Doctor’s Life Simulator - Chapter 327

[In order to further suppress Ming’s Pharmaceutical Group, the person in charge of Pfizer’s Huaguo District even found a muddy water agency in the United States and wrote an investigation report on Ming’s Pharmaceutical Group to further short. Within half a month, the assets of Ming’s Pharmaceutical Group were only one-tenth of their peak value. 】

[Although Ming Dong held a press conference, and at the same time, the executives of the joint venture repurchased US$50 million of the company’s stock, it still failed to arouse the confidence of the outside world in Ming’s Pharmaceutical Group. Due to investing in your company and investing in the medical school of the First Affiliated Hospital of Zijingang to build a building and purchase equipment, the cash flow was tight for a while. The research projects invested have not achieved breakthroughs. Ming’s Pharmaceutical Group is in a desperate situation. 】

[Ming Dong and your new company’s new anti-tumor drug is still in the first stage, so it can’t provide much help. Fortunately, the modified ICR mouse inbred line project and your previous modified microskin combined with carbon fiber transplantation project are progressing smoothly. 】

[One month later, due to the short-selling report of the Muddy Water Agency and the encirclement and suppression of foreign capital, Ming’s Pharmaceutical Group had to give up its struggle and was acquired by Pfizer Group at a low price. During the negotiation, you proposed to detach the new drug project that Mingshi Pharmaceutical Group invested heavily in and merge it into a new company with you and Ming Dong Kai. Pfizer Group has no interest in such semi-finished products and agreed. 】

[Ming’s Pharmaceutical Group has now disappeared, and Ming Dong has also become increasingly depressed. However, your new company is developing well. Although it cannot reach the scale of the previous Mingshi Pharmaceutical Group, it will support the new drug research and development laboratory of Zijingang No. 1 Hospital in place of Mingshi Pharmaceutical Group. It’s just that your newly opened pharmacy major was eventually stranded because of these things. Wen Yunqi was helpless about this. After all, compared with a world-class pharmaceutical giant like Pfizer, Ming’s Pharmaceutical Group was too immature. 】

[You continue to learn the surgical procedures of the ventricular correction surgery series in Director Huang’s Department of Cardiovascular Medicine. With your previous accumulation, although you have no outstanding achievements later, you are still an elite-level surgeon. 】

[One year later, you returned to the First City Hospital. Because of your excellent level in several fields, you have a lot of freedom in the City First Court. It’s just, incomprehensible, that you put most of your experience into ventricular surgery. 】

[At the age of twenty-eight, you were promoted to chief physician. At the same time, you have made some progress in ventricular correction, your natural blessing is to activate your heart, and you have understood and mastered the improved-Taussig shunt. 】

[In the same year, you accidentally discovered that the new drug launched by Pfizer Group had serious side effects, and there was only a lack of reports before, but in the end, time will tell. The first person who discovered and sorted out this situation was a top expert in Zhejiang Province, Gao Jun, the vice president of Zhejiang Provincial Hospital of Traditional Chinese Medicine, and Professor Gao. 】

[Professor Gao spent more than a year conducting various experiments, and found that the animal experimental data before Pfizer’s new drug was suspected of falsification. At the same time, relying on his own network, he collected enough case data across the country, and after leading the team to make statistics, he came to the conclusion that this new drug of Pfizer has serious side effects, causing severe depression, myocardial infarction, schizophrenia, angina pectoris and other symptoms. . Professor Gao directly sent an article to the top journal “The Lancet”]

[There was an uproar at home and abroad, and the Huaguo Center for Drug Evaluation (CDE) immediately took the drug off the shelves. At the same time, the Food and Drug Administration took action and filed a $2 billion claim against Pfizer in the United States. For a while, Pfizer was in a turmoil, but after all, it was an international pharmaceutical giant, and the matter ended after the drug was removed from the shelves and compensated. The FDA also quickly issued a statement to deal with the personnel involved in the entire fraud incident seriously. 】

[Half a year later, the person in charge of Pfizer China resigned, and the person in charge of Zhejiang Province was also replaced. Knowing these things, Ming Dong and others and you are all sighed, but it’s too late. Dong Ming is very grateful to Professor Gao, but it would be great if you could find out about this problem earlier. 】

[At the age of 30, you continued to study ventricular correction in the first hospital of the city, and the technique continued to improve. 】

[At the age of 40, you are still studying in this field, and the relationships you have accumulated before have given you many exchange and learning opportunities in this field at home and abroad. This year, you also became an expert in ventricular correction surgery. But you, not satisfied, continue to work hard and frantically study in this field. 】

[At the age of forty-five, through your study with Wen Yunqi and Director Huang, you finally came up with a new and improved surgical technique: a semi-ventricular correction technique pioneered by Hua Guo. 】

[At the age of fifty, you have become one of the authorities in Zhejiang Province on ventricular correction. In the same year, with your accumulation over the years and your strong relationship network, you became the vice president of the First Hospital of Hecheng City. 】

[At the age of fifty-five, you passed out due to overwork during a disaster relief operation. After being rescued, your body is no longer fit to continue struggling on the operating table. 】

[At the age of sixty, you have retired from the position of vice president of the First City Hospital. You have ended your career as a doctor. 】

[Simulation ends, doctor career evaluation, provincial famous doctor 81/90]

【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]

Of course, Qin Lang directly chose the second item, clinical experience.

[Congratulations to the host for obtaining the sixty-year-old clinical experience]

[Host: Qin Lang, Provincial Famous Doctor 81/90]

professional skills

…

Ventricular correction surgery series: master-level, master the improved surgery pioneered in China

Oncology surgery:…

Burn Plastic Surgery:…

…]

Looking at his ventricular correction surgery, Qin Lang’s confidence increased greatly, but he was a little angry that the person in charge of the Huaguo District of Pfizer Group turned out to be such a villain who must report.

In the follow-up development, Qin Lang also saw the ruthlessness of capital and the insidiousness and cunning of foreign institutions.

This muddy water agency, MuddyWaters, is an anonymous investigative agency in the United States. It often issues investigation reports on Chinese listed companies and hunts down several Chinese listed companies.

Of course, some of these companies do have problems, and some are completely maliciously hunted and short-sold. Many domestic high-quality companies have been eaten by foreign capital without any bones left, and they have been delisted secretly.

Looking at the development in the simulated world, Qin Lang also quickly clarified the various causes and causes. Obviously this time, it was through Pfizer that Pfizer inserted the eyeliner of Ming’s Pharmaceutical Group, laid out in advance, and sniped the new drugs of Ming’s Pharmaceutical Group. plan.

After that, through some secret operations, it passed the FDA’s approval. I thought it was seamless. Who knows, there will still be serious side effects after that, and it was sharply discovered by the top domestic expert, Professor Gao Jun, the vice president of Zhejiang Provincial Hospital of Traditional Chinese Medicine. existing problems.

With a rigorous and detailed paper published in The Lancet, this amazing medical scandal was torn apart.

Qin Lang also secretly memorized it in his heart. After that, he will make arrangements in advance, pay attention to the new drug trends of Pfizer Group and Ming’s Pharmaceutical Group, and hope to expose Pfizer’s sinister face in advance and protect Ming’s Pharmaceutical Group.

After all, in the simulated world, Dong Ming is also his mother-in-law. In the real world, he is not thin to himself.

However, these are things later, and the most important thing now is to solve the patient’s situation at hand.

…

…

With the master-level ventricular correction technique and various improved techniques, Qin Lang was full of confidence.

“What can we do then?”

Hearing the answer that Qin Lang hadn’t done, Chief Zhong frowned.

The resident doctor was also greatly disappointed. One hand was placed on the elbow again, and he grabbed a piece of shredded meat, stuffed it into his mouth in disappointment, and swallowed it gnashing his teeth.

“However, I can try.”

Qin Langshi opened his mouth in shock.

“Doctor Qin, are you kidding me? Haven’t you done it before?”

In charge of Zhong, he thought Qin Lang was comforting him, but this kind of surgery is real, it works, it doesn’t work.

“I’ve never done an independent surgery, but I see that both Director Wen and Director Huang have done it. I think everyone knows that this kind of surgery can be done after a few times, so there is no problem at all.”

With the reward of 2 simulation points, Qin Lang will of course win this operation. Moreover, it is not easy to encounter Director Wen and Director Huang who can’t get away. These attending physicians can’t handle it, so don’t do it at this time. when to do it.

“Mr. Zhong, trust me. My understanding of the modified-Taussig shunt is not necessarily shallower than that of Director Huang and the others.”

Hearing Qin Lang say so arrogantly, Master Zhong was a little surprised. Is this too crazy?

Then, I heard Qin Lang’s rigorous analysis: “Modified-Taussig shunt, this surgical method is especially suitable for patients with complex cyanotic congenital heart disease with reduced pulmonary blood.”

“As a palliative surgery, compared with traditional surgery, this method can effectively promote the development of the patient’s vascular tree, and has the following advantages, as follows:

The first point is that the modified-Taussig shunt can effectively control the amount of shunt blood in patients;

The second point is that although the modified-Taussig shunt has higher requirements for the operation of the main surgeon, it does not require high equipment, and the risk of surgery for patients is relatively low;

Third, during the operation, it can ensure that the doctor has a good field of vision and avoid damage to other tissues around the patient;

In the end, the anatomical structure of the patient’s arteries is less damaged during the operation, which avoids the impact on the blood supply of the upper extremity of the patient…”

After listening to Qin Lang’s endless talk and such accurate analysis, Zhu Zhizhi’s face immediately softened, and his eyes lit up: “It really includes all the advantages, as expected of Dr. Qin!”

The resident doctor on the side also hurriedly sucked in another piece of meat that had been pinched out, and clapped his palm: “As expected, Doctor Qin!”

“Then Dr. Qin, are we going to prepare for the operation now?”

Zhong Zhuzhi suddenly relieved the pressure from his heart. Although Qin Lang is very young, he is still very prestige in the hearts of these doctors. After all, he is the man who can make “cell” publish a special issue!

Soon, Qin Lang entered the operating room with Dr. Zhong, and the resident doctor was responsible for staying on duty.

At the same time, after learning about such an operation, Director Huang hurriedly completed the task at hand and rushed back to the department in a hurry.

Director Huang simply cleaned up and rushed to the duty room. Just as he was about to knock on the door, he heard a strange sound of sucking in the front-line duty room.

Director Huang opened the door suspiciously, only to see the resident doctor holding his elbows with both hands, still eating.

Seeing Director Huang, the resident opened his mouth slightly and quickly let go, letting half of his elbow fall into the disposable lunch box.

Seeing Director Huang, the resident doctor was almost stunned, didn’t he say that he couldn’t come back in a hurry?

Director Huang looked at Yuzai and the resident doctor who was full of oil was also bewildered. Didn’t he say that the situation was urgent and the patient was dying?

“What about Master Zhong?”

Director Huang asked immediately.

“The clock master… hiccup… cure…”

The resident doctor had a black line on his head. He tapped on his chest in a panic, his face flushed, and then he finished speaking completely: “Zhongzhuzheng and Dr. Qin have entered the operating room and the operation has begun.”

“In the end, conventional surgery was chosen? How long has it been since it started?”

Director Huang hurriedly asked, if it was just the beginning and there was still time to change the technique, if it had already started for a while, there would be no way. Although it could save lives, it was not perfect.

It’s my fault that I came back a little slower.

“It’s been a while, but what Dr. Qin is doing is not a routine operation, it’s a modified-Taussig shunt, hiccup~”

“What, you make it clear, the modified-Taussig shunt done by Dr. Qin?”

“That’s right, Dr. Qin was asked by Chief Zhong. Dr. Qin said that he has seen the director and you have done it, and he has learned it. So, let him be the chief surgeon.”

Director Huang was stunned for a while, and then his face became tense. Others didn’t know, he didn’t know, these days, Qin Lang didn’t follow the improved-Taussig shunt at all.

Wouldn’t this just watch a few video instructional videos?

“Damn!”

Of course, Director Huang was not angry because of Qin Lang’s performance, but because he was afraid that Qin Lang would have an accident on the operating table. After all, among the graduate students of the First Affiliated Hospital of Zijingang University, such a talented person finally appeared. If it was because of a medical accident , Discredited, it would be a big loss.

What’s more, Qin Lang’s back also involves newly built laboratories, newly opened majors, and funds invested by major pharmaceutical companies. The more he thinks about it, the more Director Huang’s heart beats faster, and things get serious.

“No, I have to hurry up and stop Dr. Qin from being the chief surgeon. He can’t have an accident at this juncture.”

Director Huang turned around and ran towards the operating room. He couldn’t afford to gamble: “Oh, this stinky boy, don’t know how precious he is now.”

After a while, Director Huang entered the operating room, and then saw a scene that surprised him.

In the operating room, Qin Lang swiftly started the operation.

Under pulmonary arterial manometry, the patient’s pulmonary artery pressure

Under the guidance of Qin Lang, the anesthesiologist anesthetized the patient throughout the province and ligated the azygos vein.

Originally, Chief Zhong was still a little worried, but when Qin Lang started the operation, he was calm and calm, and the kid made him feel at ease.

Listening to Qin Lang’s intensive and confident instructions, there is a magical power that will make the cooperating medical staff full of confidence.

“2mg heparin…one to help block both superior vena cava…”

“okay.”

Zhizhu Zhong was not dissatisfied at all because his level was higher than Qin Lang, and implemented Qin Lang’s instructions very seriously.

Moreover, Chief Zhong clearly felt that Qin Lang’s understanding and operation of this operation was really better than Director Huang’s.

“Dr. Qin, how did you learn at such a young age? Not only did he perform well in surgery, but he was also a genius in drug research and development.”

The more contact with Qin Lang, the more Zhuzhi Zhong admires this unfathomable young man.

After doing all the preparatory work, Qin Lang officially began to improve the shunt.

“Scalpel…”

Qin Lang chose the surgical route to enter the chest through the fourth intercostal incision on the right chest. He saw Qin Lang’s incision and the size of the incision.

Zhong Zhizhi, who was beside him, was so frightened that he repeatedly persuaded him not to be careless: “Doctor Qin, can the incision be made larger, so that the next operation can really be performed with such a vision?”

Under ten times the field of view, Qin Lang did not need a conventional size, ignored Zhong’s doctor, and directly began to free the subclavian artery.

Under Qin Lang’s operation, the recurrent laryngeal nerve and the vagus nerve were very precisely avoided.

Watching Master Zhong, he didn’t dare to take a breath.

“It turns out that Da Lao’s surgery is too extreme!”

Several times, Chief Zhong felt that Qin Lang was going to damage his nerves, but he brushed past the nerves decisively and quickly, neatly.

Director Huang, who was beside the operating table, was also looking at the cold sweat on his head, but he did not dare to interrupt him at this point.

I can only pray in my heart that nothing will happen.

Soon, Qin Lang began to free the pulmonary artery again.

“pliers…”

Qin Lang continued to give instructions and began to clamp the subclavian artery.

Zhong Zhuzhi was earnestly assisting him. Seeing Qin Lang’s neat operation, he was amazed again. Physician Qin’s hands are really stable.

However, Zhuzhi Zhong thought again, it is not good to be too stable, like his own hands shaking, when using ancestral craftsmanship, a sudden shaking is also mysterious.

“Hehe~”

“Artificial blood vessels…”

Hearing that Qin Lang began to choose a shunt blood vessel, Director Huang went straight to the front. After all, this was the key point of the entire operation, and he was afraid that Qin Lang was inexperienced.

If this step is not handled properly, other complications may occur in patients after modified-Taussig shunt, such as: pulmonary edema, artificial blood vessel embolism, etc.

Therefore, patients should choose an appropriate shunt vessel during surgery to improve the postoperative efficacy of patients.

At present, there are two main types of shunt blood vessels used clinically, namely: artificial blood vessels and allogeneic blood vessels.

Among them, allogeneic blood vessels are more elastic due to the special material of the blood vessels, and the patients are likely to cause excessive shunt flow after surgery, which increases the incidence of pulmonary edema.

Therefore, Director Huang still approves Qin Lang’s choice of artificial blood vessels, but artificial blood vessels also have his defects, that is, the selection of anastomosis must be careful during the operation, and it can be successful within two or three times, and, During the operation, it is necessary to trim the artificial blood vessel appropriately according to the specific patient’s condition and experience, so that the patient’s tightness is moderate.

This is also the key to the success of this operation. This step requires extremely high requirements for the experience and on-site response of the chief surgeon, and is also a watershed between masters and ordinary doctors.

Zhong Zhizhi, because he did not have the confidence to handle this step, did not dare to take the lead.

Director Huang stood aside, staring closely at Qin Lang’s operation, and immediately stopped if it was not ideal.

Zhong Zhuzhi watched Qin Lang’s operation very seriously, preparing to learn the skills.

“Scissors…”

Hearing Qin Lang’s order, the equipment nurse obediently provided it.

After Qin Lang took the scissors, he began to trim them.

“So fast? Qin Lang, you!”

At first Director Huang thought that Qin Lang would give him a look, compare and think carefully before pruning. Unexpectedly, when Qin Lang got the scissors, he cut it with resoluteness.

I saw that the end of the artificial blood vessel anastomosed with the clavicle artery was cut into a 43° bevel, and it was inserted directly without any inspection.

“7-0prolene wire…needle pliers…”

Qin Lang didn’t stop at all, and immediately started the end-to-side anastomosis with the subclavian artery.

Director Huang was on one side and took a deep breath. He couldn’t calm down for a long time. When did this operation become so simple?

Once, it was a success!

You can’t go in again and give people some mental preparation, it’s too rude!

It’s been a while, even Dean Wen Yunqi can’t do it so concisely and efficiently.

Director Huang suddenly felt like he was getting old, and even his back was bowed. This feeling was one night when he was thirty-five years old. He felt a sense of powerlessness and fear for his daughter-in-law.

When I was young, I hated my aunt. At that moment, Director Huang longed for my aunt to protect her body.

“Ah~”

It is said that a man suddenly matures at a certain moment, and at the same time, at a certain night, he looks dejected, no longer high-spirited, and suddenly aged.

While Director Huang was depressed, Qin Lang had already started the corresponding pulmonary artery incision on the upper edge of the blood vessel, and anastomosed the other end of the artificial blood vessel to the pulmonary artery.

Under the master-level technique, Qin Lang’s match was naturally perfect.

Looking at the anastomosis, the textbook level, the artificial blood vessel is in a tension-free state~www.mtlnovel.com~ There is no leakage at all.

“Amazing.”

Although Zhu Zhizhi couldn’t be the main knife, his eyesight was still there. He had seen good ones, so he knew that Qin Lang’s operations were better than good ones!

“Bio-Protein Glue…”

Qin Langfeng and Tan Yunqing continued to give orders without the slightest awareness of completing an extremely difficult step.

“As soon as the pulmonary artery end block is released…then release the subclavian artery block clamp…”

Under Qin Lang’s instructions, Chief Zhong cooperated very well.

After a while, I felt a continuous fine tremor from the pulmonary artery anastomosis.

“How about it?”

Director Huang, who was on the side, was even more nervous than Qin Lang, and hurriedly asked Zhu Zhizhi about his sense of touch.

Zhong Zhuzhi said excitedly: “Director Huang, I feel it. The continuous fine tremors are textbook-level tremors!”

“SaO2 also started to rise!”

The nurse on the side is also reporting the patient’s vital signs.

Hearing this, Director Huang showed a smile, and if these feedbacks appeared, it meant that the operation had been successful.