Back in 2002 as a doctor

But what does the Third Hospital of Jianghai City have?

And the diagnosis of thoracic aortic dissection from the first symptom is cerebral infarction?

Chen Houkun has worked in cardiothoracic surgery all his life, and he feels that he is not good enough.

"Actually, there is nothing particularly difficult. Our neurosurgery doctors are more careful in physical examination. If there is a heart murmur on auscultation, let's check it a little bit." Zhou Congwen said with a smile, "Go see the patient?"

"Wait a minute." Chen Houkun introduced the people who came with Zhou Congwen.

Director Teng Feiteng and Olida's regional manager Wang Xueteng and Zhou Congwen both knew each other, and the only stranger was the director of the Vascular Department of the Second Hospital of Medical University.

"Director Jiang, hello." Zhou Congwen reached out and shook Director Jiang Yumin's hand.

"Xiao Zhou! I've heard Professor Chen tell you about you many times, and you really are young and promising!" Director Jiang and Zhou Congwen said politely.

The hospital speaks complicated words. Like other units, it has all kinds of intrigues and stumbling blocks.

But the hospital is simple and simple. After all, seeing life and death every day, many people are relatively detached, and their pursuit of technology is a little bit stronger.

What is the most difficult clinically?

It is not surgery, nor is it dealing with family members of difficult patients, but the diagnosis of difficult and miscellaneous diseases.

Director Jiang knew very well that he was able to diagnose thoracic aortic dissection aneurysm from the most common clinical symptom of cerebral infarction. The other party was definitely not an ordinary person, so he was extra polite to Zhou Congwen.

"Director Jiang, our hospital does not have 64 rows of enhancement, nor does it have DSA angiography, and the conditions are poor. A CT scan was performed. Fortunately, the patient's dissection aneurysm was in the ascending aortic segment, which was far away from several bifurcations. "

Hearing what Zhou Congwen said, Director Jiang let out a sigh of relief.

A dissecting aneurysm may cause a partial tear between the inner and outer membranes due to too much pressure, causing severe pain while the tear segment continues to spread.

What is the fear of thoracic aortic dissection?The tear segment spreads to the bifurcation of the carotid artery.

If that is the case, aortic arch replacement surgery may be performed, which is also called elephant nose surgery clinically.At present, there are not many such surgeries in China, and only a few top hospitals in Shanghai and the capital can do them.

The Second Hospital of Medical University?Absolutely can't do it.

As long as it's okay, what Director Jiang has been worrying about hasn't happened.

"Director Jiang, can you do it with an ordinary see-through machine?" Zhou Congwen asked.

"I have done it a few times in primary hospitals. The effect is not as good as that of the DSA machine, but it is still passable."

After speaking, Director Jiang was taken aback.

Zhou Congwen asked himself if he could do it with an ordinary see-through machine. This should have been an interrogative sentence, full of worries and worries.

After all, in the current situation of the patient, the handling should be minimized to avoid a sudden increase in blood pressure causing the aneurysm to rupture.

In clinical practice, many patients seem to be fine and healthy, but when they suddenly sit up from the bed, they die immediately, and there is no chance of rescue.

It is a very awesome thing to be able to use the perspective machine to make a big show, Director Jiang replied with a little pride.However, when he recalled it, he felt that Zhou Congwen's tone seemed to be asking himself condescendingly.

There was no contempt or arrogance in his tone, but very flat.

It's a weird feeling, why is it the same as my doctoral supervisor, Director Jiang is a little at a loss.

Because the patient wants to minimize the handling, he goes directly to the fluoroscopy room after the CT scan, and it doesn't matter where he is lying down anyway.

One reduction in handling means one reduction in the number of wandering outside the gate of hell.

A few people came to the Radiology Department, and the corridor was full of people, including the dean of the third hospital, department heads, clinical directors, and leaders at all levels of the group company.

Chen Houkun was taken aback seeing so many people.

"Xiao Zhou, your hospital takes it very seriously." Chen Houkun said in a low voice.

"Wei Bureau of the group company belongs to the direct leadership of our hospital, so we can't ignore it." Zhou Congwen smiled peacefully, "He also pointed out that the group company approved money for us to buy MRI, 64-slice CT, and remodel the operating room. A laminar flow operating room and an ICU are established."

Chen Houkun knew all about human relations in society, but he was too lazy to socialize.

Several people went all the way to the operating room, where the patient was lying down, and there were more than a dozen people standing or sitting in the operating room, and the cramped space was a bit cramped.

Li Qinghua introduced several professors to Dean Xiao Qiang Xiao, and Dean Xiao shook hands with each other with an amiable face. After a brief exchange of greetings, he said, "Director Jiang, Director Teng, I may have to apologize for something."

"Huh?" Director Jiang was taken aback.

Shouldn't it be an immediate operation?Why say sorry.

"We are a small place, and Director Li is also impatient. He asked everyone for help immediately. This kindness is beyond heaven, and we are extremely grateful." Xiao Qiang said lightly, and there was no hint of gratitude from his words.

"Dean Xiao, what do you mean..."

"The earliest aortic stent surgery in the province was carried out in the First Hospital of Medical University. Director Gou of the First Hospital of Medical University has completed the most surgeries in the province..."

Dean Xiao's remaining words were left blank, and he didn't say all of them.

Needless to say, Li Qinghua frowned. Dean Xiao was good at demolishing ladders.

When the outside experts didn't come, Li Qinghua, who was always with Dean Xiao, didn't know that he actually hired Director Gou from the First Hospital of Medical University to perform the operation.

Isn't this killing myself and Zhou Congwen? !

Director Jiang was taken aback, and looked at Li Qinghua and Zhou Congwen with strange eyes, as if asking why.

But they are all old Jianghu, I have never encountered or heard of such a small method.

It seems that the temple of the Third Hospital of Jianghai City has a lot of little monsters, and there are many bad things in the pool, and there are really many bad things outside of medical treatment.

"It's okay, Director Gou and I are also very familiar, and we communicate a lot with each other." Director Jiang still maintained his demeanor and said with a smile.

Li Qinghua's expression returned to normal in an instant, and he bowed slightly, "I'm sorry, I just found out about the directors. It's been a hard journey, so go to my office for a meeting. You must not hurry today and try our local specialties."

Zhou Congwen was a little helpless, he forgot this.

It seems that I am used to the position of the strongest surgeon. As long as I am there, neither the patient, the patient's family, nor other doctors will cause this farce.

In the next life, even if Dean Xiao wanted to do something small, Director Gou from the First Hospital of the Medical University would not dare to come.

Who would offend themselves because of the director of a primary hospital?

But now I have a headache, Zhou Congwen smiled helplessly, Dean Xiao is really not a fuel-efficient lamp.

Chapter 0331 Telling the patient's family members that they are hungry before the operation

Dean Xiao and several directors put on a few polite words, and Li Qinghua took them back to the ward.

He rushed to the operation in a hurry, but was rejected, and no one would be in a good mood.

Along the way, Li Qinghua said countless words of apology with a smile on his face.

Although they didn't show any displeasure when they reached out and didn't hit the smiling face, several directors, especially Director Jiang, had a much lower evaluation of Li Qinghua and Zhou Congwen.

Even the basic communication in the courtyard can't do well, and the achievements in the future will definitely be limited.

Zhou Congwen didn't stay in the radiology department either, and followed him back to the director's office.

"Brother Chen, has the Second Hospital of Medical University carried out elephant trunk replacement?" Zhou Congwen asked.

"No, it will probably be soon." Speaking of this, Chen Houkun was a little depressed.

If the incident of Geng Haoran hadn't happened, he probably would have started a new technique by now.

But by mistake, Zhang You obstructed, Chen Houkun no longer imagined nose surgery.

However, thoracoscopy seems to be a good direction. Now Chen Houkun is just depressed, but he has new hope.

"During my internship, my hospital received a patient with a torn aortic arch, and I brought the teacher to explain the specific situation to the patient's family."

Zhou Congwen began to gossip lightly.

Several directors looked at him very politely, the scene was a bit cold.

Zhou Congwen didn't seem to notice it, and was sitting on the bed in the director's office talking about the past.

"I sat and listened. Although the teacher who taught me had never done elephant trunk replacement, it was probably a temporary make-up class. He knew the general steps. He and the patient's family members started from the skin opening, cutting the sternum, peeling off the thymus, and a little bit of the aortic arch. free."

"The patient's family members were very dewy when they heard it. At this time, there was a young man who looked like a mixed society. He slapped the table and shocked the teacher."

I told the patient's family about the operation process in detail, and the patient's family was impatient. Everyone here has experienced similar things.

Hearing what Zhou Congwen said, everyone smiled knowingly.

"The doctor-patient relationship is getting worse and worse now, unlike ten years ago." Director Jiang said.

worse and worse?Zhou Congwen smiled inwardly. Looking at it ten or twenty years from now, you will definitely envy the current doctor-patient relationship.

However, Zhou Congwen didn't say this to Director Jiang, but continued, "The patient's family members said that we don't understand what you said, and you speak human language!"

"..."

This was a bit too much. Thinking about the situation at that time, a tense atmosphere emerged spontaneously.The key is that the patient is critically ill, and everyone is curious about what Zhou Congwen's teacher will do.

"The teacher thought about it and began to explain again."

"Use a chainsaw after peeling the skin, which is the kind that cuts wood on the spot. The principle is similar to cutting the sternum. The sternum is the bone near the middle of the sweet and sour short ribs you eat."

"When he said that, the patient's family members understood. I think their faces are a little weird."

Zhou Congwen said with a smile.

Everyone thought it was a teacher, but only Zhou Congwen knew that these words were an explanation given by his boss to the patient's family.

"Then dissociate the thymus gland, that is, the chest, you can eat it."

"The next step is to replace the aortic arch, which is the yellow throat. Replace the yellow throat with an artificial one. If it can be replaced, the person will be saved. If it can't be replaced, the blood will go directly to the room, and there is no chance of rescue."

Zhou Congwen said with a smile.

"and after?"

"The teaching teacher told the patient's family members that they were hungry and invited us to eat hot pot."

"Hahaha."

"Hahaha."

"While eating hot pot, the teaching teacher also explained the anatomical structure of the brain to the patient's family."

What an interesting teacher to teach. The directors smiled knowingly, and the embarrassing atmosphere was relieved a lot.

"A thing happened when I was in military training at school." Li Qinghua said with a smile.

"Oh? That happened a long time ago." Professor Chen replied with a smile.

"Well, it's really early for college students to start military training." Li Qinghua said, "Our instructors are very young and very strict. It is impossible to ask for leave without training. A classmate knows our principal, and the principal came to see him directly. Get scolded and go away."

"Later, a girl couldn't take it anymore, so she went to the instructor. She said, instructor, I have been training too much these days, which caused the endometrium to fall off, and there was tearing pain in the abdomen..."

Isn't this the menstrual period? !

Several directors were stunned for a moment, thinking of the scene at that time, and then burst out laughing.

"The instructor was taken aback. It was the first time I saw a fearful expression on his serious face. What kind of endometrium shedding... I guess the instructor didn't understand it. He was worried that he had ruined the delicate girl. I didn't think much about it, and I hurriedly agreed to leave."

"Your female classmates are also very good, and you know how to fool the instructor." Chen Houkun laughed.

"Now that he is in Shanghai, he is already leading a group of professors. Last year, I went to Shanghai to have a meeting and have dinner together, and I talked about it."

Seeing that the atmosphere returned to normal, Li Qinghua also breathed a sigh of relief.

"Tell me that I'm hungry too. Teachers, you've worked hard all the way, let's have some food." Li Qinghua said with a smile, "I'm really sorry, it's because I didn't do my job well. Please forgive me, please forgive me."

"Look at what you said." Chen Houkun said, "I think your Dean Xiao is a bit weird. What's going on?"

"The patient came to see him early in the morning. Dean Xiao diagnosed a cerebral infarction, which is relatively mild and will recover soon. Dean Xiao and his family were full of words, but then something happened. From the text After seeing the patient, the diagnosis was aortic dissection."

Li Qinghua gave a simple explanation helplessly.

Including contacting 912, they all spoke out in one brain.

It turned out that this was the case. Several directors had a preliminary understanding of the ins and outs of the matter, and they all understood that it was Dean Xiao who silently told Li Qinghua and Zhou Congwen that the third hospital had the final say.

I have seen a lot of similar things, and it has long been no surprise.

After Li Qinghua finished explaining, seeing that the directors had no other response, he started to contact the hotel.

What happened today was really embarrassing. Li Qinghua had also learned Dean Xiao's methods, but as a department director, there was no way to shake someone of Xiao Qiang's level.

He wasn't worried about himself, his mood was a bit wrong, but he would get better soon, what Li Qinghua was worried about was Zhou Congwen.

"Congwen, it's okay, don't be depressed."

On the way to dinner, Li Qinghua comforted him.

"Depressed? No." Zhou Congwen said with a smile, "Small things don't matter."