MTL - Doctor’s Life Simulator-Chapter 2 Plastic and burn department report
[During the tube bed process, your bed received an open fracture patient with a Gustilo type I soft tissue injury soaked in toxic fluid and contaminated. Due to the misjudgment of the superior doctor, the patient has diabetes, and after your debridement, serious infection and complications still occur. Eventually, the patient's right leg was amputated, and the patient's family made a scene in the hospital. As a temporary worker, you have the blame. You are back at the community hospital. 】
[You who don't know the truth think that the patient's limb amputation was caused by your poor debridement. You felt guilty for a while, and gave up the idea of further study. Humbled as a community doctor for half a year. 】
[At the age of twenty-five, you resigned from the community hospital and went home to inherit the family property. Your doctor career is over. 】
...
[Simulation ends, doctor career evaluation, residency level 2. 】
【You can keep one of the following abilities】
[1. Twenty-five-year-old doctor skills]
【2. Twenty-five-year-old clinical experience】
[3. Twenty-five-year-old medical wisdom]
Qin Lang really did not expect that he would end his career as a doctor at the age of twenty-five this time.
After thinking about it, Qin Lang chose the second option.
[Congratulations to the host, for gaining the clinical experience of twenty-five years old. 】
[Host: Qin Lang
Grade: Resident 2/20
professional skills:
Room Rounds: Intermediate
Tube Beds: Entry Level
Debridement: Intermediate
Stitching: Entry Level
Dispensing: Advanced
...]
In addition to the improvement of specific skills, Qin Lang also had a lot of case information and various operating experiences in his mind.
The most profound nature is the open fracture patient with Gustilo type I soft tissue injury soaked in poisonous liquid and contaminated with poisonous liquid in his mind.
"It seems that after two simulations, it is no problem to deal with the initial rounds, but it is the tube beds that should be taken care of."
There is still one simulation point. Next, Qin Lang is going to study it, and then start the simulation.
For the next two days, Qin Lang specifically reviewed the literature on debridement of patients with Gustilo type I soft tissue injury soaked in toxic fluids.
Sure enough, in cases like this, due to the lack of attention of clinicians, conventional debridement can easily lead to infection, osteomyelitis, tissue necrosis, and even amputation.
In the last simulation, Qin Lang encountered the worst situation. The patient itself had diabetes, resulting in direct amputation.
Qin Lang finally found a similar case through foreign literature, and the solution was to use extended debridement and auxiliary continuous closed negative pressure drainage, which can effectively reduce the infection rate.
"It's done!"
After Qin Lang had a direction, he started the third simulation.
[At the age of 24, through your own efforts, you have obtained the qualification to go to the first city hospital for further training from the community hospital. 】
[You entered the burn and plastic surgery department of the first hospital in the city. Due to the accumulation in the previous life, you performed well in the first ward round. You overcame the eight-year doctoral students in the same group, and obtained the tube bed one week later. qualifications. 】
[During the tube bed process, your bed received an open fracture patient with a Gustilo type I soft tissue injury soaked in toxic fluid and contaminated. During the rounds of the chief physician, your suggestion has been approved by the chief physician, and he has a good impression of you. 】
[Because of your excellent performance, you have won yourself the opportunity to enter the operating room. However, due to your limited clinical talent and mediocre education, you still missed out on signing the contract. You are back at the community hospital. 】
[At the age of twenty-six, you once again got the opportunity to enter the city's first hospital for further study, but your talent is mediocre and your education is mediocre, and you have not been recognized by your superior doctor. Still, you get some clinical experience with surgery. 】
[At the age of 30, you are used to living in a community hospital. However, with several opportunities for further education, your level is higher than that of ordinary community doctors. 】
[At the age of thirty-five, you have once again obtained the opportunity to study in the First City Hospital. This time, you finally, with years of accumulation, successfully signed a contract for an outpatient clinic every Saturday afternoon for one year. You gain experience with many consultations. 】
[Forty years old, your colleague Zhou Ming retired this year. You succeeded him as the most senior general practitioner in the community hospital. A new graduate entered the community hospital, and under your training, he also went to the first city hospital for further study. 】
[At the age of sixty, you have retired from the community hospital. You have ended your career as a doctor. 】
...
[Simulation ends, doctor career evaluation, resident physician 10/20]
【You can keep one of the following abilities】
[1. Sixty-year-old doctor skills]
[2. Sixty-year-old clinical experience]
[3. The wisdom of practicing medicine at the age of sixty]
Qin Lang looked at his own simulation of this life, and sure enough, it was almost impossible for undergraduates in this era to get the opportunity to stay in a top-three hospital.
Since the first item can only acquire skills, but the initial level is entry-level, after thinking about it, Qin Lang chose the second clinical experience.
[Congratulations to the host, obtaining the clinical skills at the age of sixty. 】
[Host: Qin Lang
Grade: Resident 10/20
professional skills:
Room Rounds: Advanced
Tube bed: Intermediate
Debridement: Intermediate
Stitching: Intermediate
Dispensing: Advanced
...]
All of a sudden, the debridement technique has been improved to the intermediate level, and the suture has also reached the intermediate level. With the advanced ward round skills, it seems that it is enough for tomorrow's training trip.
...
...
Early the next morning, Qin Lang came to the First Hospital of Hecheng City.
The Burn and Plastic Surgery Department of the First Hospital of the City has a separate five-story building with its own standard operating room, pico, laboratory, animal room, conference room, and classroom.
Standing in front of the plastic surgery and burn department building, Qin Lang was also shocked. As expected of a third-class hospital, this casual one floor was worth their entire community hospital.
After Qin Lang entered the hall, he came to the nurse station, where two nurses sat.
Seeing Qin Lang approaching, one of the nurses stood up, and after Qin Lang expressed his intention, he led him to the conference room.
"Wait here for a while, and then go to the classroom for group training after a few other people arrive."
Qin Lang nodded and walked in. There were already three people in the huge conference room.
After a short chat, I learned that there will be a total of ten people participating this time.
In addition to the same four training doctors as myself, there are also five Gui Pearsons from the city's first hospital. This time, the advanced doctors will be trained under the superior doctors together with the training doctors. This is also a brand-new echelon construction model of the Municipal First Hospital.
Of course, the focus is still on the rotational training of trainees in this hospital, and the training of doctors along the way.
Soon all ten people were there, five Gu Piansheng sat on one side, while Qin Lang and other five advanced doctors sat on the other side.
Obviously, including Qin Lang, they all looked at the other side with some envy and admiration. After all, all five of them signed contracts with the Municipal First Court, and the future is bright.
Among the five regular trainees, two of them are eight-year doctoral students who graduated from Imperial College of Traditional Chinese Medicine.
The two are master students from Modu University of Traditional Chinese Medicine.
The last one graduated from Harbin Medical University and is also a master student.
In front of these five people, there were several doctors who were either undergraduates or third-rate masters, and they really felt like they were studying with the Prince.
Alexander!
In addition to Qin Lang, the other doctors in training all had cold sweats on their foreheads. They couldn't compare, couldn't compare!
Finally, half an hour later, after the head nurse's brief explanation and initial training, the respective superior doctors came over to lead them.
Qin Lang and Cheng Yunfeng, an eight-year doctoral student at the Imperial University of Traditional Chinese Medicine, were grouped together.
Cheng Yunfeng has a plain appearance, but his temperament is very calm, revealing a self-confidence and a scholarly demeanor.
"Qin Lang, we will be a group from now on, please take care of us."
Cheng Yunfeng's tone was indifferent. In front of a community doctor like Qin Lang, of course, he had his pride and self-confidence.
Moreover, this time Gui Pei, his opponents are only the other four Gui Pei students. As for Qin Lang, it is just a short pass. In his plan, Qin Lang will be his little brother in the future. UU reading www.uukanshu.com help yourself to knock out the case, change the doctor's order, and go back and forth.
After the simple courtesy, Cheng Yunfeng restrained his enthusiasm and turned into a strict silence, and did not intend to communicate more with Qin Lang.
The two quietly waited for the superior doctor.
"My name is Qian Liang, a resident physician, and I will take you in the next two months."
Qian Liang was thirty-three years old. He was a native of Hecheng, with a gentle appearance and a pair of black-rimmed glasses.
When he spoke, his eyes were obviously more towards Cheng Yunfeng's side. Compared to Qin Lang, he certainly had high hopes for this doctoral student.
"We will go to the ward for rounds in a while, let me understand your basic skills first."
The entire Department of Plastic and Burn Surgery has 80 beds and three professional groups, namely 30 for burn and plastic surgery, 30 for hand microsurgery and flap surgery, and 20 for vascular surgery and stem cell therapy.
And this time Qin Lang and Cheng Yunfeng are going to the beds of the burn and plastic surgery group.
"By the way, this time, after you complete the grouping, until the end of these two months, we will rate you once a week. Take the group as a unit, I hope you will come out on top."
After Qian Liang finished speaking, Cheng Yunfeng paused and looked at Qin Lang. The meaning was obvious, don't hold him back.
Qin Lang smiled lightly and didn't say anything.
If it was before, I might be timid, but I have experienced the simulation of three generations, and I really don't worry about any regulation Pearson.
Soon under the leadership of Qian Liang, he entered the ward area.
At the same time, an electronic sound appeared in Qin Lang's mind:
[New task: Complete the first ward round and get the approval of the superior doctor Qian Liang. Reward: 2 life simulation points. 】
