Doctor’s Life Simulator

Yang Guoshu also pulled his lips slightly, looking at the young man on the screen with admiration.

Director Zhu took out a piece of beef jerky from his pocket and took a few bites, then took another sip of tea, as if he was going to fight for a long time.

Seeing Director Zhu's eating action on the bright side, Wen Yunqi and Yang Guoshu suddenly realized something and looked at Zhu Le.

Director Zhu's chewing action suddenly stopped, and he smiled awkwardly:

"It's definitely not what you think. I also grew up last time."

While covering it up, he took out a few pieces of beef jerky from his pocket and stuffed them into Wen Yunqi and Yang Guoshu.

After taking the beef jerky, the two elders looked a little better, but they always felt that the last time they were in the observation room of the city's first hospital, there was a smell of beef.

On the screen, Qin Lang performed the final operation and quickly completed the last step.

The first one, the demonstration operation was successfully completed.

While the directors were preparing to rest for a while, in the operating room, the second demonstration operation had been completed.

At the same time, the patient's information is also sent up.

Seeing the situation of the second patient, these directors are really uncertain now.

"This is going to pierce the sky, and is it a domestic original improved technique?"

The patient's case reads: Right ventricular double outlet (dorv) with complete atrioventricular septal defect (avsd).

"Biventricular correction surgery? What kind of modified surgery is this."

"Director Zhu, it seems that a lot of effort has been put into this demonstration operation!"

When the other directors of cardiovascular medicine were surprised, Yang Guoshu and several others had already seen Qin Lang demonstrate once. Naturally, they were very calm. Seeing these directors look like they had never seen the world, there was a kind of difficulty in their hearts. Somber words.

Wen Yunqi took a sip of tea, still the same answer: "Don't worry, directors, take your time!"

In the No. 2 observation room, another doctor walked in, but after entering, he was stunned.

"What's the situation, so many people."

The attending physician took a look at a huge observation room, only half of the seats were used up, and the other places were empty. He wanted to find a place to sit down, but there was no seat.

The doctor in charge grabbed it, and a doctor in the back row wanted to ask what was going on, but the other party took off the hand on his shoulder impatiently.

Before the attending physician wanted to ask, the other party had already turned his head and stared at the screen intently, for fear of missing a second.

At this time, Zhao Yunfeng stood up, sent a patient's case data to the attending physician, and whispered in his ear:

"The second observation room is full. You can go to the third observation room next door. It is still empty now, and it may be full in a while."

The attending physician glanced at Zhao Yunfeng, but recognized that Zhao Yunfeng was the staff member who organized the meeting, and nodded.

I looked at the case data in doubt, what is the situation, is this patient special, so attractive.

"...The patient has moderate growth retardation and moderate heart failure. Physical examination: 3/6 systolic murmurs can be heard in the 3rd and 4th intercostal spaces at the left sternum border, and p2 hyperactivity; chest x-ray shows: Enlarged heart, significantly increased blood in both lungs, protruding pulmonary artery segment, cardiothoracic ratio of 0.62~0.85, combined malformations include: single atrium, double superior vena cava..."

After reading it, the attending physician was stunned: "It turned out to be dorv-avsd! This Director Qin is actually demonstrating surgery, trying such a rare and difficult to cure disease, no wonder, so many people are fascinated by it."

When the attending physician was amazed, Qin Lang also started his second demonstration operation on the screen.

Looking at the screen, the attending physician, having long forgotten that he had no seat, just stood up straight.

"Why is this an operation under general anesthesia, hypothermia, and cardiopulmonary bypass... Could it be an improved original surgery?"

The attending physician's whole heart was beating. If it was the first surgery, it would be amazing. To be able to participate in the observation and return to the Imperial Capital Hospital would be a kind of talk.

"Strictly speaking, it can't be said to be the first starter, but the technique is indeed created by Director Qin."

Zhao Yunfeng, who was on the side, had seen the video of this technique for a long time, and said sullenly on the side.

The attending physician of the imperial capital looked at Zhao Yunfeng in surprise, and Zhao Yunfeng said with some regret:

"If you had come in earlier, you would have been able to see the first demonstration operation, which is the world's first modified nikaidoh operation to correct adult taussig-bing heart deformity."

"what!"

The attending physician from the imperial capital was so surprised that his mouth could not be closed. After a while, he said regretfully:

"I actually missed the improved nikaidoh surgery that was launched in the world. Damn, I finally followed the director to participate in an academic exchange at the Asia-Pacific level, and I missed the essence."

The attending physician of the imperial capital suddenly regretted that he couldn't honestly watch the first demonstration operation. This feeling was like watching the World Cup. After squinting for a while, when I woke up, I realized that the score was already 3-0. After a while, the referee had blown the whistle in the midfield.

Just missed the whole summer.

When the chief physician of the imperial capital regretted the beginning, Zhao Yunfeng patted him on the shoulder: "It's still too late, and Director Qin has several more surgeries."

"What's the use of several units, I want to see the world's first technique."

The attending physician of the imperial capital gave him a sour look, and the few clever ghosts who had just come in a long time ago envied their blessings.

There is such a good thing, and I don't know if I come out and let me know.

"Who told Director Qin that he will only demonstrate a world premiere technique today, and there will be more to come."

Zhao Yunfeng looked at the depressed and remorseful attending physician of the imperial capital, and said something angry and funny.

"Ah? Really!"

The attending physician suddenly regained his senses. After thinking about it again, there were several more units. He looked at the beautiful doctors sitting in front of them, and after a while, he rushed out of the second observation room.

After the attending physician walked out of the second observation room, he quickly rushed to the third observation room.

Of course, he didn't tell these self-righteous guys. Thinking of their remorse after knowing the truth, the attending physician's mind suddenly became balanced.

Regarding the behavior of the attending physician, the remaining stubborn forces are still talking about it, few people notice, even if they see it, they don't care too much.

Wang Xueqing's seat was facing the door of the third observation room. Seeing the attending physician hurriedly entered the third observation room, he was a little puzzled, but after watching for a while, he continued to look at the small salon. Several doctors bragged about each other's business.

In the back office, Sun Siyi was drinking tea, waiting for Zhao Yunfeng to come in with a frown.

It's just that what he waited for was the staff, so excited that they walked in:

"Brother Sun, God, it's really like Zhao Yunfeng's judgment. Now the second observation room is full, and the third observation room is slowly entering, and it won't take long for the third observation room to be full. ."

"What did you say!"

Sun Siyi jumped up from his chair and looked at the staff in surprise.

"Zhao Yunfeng is really amazing. Fortunately, he prepared three observation rooms in advance. This time, Director Qin is also a god. Although I don't understand it very well, the chief physicians from all over the country are full of praise. What's more, he bluntly said that he has lived in vain for decades, and he is ashamed compared to Director Qin."

Hearing what the staff member said, Sun Siyi suddenly sat down on the chair weakly, his eyes a little dull.

"Wrong bet."

After thinking about it, this time, in order to protect myself, I was almost invisible in the entire conference organization. All the logistics and preparation staff only knew that Zhao Yunfeng was busy day and night.

And he rarely showed his face, but he still played the role of reprimanding and blocking Zhao Yunfeng.

After all, the eyes of the masses are sharp. If this meeting is really a complete success, he Sun Siyi has nothing to do, and he always pulls back. He simply ceded this great credit to Zhao Yunfeng and helped him. He established an image of a brilliant eye.

"Depend on!"

Sun Siyi let out a foul language, why is this young Qin Lang so powerful?

Could it be that Dong Ming really just valued Qin Lang's talent?

"Go, have a look."

Sun Siyi couldn't sit still at all, and rushed directly to the third observation room.

When Sun Siyi entered the third observation room, the seats in the third observation room had already been occupied, and Qin Lang had also completed the second demonstration operation on the screen.

"Next, Director Qin will perform the third demonstration operation, which will be another modified operation pioneered in the country: danielson angioplasty plus valvuloplasty ring to correct adult a/b type ebstein heart malformation."

Simultaneously, under the arrangement of Zhao Yunfeng, the staff sent up the case of the third patient.

The ebstein heart malformation exists in adolescents and adults. The clinical manifestations are generally decreased exercise tolerance and palpitation after activity. In this patient, preoperative cyanosis, hepatomegaly and lower extremity edema were examined. Preoperative two-dimensional echocardiography It is suggested that the septal leaflet of the tricuspid valve is lowered by 30mm, and the anterior leaflet is poorly developed...

After watching this case, the doctors in the observation room were also excited and missed the first one. Fortunately, it came in early. This third national first pioneered danielson angioplasty plus valvuloplasty ring correction. Can be watched from start to finish.

"look forward to."

"This academic conference is really worthless."

"No, now I understand why this is an Asia-Pacific-level academic conference on ventricular correction, and the three improved procedures so far are enough to be recorded in the history of medicine."

"When this demonstration operation is completed, the name of Qin Lang will be resounding in the field of cardiovascular medicine, envy!"

...

...

When all the doctors were glad that they had become witnesses of history, Qin Lang also gave the order for this one.

When Qin Lang performed the third operation, the third observation room was slowly full, and those who entered later could only stand behind and watch the screen.

In the venue, fewer and fewer doctors were still in the small salon. Lu Wenjun and Wang Xueqing also felt the subtlety of the situation.

"Have you noticed, there are fewer and fewer people in the lobby, and they all entered the observation room."

Wang Xueqing's field of vision was aimed at the observation room. He didn't care too much at first, but more and more people entered, and he couldn't help but be vigilant:

"You said, is there really something remarkable in the observation room?"

"How is it possible that he, Qin Lang, is younger than you and me, and how accomplished he is in ventricular correction."

Lu Wenjun took a sip of red wine and said softly, but he was a little shaken deep in his heart.

"Want to go have a look?"

The other doctor couldn't hold back. After all, this academic conference was originally here to observe and demonstrate the operation. At the beginning, everyone was outside, so naturally it didn't matter, but now there are only a few of them left, so the situation is not Same.

In particular, the chief physician of the family and the superior physicians are all in it. If you really miss something exciting and are questioned by your superior physician, it is not easy to explain.

"Then have a look."

One of the attending physicians on the far side was also just around the corner.

"Let's go."

Wang Xueqing thought for a while, but got up.

Lu Wenjun took another sip of his wine, looked at the backs of Wang Xueqing and the others, and finally followed.

"Wait for me."

Soon several people entered the third observation room. When they walked in, they were stunned. There was no place in it, so they could only stand.

Standing and watching a deputy chief physician of the First Hospital of Hecheng perform an operation?

Lu Wenjun was about to turn around and go out on the spot, and at this time, Wang Xueqing was standing in front of him and had already obtained the case information sent by the staff, as well as the demonstration content of the operation.

"It turned out to be tricuspid valve downshift, ebstein heart malformation, which is a rare congenital complex malformation that occurs only 1/210,000th of the time. Insufficiency and atrialization of the right ventricle are predominant."

Wang Xueqing happened to be researching this technique recently, so when he saw this information, he couldn't move.

Lu Wenjun didn't know much about this case and asked, "Is this case difficult to handle?"

"Of course, patients with severe tricuspid valve depression often experience sudden death during exercise, and many patients have life-threatening arrhythmias. Danielsonoplasty is currently the mainstream way to correct tricuspid valve depression, but this procedure remains the same. There is a disadvantage, that is, after tricuspid valve repair, it is easy to repeat severe tricuspid regurgitation in the medium and long term after surgery. The reason is that the ring shrink line is easy to loosen after the devega ring is retracted, and the posterior and septal valves that are moved down are lifted and fixed in the autogenous body. In situ tricuspid valve annulus, while autologous in situ tricuspid valve annulus tissue structure is not dense, the tension is not strong. It is easy to cause the recurrence of tricuspid valve regurgitation. However, the director and I have studied for a long time, but still can not find a better solution solution.”

Wang Xueqing said regretfully, and then looked at the screen excitedly:

"I didn't expect that the demonstration operation this time turned out to be an improvement of this technique. It's really great!"

For a doctor who is obsessed with medical skills, it is the happiest thing in the world to see an improved surgical technique that he is struggling to understand.

Just as Lu Wenjun was about to ask again, Wang Xueqing signaled him to shut up, then stood up straight and stared at the screen.

In the operating room, Qin Lang had already completed all the previous operations. Although he had already performed the operation for several hours, he was still in high spirits and gave orders with full energy.

"Spacers...sutures..."

Looking at Qin Lang's operation, Wang Xueqing's scalp was numb, and he sighed softly: "It turned out to be 6-needle mattress sutures with spacers first, and this suture technique...Awesome! "

Wang Xueqing was drawn in at once, and watched Qin Lang insert the needle from below the attachment line of the septum and posterior valve that moved down, and then moved very lightly and agilely to the in situ tricuspid annulus position.

Seeing this step, Wang Xueqing was only envious of Qin Lang's basic skills, but when the next step, Qin Lang's self-made valve ring appeared, Wang Xueqing was stunned.

It's not just him, as long as it is a doctor who has understood and studied it, this moment is boiling.

"Director Qin actually abandoned the devega ring in the original surgery. The artificial valve ring he is using now has never been seen before."

"This is for an operation, creating an instrument?"

In the operating room, Qin Lang ignored the people watching off the screen. This artificial ring was indeed customized by him according to the system's plan. It was impossible to make it in such a short time, but at Qin Lang's request, Jin Yaner had to work overtime all night. , arrange manpower.

I finally got out the day before the surgery. It can also be seen that Ming's Pharmaceutical Group attaches great importance to Qin Lang.

Of course, in return, Qin Lang licensed the patent of this tang-c artificial valve ring to Mingshi Pharmaceutical Group.

Ten minutes later, Qin Lang completed this danielson plasty plus valvuloplasty ring correction!

[Ding, new achievement: Introduce self-developed medical equipment in the demonstration operation, reward: 1 life simulation point]

Lu Wenjun didn't have much impact on this improved operation, but for this operation, he designed a brand new tang-c artificial valve ring, which made him, who had worked hard to create a surgical instrument before, shake his heart.

"Is this Qin Lang so powerful?"

Lu Wenjun looked at the young man on the screen, and was a little stunned. It turned out that his achievements were not worth mentioning in front of this young man.

In particular, I learned that Qin Lang has demonstrated three self-created surgeries in a row.

"That's the real talent."

Lu Wenjun sighed with emotion, and suddenly regretted it. He just had the embarrassment to blow water outside, and his face suddenly turned red.

And when Lu Wenjun was blushing, in the operating room, Qin Lang didn't want to rest at all, and immediately started the fourth operation, which was no longer an original technique.

Of course, this technique is also very distinctive, that is, in this technique, desflurane-no exclusively developed by Mingshi Pharmaceutical Group is added.

The protective effect of desflurane-no on the lungs of children with congenital heart disease complicated with pulmonary hypertension during cardiac correction under cardiopulmonary bypass. It can more conveniently assist the chief surgeon to perform complex operations.

Under Qin Lang's perfect operation, the operation was naturally very successful, and as a publicity in the future, this operation will also be bundled with the previous Qin Lang's pioneering operation and posted to the medical forum for more Physicians and more hospitals learn about this new drug.

After completing this operation, Qin Lang was still a perpetual motion machine. He had performed several operations. While watching these doctors, he was very happy, but also saw that they were hungry, especially the last group who came in. They were hungry and tired. It's numb again, but Qin Lang's chief swordsman doesn't rest, so how could they leave with the kindness of those who were watching.

Wang Xueqing and Lu Wenjun were also in great pain, and their legs were numb when they stood: "I really want to go out and sit for a while."

However, Qin Lang in the operating room had no intention of stopping at all.

Soon, under Qin Lang's uninterrupted operation, the first wave of medical staff brought from the first hospital in the city could no longer carry it, and they were directly replaced by a group of doctors from the First Affiliated Hospital of Zijingang University who had been eager to try for a long time. On the contrary, Chen Wenhao persisted.

Before I knew it, it was almost 20 hours from the morning surgery to the middle of the night. Although, for these chief-level physicians, a 20-hour surgery is also very common, but, like Qin Lang, , consecutive different patients, different surgical techniques, they are the first to see.

In the observation room, the atmosphere became a little more subtle.

In particular, Wen Yunqi and Yang Guoshu in the first row were nourished by the beef jerky that Director Zhu poured out of his pocket from time to time.

Watching Jules take out beef jerky and small biscuits from his pocket from time to time, these chief physicians swallowed their saliva secretly, and were embarrassed to ask for it.

Of course, Director Zhu didn't mean to share with them at all, and even made a call~www.readwn.com~ What's even more disgusting is that the staff on the side just kept pouring tea for them.

Hungry, looking at Director Zhu and the others eating beef jerky, several chief physicians were inexplicably aggrieved.

However, when they saw Qin Lang, who was still conscientiously demonstrating the operation for them in the operating room, they were not qualified to complain.

After all, the chief surgeon had never rested, so they were embarrassed to ask for a rest.

Besides, Qin Lang's demonstration operation is not that kind of parallel imports, but real dry food, especially the original improved surgery interspersed in it.

For Qin Lang, they naturally love and hate, and they have a kind of awe.

Seeing Qin Lang's solid basic skills, such a crazy amount of operations and frequency of operations, they also automatically made up for it. Qin Lang's technology must have been accumulated through such an obsessive surgical method.

Several directors were even more moved, and when they returned, they wanted to train the little doctors under them.

In the operating room, Qin Lang started another surgery.

After another five hours, Qin Lang finally completed the last operation with no end in sight.

[Ding, new achievement, complete the demonstration operation at the Asia-Pacific Academic Conference on Ventricular Correction, reward: 2 life simulation points]