Doctor's Life Simulator

Chapter 35 Qin Lang, Mortals Can't Grasp It (Please recommend)

Qian Liang opened the mailbox, looked at the two thesis opening reports, and first looked at the research direction of Cheng Yunfeng's thesis:
"Expression and Safety Comparison of Voriconazole and Fluconazole on the Levels of Inflammatory Factors in Patients with Severe Burn Fungal Infection".

"As expected of a Ph.D. from Imperial University of Traditional Chinese Medicine, the idea and feasibility of this topic are very good."

As a doctor with low seniority, Cheng Yunfeng's choice of topic, from Qian Liang's point of view, is very cost-effective. It is within his ability, and the scale of the burn department of the city's first hospital just happens to be able to quickly treat it Adequately studied patient cases.

"That's right, that's right. As expected, after the third week, these Ji Peisheng began to cross the sea, each showing their magical powers."

Qian Liang directly clicked on Cheng Yunfeng's dissertation proposal report, and began to review it carefully.

"Patients with severe burns have a large amount of protein exudate and burn wound necrotic tissue, which is indeed a good culture medium for bacteria and fungi, especially after the patient is in shock or secondary shock, fungal infection will be very important for severe burn patients. Serious threat, Cheng Yunfeng's subject is still of great research value."

"Fluconazole and voriconazole are indeed routine medications in the city's No. [-] hospital. If you can think of the impact of the two on the improvement of inflammatory factor levels and safety, this kid still has some talent for clinical research."

Before this, in his own group, Qin Lang's clinical ability was too outstanding, which made Cheng Yunfeng seem mediocre, but after this paper was published, Qian Liang also changed his view of Cheng Yunfeng.

"Especially being able to master the "Diagnostic Criteria and Data Guidelines for Burn Infection" so proficiently, it seems that Cheng Yunfeng has been checking the data and doing homework a lot these days."

Qian Liang smiled, he was really lucky, the two little guys he got were very hardworking and excellent.

Qian Liang continued to read: "Hey, the design of this observation index is very good. It can also supplement the changes in the measured value of the C-reactive protein (CRP) level. It is hard to imagine without a certain clinical knowledge. I came to consult a lot of information for this topic."

Thinking of Cheng Yunfeng's mentorship, Qian Liang felt relieved. After all, he came from the 985 High School in the Imperial Capital, so there would be a few outstanding senior brothers and sisters, mentors and so on.

"Not bad."

Looking at the whole article, the structure is rigorous, the content is solid, and the design of the details is very in-depth.

Qian Liang nodded, intending to submit the opening report for Wu Zhizhi to review again. If there is no problem, after Director Wei passes it, the research can begin.

After all, Cheng Yunfeng's project has very low requirements for various resources and funds. As long as there are [-] or [-] patients, a group controlled trial is enough.

After reading Cheng Yunfeng's dissertation, Qian Liang clicked on Qin Lang's dissertation with anticipation. After all, he has demonstrated clinical talent and solid basic skills that far surpassed those of his peers.

If it can also reveal a little bit of potential in scientific research, then it will have a bright future.

Qian Liang glanced over, and then his whole face was wrinkled: ""Early Rescue and Treatment of Batches of Burn Patients"? This is the direction of research."

"Is this really something that a young doctor with low seniority dares to think?"

Qian Liang didn't deny the research significance of this topic, but felt that this topic was too ambitious. Shouldn't this kind of systematic research be considered by the head of the department?

Qian Liang continued to read Qin Lang's thesis:
".This paper intends to discuss the three core issues that urgently need to be solved in the first aid of sudden and batch burns: the establishment of an education system of burn first aid-research-strategy, the integration of multiple disciplines, and the establishment of a regional burn treatment network, so as to improve the treatment of sudden and batch burns. Success rate."

".To discuss the common problems of critical illness, such as fluid resuscitation, organ energy support, sepsis treatment, basic theory and treatment strategy of immune regulation. Form a unified basic way of thinking and treatment methods for the treatment of critically ill patients .”

".The significance lies in the formation of a modern and broad system framework that focuses on the regional emergency center and covers the medical emergency system"

The more I look at it, the more frightened I am. Is this kind of opening report really something that a trainee doctor can come up with?
Qian Liang's eyesight is naturally much better than Cheng Yunfeng's, so he can vaguely feel some macroscopic and systematic arguments in his usual clinical experience, but no one in the department has ever summed up in such a concise and concise manner.

"This opening report is no longer for me to judge. I'd better let Chief Wu and Director Wei review it."

Qian Liang thought for a while, then turned off Qin Lang's opening report. His realm has far surpassed that of ordinary little doctors.

After Qian Liang replied some of his opinions by email, he submitted the two papers to Wu Youtu.

Since Wu Zhizhi is very busy on weekdays, he can only go for the review when he is free.

After completing the afternoon rounds, Qin Lang was arranged to perform a skin graft operation with Qian Liang.

After several operations, Qin Lang's ability in skin grafting has been unanimously recognized by the department.

So this operation, Qian Liang was also directly handed over to Qin Lang to perform the operation. Due to the regulations of the city's first hospital, trainee doctors are not allowed to perform any operation alone, so Qian Liang became a tool man.

The affected area of ​​the patient in this operation is on the face, which is a granulation wound, because suture is not conducive to drainage, and the wound margin is fragile and cannot be sutured and pulled.

Therefore, after a short thought, Qin Lang decided to adopt non-suture fixation.

Qian Liang also recognized Qin Lang's decision:

"Xiao Qin's clinical talent is really too strong, especially his various treatment ideas are very clear and decisive. It would be great if he could be so appropriate in the topic selection of the thesis."

Generally speaking, Qian Liang is still skeptical about Qin Lang's topic selection in terms of feasibility and follow-up investment.

However, as far as the content of the thesis itself is concerned, he agrees and admires it very much, so he did not absolutely deny Qin Lang.

After all, if after seeing it, Director Wu and Director Wei agreed and supported it, wouldn't he become a clown?
Thinking about it this way, Qian Liang felt that Cheng Yunfeng was more pleasing to the eye, controllable, sensible, obedient, and capable.

This Qin Lang, a mortal like himself can't grasp it.

While Qian Liang was thinking wildly, Qin Lang had already quickly entered the next step.

I saw that he cut pieces of skin into stamp shapes and pasted them directly on the wound, keeping a certain distance between the skins to facilitate the drainage of secretions later.

In this non-suture fixation method, the granulation tissue does not need to be removed, which is also conducive to later recovery.

Ten minutes later, Qin Lang completed the skin graft operation.

Qian Liang looked over carefully, the skin under Qin Lang's hands was stretched and flat, clinging to the wound, it had to be said that it was at the textbook level.

After doing this, Qin Lang gave the nurse the postoperative treatment plan:

"For skin grafting on granulation wounds, the dressing should be changed 3 days after the operation. If there is not much pus, you can not touch the layer of gauze on the wound. After a week, the growth of the skin graft is stable, and then the bottom layer of gauze can be removed."

".The skin donor site generally changes the dressing after 2 weeks and observes the healing situation."

"Alright, Doctor Xiao Qin!"

The little nurse took down Qin Lang's instructions very carefully.

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(End of this chapter)