Doctor’s Life Simulator

Professor Gao praised that the meridian map and acupoint annotations drawn by Qin Lang were so accurate that even he could not pick out a single fault.

"Xiao Qin, do you have any idea of ​​coming to the Provincial Hospital of Traditional Chinese Medicine to study Chinese medicine?"

Professor Gao was just looking for a son-in-law for his daughter, but at this time, he really moved his heart to cherish talents.

A doctor so young can understand the meridian diagrams and acupoints based on traditional Chinese medicine so well that even in the provincial traditional Chinese medicine hospital, he could not find one.

"what?"

Qin Lang did not expect that Professor Gao would ask such a question, and immediately shook his head to express his rejection. His next main work will be on scientific research, and strive to win the Nobel Prize in Medicine as soon as possible.

"Doctors, take a look at the meridian diagram and acupoint analysis drawn by Xiao Qin."

Professor Gao circulated Qin Lang's record book.

"It's amazing. If I didn't know it beforehand, I would have thought that Qin Lang was born in a family of traditional Chinese medicine. This is quite a research on traditional Chinese medicine."

A chief physician exclaimed.

"It's really powerful, and the future generations are terrifying."

Fei Hua also took Qin Lang's notebook with trembling hands, and at first glance, he had to say admiration.

"Since the treatment plan has been ordered, let's start now."

Professor Gao was overjoyed. Qin Lang was so ambitious, of course he wanted to support him: "Little Qin, cooperate with me. Later, when I am doing umbilical acupuncture, you will give Zhu Lao a one-finger meditation massage at the same time."

"OK."

Qin Lang naturally would not refuse, and agreed with great joy.

The health inspection was well prepared, and soon all kinds of equipment, tools, and rooms for massage and acupuncture were prepared.

In the treatment room, there were only Professor Gao and Qin Lang, and the rest of the medical team were waiting outside the room.

Fei Hua drank tea gloomily on the side, feeling particularly uncomfortable in his heart, co-author Qin Lang can now become the main force in the health inspection.

Instead, he could only wait outside the treatment room drinking tea.

"Ah~"

...

...

In the treatment room, Elder Zhu was lying on the bed, and under the guidance of Qin Lang, he relaxed his limbs.

"Old Zhu, relax, let's start massage first."

Qin Lang put his thumb on the skin of Zhu Lao's shoulder and pushed for 5 minutes according to the one-finger Zen push method.

"Hu~comfortable~"

Mr. Zhu closed his eyes, and under Qin Lang's massage, his entire shoulder seemed to have gained a new life, with a numb energy and a little warmth.

Qin Lang continued to use his thumb and began to massage Lao Zhu's acupuncture points, first of all, Jianzhen and Jianliao.

"Oh~"

The stimulation on the acupoints was the strongest. As soon as Qin Lang pressed it on, Old Zhu's body shook violently, and a long sound came out of his nose.

Qin Lang didn't stop at all, and continued to press Tianzong, Jianpi, Jianjing, Quchi, and Hegu. Under the stimulation of several acupuncture points, the qi and blood in Zhu Lao's shoulders churned, crisp and numb, and a little swell.

After pressing for another 1 minute, Qin Lang began to massage the front of Zhu Lao's shoulder and deltoid muscle. After a set of movements, the tendons are regulated and restored, the tendons are relaxed and the collaterals are relieved, blood circulation is activated and blood stasis is removed, local adhesions are released, blood circulation is promoted, and the range of motion of the shoulder joint is improved.

"Professor Gao, you can start the umbilical acupuncture."

Qin Lang said to Professor Gao when he was about to get it.

"it is good."

Professor Gao nodded, his eyes were full of disbelief. Qin Lang's massage skills were really good, even in his eyes, he couldn't pick out some mistakes.

At this level, even a director-level doctor in a provincial traditional Chinese medicine hospital can reach this level.

Qin Lang has done it so perfectly, and of course Professor Gao doesn't want to be resigned.

He took out his silver needle and started acupuncture. While doing acupuncture, he explained and explained to Qin Lang in detail, just like an ancient Chinese medicine teacher who taught his disciples orally.

"Xiao Qin, look good. The key to the success of umbilical acupuncture is to learn to find the pain point. The direction of needle insertion is extremely important.

"The second point is that you have to learn to find navel points and meridians. I'm not worried about that. Your level is already very good."

Professor Gao explained while practicing needles, and did not forget to praise Qin Lang.

"Okay, Mr. Zhu has pain in the front and inner side of the shoulder, and the pain in the back extension is aggravated. This is what we call the Taiyin disease in Chinese medicine. Take the inner gossip and exchange the position, corresponding to the lung, the so-called lung attending festival..."

An hour later, Qin Lang and Professor Gao jointly completed the first treatment for Zhu Lao.

[Congratulations to the host for completing the task and jointly completing the treatment of Zhu Yunxia's frozen shoulder with Professor Gao. Get a reward: 1.2 life simulation points. 】

Under Professor Gao's oral transmission, Qin Lang also gained a new understanding of this acupuncture method.

Qin Lang was immersed in the review of umbilical acupuncture.

"Xiao Qin, your massage skills are very good. Mr. Zhu's first treatment was very successful. After that, you and I will cooperate for another week of treatment."

After Professor Gao gave Zhu Lao's doctor's advice, he talked to Qin Lang.

Qin Lang was still immersed in his own comprehension of acupuncture techniques, and it took a while to react: "Professor Gao, what did you tell me just now? I was just recalling the key points of umbilical acupuncture.

Qin Lang looked at Professor Gao with some embarrassment.

Professor Gao was a little surprised, and somewhat reasonable. No wonder Xiao Young was able to achieve such amazing results. He admired the enthusiasm for this study.

"It's okay, you're studying very well. If you have any questions about umbilical acupuncture in the future, you can come and ask me for advice. However, you don't have to worry too much. In the next week, we will continue to treat Mr. Zhu. There are many more practical opportunities to come.”

Professor Gao patted Qin Lang on the shoulder. This young man is humble and has strong learning ability, which he really liked very much.

"Okay, Professor Gao, after this practice, I really have some doubts about the umbilical acupuncture..."

Qin Lang nodded and walked out of the consultation room with Professor Gao.

Seeing Qin Lang and Professor Gao side by side, while walking and exchanging medical skills, Professor Gao showed an unbelievable expression from time to time, nodding and approving from time to time.

The members of the medical team outside were a little confused. It seemed that Qin Lang and Professor Gao had a feeling of being on the same level.

"It's too raw."

Before, they watched Mr. Zhu walk out of the treatment room with great satisfaction, indicating that Qin Lang's massage skills were recognized.

"It's incredible, it's incredible."

Several directors and professors of the medical team are naturally very good at observing words and expressions, and Qin Lang's status in their hearts is no longer comparable.

After Qin Lang accompanied Professor Gao to the consultation room, several doctors surrounded him.

"Director Qin, you are really young and promising."

"Director Qin, tell me, where did you learn such a powerful massage technique?"

"Director Qin..."

After everyone expressed their kindness and praise, they started the next visit. The atmosphere obviously changed. In the next visit, when Professor Gao made a diagnosis, he no longer regarded Qin Lang as an assistant who could only record. , habitually will discuss some patients' conditions with Qin Lang.

To the surprise of these chief physicians, no matter what kind of patient, no matter what symptoms, no matter what condition, Qin Lang can always say one or two things. Moreover, they are always on the point, and can even give them these experienced doctors. ,Filling in the gaps.

In the medical team, Fei Hua’s face became darker and darker as the rounds went on, and his sense of presence was getting lower and lower. A more precise and comprehensive opinion than him.

When the round was about to end in the afternoon, Director Fei Hua simply started to shut up and sipped his tea glumly.

And Lu Yu completed the task of the tea girl very wisely, and kept pouring tea for Fei Hua.

It wasn't until Professor Gao announced the end of the afternoon health inspection: "I'm here today. Everyone has done very well, especially Xiao Qin. Go back today and have a good rest, and we will continue tomorrow."

After Professor Gao finished speaking, Fei Hua left the consultation room with a belly full of tea, but he couldn't raise his head in front of Qin Lang.

The rest of the people also left one after another. After all, the intensity of the day's inspections is still very large.

After everyone left, Qin Lang was also about to leave, but just as he walked out of the consultation room, he was stopped by two men in suits and leather shoes.

"You are?"

Before Qin Lang finished asking, the two men pulled Qin Lang away.

"Director Qin, you are really too busy. If you don't do this, I'm afraid you will be intercepted again. We have already made an appointment with you at noon for massage therapy on the patio of the atrium at noon. I am offended."

The two burly men were obviously professionally trained, their voices were mechanically low, without a trace of emotion, they supported Qin Lang, and their strides were fast and large.

After a while, the two brought Qin Lang to the atrium platform, and a soft and spacious massage bed was ready early. As soon as Zhou Lao saw Qin Lang, he got up immediately, smiled and glared at the two staff members:

"Didn't you ask Director Qin to come here? Why is it so rude and rude. Go away quickly."

Elder Zhou waved his hand and scolded the staff again.

Kindly stepped forward and directly held Qin Lang's hand, but when shaking hands, he clearly felt that one of his wrists was a little stiff, and Qin Lang could obviously touch the big thenar in the old gentleman's right hand. Some are shriveled and shriveled.

Under the simulation of the first life, Qin Lang has extraordinary insight, and at the same time used a single case simulation, and quickly clarified Zhou Lao's symptoms:

[Patient: Zhou Wenbin, male, 66 years old

Symptoms: The patient's carpal palmar aponeurotic tissue cord-like changes, paresthesias in the hand, wrist pain, and thenar muscle atrophy.

Acute and chronic injuries of the wrist lead to an increase in inflammatory secretions produced by local tissues in the carpal tunnel, slowing blood flow, deposition of metabolites, pathological proliferation of tissues and tendons in the canal, increasing the pressure on the median nerve, and causing paresthesia of the wrist joint. and dysfunction.

Diagnosis: The patient has typical carpal tunnel syndrome, peripheral neuropathy. It is recommended to use small incision carpal tunnel release combined with one-finger meditation and push comprehensive therapy, which can be effectively treated. 】

After chatting with Qin Lang for a while, Mr. Zhou went straight to the topic: "Director Qin, I saw your massage technique at noon. It's very good. Could you give me a massage?"

Qin Lang smiled slightly: "Old Zhou, don't worry, of course I will do the massage for you, but before doing the massage, let's have a diagnosis and treatment, I am also a member of the medical team, and the massage is also about the symptomatic massage, it can be better. to treat you.”

"Okay, Director Qin, it's amazing to be able to enter the medical team at such a young age, and to have such a massage technique."

Zhou Lao compared his thumbs, but his fingers were a little bit labored. With Academician Zhong's endorsement, Zhou Lao of course trusted Qin Lang very much.

"Old Zhou, when I was shaking hands with you just now, I clearly felt that your palms and wrists were abnormal, and..."

Qin Lang has reason and evidence, and analyzed it with Zhou Lao very professionally and calmly.

"Yes, Director Qin, what you said is not bad at all. In fact, my wrist and palm do have these problems. Why, you can also treat this with massage?"

Zhou Lao was a little surprised. In fact, about his wrist symptoms, he had seen a doctor, but the doctor's suggestion at that time was that surgery was required, and the cycle was relatively long, so he chose to come to the Academician Building for recuperation first, and then wait for his physical condition. Better yet, go to the hospital for a full-scale surgical treatment.

"It's not enough to just massage, but I can combine the small incision carpal tunnel release with the one-finger meditation method. The small incision carpal tunnel release is a minimally invasive surgery, and it mainly relies on one-finger meditation massage. The operation is very Fast, healing and recovery is also very fast. There is no need for large medical equipment, and I can treat you here."

Qin Lang introduced the entire operation process and the risk and difficulty of the operation to Zhou Lao in detail.

For the treatment of carpal tunnel syndrome, Qin Lang is at the master level. However, in the past, only surgical treatment was used. This time, it is a two-pronged approach combined with traditional Chinese medicine.

It can minimize the trauma to the patient and promote the recovery of the patient as quickly as possible.

Zhou Lao thought for a while: "Yes, as for the anesthesiologist and surgical instruments you want, I will contact the person in charge of the medical team in a while. We can start the operation in a while."

Soon, Elder Zhou called the person in charge of the medical team.

Naturally, the other end of the phone was a little puzzled, and even politely declined.

After all, Mr. Zhou was a veteran cadre full of aura, and he was very assertive, and his style was also tough and tough, otherwise it would not have been possible to directly tie Qin Lang over.

"Listen, within 20 minutes, I want you to arrange an operating room, an anesthesiologist, and the corresponding equipment. I will let Director Qin communicate with your people in a while."

After Zhou Lao finished speaking, he pressed the phone directly.

The old guy's face was ruddy, and he gave Qin Lang an OK gesture, but due to the atrophy of the muscles in his hands, he looked a bit hideous.

Those who can enter the Academician Building for recuperation are naturally not easy to match.

Under Zhou Lao's resolute arrangement, an operating room was soon arranged on the second floor.

For this visit, two operating rooms have been prepared before.

Of course, the equipment and equipment are not as comprehensive and advanced as those from the first hospital in the city. However, what Qin Lang performed on Zhou was an auxiliary minor operation, and the main treatment was still on the one-finger meditation massage.

After Qin Lang and Zhou Lao entered the operating room, there was already an anesthesiologist waiting. Since it was a very small auxiliary operation, there was no need for an instrument nurse. Qin Lang could handle it by himself.

in the operating room.

Qin Lang arranged Zhou Lao to lie down and instructed the anesthesiologist to use brachial plexus block anesthesia.

At the same time, he tied a pneumatic tourniquet to Zhou Lao's right upper arm.

After that, the ulnar side of the palmar longus muscle of Zhou Lao was selected, and a precise transverse incision of 1.5 cm was made, which quickly exposed the tendon of the digital flexor and the proximal border of the transverse carpal ligament.

In the operating room, where Qin Lang did not notice, a camera clearly recorded Qin Lang's surgical steps.

After all, the patients undergoing minor operations here are big figures with special identities. They are afraid of accidents in the future, and it is also convenient for them to be held accountable later.

However, Qin Lang didn't pay any attention to this, nor did he care.

Qin Lang threw himself into the operation and moved skillfully and freely.

The anesthesiologist stood quietly beside him. In addition to the anesthesia, he was also tasked with supervising and observing Qin Lang's surgical progress. If Qin Lang had any problems, he would immediately stop it.

However, what he has seen so far is pleasing to the eye. Although it is only a minor operation, Qin Lang's incision and exposure are still very skillful.

Next, under the attention of the anesthesiologist, Qin Lang began to distinguish the long tendon.

This operation Qin Lang has no assistants and no equipment nurses, so all the operations are done by one person, but it still gives people a feeling of running smoothly.

Qin Lang took the scissors from the spare area on one side, and separated the transverse carpal ligament laterally from near to far in the direction of the ring finger, that is, LCT.

After that, he picked up the scalpel in a very coherent motion and began to longitudinally cut the proximal edge of the LCT, and the size was very precisely controlled at 1.5CM.

After that, Qin Lang changed the hemostatic forceps again, and began to carefully lift the superficial and deep flexor tendons of the fingers, and excised the edema of the tendon and synovium.

"Amazing."

Seeing this step, the anesthesiologist finally couldn't help it. Small incision carpal tunnel relaxation is very common in the field of "paralysis".

Especially in carpal tunnel syndrome, direct resection of the edema of the flexor tendon synovium and loose connective tissue in the carpal tunnel is often chosen.

However, after all, the field of vision for this kind of small operation is limited, and the instruments in the operating room of the Academician Building are relatively simple, so it is easy to incompletely remove the diseased tissue.

However, under Qin Lang's operation, the separation was perfect, the anatomical tissue was clear, and the excess diseased tissue was removed cleanly.

While the anesthesiologist was amazed, Qin Lang continued to separate the LCT while controlling Zhou Lao's wrist joint to dorsiflex to 30°, with his atrophied palms facing upwards.

Qin Lang's subtle operations are very closely connected. If it is an ordinary doctor, due to the durability of the muscles, there must be a rest time between the operation and the operation, so that the precise movements can be maintained, so there will be some problems in the connection.

But Qin Lang didn't have this problem at all. Switching operations and changing surgical instruments alone was faster and smoother than two people's cooperation.

In a flash, the anesthesiologist realized that Qin Lang had already picked up the narrow metal plate and used the first knuckle of his index and ring fingers to control the metal plate to press down the flexor tendons.

"Damn, his fingers are so powerful?"

Qin Lang's two knuckles controlled the long metal plate along the defense line of the central axis of the ring finger. With the other hand, he completely cut the LCT with scissors.

In the blink of an eye, Qin Lang entered the next process, which was sewing layer by layer.

Looking at Qin Lang's suturing, especially the treatment of the flexor tendons, the anesthesiologist sighed inwardly:

"I met a great god. No wonder, so bold, dare to perform surgery on Zhou Lao privately, without going through the treatment group. The surgical level is too powerful!"

There are unwritten rules in health inspections. Physicians can treat academicians and veteran cadres in private names in addition to group diagnosis by the medical team.

However, this requires a very senior and well-known reputation as the premise, and these elders will be assured of your diagnosis, treatment and surgery.

After several such operations, the elders recommend and endorse among the elders, and more elders will be diagnosed and treated. It is foreseeable that Qin Lang has begun to emerge in the upper-class society of Zhejiang Province. The operation was successful, and it is foreseeable that his future is bright.

"He's still so young, I'm envious."

The anesthesiologist sighed bitterly on the side. In fact, this is also a purpose of the health inspection. It is a bridge between these elders and famous doctors, so that they can achieve each other.

"Elder Zhou, the assisted surgery was very successful. Next, I'm going to get to the point. I'll give you a finger meditation massage method."

Qin Lang said to Elder Zhou.

Since it was only local anesthesia, Zhou Lao of course had a clear mind and smiled slightly, expressing his approval.

During the operation, Qin Lang continued to explain the principle to Zhou Lao, which made him feel more at ease and trust.

When Qin Lang introduced, the camera lit up and continued to record.

"Zhou Lao, from the perspective of tissue biology, the pathogenesis of carpal tunnel syndrome: acute and chronic wrist injuries lead to an increase in inflammatory secretions produced by local tissues in the carpal tunnel, slowing blood flow, deposition of metabolites, and pathology of tissues and tendons in the canal. Sexual hyperplasia increases the pressure on the median nerve, resulting in paraesthesia and dysfunction of the wrist joint... And our small incision carpal tunnel relaxation book is to remove the edema of the flexor tendon synovium and loose connective tissue in the carpal tunnel. ."

"Next, I will practice one-finger meditation and massage. From the perspective of traditional Chinese medicine, carpal tunnel syndrome belongs to the category of "arthritis". Obstructed collaterals, qi stagnation and blood obstruction can lead to numbness and pain in the wrist joints, and dystrophy of tendons and joints can lead to soreness in the hands, and even hand movement disorders may occur in severe cases.”

"And the one-finger meditation method I use can strengthen the righteousness and eliminate pathogenic factors while tonifying deficiency. It can effectively improve the blood supply of the patient's wrist, promote the circulation of qi and blood in the meridian, eliminate the inflammatory reaction of the wrist, and reduce the The pressure inside the carpal tunnel promotes the recovery of the function of the wrist joint and improves the mobility of the wrist joint."

Qin Lang's professional explanation not only made Elder Zhou seem to understand, but he was not aware of it, but even the anesthesiologist on the side nodded frequently.

Qin Lang really feels like an old Chinese medicine doctor with decades of experience in attending.

Moreover, while speaking, Tang Lou's hand did not stop. After grasping the full map of the meridian and acupuncture points, Qin Lang was very precise on the patient's:

Yanggu, Yangxi, Shenmen, Daling, Yinqi and Neiguan are the main acupoints for massage therapy, and acupoints are assigned according to their different symptoms.

Due to the frequent pain in the palm of Zhou Lao, Laogong and Yuji points were added.

However, Elder Zhou's thumb would also experience numbness and pain, so after Qin Lang completed the massage, he performed massage on the Kongzui acupoint and Jingqu acupoint.

In response to Zhou Lao's index finger numbness and pain, Qin Lang added Hegu and Erjian points.

Aiming at the numbness and pain of the middle finger, the massage of Jianshi acupoint and Erbai acupoint was added.

...

During the entire treatment process, Qin Lang sat upright in front of Elder Zhou, keeping his shoulders sunk, elbows hanging, and wrists hanging.

Apply pressure on the above points, always keeping the thumb perpendicular to the surgical site near the wrist.

Qin Lang continued to output steadily without a single stop in the middle. Sweat continued to flow from his forehead and back, but Qin Lang was not affected at all.

The anesthesiologist on the side was full of admiration. Although he was young, Qin Lang really had the demeanor of a general when he really performed massage!

Qin Lang's left hand supported Zhou Lao's forearm on the affected side~www.readwn.com~ and then swung his forearm on the affected side, and at the same time drove his wrist to swing.

Driven by the swing of the wrist, assist Zhou Lao to do passive extension and flexion of the metacarpophalangeal joint or interphalangeal joint of the thumb. Each acupoint was treated for 1 min, and the frequency of swinging the wrist joint was 160 times/min.

After a full hour, Qin Lang completed the whole process perfectly.

"Old Zhou, the whole treatment was very successful, and I will arrange the rehabilitation score for your prognosis. Specifically: the score of the ulnar deviation of the wrist, the score of the radial deviation of the wrist, the score of the dorsal extension of the wrist, the score of the wrist joint. Scores for palmar flexion motor function and total wrist function scores."

For tendon and wrist treatment, Qin Lang is the top in the country.

[Ding, the progress of the massage master task is 5/5, reward: 1 life simulation point]

PS: Thanks to Lin Mo YYDS for the 1500 reward, thanks to the big boss~ The boss has a good waist and a good kidney, and makes a big fortune!

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