Back in 2002 as a doctor

"Understood." Zhou Congwen was not surprised by this.

It doesn't matter if you don't look at Jiang or not. If you don't have time to look at the scenery or be in a daze when you go home, it's better to grind a few eggs if you have that time.

The two chatted for a while, and Zhou Congwen followed the window and stared at the villa behind him.

At 05:30, it was already dark, and Shen Lang and Li Ran were seen coming back by the street lamp.

Zhou Congwen opened the window and beckoned the two of them over. When Shen Lang saw Zhou Congwen coming back, he ran into the house like a wild dog running off the leash.

After hastily changing his shoes, Shen Lang hurriedly said, "Congwen, do you know the nickname of a doctor who specializes in 120 first aid in the emergency department of the Second Hospital of Medical University?"

"..." Zhou Congwen didn't expect Shen Lang to say this when he saw him for a few days.

It's... what the hell!

Zhou Congwen looked into Shen Lang's eyes and shook his head helplessly.

"The rivers and lakes are nicknamed Bai Wuchang, and Bai is the white clothes. It is said that the patients brought back by this buddy at 120 will undoubtedly die." Shen Lang said.

"Nonsense." Zhou Congwen refuted Shen Lang's statement.

"It must be an exaggeration, but when you were away, I went to the emergency department for observation and found that the mortality rate of the patients brought back by that buddy was really high."

Zhou Congwen glanced at Liu Xiaobie, and was about to change the subject when Shen Lang grabbed his arm.

"Congwen, don't believe it. Today I saw him pick up a patient who was fine. He said he was driving out of his community, but he crashed into an isolation block. The speed of the car was not fast, less than 30, and the airbag didn't even move. .”

"Huh? And then?" Zhou Congwen heard Shen Lang talk about the case, and he immediately became interested, and began to think about the next thing, "Did your chest hit the steering wheel?"

"No, nothing seemed to be wrong on the outside, but he was afraid of death. He was a little dizzy and called 120 emergency calls. After he came back, he checked and found nothing wrong. The emergency doctor had to stay on watch out of caution. The result was different from that of the patient. When the family members communicated, the patient suddenly became ill."

"..." Zhou Congwen sighed, "Carotid artery intima torn off?"

Shen Lang looked at Zhou Congwen as if he had seen a ghost, his eyes were round and round, "How do you know?"

"There are 23 major categories of diseases that may cause asymptomatic sudden death, even fewer related to driving. According to what you said, carotid intimal avulsion syndrome is the most likely. But patients should not die suddenly, the first is to lose Consciousness, incontinence."

Shen Lang hesitated.

"The emergency doctor didn't explain what was going on. The family couldn't cry anymore. I heard from their director that it was carotid intimal avulsion syndrome. They were being rescued and sent for MRI."

Zhou Congwen shook his head, "It's useless, there is still a chance for chronic diseases, such as dizziness, headache, and nausea. If you come to the hospital for treatment, you may find out in advance. Just put a stent on the carotid artery..."

As he said that, Zhou Congwen was taken aback, stent with membrane? In 2002, there seemed to be no such airs.

No, it seems that Abbott has begun to study drug-eluting stents, and there must be stents with membranes.

However, even if there is no airs and no interventional surgery, vascular surgery can be used for treatment, but it is too difficult, even Zhou Congwen himself is unwilling to try it lightly.

"What about the emergency department?" Shen Lang didn't notice the words stent-graft, he was more interested in the carotid intimal avulsion in the emergency department.

"It depends on the situation. If the amount is small, the cerebral infarction is not serious. It is still possible. If the amount is too large... By the way, if Xiao Qiang's condition is not cerebral hemorrhage, it may also come from the carotid artery."

Speaking of Xiao Qiang, Shen Lang's eyes brightened even more!

He pulled Zhou Congwen to sit down, "Congwen, do you know what happened to Dean Xiao?"

"..." Zhou Congwen particularly disliked Shen Lang's way of asking and answering himself.

But this is Shen Lang's habit, and he probably won't be able to change it in his lifetime.

Zhou Congwen's mischievous mentality emerged, and he glanced at Shen Lang, "He was sent to our hospital, and he survived after being rescued."

"Yes!" Shen Lang patted his thigh, "It's true that I'm alive, but it's said that life is worse than death now."

"Huh?" Zhou Congwen was startled, what's going on?

Chapter 0604 The Initiator

"Life is better than death?" Zhou Congwen asked in surprise.

"That's how I describe it." Shen Lang scratched his head, "It should be said that his doctors don't know what to do."

Zhou Congwen still didn't understand.

"I heard from others that Director Lei was in a daze at the time. When the 120 ambulance arrived, she didn't even have any clothes on. At that time, she was about to be sent to our hospital, but after hearing what Dean Xiao said, the doctor at 120 asked the patient Family members', after hesitating for a long time, they were sent back to our hospital."

"I know this. Didn't I have the surgery?" Zhou Congwen said.

"I told you?"

Zhou Congwen nodded.

"Oh, after the operation, Dean Xiao lay in the neurosurgery intensive care unit for several days. The question now is whether to pull out the ventilator or not."

"Huh?" Zhou Congwen wondered, is there any difficulty?When the indicator is reached, it will be pulled out. Doesn’t the neurosurgery doctor know about spontaneous breathing?

eccentric.

"It is said that our hospital..."

"It's the Third Hospital of Jianghai City." Zhou Congwen corrected.

Shen Lang was startled, looked at Zhou Congwen, "Congwen, you are really ruthless..."

"You are now a team member of the Academician Workstation, so you need to change your thinking." Zhou Congwen said, "You can't always think of yourself as a doctor from the Third Hospital of Jianghai City."

"Okay." Shen Lang nodded, and Li Ran raised his hand beside him, showing a smiling face.

"Old Tang and the others held many case discussion meetings, and there were two opinions. Some said that the ventilator could be removed, and some said it could not."

"Everyone has their own opinions, and we also found out the previous cases, and President Xiao's instructions for ward rounds were used as a basis."

"..." Zhou Congwen's mouth was full of bitterness.

He thought of the various doctor's orders that Dean Xiao ordered and changed day and night.

At that time, he changed the echocardiography of patients with aortic dissection repeatedly, not to mention things like extubation.

Sometimes extubation or not extubation does not have a strict boundary for medical treatment. If the patient's condition permits, it will be within the fuzzy boundary for a few hours or a day or so after stabilization.

And this kind of ambiguity became Dean Xiao's weapon.

No matter what the doctor below said, Dean Xiao would scold the doctor and finally carry out the opposite doctor's order.

Zhou Congwen's idea is still to think about the benefits, on the premise of not affecting the patient's treatment.

Neurosurgery doctors are like Pavlov's dogs, who are trained to have various instincts and instinctively doubt themselves.

The main thing is that no matter how I give the doctor's order, it is wrong, and all the older ones can only be handled by Dean Xiao.

Now that Dean Xiao has collapsed, he is being treated by a group of doctors whose minds are all muddled...

Zhou Congwen really didn't dare to imagine this scene.

Dean Xiao can be regarded as self-inflicted, but with his fall, the neurosurgery department of the Third Hospital is estimated to be seriously injured, and will not be able to return to normal for at least five years.

If the other old directors cherished themselves and did not pass on the technology, leading to a breakdown in technology inheritance, Dean Xiao's approach directly suppressed the normal growth of junior doctors, and even managed patients in a dilemma.

This is still really... the instigator has nothing to do with it.

The words of the old master appeared in Zhou Congwen's mind.

"What happened later?" Zhou Congwen asked.

"Everyone is arguing endlessly. Everyone has the medical records of similar patients in their hands. Dean Xiao's doctor's orders at that time were varied and not unified." Shen Lang shrugged his shoulders, "As far as Dean Xiao's condition is concerned, he had many This kind of treatment, so everyone is arguing."

"Then I just argue and quarrel, and I'm just idle when I'm idle. Now Dean Xiao is still having a tube, knocking out his consciousness, and breathing with a ventilator."

"Didn't anyone be invited to come and see?" Zhou Congwen asked with a frown.

"Yes, all kinds of experts are invited. But the experts come for consultations only temporarily, and they will be carried out after the doctor's order is given, but the experts can't stay with us all the time... they are not permanent in the third hospital. Every doctor's order is given by their doctors. Argue, can't make up your mind."

"..." Zhou Congwen was completely speechless.

This is a bit embarrassing, unless you can invite an expert from the People's Hospital to guide you from beginning to end.

But whose director and group professor can stay in the third hospital all the time?Is it possible to transfer personnel relations like Li Qinghua did.

It is estimated that Dean Xiao never thought that he would have such a day, Zhou Congwen smiled wryly.

In the eyes of Dean Xiao, junior doctors are just objects that can be abused wantonly, and their growth is not important to Xiao Qiang.

But at this moment, if Xiao Qiang is still conscious, I don't know if he will regret it.

No wonder Xiao Qiang would say not to send himself back to the Third Hospital when he was still conscious.

It is estimated that he still knew it in his heart, and when he was in danger, he tried his best to leave an entrustment.

But once a person is in a coma, he can no longer be the master of what happens.

Zhou Congwen shook his head, "That's it."

"Congwen, don't you want to go back and have a look?" Shen Lang asked.

"I'm not a neurosurgery doctor, what's so interesting about going back." Zhou Congwen smiled, "There will naturally be a unified plan in the hospital, but the neurosurgery doctor really went to the medical record room to borrow medical records, and came back with Dean Xiao Is the instruction at that time used as the basis for treatment?"

"En." Shen Lang nodded seriously, "I thought it was just a joke at first, but I asked different people and got the same answer."

Zhou Congwen shrugged and shook his head helplessly.

What is it called?The instigator has no successors.This word reappeared in Zhou Congwen's mind, lingering.

"Is the Second Hospital of Medical University interesting?" Zhou Congwen asked.

"I don't need to work the night shift, it's kind of boring." Shen Lang said.

Zhou Congwen glanced at Li Ran.

"It's okay. There are many patients and operations. I'll just squat in the operating room all day." Li Ran said seriously, "But I think their surgical skills are much worse than yours."

Li Ran was telling the truth, Zhou Congwen smiled slightly.

The Second Hospital of Medical University is considered a giant in the province, but in Zhou Congwen's perception, it is only a slightly better grassroots hospital.

"Tomorrow I will go out to the clinic." Zhou Congwen said.

"Do you accept patients for surgery?"

"Well." Zhou Congwen said, "The problem now is whether we can admit patients."

This is indeed a big problem.

If it is the outpatient clinic of Huang Lao's academician workstation, surgery patients must not worry.At that time, the worry was that there were too many patients and there were no beds in the ward.

But when Zhou Congwen went out to the outpatient clinic, there was nothing to say about his surgery, but his face was young, so it became a big problem to admit patients.

Zhou Congwen considered this matter early on. For himself back in 2002, this was an unsolvable problem.

It is even more difficult than doing double sleeve resection under thoracoscopic surgery.

Zhou Congwen didn't think about it, there must be a way to get to the front of the mountain, so he could only ask Chen Houkun to help him go out to the clinic to collect patients.

If Chen Houkun accepts patients but does not appear on stage, there may be some quarrels and conflicts.

In short, this matter became Zhou Congwen's first big problem to face.

Chapter 0605 I'll give you the bottom line

Just like Zhou Congwen expected.

The next day he sat in the outpatient clinic and waited to see some patients, but when it came to inpatient surgery, the patients all refused, bluntly expressing that they wanted to see again.

Some patients didn't say it clearly, but their "shy" expressions also made it clear what they were thinking.

This is something that cannot be changed by technology, and it has long been expected. Zhou Congwen is not in a hurry.

All beginnings are hard.

It is expected that the patient is difficult to recover. Zhou Congwen experienced it in his last life, and he also knows that it will gradually get better.

Sitting for a long day, Zhou Congwen didn't gain anything, so it was time to change clothes and get ready to leave work.

"Dong Dong Dong~"

Director Teng Fei Teng stood at the door and knocked on the door with a smile, "Xiao Zhou, the academician workstation has started working? You won't rest for a few days when you come back, just have fun with your girlfriend."

"Director Teng, come in and sit down." Zhou Congwen smiled and let Teng Fei in.

"How? Are you still used to it?"

"It's okay, just don't take the emergency room." Zhou Congwen said truthfully, "There are too many emergency rooms, it smells like adrenaline."

"I guess there will be no emergency department in the future." Teng Fei also grew up from a grassroots doctor step by step. Knowing what Zhou Congwen meant, she said with a smile, "How many patients have you admitted today?"