MTL - Doctor’s Life Simulator-Chapter 18 Incurable diseases, participate in multidisciplinary consultation

"...needle holder...suture..."

Qin Lang skillfully gave instructions to the equipment nurse.

"Come on, Dr. Qin~"

The little nurse obediently matched Qin Lang's rhythm.

Usually, before suture, the skin piece is slightly cut to make it fit the shape of the wound in the skin receiving area, but Qin Lang has done the first step of skin extraction too well, and there is no difference at all.

"What a precise eye and technique!"

Zhong Chengfa on the side was full of admiration. For a plastic surgery hospital, the operation itself is not difficult. Basically, as long as a surgeon is trained, he can complete the operation. The difference lies in the accuracy and aesthetics.

A powerful doctor is able to do the most basic incision, suturing, and knotting, and it is almost perfect. Obviously, Qin Lang has this ability!

Next, I saw that Qin Lang began to use intermittent sutures. Between the skin graft and the wound surface, every 3 stitches, a long thread was kept, and the adjacent sutures were clamped with a hemostat.

"The strength is really good. The skin can't be too loose or too tight. It's amazing!"

Zhong Chengfa was fortunate in his heart that he had come to observe the operation himself, otherwise he would have missed a clinical genius.

For a plastic surgery hospital, the most important thing is the doctor's medical skills. For the same type of surgery, the appearance fee of a top doctor is dozens of times that of an ordinary doctor.

Moreover, the level of service is very different, these high-quality contacts can burst into powerful energy at certain times!

"Yeah."

In Zhong Chengfa's sigh, Qin Lang's operation was non-stop, and soon the entire skin was stitched.

"...Saline...Antibiotics...Gauze..."

Next, Qin Lang washed and drained the subcutaneous fluid with saline, and spread out the saline gauze containing antibiotics.

After evenly covering the loose gauze, use gentle force to make the skin piece and the wound close to each other, and at the same time tie the gauze ball with the long thread reserved in the previous step.

The whole operation is smooth and fast!

Because Qin Lang used manual cutting throughout the whole process, Zhong Chengfa and Wu Youtu originally planned the 40-minute operation, but the operation was completed in less than 20 minutes.

Next is the arrangement of postoperative care.

After all the dust settled, Wu Youtu was also shocked, but on the surface it was calm:

"Xiao Qin, your surgery went well. Do you have any opinions and suggestions from Chief Zhong?"

Wu Youtu looked at Zhong Chengfa with pride in his eyes.

Zhong Chengfa blushed and coughed lightly. This is not bad. Comments and suggestions?

He has done it so perfectly, even if it is impossible for him to do it so well, what advice can you give, just Versailles!

Wu Youtu, who has thick eyebrows and big eyes, has also learned badly!

Zhong Chengfa cleared his throat, his old face was peaceful, and his tone was sincere:

"Xiao Qin, are you interested in coming to my Shuguang Beautiful Hospital to be my assistant? Come here every weekend. I'll take you to do some surgeries together."

[Ding, congratulations to the host for completing the task: completing Wu Youtu's skin grafting operation, getting an invitation from Zhong Chengfa to enter the Shuguang Beautiful Hospital and becoming his assistant. Rewards: 1 bottle of stamina potion, 1 life simulation point. 】

Listening to the pleasant system voice, Qin Lang naturally agreed.

After all, going to the plastic surgery hospital on weekends can not only do more operations, but also get a lot of income. After all, there is no income for advanced doctors and regular training.

Hearing Qin Lang's refreshing response, Zhong Chengfa was very satisfied.

After the operation, the three of them went to the washroom. Wu Youtu thought of something, and his tone was a little dignified:

"Afa, tomorrow afternoon, I have invited Yu Shuxin from the Department of Pediatrics and Zhang Jihu from the Department of Neurosurgery to discuss the condition of a patient suspected of hemangioma and the designated surgical plan. You can come and participate."

This patient had been diagnosed and treated in a lower-level hospital before, and was initially suspected to be a hemangioma, and was given oral propranolol treatment, but after three weeks, the symptoms not only did not relieve, but the entire sacrococcygeal ulcer appeared, so he was transferred to the first hospital in the city .

A week ago, after treating this patient, Dr. Wu gave him a dressing change. He also covered it with erythromycin eye ointment, cleaned it regularly, and the wound healed. After his condition was stable, after he was discharged from the hospital, he did not expect that his condition suddenly worsened yesterday.

Therefore, Wu Youtu suspected that it was not a simple hemangioma, but invited two attending physicians from pediatric internal medicine and neurosurgery to consult together, hoping to find the real cause.

"no problem."

Zhong Chengfa readily agreed. He was also a senior attending physician in the dermatology department, so he couldn't find any clues.

Wu Youtu thought about it for a while, and added: "The patient's condition tomorrow is very rare and special, and multidisciplinary consultation is also a very good learning opportunity. Qin Lang, you can come to sit in and learn about the treatment ideas of these seniors. "

"Okay, thank Chief Wu."

Qin Lang is of course very grateful for this. After all, if you want to be an excellent surgeon, not only clinical operations, but also diagnosis is a very important part.

And this is also an opportunity to get acquainted with doctors in other departments. Qin Lang already understands that more life possibilities can be simulated by expanding relationships.

...

...

The next day, Qin Lang came to the ward early in the morning.

Cheng Yunfeng followed Qin Lang to start a day's rounds. Now Qin Lang has completely gained Qian Liang's trust, so he has been able to take Cheng Yunfeng to act alone.

Asked one by one, Qin Lang seemed to be a boss, and Cheng Yunfeng also found that he could learn a lot of skills and ward round ideas from Qin Lang every time.

During the ward round, Cheng Yunfeng started gossiping:

"Qin Lang, I heard that Zhuzhi Wu personally served you as an assistant yesterday and helped you with the wooden board?"

Qin Lang nodded flatly, and Cheng Yunfeng's eyes widened:

"Amazing, awesome, if the attending physician could give me an assistant during my training period, I would be able to boast for the rest of my life."

However, Mu Yunfeng looked at the enchanting Qin Lang again, and an absurd thought flashed in his mind, which he could not say.

A few years later, it might be Zhuzhi Wu who boasted to others that he was an assistant to Director Qin back then!

Sure enough, the gap between people and people is bigger than the gap between people and dogs!

"Oh, I can't come here for the rounds in the afternoon. You go and call Doctor Qian to come with me."

After Qin Lang completed another bed, he said to Cheng Yunfeng.

"Ah, you're on leave!"

Cheng Yunfeng was a little surprised, Qin Lang shook his head:

"In the afternoon, there was a patient with incurable diseases in Director Wu's side. He invited the other doctors from other departments to let me sit in on their surgical plan consultation and gain insight."

"You can participate in multi-department consultations!"

Cheng Yunfeng was stunned, UU read www. uukanshu.com This level of discussion is not even a resident doctor who rarely has the opportunity to participate, let alone a small doctor.

Cheng Yunfeng said that he really wanted to participate.

"Brother Qin, teach me how to participate in this level of consultation."

Qin Lang thought for a while, and was serious:

"Let the attending physician be your assistant first, it should be fine."

Cheng Yunfeng: (p≧w≦q)

...

...

Soon it was the afternoon, Qin Lang came to the conference room ahead of schedule and began to set up according to Wu Youtu's instructions.

At the same time, he printed out several copies of the materials that Zhuzhi Wu handed over to him, and placed them on the table in advance.

Turning on the computer again, and projecting the patient's various information materials, after everything was arranged in an orderly manner, Qin Lang chose the last seat himself and looked at it:

"...The female child, at birth, found that the color of the sacrococcygeal and waist was abnormal in many places, and some parts were flaky and light blue..."

Qin Lang looked at it again, and the attached photos were shocking.

"...He went to Yuxian Hospital in Hecheng City, suspected hemangioma, and was given oral propranolol. Three weeks later, the entire sacrococcygeal ulceration occurred. In our hospital, the dressing was changed, and erythromycin eye was given. Cream coverage, regular cleaning, wound healing, and after the condition stabilizes..."

"...After being discharged from the hospital, the condition worsened. The parents found that the left foot was slightly everted, and the stool was 1-2 times a day. The urination was frequent and urgent, and the urine overflowed when crying and exerting force. The urine was not far away, and the urine was dripping. Interrupted..."

"...suspected of non-simple hemangioma..."

Seeing this, Qin Lang was also solemn, and it seemed to be a rare incurable disease.