MTL - Doctor’s Life Simulator-Chapter 347 Card face! Go to Xiehe Hospital to do a throwing knife
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Thinking of this, Director Dong's eyes suddenly lit up. The young doctor who cooperated with Academician Zhong before was not the best candidate.
If you have the doctor's solid basic skills and fast operation, plus your own surgical experience, the success rate is still very high.
The more Director Dong thought about it, the more feasible he felt, so he immediately called Wen Yunqi, the director of the first hospital in Zijingang, and asked Wen Yunqi to tell the director of the first hospital in Hecheng to tell Qin Lang to come to the imperial capital for rescue.
And he edited another prestige: "Professor Liu, it's okay if you can't come, but I have a request, that is, can we provide remote guidance during our surgery later."
After all, remote guidance does not take much time compared to in person.
After a while, Director Dong received a reply from Professor Liu: "Yes."
Of course, Qin Lang readily agreed to the invitation of Director Dong of Union Medical College Hospital. After all, the research and development of smoking cessation drugs has entered the laboratory stage, and now he only needs to control the key nodes.
After Qin Lang came to the imperial capital, he waited for Doctor Tu to pick him up.
Physician Tu is the attending physician under Director Dong. Originally, I learned from Director Dong that Professor Liu from the Second Hospital of Harbin Medical University was very excited when he returned for the knife surgery. Because of this, he didn't sleep well last night and thought about a lot of questions.
After all, Professor Liu is at the top of heart transplantation, a character written in textbooks. However, he suddenly received an order saying that Professor Liu was not coming, and asked him to pick up a young doctor from Zhejiang Province. This time, he would serve as Director Dong's first assistant, and all expectations of Doctor Tu were all disillusioned at once.
In particular, hearing that the doctor who received him was not yet thirty years old made it even more difficult for him to accept it.
"Is there no one in our Union Hospital? Why did Director Dong think of inviting such a small doctor?"
After all, Physician Tu was only an attending physician. He was not qualified to participate in the operation performed by Academician Zhong, so he did not know much about Qin Lang.
As a normal physician, it can be inferred from common sense that a physician under the age of 30 can be proficient even if he has participated in a heart transplant operation.
One, three, or ten?
Physician Tu was very unconvinced in his heart. When he saw Qin Lang's figure, he was even more surprised. It was because Qin Lang looked too young.
"Are you Qin Lang from Zhejiang Province?"
Doctor Tu asked indifferently, his face was not too good-looking.
"Yes, you are Doctor Tu."
Qin Lang was still in a good mood. After all, he once again got the opportunity to come to Xiehe to participate in the operation. Moreover, this time in the form of a flying knife, there is an operation fee.
The operation cost of a heart transplant is basically between 200,000 and 400,000. This time, Director Dong is the chief surgeon and Qin Lang is the first assistant. Although it can’t reach the cost of a top doctor like Professor Liu, after all, Director Dong is also the heart of Xiehe Hospital. A director of surgery.
There is still a surgery fee of 300,000 yuan. According to the level of contribution, Qin Lang can at least get between 50,000 and 150,000 yuan. Of course, after the operation is completed, Director Dong will distribute it according to the degree of participation.
Although Qin Lang's family is rich and has a salary of more than 100,000 yuan every month, who can refuse more money?
Moreover, the operation fee also represents the true worth of a flying knife doctor.
Like some directors of Zijingang, it is not bad to have 30,000 to 40,000 flying knives at a time. Therefore, the price of Qin Lang's flying knives already belongs to the first-class level in China.
In addition to the surgical fee, the more important thing is that the flying knife represents the honor of a doctor.
In the current flying knife market in Huaguo, high-end doctors have to compete all over the country, especially coming to Xiehe Hospital for flying knife, which is a recognition of the top technology in the industry.
Under normal circumstances, there are two ways for this kind of flying knife. One is peer introduction, which can be recognized by peers. After all, it is superhuman in some aspects.
Another way is to follow the chart, patients or family members, to select the main surgeon through the editor-in-chief list in the medical textbook. Generally speaking, the doctors who can appear in the textbook are the Taishan Beidou of the industry.
Either way, being able to be invited by Xiehe to Feidao is enough to make Qin Lang proud and make Doctor Tu jealous.
Along the way, the car drove very fast, and Doctor Tu was a little annoyed and didn't say anything the whole way.
In this regard, Qin Lang didn't care, he closed his eyes and concentrated.
Soon, Doctor Tu brought Qin Lang to Xiehe Hospital.
"Doctor Qin, Director Dong has another operation. In this case, I'll show you the patient's condition and information first, and then we'll take a look at the donor and recipient."
Physician Tu said in a light tone, he also wanted to know how capable the little doctor invited by Director Dong, Qin Lang, was, to see if he dared to take the call.
"Row."
Soon, Physician Tu brought the patient's condition:
The patient, Jiang Wohu, male, 55 years old.
Symptoms: congenital heart disease with Eisenmenger syndrome that is difficult to correct, complex congenital cardiovascular malformation that cannot be dissected with pulmonary atresia, left heart dysplasia, mitral valve atresia, aortic valve atresia. Late stage of pulmonary cystic fibrosis End-stage respiratory failure with right heart failure.
Cardiopulmonary failure complicated by bronchiectasis, idiopathic pulmonary fibrosis, or obstructive bronchitis.
...
...
When looking at the case in Qin Gallery, Doctor Tu asked intentionally:
"Dr. Qin, this patient has many complications. At the same time, he is old and has aging blood vessels. The difficulty of heart transplantation is very high. Even the deputy chief physician of our department dare not try it easily. Originally, Director Dong and the patient's family were together. It is a pity that Professor Liu from the Second Hospital of Harbin Medical University will be the main surgeon. Unfortunately, Professor Liu recently had an emergency operation, so he couldn't come, so he could only provide remote guidance. You really look too young. You should have done a few heart transplants, so there won't be any problems, right?"
"Doctor Qin, if you can't do it, I advise you to give up early, otherwise the operation will really start. If something goes wrong, you can't afford it. The patient's identity is somewhat special."
Physician Tu persuaded directly, and then stared at Qin Lang's reaction. Are you panic?
Under the master-level heart transplant, Qin Lang had already started to design the surgical plan in his mind, so he didn't pay attention to Dr. Tu's persuasion at all, and gave a very focused order:
"I need the donor's information, in addition to fully meeting the criteria for heart transplantation, I also need a preoperative chest X-ray of the heart-lung transplant donor."
Seeing that Qin Lang directly ignored his good words to persuade him, Physician Tu frowned, but before he could react, Qin Lang raised his head and looked at him sharply. This time, it was the order of the superior doctor to the lower doctor: "I need a pre-donor chest X-ray for a heart-lung transplant."
Under the accumulation of several generations, Qin Lang's aura was very majestic, and Doctor Tu blurted out: "The preoperative X-ray of the heart-lung transplant donor is clear, and there is no lung infection, contusion, pulmonary edema or atelectasis. ."
As the attending physician of Xiehe Hospital, Dr. Tu's own work is still very good, and the preparations for the operation are still very sufficient.
However, when he found himself under the pressure of Qin Lang and honestly explained the situation, Doctor Tu was a little annoyed by his humiliating behavior!
"Mechanical assisted breathing? Ventilation pressure? Chest volume and receptor size?"
However, before he could think about it, Qin Lang's next question came one after another. It was very serious and professional. In a trance, Dr. Tu seemed to see his chief physician, flipping through the cases and asking questions.
Although he didn't like Qin Lang's anti-customer-oriented questions, he couldn't deny Qin Lang's professionalism and every question to the point.
Basically, this is what Physician Tu spent a lot of time preparing before, and originally wanted to report it to Director Dong.
Physician Tu sighed. After all, he was still a professional. He said what he had prepared to show in front of Director Dong:
"Mechanical assisted breathing does not exceed 48 hours, and ventilation pressure does not exceed 30 mmHg. When the inspired oxygen concentration is <40%, the arterial blood gas analysis is normal. Sputum bacterial culture is negative. The thoracic cavity volume is similar to the size of the receptor."
After listening to Dr. Tu's report, Qin Lang closed the document very naturally and praised Dr. Tu: "Yes, the preparations were very careful."
Doctor Tu's face turned dark, looking at Qin Lang calmly, complimented earnestly, and slandered: I thank you.
"Then let's take a look at the receptors now?"
After all, Qin Lang was new here, so he asked very politely.
Originally, Doctor Tu wanted Qin Lang to show his timidity when facing the donor and recipient, but he didn't expect to shoot himself in the foot, so he simply stopped letting Qin Lang see the patient and said directly:
"Doctor Qin, it's almost time after I checked. Let's go to Director Dong's office and wait together."
"That's fine too."
Qin Lang's tone was slightly disappointed.
Seeing Qin Lang's expression, Physician Tu became even more depressed. What kind of player is this? Such a young doctor, how can the level be so high, the most important thing is that he is handsome.
In his understanding, the Xiehe Hospital is not without the kind of young Yushu Linfeng doctors, but when these doctors' skills catch up with the director level, they will either be bald or have a protruding belly.
There is no one like Qin Lang, handsome, black, and good job!
Soon, Dr. Tu invited Qin Lang to Director Dong's office. Along the way, many nurses looked at Qin Lang and their eyes lit up.
However, it's a little strange, when did Dr. Tu have such a handsome little follower.
After waiting in Director Dong's office for a while, Director Dong arrived late.
After seeing Qin Lang, Director Dong walked over and was very happy:
"Director Qin, welcome to our Xiehe Hospital again. This time, it happened to be a difficult heart transplant operation. I lacked a suitable assistant, so I thought of you. I hope you can cooperate with Academician Zhong like last time. to cooperate with me."
Director Dong went straight to the point. After listening, Dr. Tu's eyes widened and he looked at Qin Lang in surprise. This guy even cooperated with Academician Zhong's surgery.
Qin Lang naturally has no objection to Director Dong's arrangement. Anyway, pre-operative preparation is pre-operative preparation, and it does not count.
During the operation, it is not that he has not done anything about robbing the class and seizing power.
Seeing Qin Lang's humility, Director Dong was very satisfied: "Doctor Tu, you go and invite all the doctors from all the cooperating departments. We will have a consultation in a while, and at the same time announce that Director Qin will cooperate with me."
"Hey." Doctor Tu responded and hurried out.
"Director Qin, what do you think of this consultation?"
Director Dong looked at Qin Lang, and also had the idea of taking a test. In addition, it was a rehearsal for the consultation for a while.
After all, please ask Qin Lang to come and help him. If Qin Lang loses the chain during the consultation and operation, he is the one who takes the responsibility and bears the blame in the end, so you have to be cautious.
Regarding Director Dong's question, Qin Lang didn't even think about it, and said in a very relaxed and general manner:
"In the consultation for a while, combined with the latest information of the patient, I suggest to demonstrate and discuss from the following three aspects: first, the donor's heart and lungs are taken, the second is the recipient's heart and lung resection, and the third is the donor's heart and lungs. Resection and combined transplantation."
Hearing the macro and comprehensive understanding, Director Dong was also somewhat unexpected, and he was also interested: "Tell me about it specifically?"
Qin Lang nodded lightly, and then explained it to Director Dong in detail.
"Okay, Director Qin, your understanding of heart transplantation is comparable to that of the top professors in China. What you said, Professor Liu from the Second Hospital of Harbin Medical University also mentioned it all before, and You said exactly the same thing, and of course I am more surprised by the improved procedures you have optimized for the patient's condition."
After hearing Qin Lang's idea, Director Dong already had a bottom line in his heart, and he was more and more confident that Qin Lang would cooperate with his operation.
After all, he has seen Qin Lang's basic skills with his own eyes. What Qin Lang lacks now is the understanding of heart transplantation, and being able to explain the surgical plan so in-depth is enough to prove that Qin Lang specializes in this operation. Coupled with his own years of experience in heart transplantation, it is enough to cope with intraoperative accidents.
"Then let's go to the consultation."
Director Dong got up and said admiringly to Qin Lang.
Soon, Director Dong brought Qin Lang to the consultation room. In the consultation room, experts from other departments were already present.
Of course, they had already heard that Professor Liu from the Second Hospital of Harbin Medical University rejected this difficult operation due to a problem, and Director Dong had no choice but to invite another foreign aid to assist him in the operation.
However, after seeing Qin Lang for the first time, all the doctors were a little confused for a long time.
"Such a little doctor, isn't Director Dong joking?"
Regarding the doubts of doctors in various departments in the consultation room, Director Dong directly cut them off:
"This is Qin Lang, whom I invited from the First Hospital of Zijingang, Hangzhou. Director Qin, he has cooperated with Academician Zhong to complete a difficult heart transplant before, showing top basic skills. Therefore, this time, I again I invite Director Qin to assist me and cooperate with this heart transplant operation. Everyone is welcome!"
Hearing Director Dong's words, there were intermittent applause and more scrutiny in the consultation room.
Qin Lang didn't care about this. After all, he came here for surgery, not to make friends. As for questioning eyes, it's just so-called. Anyway, the surgery will start soon, and these guys' knees will all be broken.
"Director Dong, let's start discussing the surgical plan."
Qin Lang said very bluntly, after all, he would be charged for flying knives for a while, and every word he said had to be tied to the heart transplant operation, and it had to be dry goods.
"Okay, then Director Qin, tell me what you think?"
Director Dong also said encouragingly, and he also understood that if Qin Lang wanted to gain the approval of these doctors, he could only rely on his true ability to speak.
"Then let's start with the donor heart and lungs."
Qin Lang motioned Dr. Tu to draw to the corresponding slide and began to explain:
"The donor heart and the donor lung are taken out as a whole. The preoperative preparation and most of the operations are basically the same as those of the orthotopic heart transplantation. Through the mid-thoracic incision, the pericardium is exposed and the pericardium is widely incised to both sides of the pulmonary veins, and the ascending aorta is freed. , innominate artery, superior vena cava, cuff respectively, ligation of azygos vein..."
Hearing Qin Lang's surgical plan, these doctors nodded silently.
"The free trachea is cuffed to 5cm above the carina, and the front of the trachea near the carina is less separated to avoid damage to the collateral blood supply from the coronary arteries. Intravenous injection of heparin 3mg/kg, and prostaglandin E 120ng/(kg·min), In order to eliminate the response of pulmonary vessels to cold perfusate. UU read www.uukanshu.com high ligation, cut off the superior vena cava, close to the diaphragm, clamp the inferior vena cava with vascular clamp, cut it on the upper side of the clamp. After cardiac arrest, the aorta is blocked, and 500-1000ml of cold crystalloid cardioplegia is perfused into the aortic root..."
Hearing Qin Lang's in-depth plan, these doctors were a little unbelievable: "Director Qin, why does your plan feel familiar and unfamiliar?"
Director Dong, who was on the side, took a sip of tea and said something in his heart:
"Wait for Director Qin to come up with an improved operation, and then you will know what talent is."
Sure enough, a minute later, Qin Lang mentioned the optimized and improved operation: "Use a French No. 14 suction tube to perfuse the main pulmonary artery with 4°C modified collin lung protection solution..."
"Qin Lang, let me interrupt, what is the modified collin lung protectant?"
