Doctor’s Life Simulator

In the next few days, Qin Lang returned to the first city hospital and started to build a laboratory for new topics.

Due to the limited space for general surgery and thoracic surgery, Qin Lang is now nominally a physician in the burn department, so in the end, after the discussion between President Hang and Wei Guoqiang, in the new building of the Wound Treatment Center, he gave Qin Lang the A laboratory is set out.

For this, the doctors in the treatment center have no objection. After all, Qin Lang's prestige in the treatment center is too high, even Lu Yu is the biggest opponent.

After hearing the legend of Qin Lang in Zijingang First Hospital from Wang Heng, Lu Yu no longer had any idea of ​​competing with Qin Lang.

With the full support of Professor Shen, the leaders of the First City Hospital also focused on the laboratory. Within three days, the entire laboratory had begun to take shape. Looking at the new equipment in the laboratory, Qin Lang was also satisfied. .

In the thoracic surgery department, in addition to Director Zhou Heng, several physicians under him have some different ideas about this brand new topic jointly established by Professor Shen Xi, thoracic surgery and general surgery.

For this cutting-edge theory, they feel that space is too empty.

Moreover, the development of this kind of subject requires a lot of time to invest, and it is not like an ordinary surgical technique. In fact, if you master it, you will master it. There are a lot of uncertainties in this kind of research, and although it is promising, it is more like a pie.

For a surgical genius like Qin Lang, it was a pity that they did not practice surgical techniques, but wasted on such scientific research topics.

The attending physician of thoracic surgery is also Zhou Heng's proud disciple. Zhang Anyi's attending physician is not very optimistic about this topic.

Moreover, in his opinion, this kind of cross-hospital cooperation will not be known until it is actually applied to the clinic.

It is also Professor Shen Xi, a mentor of this kind of scientific research, who proposes this kind of topic. In my heart, I also expected that it would not take long for this kind of project to end in failure.

For so long, their thoracic surgery has always used solid traditional techniques, combined with the patient's pain signs, the judgment of the physician's experience, plus color ultrasonography, CT examination or magnetic resonance examination to clearly diagnose various tumor diseases.

For Professor Shen Xi's proposal, early diagnosis, through liquid biopsy, exosomes and other technologies, is not optimistic, and there is no intention to understand it.

Different road non-phase plan.

Therefore, after Qin Lang's laboratory was established,

The thoracic surgeon did not pay attention to visiting, but Qin Lang began to study with peace of mind.

Duan Bo, 60 years old this year, has retired at home. A month ago, he started to have pain in his left toe without any symptoms.

I didn't care too much at first, but after a few days, my toes started to turn purple, and the pain became more and more serious. Since the children at home are busy with work, I went to the community health center to have a look.

The doctors in the health center simply prescribed painkillers, anti-inflammatory drugs, and symptomatic treatment.

A week later, Duan Bo's condition did not improve at all, but a new situation appeared, and there was a problem in the gastrointestinal tract.

Taking advantage of Saturday, the patient's son took him to the nearest town hospital. The hospital performed a color ultrasound examination on him, which showed that the sound transmission in the dorsal artery of the left lower extremity was poor, and scattered small strong light spots were visible. The blood flow filling was poor, and thromboangiitis obliterans was initially diagnosed.

He was hospitalized. After physical examination, the blood pressure was 150/100 mmHg, the heart rate was 74 beats/min, and the rate was uniform. There was no pathological murmur in the auscultation area of ​​each heart valve. No mass was touched, and there was no tenderness or rebound tenderness in the whole abdomen.

The end of the left toe is purple, mainly the fourth palm toe, and there is no positive Jin Shan. Anticoagulation, vasodilator, antihypertensive, and analgesic treatments were given, and the pain symptoms of the back of the foot were slightly relieved.

I thought that after a period of treatment, I would be able to be discharged from the hospital, but who would have thought that yesterday and Shi's gastrointestinal symptoms worsened, and symptoms such as nausea, vomiting, abdominal pain, and abdominal distension appeared at the same time.

The doctor at the town hospital directly advised the patient to transfer to another hospital and was sent to the emergency department of the first city hospital. In the emergency department of the city's first hospital, it happened that the signs and Liu Peichun were on duty today.

Liu Peichun received the patient and learned about the past medical history and Zhou Heng in detail. According to the patient's history of habitual constipation, considering incomplete intestinal obstruction, it is recommended that the patient be treated with gastrointestinal decompression and soapy water enema.

For Liu Peichun's diagnosis, the signs always felt that there was something wrong, but for a while, the specific cause could not be found.

[Ding, the new mission, through the new body fluid biopsy technology, to find the real cause of the patient. Mission penalty: 1.1 life simulation points. ]

Jin Shan saw this task, and sure enough, the patient's condition was not so bad. After accepting the task, he called Jin Shanhe over and put forward his own different ideas.

"Dr. Liu, I think the patient's condition is relatively common. Let's not rush to perform gastrointestinal decompression and soapy water enema for the patient. I'm going to give him another body fluid biopsy. Give me two hours!"

'Body fluid biopsy technology?'

Jin Shanhe didn't quite understand.

"This is recently when I was in Zijingang No. 1 Hospital. Following my mentor, Professor Shen Xi, I was able to perform auxiliary detection on some diseases with the newly learned technology. Now in the treatment center, a special laboratory has been established, and I personally conduct tests on patients. Do some testing."

Signs did not explain the technical details with Liu Peichun in detail. After so many things, Liu Peichun's advice on Signs is now regarded as a standard. As long as Signs is willing, he can't ask for it.

"No problem, then I will admit the patient to the observation room first, and you can do it as soon as possible."

After Liu Peichun communicated with the signs, he explained the situation to the patients and their families. Naturally, they did not dare to disobey the professional judgment of the doctor.

Soon, the sign was that the patient was given the collection of bodily fluids.

After returning to the lab at the Wound Treatment Center, the signs ended with a preoccupation check.

Although it is still only an entry-level detection technology, it is impossible to improve it and understand the principle, but according to the script, comparing the detection results, it is concluded that Jin Shan can still complete it.

According to this entry-level detection technology, Jin Shan has a huge amount of information in his mind, corresponding to various early indicators of various tumor diseases.

For example, in breast cancer, detection of CD82 levels in blood-derived exosomes is more sensitive for early breast cancer screening and diagnosis than traditional tumor markers.

For gastric cancer, serum exosomal Dicer levels increase at the end of early gastric adenocarcinoma and reach a plateau after the developmental stage. Serum exosomal Dicer is a potential non-invasive diagnostic biomarker for early detection of differentiated gastric adenocarcinoma.

Melanoma, T cells and dendritic cells have elevated levels of exosomal proteins PD-1 and CD28 in melanoma patients. Therefore, both TEX and DEX can serve as reliable melanoma prognostic biomarkers.

Pancreatic cancer, colorectal cancer, prostate cancer, liver cancer, etc., all have their own different biomarkers.

The signs are to use this brand-new equipment to check and analyze the patient's body fluids.

Since the patient's Jin Shan and basic physical examination have given certain directions, the scope of the signs has been narrowed. As long as the screening is carried out according to these biomarkers, the final conclusion can naturally be obtained.

Two hours later, Jin Shan found that 3 exosomes appeared normal through bioinformatics analysis, namely: NR-026, NR-126 and NR-036.

According to the picture, the sign was of course the real cause of the patient was found, but the result surprised him greatly.

According to the routine examination, it is impossible to think that there is a problem with the patient.

For Liu Peichun's gastrointestinal decompression and soapy water enema treatment plan, Jin Shan was also afraid for a while, but fortunately he stopped him in time, otherwise the patient would definitely not survive tonight.

The first sign was to call Director Shen Xi of the Thoracic Surgery Department.