Doctor’s Life Simulator - Chapter 350

Doctor’s Life Simulator Chapter 350 Top Event: Huaguo Heart Congress

When Qin Lang was fighting against the crowd, Wang Rou was arguing fiercely with the rest of the laboratory members in the Qin-style pharmaceutical company’s laboratory.

“Dr. Wang, you should go in and talk. It’s not like you said it well. Director Qin, designed a plan for the third clinical phase for us. It’s been a long time, and he’s still holding a video conference there.”

“Let’s see how long it is. Tomorrow Director Qin will go to the Second Hospital of Harbin Medical University. Today is only one day, and the meeting will continue. If no results can be obtained, he will be able to continue his research until he returns with a knife. This time delay will continue. , we missed the most critical link, and our entire preliminary work was all in vain.”

After all, once this kind of experiment is running, it will be a huge loss if it is stopped in the middle.

This is also the reason why Wang Rou is so anxious.

“Okay, I know. I’ll go in and ask if I can put this consultation aside and study the data of the Phase III clinical trial first.”

Wang Rou is also aware of the importance of this matter.

Wang Rou smiled, controlled her voice, and walked into Qin Lang’s office.

At this moment, Qin Lang was still conducting a video consultation. On the screen of the Second Hospital of Harbin Medical University, the members of the medical team were getting disheartened by Qin Lang’s perfect answer. When they didn’t know how to end it, they saw Wang Rou suddenly open the door. .

Qin Lang also noticed Wang Rou who walked in, and knew that the other party must be in a hurry. Just as the consultation was coming to an end, Qin Lang directly covered the camera:

“Professor Liu, I think our consultation is almost the same. For the remaining details, when I arrive at your hospital tomorrow, let’s talk face-to-face. On my side, there are still a few things to deal with.”

“Row.”

Professor Liu also followed the steps and signaled Dr. Chen to cut off the signal and relieve everyone’s dilemma.

“Well, let’s continue the consultation.”

Professor Liu coughed lightly and motioned to continue the consultation. The mood of the people is a little broken.

On the other side, Wang Rou looked at Qin Lang anxiously, her eyes blinking.

Qin Lang immediately comforted: “Dr. Wang, right away, give me another half day, and I will give you the sorted data!”

After comforting Wang Rou, Qin Lang invited her out.

After half a day, Qin Lang provided Wang Rou with the data analysis and the best phase III clinical trial plan.

Seeing the results of Qin Lang, Wang Rou was a little shocked: “Director Qin, he really sorted out the plan in less than a day!”

The team members of the laboratory have come to a conclusion that Director Qin really came to a conclusion, some admired and some doubted.

After all, Qin Lang’s statistical calculation speed is too scary.

On the other hand, Wang Rou, although shocked, is not unacceptable. After all, she has taken mathematics major and has seen those real mathematics gods.

Genius cannot be measured by common sense.

“Director Qin, why don’t you give up surgery and go into drug R&D and theoretical research. It’s a pity not to do scientific research because of your talent and ability.”

Wang Rou gave a very sincere suggestion.

“No, I’m a doctor after all, and medicine is just a matter of hand.”

Of course, Qin Lang couldn’t give up medicine. “It’s almost time, so I’ll go to the airport first. There will be another operation tomorrow at the Second Hospital of Harbin Medical University.”

With some regret, Wang Rou took the three-phase experiment plan given by Qin Lang, and immediately arranged for verification and implementation.

Phase III clinical trials, on the basis of Phase I and Phase II clinical trials, use experimental drugs on a wider range of patient volunteers, and conduct expanded multi-center clinical trials to further evaluate the effectiveness and tolerance of the drugs.

As long as the Phase III clinical trial is completed, it can provide a basis for the approval of the drug registration application. Of course, this phase is also the busiest and most task-intensive part of a clinical research project.

Without Qinlang’s design plan, it would definitely take a lot of detours and consume a lot of money. However, with Qinlang’s plan, the phase III clinical trial has greatly shortened the process.

With the cooperation and support of Ming’s Pharmaceutical Group and the First Affiliated Hospital of Zijingang University, Wang Rou’s team is still up to the task.

The next day, Qin Lang arrived at the Second Hospital of Harbin Medical University on time.

After a large consultation, the expert group of the Second Hospital of Harbin Medical University was completely convinced by Qin Lang.

When Qin Lang arrived at the Second Hospital of Harbin Medical University, he was warmly welcomed, and many doctors asked Qin Lang a lot of questions in person.

Qin Lang naturally knows everything. His extensive knowledge and knowledge, and his extraordinary accomplishments in cardiac surgery are more and more admired by the doctors of Harbin Medical’s Heart Surgery.

Accompanied by Director Chen Minjie, Qin Lang went to see the patient, Ye Jian.

In the ward, accompanying Ye Jian is his son. Ye Jian’s son has just obtained a double master’s degree in MBA and international economics and trade from Australia, which is also what Ye Jian is most proud of.

Although the second heart change is about to take place, Ye Jian’s mental state is still very good. Seeing Director Chen and Qin Lang, they have a pleasant exchange.

Especially when he saw Qin Lang, who was about the same age as his son, he talked very energetically:

“Director Qin, when my son was just 13 years old after my last operation, he still didn’t know his father. He was going to undergo a “heart replacement” operation, and he was just a playful child. After the third year of high school, he was admitted to a university in Chengdu. After graduation, I obtained a postgraduate admission letter from a university in Australia.”

Having said that, Ye Jian glanced at his son with relief, and continued:

“He earned his own tuition for the second two years of my son’s postgraduate studies, and I didn’t let my wife and I worry about it. Originally, I planned to go to Australia to attend his graduation ceremony this year and travel overseas, but since the beginning of the year, his physical condition has declined, and he planned to be Delay, my son also returned to Chengdu on the eve of graduation to accompany me…”

Next, Ye Jian talked about the gratitude of the husband and wife since the first successful heart transplant operation. The words were full of gratitude to the doctors of the Second Hospital of Harbin Medical University. For that, Professor Liu arranged for Qin Lang to come to give As soon as he helped, there was no doubt or dissatisfaction at all.

Instead, he praised Qin Lang’s young and promising: “Director Qin, you can rest assured. After the first heart transplant, every extra day you live is the best gift from God.”

Ye Jian’s mentality was very optimistic, and he continued:

“In the past ten years, my wife and I have guaranteed two domestic trips. So far, the only one in all provinces in the country without the past is Xinjiang. In the past ten years, I have also done a lot of public welfare…”

Listening to Ye Jian’s annual short trips, especially his words:

“What I want is a high-quality life. I can travel, work, pick up my wife, climb mountains, travel far, and enjoy a more colorful life than ordinary people. This makes me happier than the life that I can keep in hospital all the year round.”

Qin Lang was also very emotional. This may also be the happiest time for a doctor to use surgery to bring patients a healthy body, so that they can enjoy life with optimism, happiness and warmth.

“Director Qin, I’m ready. My family and I will face the results of the surgery calmly and optimistically. My family and I are grateful for the new life given by advanced medicine, and we are glad and calm to accept the medical treatment. At the same time, I am also challenging new survival records.”

“Director Qin, in the past ten years, I have been doing what I want to do, doing things that are beneficial to others, and living a high-quality life, worthy of every day that life gives me.”

“it is good.”

Qin Lang was also infected by the patient’s optimism, nodded lightly, turned around and went to the final preoperative preparation with Director Chen.

An hour later, Ye Jian’s second heart transplant operation officially began.

Professor Liu is the chief knife and Qin Lang is the assistant.

The entire procedure of the operation has been rehearsed several times before the operation.

The recipient was pushed into the operating room 2 hours before the donor heart arrived, and the medical staff quickly established cardiopulmonary bypass.

“One help, cooperate with me to take the offering.”

Professor Liu gave a serious order, and at the same time as the operation started in the operating room, the multi-camera cameras had also started recording. After all, this was a highly difficult secondary heart transplant operation with great academic value.

The second assistant assisted in adjusting the patient to a supine position, and routinely disinfected the skin of the chest and abdomen with iodine tincture.

“Systemic heparinization of 3mg/kg to prevent thrombosis in small blood vessels…”

Professor Liu gave instructions from the side, and Qin Lang also participated in the formulation of this plan.

“Ichigo starts a chest incision…”

Professor Liu continued to control the rhythm of the operation, and Qin Lang, who was beside him, quickly took the scalpel and started making an incision in the middle of the patient’s chest.

“Intraoperative examination of the donor heart was free of trauma, deformity, and cardiac disease.”

Qin Lang quickly completed the incision, and at the same time incised the pericardium, completing the preliminary examination.

In the observation room, the remaining members of the expert group were all nervously watching the operations in the operating room.

“Director Qin, it’s really amazing. No ordinary doctor can learn it in ten years.”

“Yeah, especially when you see his superior vena cava ligation operation at 4CM above the junction of the superior vena cava and the right atrium. It’s too detailed. After this video, I must repeat it several times.”

“Isolate Aorta and Pulmonary Artery…Cold Perfusion Needle…Vascular Clamp…”

Qin Lang has completely entered the rhythm.

Professor Liu, who was on the side, finally felt the ease of Director Dong before. This assistance was really caring.

Soon Qin Lang completed the perfusion of cardioplegic solution, and after three minutes, the right upper pulmonary vein and superior vena cava were incised.

“Local cooling with ice saline solution…”

Qin Lang gave an order directly, and the equipment nurse looked at Professor Liu’s tacit reaction and immediately cooperated.

After the heart was cooled for 2 minutes, Qin Lang controlled the scalpel and quickly cut the superior and inferior vena cava at the far side of the ligation, cut the ascending aorta under the aortic block forceps, and cut the pulmonary artery from the left and right pulmonary artery bifurcations.

“What a great operation.”

“This level of concentration is also amazing. Director Qin is simply a surgical machine.”

“How do you feel, this second heart transplant has become very common under Director Qin’s operation.”

“Yeah, I feel the same way, floating, floating.”

Every doctor looked at Qin Lang’s operation with delight, and couldn’t help expressing emotion.

“Under normal circumstances, there is a process of myocardial ischemia in the collection of donor hearts. The time from brain death to the time when the donor blocks the ascending aorta and begins cold perfusion is the warm ischemia time. The shorter the time, the better, generally 5 minutes Nei is already very powerful. But this time, under the operation of Director Qin, it was completed in less than 3 minutes. It’s terrible! “

Not to mention the members of the expert group in the observation room, even Professor Liu was unexpected, Qin Lang did better than he could imagine.

“Professor Liu, I will prune the donated heart next.”

Qin Lang said something and started the operation.

Professor Liu raised his eyebrows. Generally speaking, the pruning of the donor heart is very difficult, and the experience requirements of the surgeon are very demanding.

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Professor Liu originally wanted to operate it himself, but now that Qin Lang took it directly, Professor Liu hesitated for a while, but agreed to Qin Lang’s request.

In the observation room, the members of the expert group all widened their eyes, watching Qin Lang start trimming the offering, and they were amazed.

“This is the main job. Professor Liu is relieved to hand over such an important step to Director Qin.”

“Look, Director Qin has finished cutting the right atrium from the inferior vena cava orifice in the direction of the line connecting the right atrial appendage to the root of the right atrial appendage.”

“So fast, this completes the trimming of the severed ends of the aorta and pulmonary artery.”

Amid the admiration of everyone, Qin Lang checked the mitral and tricuspid valves, and sutured the patent foramen ovale above.

In the final step, Qin Lang made an X-shaped cross incision along the entrance of the four pulmonary veins to cut the posterior wall of the left atrium to make a separate opening.

“Director Qin, cowhide, the heart is ready so soon.”

“Yes, Director Qin’s basic skills are too solid. In particular, the operation of this step is all carried out in 4°C normal saline, the donor heart is carried out under the horizontal plane, and it must not collide with the container. This operation is difficult for The stability of the hand and the meticulousness of the operation are too demanding.”

As the second assistant, Chen Minjie also had to accept that this Qin Lang not only did the work of the chief knife, but also took care of himself as the second assistant.

“The next step is to perform resection of the recipient’s diseased heart.”

After Qin Lang completed the treatment of the donor heart, Professor Liu, who was beside him, gave the second step instruction in a relaxed and excited manner.

Since Ye Jian’s heart was transplanted a second time, it was several times more difficult than the first time, and the operation requirements were also several times higher.

Watching Qin Lang start to cut his chest, the expert group in the observation room also held their breath.

“Extracorporeal circulation blood is cooled to 30°C…”

Director Chen, as the second assistant, reported the observation results on the side.

“Okay, tighten the superior and inferior vena cava bands…block the ascending aorta…”

After Qin Lang got the report, he started the next operation.

Twenty minutes later, Qin Lang cut off the atrial septum, and the recipient’s heart was completely removed.

The final step is to re-implant the donor heart.

The implantation of the donor heart includes left atrial anastomosis, right atrial anastomosis, aortic anastomosis and pulmonary anastomosis.

It can be seen how high the requirements for anastomosis skills are at this stage, which is also one of the biggest difficulties in this operation.

“Cold saline gauze pads…4-0 polypropylene sutures…”

In response to this, Qin Lang was calm as usual, and the movements in his hands did not change over time.

Qin Lang put the donor heart into the recipient’s pericardial cavity, used a cold saline gauze pad to back the donor heart, and anastomosed the left atrium with 4-0 polypropylene sutures. Corresponding to the left atrium at the opening of the left superior pulmonary vein, continuous suture clockwise to the middle of the atrial septum was used, and then the other end of the suture was continuously sutured counterclockwise along the top of the atrium to the middle of the atrial septum, and knotted with the starting end.

“It’s clean and neat, the needle distances at each anastomosis are equal, the tension is the same, and there is no blood leakage at the anastomosis. This completes the left atrial anastomosis. It is really a pleasure to see Director Qin’s anastomosis skills.”

In the observation room, even though these doctors had seen Qin Lang’s anastomosis skills several times, they were once again impressed by Qin Lang’s anastomosis skills.

“Beautiful!”

Next, Qin Lang quickly and neatly completed the right atrial anastomosis, the aorta and the pulmonary artery anastomosis.

“Exhaust the left heart and ascending aorta, open the aortic occlusion forceps…completely stop the bleeding…”

Soon, Ye Jian’s third heart began to beat vigorously, synchronized, and stopped the extracorporeal circulation.

A second heart transplant, which has been recorded in the medical history of heart transplantation, was successfully completed under the strong operation of Qin Lang.

Professor Liu also made an astonishing announcement: “The operation is complete!”

After the operation was completed, Professor Liu excitedly led the expert group to celebrate, and of course, he emphatically expressed his gratitude to Qin Lang.

Before sending Qin Lang away, Professor Liu talked to Qin Lang alone:

“Director Qin, this operation has been done very beautifully, and the whole operation has been recorded. This will be a miracle in the history of heart transplantation. Therefore, I will recommend it to the organizer of the Huaguo Heart Congress as this Video of the finale demonstration of a Hua Guo Heart Congress.”

“Huaguo Heart Congress?”

Seeing Qin Lang’s blank expression, Professor Liu introduced it carefully:

Director Qin, this Huaguo Heart Congress is jointly organized by the Huaguo Medical Association and the National Cardiovascular Disease Center.

It is the highest-level conference in the cardiovascular field in China. This year’s conference will be held at the National Convention Center in the Imperial Capital one month later.

And this time the theme of the conference is “integration, quality, innovation” (, Quality, and).

The purpose of this Huaguo Heart Congress is to comprehensively showcase new achievements in clinical prevention and basic research of cardiovascular disease, introduce new progress in translational medicine research, and explore future trends in individualized diagnosis and treatment, prevention and research, and scientific research, so as to further promote China The development of cardiology in China.

In addition to joining the plenary meeting and hotspot summits as in previous years, the content of this conference covers basic medicine of cardiovascular disease, prevention and epidemiology, community population prevention and treatment, imaging and functional testing, cardiology and interventional therapy, cardiovascular surgery, nursing In addition to nearly 30 forums on science and other topics, an international symposium on cardiovascular hybrid technology has also been added.

The communication methods of the whole conference include: expert lectures, surgical broadcast (video) demonstrations, hot debates, expert interviews, paper exchanges, etc.

It is preliminarily estimated that more than 7,000 experts in cardiovascular disease-related fields at home and abroad will participate in this event.

In this conference, the National Center for Cardiovascular Diseases also sincerely invited the Cleveland Medical Center of the United States to cooperate with each other. Under the joint efforts of two top medical groups, it will be a unique international academic feast…

After listening to Professor Liu’s introduction, Qin Lang was also quite shocked.

This conference is really a top event! It is a great honor to be the finale guest!

The sponsors are the Huaguo Medical Association and the National Cardiovascular Disease Center, and the venue is the top-level National Convention Center.

“Director Qin, I will send you the invitation letter for the Huaguo Heart Conference. Welcome to attend the conference on time. This conference will invite the top doctors in the industry~www.mtlnovel.com~ There will also be doctors from various hospitals. Experts and professors come to give lectures, which is a very good opportunity for communication and learning.”

Professor Liu patted Qin Lang on the shoulder and appreciated Qin Lang very much. Professor Liu was one of the vice presidents of the Hua Guo Medical Association, and he also intends to introduce Qin Lang to join the Hua Guo Medical Association through the conference.

“Okay, Professor Liu, I’ll be there on time.”

It is naturally Qin Lang’s honor to be able to participate in such a high-level meeting.

There is a world of difference between being in the same conference, being invited to a conference, and seeing the world as an entourage.

After saying goodbye to Professor Liu, Director Chen Minjie had already prepared the car and sent Qin Lang to the airport in person. Before boarding the plane, he handed over a bank card to Qin Lang.

“Director Qin, this is the cost of this operation, a total of 200,000 yuan. The password is six six.”

Qin Lang nodded with a smile and put away the bank card.

“Director Qin, thank you very much for your cooperation in this operation. I hope to continue to come to our hospital for guidance and communication in the future.”

After seeing Qin Lang’s ability, Chen Minjie was completely convinced. Of course, there is still a lot of envy, especially the 200,000 operation fee.

It can only be said that high-level physicians have a really strong ability to make money.

Especially at Qin Lang’s age, money is limitless.

When Qin Lang returned to Hecheng, Professor Liu had also recommended the video of this second heart transplant operation to the organizer of the Huaguo Heart Congress. Soon, he received a response from the organizer, and he readily agreed to this time. This historic operation is set to be one of only a few demonstration operations. +Bookmark+