Back in 2002 as a doctor

When Li Qinghua was fully awake and several people carried him onto the flat car, the film crew realized that Professor Chen was not joking—the operation was really over.

"Professor Chen, is the operation going well?" The head of the film crew asked cautiously.

He suspected that the operation was not done at all, so it was so fast.

Just like word of mouth among ordinary people, it seems that the condition is very serious, so it is unnecessary to do surgery or not after opening, just sew it on.

Chen Houkun also felt that it was not enough, he ran all the way and the operation was done in such a short time.

He shook his head dejectedly.

The film crew misunderstood, and immediately asked, "Is it because the operation is too difficult to do? Do you want to ask Director Zhu to open the chest?"

"No, the operation is too simple." Chen Houkun said with a sigh, "You don't know how much I worked hard to complete the thoracoscopic surgery, but the operation ended after two clicks."

"..."

The film crew looked at each other.

Is this showing off?

Correct,

This is showing off.

Click twice... Recalling Director Zhu's operation at the People's Hospital, the film crew was a little confused.

Why does it feel like it's not an operation?

Chen Houkun ignored the surprise of the film crew, in fact, he was even more surprised than the film crew.

The last time Pan Cheng came to the provincial capital for surgery, the patients all underwent Ye Qie, and Zhou Congwen didn't say much.The operation went so fast that Chen Houkun felt a little touch in himself.

So after that, I practiced hard to grind eggs, gritted my molars, and practiced hard after experiencing countless failures.

But switching to wedge cutting is two completely different concepts.

The operation was fast, and it was no longer in Chen Houkun's consciousness.It cannot be said to be flying, it simply entered the universe at the speed of light, and the era of the big universe began.

"Xiao Zhou, is it really okay to do this?" Chen Houkun followed behind Zhou Congwen, chattering and asking.

The operation was so fast that Chen Houkun himself doubted whether he had performed an "irresponsible" operation.

"Okay, no problem." Zhou Congwen replied calmly, "Go back and tell you, Brother Chen."

It was really inconvenient to push the patient, so Chen Houkun had no choice but to follow behind.

Send Li Qinghua back to the ward, put on ECG monitoring, Zhou Congwen went to explain the situation to Li Qinghua's lover, and asked Shen Lang to send the specimen to the pathology department.

After finishing the trivial things, Zhou Congwen pulled a chair over and sat on Li Qinghua's bedside, staring at the ECG monitor.

"Xiao Zhou, it's not possible." Chen Houkun sat on another hospital bed and smiled wryly.

"Director Li is worried, I promise him that he can see me as soon as he opens his eyes." Zhou Congwen said lightly.

"Zhou, why do I feel something is wrong? The operation was done too fast." Chen Houkun was still grumbling.

"Professor Chen, that's it. Let me explain to you from the beginning."

Li Qinghua was still sleeping, Zhou Congwen chatted with Chen Houkun seeing that his vital signs were stable.

The reason why it is fast has many auxiliary conditions.Standing in 2002, Chen Houkun could not see clearly, but Zhou Congwen could see clearly.

"Brother Chen, you had lung cancer surgery when you first went to work. How is the postoperative effect?" Zhou Congwen asked.

"Not good." Chen Houkun said, "Many patients underwent pneumonectomy. At that time, in order to ensure the pressure of the chest cavity and prevent the mediastinum from deviating too much, I even put ping-pong balls into the chest cavity." (Note)

Zhou Congwen nodded, "Why?"

……

……

Note: Playing table tennis seems to be a thing of the 70s and 80s. I have never seen it, and I have never even seen a real movie. I just heard about it from the older generation of doctors.

It's an old joke.

Chapter 0224 Zhou Congwen's ambition

why?

Chen Houkun was slightly taken aback.

This also asks why?Because once the cancer is discovered, it will be at an advanced stage, and it will not work without pneumonectomy.

He looked at Zhou Congwen with strange eyes.

"Brother Chen, do you see a lot of patients with small pulmonary nodules on the CT scans of the Second Hospital of Medical University?" Zhou Congwen asked, but he pondered for a while and smiled, "I should ask if there are more and more patients."

Chen Houkun nodded, Zhou Congwen was telling the truth.

"Everyone's economic level is getting better and better, and the awareness of physical examination is getting stronger. This is one. The second is that the hospital is expanding and the machines are getting better and better. By the way, let me tell you a joke."

"You said."

"When I first arrived at the Third Hospital, there were only two surgeries, the first one and the second one. The first one was purely general surgery, and the second one was general surgery, and the other half was all kinds of surgery." Zhou Congwen recalled the past, even talking The voice has become a little vicissitudes.

"After we finished building the second department of the hospital, the Department of Internal Medicine moved in one by one, and the Department of Surgery began to separate. The Department of Orthopedics was the first to be assigned. At that time, the nurses said that the beds in the Department of Orthopedics should not be more than half empty."

Chen Houkun laughed, it's no wonder that the orthopedics department has an empty bed.People who say such things are really ridiculous, they don't look like people who are engaged in medical treatment.

Go to the medical university to see that hundreds of beds in the orthopedics department are full all year round, and even the corridors are full of extra beds.

"Well, you know, it's impossible. Later, the anorectal department and the urology department were separated out one by one. Everyone said so every time, but in the end each family was full of beds.

In the words of the book, this is called the growing material and cultural needs of the people. "

"Hahaha, don't talk nonsense, talk about serious business." Chen Houkun laughed in a low voice.

What Zhou Congwen said is indeed reasonable, but when it comes to the growing number of people, it seems like the leader is giving a report, not like two people chatting behind closed doors.

"There are more and more CT machines in China." Zhou Congwen said lightly, "Thin scans can be done, and 64-slice CT will be done soon in the future, so tumors are found earlier and earlier. It's not like many years ago when basic scans were discovered. It’s the late stage. You see, Director Li is an example.”

Chen Houkun nodded, what Zhou Congwen said was true.

"In the future, a tumor larger than 5cm may not be seen for several months, and even if there is a metastatic tumor, it is a contraindication to surgery."

"You mean that in the future, thoracic surgery should focus on small nodules?" Chen Houkun was thoughtful.

"Yes." Zhou Congwen said with certainty, "Small pulmonary nodules account for at least 80%-90% of the patients, so the operation method must also be changed. Is it outdated to cut the lung lobes? It's just that many doctors haven't paid attention to it now. Arrived, driven by the ancient inertia to keep walking.”

Chen Houkun vaguely felt that he had found a clue, but it was still a little vague what it was.

Zhou Congwen looked at Chen Houkun silently, and suddenly smiled.

"Xiao Zhou, tell me how you and Director Li can fill up the wards in the Third Hospital." Chen Houkun asked.

Filling up the wards and performing surgeries every day is the biggest ambition of the thoracic surgery department of "basic" hospitals.

Chen Houkun is an industry insider, and he opens his mouth to ask the most critical questions.

"That's not a problem." Zhou Congwen said, "When is our goal to surpass the People's Hospital in terms of operation volume?"

"..." Chen Houkun felt that the younger generation was formidable.

In Chen Houkun's view, it is impossible to directly surpass the largest hospital in the city in terms of operation volume.

He still knows the situation in Jianghai City. The People's Hospital is not only the best in Jianghai City, but also ranks in the top five in the whole province.Among them, cardiothoracic surgery is very important, but it cannot be surpassed by Zhou Congwen.

"When is the next goal to close the Second Thoracic Department of the People's Hospital?" Zhou Congwen said the most powerful words in plain words.

"..."

Chen Houkun was completely dumbfounded.

Zhou Congwen's ambition is no longer ambition, but a fantasy idea.

Closing the Second Thoracic Department of the People's Hospital means that they will have to reduce the number of beds until the bed utilization rate is less than 70% for at least a year.

Just relying on these broken guns from the Third Academy?Even the new director is lying in the ward just after surgery, who gave him the confidence.

But Chen Houkun didn't refute, just smiled.

"Look, you won't believe me when I tell you."

"Xiao Zhou, many things can't be done with technology." Chen Houkun was honest and kind.

"Brother Chen, do you still remember the last time we chatted, you also said that bringing down Director Wang can't be done with technology?" Zhou Congwen asked with a smile, looking into Chen Houkun's eyes.

Being directly slapped in the face by Zhou Congwen, Chen Houkun was not unhappy, he was very curious about Zhou Congwen's brain circuit.

But what to do, no matter how Chen Houkun asked Zhou Congwen, he didn't say anything. He just presumed that it was Director Li's business, and he didn't ask.

Chen Houkun suppressed his curiosity, and after an hour or so, Li Qinghua woke up leisurely.

Seeing that he was fine, Chen Houkun left after Li Qinghua fell asleep again.

Zhou Congwen only sent him to the elevator, and then went back to take care of Li Qinghua.

All the medicines I received from the pharmacy were in a single room, and the addition of medicines was beyond Zhou Congwen's eyes.

A few hours later, Li Qinghua woke up completely.

He felt a little weak, but the state was nothing special.Trying to sit up, Li Qinghua asked, "Congwen, did the operation go well?"

"It went well. I cut the lung nodule and took a look. I thought it was a precancerous lesion. There was nothing wrong with it."

Hearing what Zhou Congwen said, Li Qinghua felt as if all the bones in his body had been taken away, and his whole body was limp, as if he had been injected with anesthesia.

"Very sure, no need to ask repeatedly." Zhou Congwen told Li Qinghua the good news with a smile.

"What about the lymph nodes?"

"I checked, and it's all right, no lymph node dissection."

"A simple wedge cut? How long did the operation take?" Li Qinghua continued to ask.

"Not counting the anesthesia time, 16 minutes and 22 seconds." Zhou Congwen gave a precise answer.

But the more accurate, the more unreliable Li Qinghua felt. He thought Zhou Congwen was joking with himself.

"Surgical video I think you will be able to see it soon, watch the operation process, and then..."

"Then what?"

"I just bragged with Professor Chen that we should proceed in two steps. The first step is that the number of surgeries within a year will exceed that of the People's Hospital."

"..." Li Qinghua felt that he must be under anesthesia, otherwise how could he hear such weird words just after waking up.

"Let's rest first, I added the drip by myself, it's okay." Zhou Congwen comforted, "I will talk about other things after you watch the surgery video tomorrow or the day after tomorrow."

Li Qinghua was not at ease until he saw the drainage of the chest bottle with his own eyes.

However, looking at other people's chest bottles and looking at your own chest bottles are two different feelings. It goes without saying that you have flatulence and coughing in your own chest bottles, and you do it subconsciously, which is more worry-free.

Chapter 0225 come later and the wound will heal!

What made Zhou Congwen sigh the most was Li Qinghua's luck.

In addition to high IQ and EQ, this person seems to have good luck.Two days after the operation, the chest department was calm and there were no emergency patients.

Zhou Congwen likes people who don't call for emergency treatment the most, and he has a good impression of Li Qinghua ever since.He is happy to be at leisure, although now he has to take on the responsibility of attending the doctor besides being on duty, but it is always much better than hospitalization.

Two days later, Zhou Congwen came to Li Qinghua's ward early in the morning.

"I said Director, it's time to remove the chest bottle."

This is something Zhou Congwen brought up with Li Qinghua every day, but Li Qinghua rejected it two days ago.

As a thoracic surgeon, the chest bottle should be kept for at least 3 days after thoracotomy, and 7 days is not uncommon.On the first day after the operation, Zhou Congwen wanted to remove the chest tube for Li Qinghua, but he was so frightened that he refused without even thinking about it.

Although the chest X-ray shows that the lungs are fully opened, there is no liquid or gas; although the water column in the chest bottle has not fluctuated, even the light yellow exudate in the chest cavity is rarely drawn out.

but!

Li Qinghua carefully proposed to keep the chest tube for 1-2 days.

Zhou Congwen is also very helpless, this is a habit formed over the years, and it will definitely not be changed for a while.

Li Qinghua sat on the bed, and there was a TV connected to an old video recorder in the single room.He was watching his own surgery video, and when Zhou Congwen came in, he pressed the pause button.

"Congwen, can you really pull it out?"

"Director, you..." Zhou Congwen looked at Li Qinghua helplessly, "Can you be more professional? You have seen the operation more than 800 times and had a chest X-ray. Don't you feel relieved?"