Back in 2002 as a doctor
Page 330
Director Lei was taken aback by Xiao Qiang's words. She knew Xiao Qiang very well and knew that he was unhappy.Xiao Qiang has a dog's face, and he can change as soon as he says it. Director Lei stepped forward quickly and hugged Xiao Qiang's arm.
"Old Xiao, I was wrong, don't be angry."
"That depends on your performance." Xiao Qiang felt soft, laughed, and put Zhou Congwen's matter behind him.
After driving to a hotel, Director Lei went to open the room, and the two went upstairs while laughing.
……
……
At the same time, in the office of the thoracic surgeon of the Third Hospital, Zhou Congwen was drawing patterns during the operation with a pen.
"Old Liu, please cooperate with me with a bronchoscope." Zhou Congwen tapped the pattern on the medical record paper lightly with the ballpoint pen in his hand, "The view of the endoscope is limited, I can't see what's underneath, so I can only do it blindly."
Liu Wei was stunned by the operation process outlined by Zhou Congwen, staring blankly at the pattern on the medical record paper.
He didn't expect the anesthetist to have such a heavy task during Zhou Congwen's operation.
"Can it be done?" Zhou Congwen asked.
"..." Liu Wei didn't dare to speak.
The excitement of hugging the treasure clip had long since disappeared. He concentrated on looking at the pattern drawn by Zhou Congwen, and finally shook his head.
"Congwen, I'm afraid it will delay your operation." Liu Wei said with a mournful face.
"Let's do this." Deng Ming said, "I'll start with the stage, and then I'll find a little doctor to be the second assistant. When the sleeves are cut and matched, I'll operate the bronchoscope and match you." Deng Ming held the thermos cup in his hand and slowly Said slowly.
He understood Liu Wei's mood.
The things Zhou Congwen asked for were extremely difficult. Even if he went up to operate the bronchoscope by himself, it was uncertain whether he could meet Zhou Congwen's requirements, let alone Liu Wei.
"That's okay." Zhou Congwen said lightly, "The main difficulty of the operation is here. Sleeve resection, it must be the most difficult time to anastomose the bronchi."
"Looking at your drawing, I feel more confident." Deng Ming laughed, "Xiao Zhou, I really didn't expect your thinking."
Zhou Congwen smiled slightly.
Laparoscopic sleeve resection was mainly carried out after da Vinci robots entered the clinic in large numbers.
The da Vinci robot is a surgical device developed by MIT. It was mainly used in field rescue at first, and the surgeon remotely controlled the operation.
However, due to the problem of signal transmission, it is not widely used in field rescue. Instead, it has gradually entered the clinic and is used in some difficult operations.
In the future, cuff resection and esophageal cancer surgery in thoracic surgery; beating heart bypass surgery in cardiac surgery; combined pancreaticoduodenectomy in general surgery will all be performed by da Vinci robots.
It is indeed difficult to use ordinary laparoscopic surgery now.
But who is Zhou Congwen? !
He is the surgeon who will do more robotic surgery in the future, not one of them.
When thinking about some things straight-forward, there are so many questions that I can’t figure it out at all.But if you think about it from another dimension, it will be easy to solve.
It's not a good solution, at least there is a solution.
Zhou Congwen was going to have a sleeve resection, and there was a blind area of vision when the bronchus was anastomosed.Ordinary laparoscopy is not a Da Vinci robot system. The light source and observation mirror cannot be reversed, so they can only be operated blindly.
In order to avoid risks, Zhou Congwen thought of observing with a bronchoscope during the operation, down to the end of the trachea that needs to be anastomosed, and completed the operation with his eyes.
Even the operating end of the bronchoscope can help you correct the angle of the suture needle in the trachea, which greatly reduces the difficulty of the operation.
But no matter how it is done, even if Zhou Congwen "tricks", the difficulty of the operation still breaks through the sky.
Even the current Zhou Congwen must carefully make up for all the flaws and act cautiously.
But the advantage lies in the cooperation of senior brother Deng Ming.
With two top thoracic surgeons working together, the operation should be no problem.
"Then it's settled." Zhou Congwen said, "Director Deng, is there anything else you don't understand?"
"There are many questions, such as..."
Deng Ming's academic level must be higher than that of Liu Wei, countless levels higher than him, and the question is also the most important point.
Zhou Congwen explained patiently, and kept drawing patterns with the ballpoint pen in his hand, trying to show Deng Ming the clearest art field.
Liu Wei was stunned.
He watched it many times, and felt that this was his hallucination, shouldn't it be Director Deng Mingdeng of 912 answering questions, Zhou Congwen nodding at the side, right?
Why is it that Zhou Congwen talked about the key points of the operation, but Director Deng nodded repeatedly?
Three hours later, Deng Ming breathed a sigh of relief, "It's almost there, I'll go back and think about it."
Zhou Congwen smiled slightly, "There is still time, Director Deng can ask if you don't understand. The surgery is a big one, so I don't guarantee that I will be in a good temper after I take the stage."
"..." Deng Ming looked at Zhou Congwen, holding the thermos cup in his hand.
If it weren't for the countless precious herbs soaked in the thermos, Deng Ming would have directly splashed the water on Zhou Congwen's face.
Is there such a thing as talking to the big brother!
Originally, Deng Ming thought that the boss, who was nearly eighty years old, had accepted the last closed disciple, so he must have brought it himself.
But the opposite is true.
Even if Deng Ming took him, he would not dare.
……
An ambulance roared out of the gate of Dongfeng Hospital.
Chapter 0573 struck by lightning
Zhou Congwen kept his ears to the outside world, and concentrated on discussing the operation with Deng Ming, Liu Wei, and Li Qinghua.
Sleeve cutting is not a big operation for Zhou Congwen, but the problem is that when Zhou Congwen went to 912 and Shanghai in his last life, he used surgical robots to do it.
The viewing angle of the surgical robot can be rotated, which is very suitable for various complex surgeries, and the surgical field is clear, which cannot be compared with open chest.
But now it is 2002, not to mention the Da Vinci surgical robot, it is very difficult to promote thoracoscopic surgery.
Laparoscopic cuff resection is indeed extremely difficult, which Zhou Congwen knew well.
Zhou Congwen also knew that even if he did it himself, thoracoscopic sleeve surgery would not be popularized, but this operation was to prove one point - what can be done with thoracotomy, can be done with laparoscopic surgery!
Deng Ming went back to the hotel to rest with Zhou Congwen's medical records written on the main points of the operation, and it seemed that he was going to light up the lights for a night battle.
Zhou Congwen also went back to bed early to keep fit.
Early the next morning, Zhou Congwen came to the hospital, and in the elevator, he saw Shen Lang with bright eyes shining brightly.
"What's wrong with you?" Zhou Congwen was a little puzzled.
Did Shen Lang comprehend the true meaning of sleeve surgery?Otherwise why are you so excited.
"Congwen, go to the duty room... No, go to the fire escape." Shen Lang winked at Zhou Congwen.
"..."
Zhou Congwen was taken aback.
Since Wang Chengfa was kicked to the outpatient clinic, both of them smoked in the duty room, but Shen Lang actually went to the fire escape?
Is your brain caught by the door?Or is there something else that should not be known?
There must be something big!But Zhou Congwen didn't think there was anything more important than the immediate laparoscopic cuff resection.
Being pulled to the fire escape by Shen Lang, Zhou Congwen sat directly on the stairs, looking at Shen Lang with a smile, "What's the big deal?"
"Congwen, something happened to Dean Xiao."
"Xiao Kai? No..."
"Our Dean Xiao, Xiao Qiang!" Shen Lang said helplessly.
What is Zhou Congwen thinking about in his head!
"Xiao Qiang..." Zhou Congwen immediately remembered what happened to Xiao Qiang in his last life. He didn't remember the time, and he vaguely remembered that Shen Lang was gossiping with himself.
However, the timing doesn't seem to be right. In his last life, Xiao Qiang seemed to be ill a few years later.
"Guess what!" Shen Lang's eyes were burning with fire.
"It's windy right away?" Zhou Congwen asked.
"..." Shen Lang looked at Zhou Congwen as if he was looking at a monster, "How do you know?! Who told you that the driver of the 120 ambulance is the 120 doctor? Or the neurosurgery doctor and nurse?"
You didn't tell me, Zhou Congwen slandered inwardly.
"You don't even know, Dean Xiao is miserable!"
"Huh? How miserable?" Zhou Congwen asked, he already felt that Xiao Qiang had to go back to the previous timeline.
"When he was talking to Director Lei, he suddenly had a brain attack. Director Lei was so frightened that he called 120 without any clothes on. When the doctor arrived, she was calling 110 without any clothes on. ..." Shen Lang sighed again and again.
Zhou Congwen's conclusion.
Call 110 for this matter, isn't it a joke, why bother the police comrades.
I was really frightened and dumbfounded, Director Lei's psychological quality is really bad.No wonder the usual accidents are pushed to the little doctor below. This is a matter of personal quality.
However, Dean Xiao's taste is really bad. Whether it's appearance or...he can talk about it, Director Lei has no taboos.
"I heard Doctor 120 say..."
"120 from that hospital?"
"Dongfeng Hospital."
Dongfeng Hospital is a small hospital remodeled from a community hospital. Unexpectedly, Shen Lang, the 120 doctor over there, also knows it.
"How did you know Doctor 120 of Dongfeng Hospital?"
"I sent a patient to the emergency department, fell down after drinking, and couldn't breathe. 120 was sent to our emergency department. I went to the consultation. The buddy told me it was a tension pneumothorax and asked me to insert two needles."
Zhou Congwen laughed, the level of doctors in Dongfeng Hospital is really bad.But that's it, grass-roots hospitals, how can they be expected to be so high.
In tension pneumothorax, inserting a 50ml syringe needle in the midline of the two ribs and clavicle is an extraordinary measure, but when the diagnosis is not clear, it will cause an open pneumothorax.
Generally, if a small doctor encounters this kind of thing, he may believe blindly and cause medical accidents.
"How did you do it?" Zhou Congwen asked with interest.
"It's not at all!" Shen Lang said contemptuously, "It's caused by vomit, trying to lie to me? It's not that easy. If he is sure, why didn't he insert the needle in the 120 ambulance?"
"Hahaha." Zhou Congwen laughed, Shen Lang is really good, his mind is very clear, and he was not led astray.
"Huh? How did you mention him?" Shen Lang frowned.
Just when Zhou Congwen was praising Shen Lang in his heart for not being led astray, Shen Lang already found out that Zhou Congwen had led him astray, and immediately brought the topic back.
"That buddy paid 120. He sent Dean Xiao to Dongfeng Hospital, called the dean on the way, and found a secluded place to contact me directly."
"I got up from the bed, took a taxi to find him, and asked him face to face."
"..." Zhou Congwen could imagine Shen Lang being called up in the middle of the night, and when he heard about this kind of thing, he put on his clothes and went out, as if he was doing emergency surgery.
"At that time, this buddy went to the hotel and took a stretcher up. Dean Xiao was still conscious. He finally confessed two sentences-the first sentence was not to go to the Third Hospital, and the second sentence was not to go to the People's Hospital."
"I was dumbfounded when I heard that." Shen Lang frowned, "Congwen, why don't you go back to our hospital? Our neurology department is not weak in technology."
"Too many people have been offended." Zhou Congwen said, "I'm afraid that others will do something secretly. Or he has done similar bad things in the past, which has caused psychological shadows."
"I thought so too, but he is a doctor anyway, how could he do something wrong." Shen Lang's three views couldn't be in sync with Dean Xiao.
"Who knows." Zhou Congwen said lightly, "What happened to Xiao Qiang later?"
"The dean of Dongfeng Hospital immediately contacted our Dean Li, and called Dean Xiao's lover, and finally discussed sending him back to our hospital." Shen Lang said, "The diagnosis is cerebral hemorrhage, and he is still on the operating table."
"Did our hospital do it ourselves?"
"Isn't the director of neurosurgery at the People's Hospital going to the Medical University to become the deputy director? The relationship has already been settled, and he hasn't left yet. He was called directly from home to perform the operation."
"Oh." Zhou Congwen nodded, so he didn't have to go by himself.
"By the way, Director Lei seems to have been stimulated mentally. Thinking about it, it's true. Suddenly, people will die, and no one will be afraid."
As Shen Lang talked, he sighed with emotion, "I can't do it, you said you just paid back yours and mine, but suddenly you started to convulse and foam, and you couldn't even catch your breath. No one knew it was Dead or alive... Well, Congwen, what are you talking about this person, why are you getting married?"
Chapter 0574 I think, not beautiful
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