du Ming's immature face showed an indomitable determination.

Lu Yu was stunned for a moment, as if he saw the brave and fearless figure in the sea of ​​swords and fire. Lu Yu only hated that he was not good at learning.

"Doctor Qin, Director Lu, then I'll ask you all!"

In the operating room, Qin Lang and Lu Yu were ready, and the rest of the equipment nurses and other medical staff were also present.

Lu Yu stood in the position of a helper, still a little flustered in his heart: "Qin Lang, if it really can't go on for a while, don't force it, I'll go to Director Chu to take over."

Qin Lang ignored Lu Yu and signaled the anesthesiologist to start anesthesia.

The anesthesiologist completed the endotracheal intubation and general anesthesia very quickly. After that, he sat directly in a far corner and yawned.

"Insert a catheter..."

Qin Lang gave the order, Lu Yu nodded, picked up tweezers and iodine cotton in his gloved hand, scrubbed and disinfected him, and then used paraffin wax to lubricate the rubber tube a few times. After lubricating it, use tweezers Careful disinfection is carried out again.

Lu Yu kept it at an obtuse angle and began to insert the catheter. It has to be said that Lu Yu's technique is still very professional and sophisticated.

After finishing, put Du Ming in the prone position, keeping his abdomen in the air.

After that, the surgical area is routinely disinfected and sterile surgical drapes are spread.

"X-ray machine...Kirschner wire...scalpel..."

Qin Lang quickly started the next step, and the equipment nurse tacitly provided the equipment in place.

Under the X-ray machine, a Kirschner wire was used to locate the fractured vertebral body. Taking the fractured vertebral body as the center, the skin, subcutaneous tissue and lumbar back fascia were incised in turn.

For Qin Lang, under the master-level technique, the completion is very neat and tidy.

"Blunt Dissection of the Multifidus and Longissimus Gap."

Qin Lang gave further instructions. Lu Yu's basic skills were also very solid. Under the command of Qin Lang, he cooperated very well.

"Expose the facet joints of the diseased vertebra and the adjacent vertebral bodies above and below."

Qin Lang continued to give instructions. Under the precise control, Lu Yu had the fluency of following the chief director to perform surgery in Jishuitan Hospital.

And there is no need to worry about problems with the surgical operation. Every time you complete the steps yourself, the next instruction has been accurately followed.

During Lu Yu's operation, he glanced at Qin Lang and was really surprised. How could this guy be so familiar with such a difficult technique.

"According to the point I instructed, insert the positioning needle, take X-rays synchronously, and confirm the position of the needle insertion point of the vertebral body..."

"Okay, Doctor Qin."

Lu Yu stopped his thoughts and completely entered the rhythm of Qin Lang.

"Opener... Pathfinder Cone... Probe..."

The equipment nurse is also not to be outdone.

"Intraoperatively, the bony channel was determined and the pedicle screw was placed."

Seeing Qin Lang's very fast operation, Lu Yu's whole heart was about to jump out: "Doctor Qin, you, slow down, slow down."

Synchronized, she used x-rays to verify it. Under normal circumstances, after the first insertion, she will make fine adjustments, but after seeing the results, Lu Yu's mouth opened slightly, so precise length control!

"Intraoperative confirmation of pedicle screw position..."

As for Lu Yu's verification result, Qin Lang took it for granted and directly chose to insert the connecting rod.

Lu Yu's nervous synchronization verification found once again that Qin Lang's insertion length was perfect.

"It's too showy."

Qin Lang completed the extremely difficult entry in less than ten minutes.

Next is the more dangerous anterior decompression and internal fixation phalanx fusion.

"Electric knife..."

Under Lu Yu's anxiety, Qin Lang began to peel off the periosteum of the vertebral body forward and backward.

Due to the tight periosteal connection between the vertebral body and the intervertebral disc interface, separation is very difficult. After Lu Yu couldn't believe it, Qin Lang boldly used an electric knife to incision. The speed was fast and the separation was clean.

Lu Yu only shouted in his heart: Big old Niu Boyi (broken sound)!

Seeing Qin Lang's speed in identifying the relatively bulging intervertebral disc and the concave vertebral body, Lu Yu was stunned. It was really fast.

This kind of frequency, this kind of stamina, Lu Yu is convinced that Doctor Qin does whatever he does.

Before she could react, Qin Lang had already started to carefully ligate the segmental blood vessels of the fractured vertebra and the normal vertebra above and below in the middle of the vertebral body.

Seeing that Lu Yu was a little puzzled, Qin Lang taught while operating:

"Resection of the intervertebral discs above and below the fractured vertebra, as well as the cartilaginous endplates below and above the upper vertebral body, facilitates fusion of the phalanges."

Lu Yu seemed to understand, but after all, she was only slightly involved in orthopedic surgery.

Qin Lang patiently continued to add:

"Fractured vertebral fragments can be easily scraped out to achieve sufficient decompression in front of the dura. Of course, if you encounter an old fracture in the future, you need a sharp bone knife and a drill to gradually remove the vertebral body, especially the posterior wall of the vertebral body. The resection must be very careful, not only to achieve complete decompression, but also to avoid tearing the dura and damaging the spinal cord.”

Qin Lang's voice fell, and the operation on his hand was very precise and perfect.

"understood."

After all, Lu Yu had Hui Zhi Lan's heart, and with a little bit of advice, it worked.

Lu Yu's eyes lit up, so it was. Before following the chief director, she was always so nervous that she didn't dare to breathe, for fear of making mistakes. It would be good to be able to complete her first assistant work.

Thanks to Qin Lang's generous teaching, Lu Yu's understanding of the technique has risen to a new level.

"It's not completely useless to follow this guy."

Lu Yu grunted in his heart, and was also tempted by the suggestion that Director Xie gave her before. Should he really invite Qin Lang to join his new topic, but he can really find a new way and give him a new idea?

"Next, corrective, vertebral distractors...vertebral screws..."

"Good."

Lu Yu was questioning in her heart, her body was like a silly girl, what Qin Lang said was what.

The correction was completed quickly. Since the patient's anterior longitudinal ligament had contracted, Qin Lang chose to cut off the annulus fibrosus and the anterior longitudinal ligament.

For bone grafting, Qin Lang chose three-sided cortical iliac bone blocks of appropriate size. Of course, in principle, titanium meshes and artificial vertebral bodies filled with bone fragments can also be selected.

Next is the most critical part of the entire operation, in addition to the approach:

z-fixed!

Lu Yu was also shocked. This was the first time she used the z-fix, and her palms were slightly sweaty.

Feeling Lu Yu's nervousness, Qin Lang said calmly, "Next, just follow my command, it's very simple."

Under the dominant aura, Lu Yu calmed down with Qin Lang's gentle and calm encouragement.

I have to say that in the operating room, Qin Lang is really aura and has the ability to convince and reassure.

"Confirmation of excision of the fractured vertebral body, decompression of the front of the spinal cord..."

Lu Yu continued his work as a helper and confirmed Qin Lang's assistance.

"First, two screws were implanted in the upper and lower posterior and upper corners of the vertebral body. The screw entrances were 10 mm away from the posterior wall of the vertebral body and 10 mm below the upper end plate of the upper vertebral body.

Qin Lang gave direct and precise instructions, and cooperated with Lu Yu to restore the height of the vertebral body by spreading out the screws simultaneously.

"Bone block implantation... Titanium plate placement... Longitudinal compression between screws..."

Under the control of Qin Lang, the bone blocks were quickly embedded and the fixation between the bolts and the titanium plate was completed.

"Director Lu, you did a great job, leave it to me."

Qin Lang praised, and started the final locking between the bolt and the titanium plate. The two screws in the front of the upper and lower vertebral bodies were screwed through the titanium plate chute, and the locking was completed quickly and perfectly.

It wasn't until this moment that Lu Yu realized that he and Qin Lang had performed such a difficult operation.

After that, it's just the aftermath.

"Placing thoracic and retroperitoneal drains..."

After this step, Qin Lang showed off another pair of diaphragm sutures, closed his chest and sutured the wound.

...

...

At this time, Captain Wang was in the office of the vice president of Hangzhou. Chen Qilong, director of the Department of Orthopedics of the Provincial Military Hospital, and Chu Tianxiong, director of the Department of Orthopaedics of the First City Hospital, rushed back to the hospital.

As soon as Captain Wang saw the two experts, he immediately shook hands and greeted them: "Director Liu, Director Chu, I can wait for you. Thank you, thank you."

Director Chen smiled slightly: "Captain Wang, you're out of the picture when you say this. It's also my honor to be able to operate on our little firefighter hero. In this way, let's stop talking nonsense, and hurry to the operating room."

"Yes, yes, before I came, the doctor on duty had already arranged various examinations and preoperative preparations, so I just waited for the two experts."

Captain Wang himself was very anxious. Seeing the two directors, they were really real people, and they were not pretending to be polite.

Accompanied by President Hang, two experts, Captain Wang, rushed to the operating room.

Along the way, seeing the anxious appearance of Captain Wang, Dean Hang said: "Captain Wang, don't worry, Director Chen is very experienced and professional for thoracic vertebra fracture surgery. I can say that as long as Director Chen has surgery , we are sure to restore the little hero to more than 90%."

"Yes, and Director Chen has a lot of experience with the approach. In addition to the conventional percutaneous screw placement, in recent years, he has successfully tried a more optimized approach through the paraspinal space. This method can It greatly avoids the shortcomings of the traditional approach. It can be said that there are fewer than three people in the province who can do this approach well."

As an old colleague of Chen Qilong, Dean Hang certainly knows his research well.

"That's fine, that's fine."

After Captain Wang listened, he finally felt relieved, Xiao Du, wait for Captain!

Soon the group arrived in front of the treatment room. Captain Wang saw Liu Peichun and asked, "Doctor Liu, how are the preparations for the operation? The chief surgeon has arrived."

Liu Peichun was stunned when he saw Director Hang and Director Chu, then looked at Chen Qilong, who was a stranger, and paused: "The operation has already started."

"What did you say? The operation started? Who started you guys. Who's in there!"

Dean Hang was also a little caught off guard. He arranged for two experts with great pains and painstakingly rushed over, and even told me that it had already started?

What are you doing?

Chen Qilong's face was also hard to look at all at once. He knew very well that, except for Chu Tianxiong, there was no doctor in the city's first hospital who could perfect such a complicated operation.

Of course, he was not angry because he was robbed for surgery, but worried about the safety of the patient. If the main surgeon was not good enough, Du Ming would be paralyzed!

"Don't you know the difficulty of anterior decompression, internal fixation and bone graft fusion for lumbar thoracic fractures?"

Director Chu, as the director of the Orthopedics Department, saw how the emergency department actually did things, and immediately scolded: "That's how Zhuang Tong taught you to handle patients? How does he manage the department, do you understand?"

Liu Peichun was scolded for being a tortoise, but when he heard Chu Tianxiong scolding Director Zhuang, Liu Peichun frowned and defended:

"I don't think there is a problem with our department's handling. For emergency surgery, our emergency department has the right to give priority to it. And it's not your orthopaedic department's turn to dictate."

The emergency department of the city's first hospital adopts a 24-hour consultation system and a first-diagnosis responsibility system, so there is nothing wrong with Liu Peichun's remarks. The emergency department can handle it, so there is no need to bother the orthopaedic department.

"What did you say?"

Chu Tianxiong was 1.9 meters tall and had an amazing aura. He didn't expect Liu Peichun, a small resident doctor, to dare to talk back like this.

"Our department performed the operation completely according to the procedure. After various examinations, the preoperative preparations were complete. We also communicated with the patient and signed the confirmation. Dr. Qin is also very confident in the operation, and Dr. Qin judged After that, if the operation is not rushed, Du Ming's condition may not be able to achieve a 100% recovery."

Liu Peichun said with great certainty according to the procedures and regulations.

Hearing Liu Peichun's response, several directors also looked at each other in dismay, and the air suddenly froze.

According to the conventional patients, there is no problem with this treatment, after all, the patient's trust and signature have been obtained.

But in the current situation, it's not that Captain Wang of the fire brigade personally found Dean Hang, and the experts arranged by the Dean came to take charge. As a result, such a mess!

Dean Hang was also embarrassed, but he couldn't pick out any major problems for a while. Moreover, the person who took the lead made him a little difficult to punish. After all, he was Qin Lang.

I just made a name for myself at the seminar, and won such a big honor for the First City Court, the reward is too late, how can it be suppressed.

It's just, when will this Qin Lang be able to perform orthopaedic surgery again.

Dean Hang's mind was like electricity, and he began to think about countermeasures, which was really worrying.

On the other hand, Chen Qilong, an expert in the field, pointed out Liu Peichun's mistakes very rudely:

"I don't judge the process very well, but Dr. Liu said that Dr. Qin performed an operation ahead of time for 100% recovery, which makes people laugh out loud. Even if I came for the operation, I would not dare to say 100%. 100% recovery, UU reading www.uukanshu.com In Du Ming's condition, being able to recover 90% is already the limit."

Chu Tianxiong also reacted the same way, but this person was Qin Lang, and he couldn't speak for a while, but his head was a little big: "Is this really what Qin Lang said? Does he know that the operation was performed? Difficulty."

Hearing Director Chen's words, Captain Wang's heart also hung up again. To be honest, he respected and liked Qin Lang very much.

However, Dr. Qin is not in the field of burns and hand surgery. What is the situation?

Captain Wang felt aggrieved in his chest, but he couldn't say anything. If it was really Qin Lang who was in charge, and something really went wrong, it would be difficult for him to criticize him, and he tentatively tried:

"President Hang, Director Chu, is it possible that Dr. Qin can really do this operation? After all, Dr. Qin is still very good."

Chu Tianxiong wanted to say it was impossible, but this person was Qin Lang, and he really couldn't be sure.

Chen Qilong looked at the reactions of several people in surprise, and also tasted some flavors:

"President Hang, Director Chu, Captain Wang, it seems that you have a high opinion of this Doctor Qin?"

ps, ah, I finally see some hope. First of all, I will repay the owe of the tunnel dangerous boss, and then there will be 6 updates from the leader of the alliance. Finally, I see some hope~ Go and continue to code words.