Doctor's Life Simulator

Chapter 102 Teacher Qin's First Lecture (Fourth Update, Please Subscribe)
Soon the two of them rushed to the meeting room of the treatment center.

Deputy Director Cui waited early, and when he saw Qin Lang, he immediately got up to greet him, showing great respect and admiration.

Although Deputy Director Cui crushed Qin Lang in terms of seniority and rank, everyone now understands that Qin Lang is the crown prince of the treatment center, and Director Wei's key training object.

Even Tian Hua threw the two attending physicians over to serve as Qin Lang's assistants. As a small deputy chief physician, he was of course very discerning. In addition, Qin Lang's personality and technical ability also made Cui The deputy director was very impressed.

"Doctor Qin, come here! These two must be Director Tian's proud disciples, and they will be the mainstays in the field of hand surgery in the treatment center for some time to come."

Deputy Director Cui was also a little surprised when he saw the two identical twins, Tian Hua was really emotional.

Yang Yi and Yang Yue were also very surprised to see Deputy Director Cui's respectful attitude towards Qin Lang. Dr. Qin, in the department of plastic surgery and burns, actually gave them the aura of a highly respected old doctor.

The two also responded to Deputy Director Cui's kindness:
"Director Cui is polite. The two of us were ordered by our teacher to learn from Dr. Qin. We will also learn more from Director Cui in the future. We hope that we can play a little role in the grand project of the treatment center."

Several people were polite again, and then they got to the point.

"Doctor Qin, two doctors Yang, our patient this time is a 25-year-old chef, who suffered an accident, fractured the scaphoid bone in his right hand, and injured the tendons in his hand."

Deputy Director Cui said while showing the patient's hand photos on the big screen.

Looking at various medical examination materials and photos of the affected area, Yang Yi and Yang Yue exchanged glances. Basically, it was a routine injury in hand surgery, as long as the conventional scaphoid bone reset and fixation, and suturing of the tendon were all that was needed. .

After all, it was the first time to participate in the consultation of the treatment center, so the two sisters also had the meaning of Xiaolu.

Sensing the eagerness of the two experts from the military hospital, Deputy Director Cui, who is as smart as he is, opened his mouth and said:

"Dr. Yang, Dr. Qin and I are physicians in the department of plastic surgery and burns. We certainly don't have the comprehensive and profound understanding of the treatment plan of hand surgery as the two experts. Dr. Qin, I suggest to let the two experts talk, you and I are all ears one time?"

Deputy Director Cui brought up the topic. Of course, Qin Lang gave the two doctors a full opportunity to show off, and at the same time wanted to see their thoughts and ideas.

"Of course, Director Cui and I have the same opinion. Two doctors, Yang, please share your views."

Then, the old and the young sincerely put on a humble appearance of listening attentively, and the sisters of the Yang family were very helpful.

Yang Yi was the first to speak:
"According to the patient's physical condition and physical examination data, I suggest that the whole operation be divided into two parts. For the reduction and fixation of the right hand scaphoid, we can perform a thorough debridement first. Since the affected area is accompanied by exposure of tendons and joints, free skin grafting is not possible. , you can choose skin flap repair, which is exactly what Dr. Qin is good at."

Yang Yue went on to say:

"As for the repair of the hand tendon, the extensor tendon can be repaired in the traditional way, and superficial tendon resection can be performed at the same time. According to experience, external fixation for 3 weeks after repair can be performed, and then functional rehabilitation training can be performed."

Yang Yi explained tacitly:
"Because external fixation rest is conducive to the exogenous repair of the tendon, premature rehabilitation training may increase the risk of anastomotic rupture, and even cause tearing, which seriously affects the repair effect."

After the twin sisters finished their analysis, they raised their heads confidently and looked at Qin Lang and Deputy Director Cui.

As a plastic surgeon, Deputy Director Cui also cooperated with Tianhua's Hand Surgery Department in many hand tendon repair operations. Basically, this is a very routine operation plan.

Deputy Director Cui nodded: "I think the plans of the two doctors are very stable, and the treatment methods and surgical plans are mature and stable. I agree."

Deputy Director Cui looked at Qin Lang again: "Doctor Qin, what do you want to mention about the tendon suture and skin flap repair plan?"

The twin sisters also looked at Qin Lang, caring very much about their superior doctor's evaluation, and also wanted to find out Qin Lang's level and behavior style from the interview here.

Qin Lang carefully analyzed the twins' plan, which is basically a traditional treatment plan, but it has some flaws.

After all, in the simulator world, Qin Lang has experienced thousands of tendon repair and skin flap repair operations.

Therefore, he believes that it can be more optimized and can give patients better postoperative recovery.

[Ding, new task, as a senior doctor, teach your two little assistants the first lesson.Through detailed and rich arguments, let them be convinced.Task reward: 1.1 life simulation points. 2. Fracture reduction and fixation techniques: entry level]

With a systematic task, Qin Lang would not be polite.

After pondering for a while, Qin Lang was in full swing:

"Director Cui is right. The plan of the two doctors is indeed a very mature and traditional treatment plan. However, I think there are some things we can improve."

Hearing Qin Lang's words, Deputy Director Cui was a little surprised, while the twin sisters were a little unconvinced, but they still maintained their smiles: "Then, can I ask Doctor Qin for advice?"

Deputy Director Cui also listened curiously to Qin Lang and said, could there be a better treatment method.

Qin Lang swipe the computer without haste, and freeze the screen on one of the photos of the affected area:

"As we all know, the structure of tendon and its peritendon is complex, and it has both endogenous and exogenous self-healing mechanisms. Therefore, adhesions are very prone to occur after tendon injury. If the vascular network and neural network that nourish the tendon sliding structure are damaged at the same time, It will be more difficult to recover after surgery…”

Hearing Qin Lang's analysis, Yang Yi and Yang Yue's expressions were solemn, and she listened seriously, putting away her previous arrogance, because Qin Lang was systematically explaining the reasons and ways to improve them from the source.

Deputy Director Cui's complexion also changed slightly. This Qin Lang, at this time, really has the momentum of a director-level doctor who imparts knowledge to junior doctors.

Qin Lang continued to talk:

"The traditional repair method proposed by the two physicians is simple and efficient. It only needs to remove the damaged local tendon sheath and only suture the deep tendon. However, the blood supply of the tendon sheath to the blood supply of the flexor tendon affects the long tendon sheath of the deep flexor tendon. The blood supply to the midsection is very important."

"The blood vessels of the long tendon sheath of the deep flexor tendon come directly or indirectly from the short tendon sheath of the short flexor tendon. Therefore, if both the deep and superficial tendons are damaged at the same time, repairs should be performed to ensure adequate blood flow to the extensor tendon."

"So, I don't recommend traditional treatment options. This method has a certain adverse effect on the recovery of finger function. I suggest using minimally invasive methods for repair!"

Qin Lang's words were resounding, and Yang Yi and Yang Yue's mind was shocked. Obviously, Qin Lang's objection convinced them.

It's just that they don't understand, what kind of treatment plan is the minimally invasive method Qin Lang mentioned?

The two suddenly understood that Director Tian asked them to learn the true meaning of Qin Lang. Qin Lang was unfathomable.

The two asked excitedly:

"Doctor Qin, please teach us this minimally invasive method!"

PS: Thank you Xiaoyao Suifeng for the reward of 100 coins, thank you everyone!

(End of this chapter)