MTL - Doctor’s Life Simulator-Chapter 298 Director Wei's surprise: he is about to be promoted to attending physician (2 in 1…

After the whole meeting, Academician Wu Jizong specifically asked Qin Lang to talk, and after preparing, he had the opportunity to take Qin Lang to meet some leaders. He was really satisfied with Qin Lang.

For this, Qin Lang is of course very grateful. Sure enough, everything is under control. With Academician Wu's thigh, Qin Lang's medical career will be on the fast track.

At the same time, Academician Wu also took Qin Lang's medical device company to heart. In addition to applying for provincial scientific research funds, he also recommended one of his successful entrepreneurial female students to Qin Lang. You can ask her for advice on anything.

On the second day, when Qin Lang and Wei Guoqiang returned to the first hospital in the city, the treatment center pulled up a high red banner, congratulating Qin Lang's "Clinical Operation Specification for Improved Microskin Transplantation Technology" for obtaining the consensus of experts across the country. A full promotion is coming soon.

This is not only a big event for Qin Lang, but also for the entire treatment center.

Moreover, according to the rules and regulations of the first city hospital, to achieve this kind of achievement, coupled with Qin Lang's current thesis results, and joining the provincial medical association branch, he can already be promoted to attending physician by exception.

So, after returning, Wei Guoqiang began to secretly go to Qin Lang to operate this matter.

However, after all, the hospital is a place to save the sick and treat people. After a simple celebration, everyone just returned to their daily work.

After completing this China Medical Association Surgery Youth Symposium, Qin Lang once again returned to the emergency department for duty rotation.

Because Wei Guoqiang was going to give Qin Lang a surprise, he didn't tell the truth that he was already qualified for an exceptional promotion.

...

...

A brand new night. Qin Lang and Liu Peichun's familiar duo, as well as a new intern, Zhu Yinliang, were on duty together.

Qin Lang was alone in the second-line duty room, eating the fruit and milk tea brought by the nurses.

Suddenly, footsteps rushed over, and Zhu Yinliang, a new intern from the emergency department, pushed the door directly in.

"Doctor Qin, it's not good. I just brought a very special patient, a firefighter. In an emergency operation tonight, in order to rescue a high school student who committed suicide by jumping off a building, he fell from a high altitude and fractured his lumbar and thoracic vertebrae. , the whole person is paralyzed, what should I do, why don't you go over and have a look?"

After listening to this, Qin Lang also stood up directly. The lumbar vertebra was fractured, but it was very dangerous. After all, the vertebrae were involved. If the nerves were injured, the lower body might be paralyzed.

"Go, go and have a look."

He rushed over to Zhu Yinliang directly.

In the disposal room, Wang Youming, the captain of the fire brigade, was lying on the bed, unable to move Du Ming, a tough guy of steel, his eyes were a little red at the moment.

This is Du Ming's first year with him, he is only 18 years old!

On weekdays, Du Ming was not less reprimanded or even beaten by Wang Youming, but Wang Youming knew that only by working hard in training could he be able to escape from the fire.

Du Ming followed him and went through a lot of battles, big and small. The most thrilling one was a rescue from an oil factory. At that time, it was really a close call. In front of the big oil tank, they almost ran out of foam and sprayed the car. In the end, only the body was left in front of the oil tank. Fortunately, they finally defeated the most dangerous fire scene this time.

On that day, Du Ming collapsed. Fortunately, Wang Youming had enough experience and experience to stand in front of Du Ming and told them that even if he died, his captain would die before them, and they would die. To die in front of the tank.

Their entire team was ready to sacrifice, and even before the fire approached, everyone recorded their last words.

After that time, Du Ming seemed to be a different person. He was always at the forefront of training, and he put all his strength into every rescue.

Looking at a boy under twenty years old, Wang Youming was very distressed, but he knew that this was their mission.

Who would have thought that the mountain of swords and the sea of ​​flames would come, this time, while rescuing a high school girl, she fell from the sky.

The thoracic vertebra was fractured. Captain Wang immediately sent Du Ming to the nearest county hospital, but the director of surgery of the county hospital shook his head after seeing it. The operation was too difficult and they dared not do it.

Anterior decompression, internal fixation, bone grafting and fusion for thoracolumbar fractures. Even in the first hospital in the city, few doctors dare to boast that Aihaikou can be done perfectly.

After all, the operation of the lumbar spine has already stumped a number of doctors just by one approach, not to mention the separation of nerves, blood vessels, and bone tissue afterward. A little carelessness will paralyze the patient.

"Du Ming, hold on, I will make you safe and sound, and fully recovered. The experts from the First City Hospital are already here!"

Wang Youming held Du Ming's hand, feeling restless in his heart.

Soon Qin Lang and Zhu Yinliang rushed over. Seeing the young Qin Lang coming over, Captain Wang was a little surprised. Before, Qin Lang had performed many operations on their fire brigade.

But Dr. Qin is not an expert in treating burns and suturing tendons.

He doesn't know anything about this kind of orthopaedic surgery, right?

However, Captain Wang still respects and appreciates Qin Lang very much. He put his doubts in his heart and sees the situation.

When Qin Lang saw the patient, Du Ming was lying on the hospital bed and had undergone initial first aid, but his vital signs were still very unstable.

Du Ming was half unconscious and half awake. When they were surrounded by Qin Lang, he became more awake. The eighteen-year-old boy looked very immature, but the first words he woke up were:

"Captain, is the girl student okay?"

Seeing Du Ming's reaction, Wang Youming restrained his emotions, nodded, and forced a smile: "It's alright, I'm saved."

"Ah That's good."

Du Ming smiled, but the wound was involved, his brows twitched instinctively, and he grinned.

However, he immediately restrained himself and felt his body. Du Ming looked at Qin Lang again, "Doctor, am I going to die?"

Due to the fracture of the thoracic and lumbar vertebrae, which compressed the nerves, Du Ming could no longer feel the existence of his lower body.

"But the task is completed, and I'm worth it."

"What nonsense, Du Ming, the captain will definitely let them heal you. I'm still waiting for our next training session. If you don't perform well, I'll kick you..."

Just halfway through the conversation, Captain Wang stopped. Since that oil factory, Du Ming has been working hard every time, and he needs to supervise himself.

Although he was still eighteen years old, he was no longer eighteen years old for ordinary young people.

Thinking of this, Captain Wang felt even more uncomfortable.

Qin Lang came directly to a single case simulation and quickly got comprehensive information:

Du Ming, male, 18 years old, has the following symptoms: thoracolumbar fracture with incomplete paralysis, and there is clear compression in front of the dura.

According to the development of the simulation world, Captain Wang did not trust himself. He asked President Hang to arrange for several chief experts to come over for the operation. Although his life was saved, it was delayed for some time, and during the consultation, the opinions of various experts were not unified. Conservative treatment was then performed.

Du Ming still had hidden dangers, and he was not completely cured. Later, he developed a mild disability.

According to the analysis of the simulated world, after the conclusion, Du Ming belongs to the burst fracture and the third degree flexion and compression fracture.

The best treatment method should be to treat thoracolumbar fractures through the paraspinal space approach, which can effectively avoid the dissection of the axial muscles and reduce the damage to the nerves and blood vessels in the operation area. Anterior decompression, internal fixation and bone graft fusion for lumbar fractures.

However, if you want to be completely cured, at least you need to go beyond the master-level anterior decompression and internal fixation phalangeal fusion for lumbar fractures.

The difficulty is high and the risk is high, which is also the reason for the divergence of various experts.

[Ding, new task, use the master-level anterior decompression and internal fixation phalangeal fusion for lumbar fractures to perform surgery on Du Ming and make him 100% cured. Mission reward: 1, 1 life simulation point. 】

Looking at this task, Qin Lang naturally chose to exchange the rewards obtained before for any spell.

[Ding, congratulations to the host, for obtaining anterior decompression and internal fixation phalangeal fusion for lumbar fractures, master level! 】

With this brand new technique, countless new knowledge appeared in Qin Lang's mind. Looking at Du Ming again, the whole person calmed down.

After Qin Lang completed the professional examination, he looked directly at Captain Wang: "Du Ming has a fracture of the thoracic and lumbar vertebrae and needs immediate surgery. Now we will arrange the preoperative preparations immediately."

Qin Lang looked at Zhu Yinliang, who was on the side: "Go and call Dr. Liu right away, and arrange for Du Ming to conduct a systemic examination of the whole body to rule out damage and diseases of various important organs, make routine preparations before major operations, and avoid chest complications and complications. Postoperative flatulence."

Qin Lang looked at Nurse A next to him again, and calmly gave an order: "There is enough blood before the operation, and antibiotics should be used to prevent infection before the operation."

Nurse A naturally arranges it immediately.

Qin Lang looked at another nurse B very seriously:

"You go to prepare surgical instruments, because the patient has a thoracolumbar fracture, which is very dangerous. In order to improve the success rate, a transparaspinal space approach needs to be used. The instruments are more complicated, you remember: Kirschner wire, positioning needle, opening devices, pathfinder cones, probes, pedicle screws, connecting rods, spacers, screw caps, drainage tubes…”

Nurse B held the mobile phone, Qin Lang said while the nurse recorded.

Qin Lang continued: "...Z-"

"Doctor Qin, what kind of equipment is this?"

Nurse B is a little unfamiliar. After all, there are many types of anterior fixation devices for thoracolumbar fractures. The Kaneda device is the most commonly used in the first hospital of the city. She doesn't know much about Z-.

"Z—designed by Zdeblick and others in the United States, is a titanium alloy plate with two sliding grooves and two screw holes, which is connected by two titanium alloy bolts and screws with a diameter of 7mm. It is located at the rear of the vertebral body. The diameter of the screw is 6.5mm, It is placed at the front of the vertebral body. The interface between the bolt and the titanium plate is a strong fixation, and the interface between the screw and the titanium plate is a semi-restrictive fixation..."

After Qin Lang issued an order to all the medical staff, under the aura of the chief knife, Captain Wang on the side was also a little surprised. In addition to the burn department, is Dr. Qin also experienced in the field of orthopedics?

After all, knowing Qin Lang's strength in burns and out-of-hand, there was hope in his heart, especially for Du Ming's handling, he seemed mature and experienced, and his professionalism gave him a sense of peace of mind.

"This doctor Qin is really a nobleman of our fire brigade. The first hospital in the city is indeed the best hospital in my Hecheng. This resident doctor is so admirable."

Captain Wang came to the hospital too many times.

I still have some understanding of the hospital's on-duty system. After all, it is impossible for the director to come over at the first time in the evening. For Qin Lang's age at least a few years before he can become an attending physician, the only possibility is that he has a low seniority. resident doctor.

Soon, under Qin Lang's arrangement, Du Ming was pushed for examination and preoperative preparation.

Although Qin Lang has experienced the simulated world line and has enough plans to deal with it, the operation can be carried out directly, but the hospital still has to follow the normal process.

After the arrangement was made, Qin Lang also bid farewell to Captain Wang temporarily. Qin Lang needed to find a deputy director-level doctor to perform the operation together, commonly known as a tool man.

Qin Lang quickly thought of Lu Yu. Through Wang Heng's various revelations, he knew that Lu Yu was in the Department of Orthopedics and had been in the Department of Hand Surgery. With her talent, although she has not been in orthopaedics for a long time, she still has basic skills, and it is more than enough to be a helper for herself.

The most important thing is that Lu Yu is easy to control and obedient.

After several recent incidents, he gave her the surgery of improving microskin grafts combined with carbon fiber dressings to participate in the youth seminar. Lu Yu owes him favor.

In addition, after going through the seminar just now, Qin Lang is not what it used to be now, and Lu Yu has long been convinced by him, and has no idea of ​​competing.

In the waiting area, Captain Wang was restless and looked at the time. It would take a while to prepare for the operation. Although Qin Lang gave him a good impression, he knew that this was an orthopaedic operation after all, and Qin Lang should not be the main surgeon.

Therefore, he is still a little worried about the main sword for a while.

Will it be the Chief Physician or the Deputy Chief Physician?

He must still be rushing over, but after all, there are many patients in the first hospital in the city. If you don't ask, you may not be able to arrange the chief physician to perform the surgery, especially if you don't show up, it is impossible for Du Ming's identity to attract attention.

After sitting for a while, Captain Wang finally took out his mobile phone~www.novelbuddy.com~ to be on the safe side, and directly called the leader of the city's first hospital: "Hello, Dean Hang? I'm Wang Youming from the fire brigade. "

Opposite Dean Hang, the vice president of the first hospital of the city, heard that it was Captain Wang of the fire brigade, and was very respectful and polite.

After a while, Captain Wang briefly explained Du Ming's situation to Dean Hang.

Captain Wang also expressed his thoughts on the main sword:

"President Wang, the doctors in your hospital are still very powerful. Although the doctor Qin on duty is very young, he arranges things professionally and calmly. I still trust the chief surgeon arranged by your hospital, but Xiao Du is a child. , I must not let him have something to do, so I take the liberty of asking, can Dean Hang arrange for the most powerful doctor in your hospital to give Xiao Du the doctor?"

After listening to it, Dean Hang, of course, attaches great importance to it. For the first hospital of the city, it is of great social significance and publicity value to be able to complete such a difficult operation for such a little hero of the fire brigade.

"Five Dynasties Rivers, Mountains, Wind and Moon"

He immediately agreed and said, "Don't worry, Captain Wang, I will contact the director of the Orthopedics Department, Director Chu, who is an expert in the treatment of thoracolumbar fractures in our hospital."

Hearing what Dean Hang said, Captain Wang was naturally relieved.

In less than three minutes, Dean Hang's call came back:

"Captain Wang, it's really a coincidence. When I was in contact with Director Chu just now, he happened to be discussing a case in the Department of Orthopedics of the Municipal Military Hospital. It happened that Chen Qilong, the director of the Department of Orthopedics of the Provincial Military Hospital, was there. Director Chen himself is from Hecheng. , who also worked in the Orthopedics Department of the First Hospital of the City, and is also an old colleague of mine. When I heard about Comrade Du Ming's deeds, I was very moved. Du Ming performed the surgery."

"Really, that's great."