Back in 2002 as a doctor

"Where's the old branch secretary?" The patient hesitated for a few seconds, and finally asked.

"Outside, what are you looking for from the old party secretary?" Zhou Congwen chatted with the patient while preparing consumables for his uncle, so as to prevent the patient from being overwhelmed with negative emotions such as fear and anxiety, and even the scene of "running away" by crawling and crawling.

"I don't have any money...you are still looking for a doctor in the provincial capital to perform the operation. Do you want Chievo's organs? Someone is in a hurry to use them?" the patient asked in a low voice.

"..." Zhou Congwen almost sprayed a mouthful of old blood on the patient's face.

"I've heard people say that there are black doctors who remove a kidney for appendicitis." The more the patient talked, the more frightened he was, and he wanted to climb down from the X-ray machine to escape.

"Don't move, it's quite high, if you fall again." Zhou Congwen hurriedly held the patient down, "What are you thinking, how many years has Dr. Gao treated you, can you still not trust him?"

"I... I'm still afraid." After hearing the words of Dr. Gao, the patient's mood was slightly calm, but he was still afraid.

"Shen Lang!" Zhou Congwen was beaming when he saw Shen Lang standing aside, gesticulating and talking to Wang Xueteng, "Go and call the old party secretary in."

"En!" Shen Lang turned and ran away reluctantly.

Zhou Congwen glanced at it, Wang Xueteng was obviously being polite professionally, but Shen Lang seemed to take it seriously.

Is this guy obsessed?Zhou Congwen was a little speechless.

Soon, the old branch secretary strode in.

"Old branch secretary..."

"Slap~" The old branch secretary slapped the patient on the shoulder, pointed at his nose and cursed, "You're so promising, you don't have any clues, do you?"

"..." Zhou Congwen laughed.This simple and rude style should work very well.

"I……"

"What's the matter with you? Let's take a step back. You don't even eat the cut offal. You still want to use it for others? You're delusional all day long. Why don't you just beep again and put the provincial city The experts left in anger, I will pull you back to wait for death!"

The patient immediately shut up, very honest and well-behaved.

It seems that the old branch secretary has a high prestige in his heart, and the old branch secretary is outspoken, and the patient wants to understand the truth in a few words.

It should be because I think too much.

"Old branch secretary, don't leave." Zhou Congwen said politely, standing in the operating room to help take a look.

"It's okay, I can trust you. Just this little bastard, he finally caught up with the pie in the sky, and he still wants to throw it away. This person, he is so fate. If there is no one in his family, I will Don't bother with this shit."

"If you stand outside, the patient can rest assured that our operation is easy to perform." Zhou Congwen said lightly.

The old party secretary thought about it, and it seemed to be the same reason.He stretched out his hand and smacked the patient's arm again, cursing, "Honestly, listen to what the doctor says, I'll just watch you bastard."

"Hmm." The patient nodded repeatedly.

After the preoperative preparations were completed, Director Jiang asked, "Doctor Xiao Zhou, do you choose the femoral vein or the subclavian vein?"

"It depends on the situation and habits." Zhou Congwen said, "I usually like to choose the femoral vein."

"Come on, I'll be your assistant."

"Come on." Zhou Congwen smiled, "I will tell you if there is anything wrong with the operation, and then you can modify it as appropriate."

Director Jiang was taken aback, he meant to see Zhou Congwen's operation for Budd-Chiari syndrome, so that he could learn.The so-called stones from other mountains can be used to attack jade.

But Zhou Congwen's words sound like what his mentor said, this is a machine guiding the operation.

I think that Zhou Congwen's level is already comparable to his own, or even higher. Director Jiang thinks that this is already a virtue of his modesty and prudence.

But it never occurred to Zhou Congwen... that he really only has the student level.

It's as ridiculous as thinking of him as a brother, but he misses his little girl.

Chapter 0526 Form Transformation

This young man really has confidence, Director Jiang was not angry, but glanced at Zhou Congwen, thinking to himself.

He and Zhou Congwen once matched the stage, and it was also in this perspective room, with a big air.I and Director Gou failed to complete the first step after more than an hour, but Zhou Congwen succeeded twice in a row.

If it happened once, it might be a coincidence, but twice in a row, Director Jiang admitted that Zhou Congwen's level is very high.

In addition, the Second Hospital of Medical University is going to cooperate with Mr. Huang to establish an academician workstation, but Mr. Huang handed it over to Zhou Congwen to take charge of the work.

A series of events proved that the young man in front of him was really not simple, and he couldn't even describe it as not simple, but his level was super high, otherwise how could he fall into Huang Lao's eyes.

"Then I'll do it, give me a look." Director Jiang said very gently.

Even though he said that, he felt a little unconvinced in his heart.

Director Jiang knows how to do the surgery for Budd-Chiari syndrome type III, but some details are still vague. I hope that I can do it smoothly, so that Zhou Congwen will be shocked!Director Jiang thought to himself.

Local anesthesia, incision, vascular sheath insertion, guide wire threaded in, began to walk along the blood vessel.

The hand wind is very smooth, Director Jiang is also a little happy.

Looking at the screen twice under the fluoroscopy machine, the guide wire is well-behaved today, just like my wife when I first fell in love.

At that time, my wife was docile like a little sheep, and she said what she said.

Today's guide wire is also the same, and it passes through the inferior vena cava smoothly to the hyperplastic membrane at the upper end of the inferior vena cava.

Taking another look, Director Jiang calmed down and prepared to use a balloon to stretch the hyperplastic membrane.

"Director Jiang, your level is good." Zhou Congwen glanced at the image and praised after returning.

Director Jiang wanted to laugh, but suddenly he felt absurd.

Zhou Congwen praised himself, very sincerely.But it is this kind of sincerity that seems to have a different meaning.

If Mr. Huang said that, Director Jiang would be very happy; but Zhou Congwen...why!

"I'll give it a try. It took me more than two hours to treat patients with Budd-Chiari syndrome type III last time." Director Jiang said, "You have Xiao Zhou as your co-star today, and the hand wind ahead is very smooth."

"Do it, be careful and use force." Zhou Congwen said lightly, just as casually and indifferently as he had guided his doctoral students in the previous life.

Director Jiang sent the balloon in, checked the position under the X-ray machine, and slowly inflated it after returning.

But the hand feeling was not good, the imagined resistance did not appear, Director Jiang tried to capture the small changes transmitted from the front through the slender catheter.

It seemed that the balloon had slipped, Director Jiang reluctantly handed the syringe to Zhou Congwen, "I'll take a look."

"Slipped off?" Zhou Congwen asked.

"Seems to be."

Director Jiang stepped on the line and went out to take a look. Sure enough, the balloon slipped off and did not apply force to the proliferating membrane.

Alas, just now, she was like a wife when she was in a relationship. How could she get married so suddenly when she was supposed to be doing business?

Director Jiang sighed deeply.

After marriage, the wife "shows her true nature" and becomes the head of the family fiercely, showing her true colors as a tigress.

Just like a balloon, the hand wind that just came in handy is gone, and it is quietly "lying" under the membrane in the inferior vena cava as if laughing at itself.

Come again!

Director Jiang also knew that he should not be in a hurry at this time. Anyway, under normal circumstances, he would have to do it 3-5 times before he could find a place to open the membrane a little bit.

Returning to the X-ray room again, Zhou Congwen suddenly said, "Director Jiang, how many times do you have type [-] Budd-Chiari syndrome?"

"The fourth time." Director Jiang was stunned for a moment, "Although the previous few times were not smooth, they were all successful."

"Oh, that's right, there are some differences in the method of hyperplasia for each patient." Zhou Congwen explained, "The patient's membrane is slightly bulging upward, so the method here..."

As he said that, Zhou Congwen moved his wrist, and the guide wire was as honest and well-behaved as when he was in love, and he turned it to an angle.

"Well, in this way, the resistance between the balloon and the membrane can be increased, reducing the possibility of prolapse."

Director Jiang carefully looked at Zhou Congwen's hand shape and the curvature of the guide wire.

He has done hundreds of vascular interventional operations and has already started, but because this is a "new technology", everything is in the process of exploration and accumulation.

What does Director Jiang lack the most?What he lacks is guidance.

What Zhou Congwen said was the accumulation of years of experience and the experience of repeated polishing after countless failures.

But... Director Jiang was taken aback. He didn't fully believe it, nor did he directly deny it. Instead, he followed what Zhou Congwen said.

The angle of the wrist was a bit awkward, and Director Jiang was almost embarrassed after posing it a few times.

"That's it." Zhou Congwen stretched out his hand to help Director Jiang adjust the angle, "I'll pressurize the airbag, this time you feel the angle first."

Is that all right?

An image of the patient's inferior vena cava appeared in Director Jiang's mind. According to the current position, the balloon should be slightly lower. After pressurization, the resistance may increase due to the angle.

It seems to be the case, but we have to wait until we see the image.

Zhou Congwen began to pressurize the balloon, and Director Jiang could vaguely feel the slight tremor coming from the guide wire in his hand, and the force of the balloon stretching was transmitted back along the guide wire.

It's just that this kind of strength is extremely subtle, and you can't feel it if you don't feel it with your heart.

Director Jiang was helping the catheter while observing Zhou Congwen's movements.

He pressurized very slowly, tentatively, for fear of accidents that the membrane would be torn due to excessive force.

After 1′22″, Zhou Congwen said lightly, “Okay, let’s take a look at the thread. "

After stepping on the line and leaving the image, Director Jiang was not polite, handed the catheter in his hand to Zhou Congwen, and hurried out to look at the image.

really!

The balloon remained quietly in the proliferated membrane like a first love girlfriend, and it had stretched a part of the membrane lying across the inferior vena cava.

Director Jiang stared at the picture in a daze.

The old branch secretary was a little worried, and he asked cautiously, "Expert, is the operation going well?"

"..." Director Jiang didn't answer, but tried to capture the fleeting details in his memory.

Every step, every operation, even every bit of strength and trembling from the catheter and guide wire to the back, Director Jiang tried hard to recall.

For him, this is the most precious thing.

If you explore by yourself, not to mention whether you can find it, even if you have the opportunity to comprehend it, it will be ten years later.And at that time, I was old and frail, and I couldn't even do surgery.

But now a golden treasure mountain appeared in front of his eyes!

Director Jiang felt all this hungrily, trying to recall all the details.

What exactly did Zhou Congwen do to turn his wife who was disobedient and fierce after marriage into a pre-marriage girlfriend?Director Jiang was deep in thought.

Chapter 0527 A large operation becomes a means of trauma suture

Seeing Director Jiang's dull expression and not answering his own words, the old branch secretary couldn't help but feel guilty for a while.

Judging from his experience, the provincial expert's expression seemed to be telling him that something went wrong with the operation, otherwise he wouldn't have looked at the black and white images on the machine without speaking for a long time.

The old branch secretary rubbed his hands and looked at Director Jiang anxiously. Seeing that he was speechless, he turned to look at Dr. Gao.

"Xiao Gao, what's going on? Can people still live?" asked the old branch secretary.

Doctor Gao couldn't understand interventional surgery either, so he asked Shen Lang beside him with dewy eyes, "Shen Lang, do you understand?"

Shen Lang shook his head.

"The operation was very successful." Wang Xueteng replied, "Director Jiang has sent the balloon to the position just now to stretch the hyperplastic membrane."

"..."

"..."

"..."

Everyone else was speechless, especially Shen Lang, who was ashamed and ashamed.

Wang Xueteng knew more than himself, which made Shen Lang unacceptable.He subconsciously thinks that he is a doctor, and it doesn't matter if he is despised by Wang Xueteng for other things, but being despised in the professional field is tolerable or unbearable!

"Then Director Jiang is..."

"It should be the power to calculate the next step." Wang Xueteng didn't know what Director Jiang was doing, so he casually found a step for Director Jiang, "Interventional surgery is less traumatic, so the operation is very delicate, don't disturb him."

"Oh oh oh." The old party secretary was relieved at once, he saw Director Jiang's back was much taller.

"Director Jiang! Is the location okay?" Zhou Congwen's voice came from inside.

Director Jiang reluctantly gave up on the memory, raised his hands in front of his chest, and hurried back, "Xiao Zhou, the position is just right. Is the posture and angle of my wrist like this?"

Said and did it again.