Back in 2002 as a doctor

The upper right corner of the field of vision is still hazy. Since I was reborn, I have walked from the Third Hospital of Jianghai City to the academician workstation of the Second Hospital of Medical University. According to Zhou Congwen's experience in his previous life, there are a lot of rewards alone.

I don't know what the little guy in the system is doing, why he still looks half dead.

For some reason, Zhou Congwen suddenly thought of Liu Xiaobie.

"My Uncle Wu was hospitalized for examination, and the coronary angiography performed by Director Teng himself ruled out the possibility of coronary heart disease."

"What else are you doing?" Zhou Congwen removed the image of Liu Xiaobie from his mind and continued to ask.

"Resting electrocardiogram, silauwolfine test, and other electrophysiological tests, but none showed abnormalities."

Rauwolfia test is also called Brugada syndrome test.

Brugada syndrome is a syndrome caused by abnormal function of ion channels caused by mutations in genes encoding myocardial ion channels.

Clinically, this syndrome is characterized by ST-segment elevation in V1-3 leads, variable ST-segment in V1-3 leads, no obvious abnormality in cardiac structure, polymorphic ventricular tachycardia (ventricular tachycardia) or ventricular fibrillation (ventricular fibrillation). ) and recurrent episodes of syncope and sudden cardiac death.

Zhou Congwen frowned, can the Second Hospital of Medical University diagnose sodium channel disease now?impossible! (Note)

Not to mention now, ten years from now, no hospital in the provincial capital will be able to diagnose this "high-end" disease.

Seeing Zhou Congwen's strange expression, Yuan Qingyao immediately said, "My teacher in Cleveland came to help me with the silauwolfium test."

"Oh." Zhou Congwen nodded.

No wonder.

It's just that at the end of 2002, someone in the provincial capital was able to do a silauwolfine test, and Zhou Congwen always felt a sense of space-time disorder.

"Transthoracic echocardiography and cardiac magnetic resonance tomography also showed that Uncle Wu's left ventricular pumping ability is also normal."

"The examination can't be done. Even my teacher and the cardiologist in Cleveland can't tell what the disease is." Yuan Qingyao sighed. .Plus he has love for Ye Hang, so he didn't take it seriously at all."

He paused, and subconsciously smiled.

Zhou Congwen was stunned.

No wonder Yuan Qingyao has been refusing to laugh, and more often he has to wear a mask.

His smile was standard to weird, revealing eight small white teeth.

It's just that other people's eight small teeth are up and down, but Yuan Qingyao's eight small teeth are all upper teeth.

Zhou Congwen laughed.

Yuan Qingyao scratched his head, and didn't think Zhou Congwen was impolite. He said with some embarrassment, "When I was young, the etiquette teacher invited by my family said that showing eight teeth was the standard. At that time, I was in the rebellious period. The teacher said how to laugh. Not at all. So..."

"That's why you showed eight teeth, and you became what you are now?" Zhou Congwen asked with a smile.

"..." Yuan Qingyao was silent, and nodded sadly.

"It's all right." Zhou Congwen waved his hands, but the smile on his face couldn't be restrained, "And then?"

Yuan Qingyao was still a little embarrassed, but he had already experienced too many similar situations, so he continued, "My teacher suspects that the combined harvester leaked electricity, which caused the cardiac arrest."

Zhou Congwen nodded, and he also agreed with this guess.

But now similar things continue to happen, this kind of speculation can be ruled out.

"Uncle Wu went back after he was discharged from the hospital and found a personal health doctor to follow him. The 24-hour life-saving one checked the combine harvester again. In short, things are very strange and there is no problem, so we can only let it go."

"That's right, all the doctors from the Cleveland Clinic have been invited, but I don't know where to go. There is no way to change anyone, and everyone is scratching their heads." Chen Houkun said.

Zhou Congwen glanced at Chen Houkun, this is the real hidden boss.

With my wholehearted help, Yuan Qingyao, a high-achieving returnee student, was inexplicably added, and Zhang You even dug a hole to bury Zhang You himself.

Chen Houkun's fate seems to be better than his previous life.

"There was a second cardiac arrest a few days ago. Uncle Wu had no choice but to come again. Originally, he wanted to go to Xiehe to have a look. If he couldn't, he would go to the Mayo Clinic. But I stopped him. I told Uncle Wu, Brother Zhou, you can definitely solve it."

Yuan Qingyao said with certainty and seriousness.

"So confident?" Zhou Congwen looked at Yuan Qingyao with a smile, his eyes were full of Yuan Qingyao's round mouth with eight upper and lower teeth.

"I don't know, it's a very weird feeling." The corners of Yuan Qingyao's lips twitched slightly, but she still couldn't hold back her laughter.

"Professor David Smith is the top thoracic surgeon in the United States. In the demonstration surgery a few days ago, he couldn't do the surgery. Brother Zhou, if you can do it, I have a weird confidence."

"That's right." Zhou Congwen felt that Yuan Qingyao was very honest, and what he said was the truth.

This is the truth.

……

Note: Boss Zheng met a rich man in Xiangjiang on 912 and was diagnosed with sodium channelopathy, which is similar to this case, but this interesting landlord has ruled out sodium channelopathy.

As I write this, I think of Boss Zheng, and wonder if he is doing well.So what about Brother Yun, is he still so stinky?

I hope that the series will come out at this time next year and it will bring surprises.

Chapter 0613 Prepare to be scolded and cry

"Where is the person?" Zhou Congwen asked.

"High-ranking cadre ward."

"Go... wait a moment, I'll take a look at the patients on the stage." Zhou Congwen said with a smile, "I always feel uneasy if I don't take a look at the postoperative situation."

Chen Houkun laughed, this is a doctor's obsessive-compulsive disorder, too many people, including himself, are like this.

Anyway, there is no rush on the other side, and I feel at ease after seeing the patient before leaving.

"Xiao Zhou, is that the patient that Director Teng sent?" Chen Houkun asked.

"Huh? Brother Chen, do you know?" Zhou Congwen asked.

Chen Houkun was a little confused, a little embarrassed, and a little nostalgic.Various complex emotions appeared on his face, which looked a bit like Li Ran.

"Although I'm sure the future direction of development is laparoscopy after seeing you perform double cuff resection with thoracoscopic surgery, but so many years of painstaking efforts..." Chen Houkun said, sighing, "I took a peek at that patient and listened to them. After a few words, how did you make the diagnosis?"

"During the angiography, Director Teng pierced the aortic sinus with the guide wire and entered the right atrial appendage." Zhou Congwen said truthfully.

"Ah? Isn't it just a radiography? How can you pierce the aortic sinus?" Chen Houkun was a little puzzled, with a confused look on his face.

"Hehe, secondary injuries are inevitable. Besides, Director Teng doesn't have many people to communicate with, and his level of improvement is relatively slow. It's okay, just set up the Academician Workstation, and there will be many opportunities to discuss in the future."

In Chen Houkun's eyes, Zhou Congwen was no longer a doctor at the Third Hospital of Jianghai City.

How can the master who can do double-sleeve resection with laparoscopy be a little doctor.

There's a reason why the double-sleeve cut is called a barrier to difficulty.But this kind of barrier doesn't seem to exist in front of Zhou Congwen, he can even do it with a laparoscope.

What other people see as the ceiling can be easily broken by Zhou Congwen's fingers.

And Zhou Congwen said it was a discussion, probably the same as thoracoscopy, he stood at a high position, and Teng Fei could comprehend it just by teaching something.

Chen Houkun had no doubts about Zhou Congwen's ability.

This is accumulated through operation after operation, through operation video, and through individual patients.

Not to mention indestructible, but both Chen Houkun and Yuan Qingyao have great confidence in Zhou Congwenbao.

Otherwise, Yuan Qingyao would not have given Zhou Congwen another look at a patient that even the cardiologists at the Cleveland Clinic could not understand, and said with great confidence that Zhou Congwen would definitely be able to solve it.

This kind of trust is blind, even Zhou Congwen couldn't figure out why Yuan Qingyao had such inexplicable confidence in him.

Chen Houkun asked about the operation, Zhou Congwen answered truthfully.

"Brother Chen, don't think about it, do a good job of thoracoscopic surgery, and I will take a few patients who have undergone sleeve surgery." Zhou Congwen finally said.

Chen Houkun scratched his head and smiled, "I have already accepted one."

"Ha!" Zhou Congwen nodded, "Preoperative examination, and then find time to do it, I will help you with the mirror."

"Xiao Zhou, are you going to the Third Hospital of Jianghai City on weekends?" Chen Houkun asked.

"I can't pass it. They are all wedge-cut patients who vomited after surgery. Now I can't even watch the films of small lung nodules. I feel sick after seeing too many films."

Chen Houkun didn't understand Zhou Congwen, but everyone was unique, and he didn't have the initiative to think about Zhou Congwen.

A few minutes later, Zhou Congwen took a look at the postoperative patient.

Teng Fei followed suit. Seeing Zhou Congwen and Chen Houkun approaching, she didn't look at Chen Houkun at all, but grabbed Zhou Congwen's arm.

"Xiao Zhou, I thought about a few points about radiography you just said."

"Don't worry, Director Teng, I'll take a look at the patient and go to your ward."

"Ah?" Teng Fei was startled, then saw Yuan Qingyao there, and immediately knew what was going on.

Although the patient was not in her own ward, she was in her own care, and Teng Fei did not correct Zhou Congwen's "slip of the tongue".

Now that Zhou Congwen had said everything, Teng Fei had no reason to refute. After Zhou Congwen had finished watching the surgery, the patient dragged him to talk about many things related to radiography.

Although coronary angiography is the most basic of cardiac interventional surgery, even this basic surgery is not reliable.

It's not the same as surgery.

Surgical operations have been polished for hundreds of years. There are dozens of sutures and more knotting methods, but many of them are not common.

However, interventional surgery has taken four to 50 years at most from scratch, and it is still a new technology that is developing rapidly.

Even for the most basic coronary angiography, after listening to Zhou Congwen, Teng Fei still had countless questions to ask.

Zhou Congwen stopped Teng Fei's question with a smile, "Director Teng, someday I will go with you when I need an operation."

"Really!" Teng Fei almost jumped up.

"Really." Zhou Congwen said, "But I may have to apologize first."

"what?"

"When I'm on the operating table, my temper won't be as good as it is now. You'd better do your homework in advance, or I'm afraid you will cry on the operating table." Zhou Congwen gave a "kind" warning.

To Teng Fei, Zhou Congwen would definitely not respect Director Zou of the anesthesiology department as he did on 912. He would bow before the operation and apologize to him in advance.

"..." Teng Fei was speechless.

Is this the rhythm of scolding and crying?

"Just kidding." Zhou Congwen smiled slightly, "My temper on the operating table changes with the difficulty of the operation. It's just a radiography machine. I don't think my temper will be very bad."

"!!!" Teng Fei vaguely saw his tragic future.

"By the way, what do you think of that Uncle Wu from Qingyao?" Zhou Congwen asked.

"I don't know." Teng Fei said blankly, "Xiao Zhou, Qingyao told you, the family invited a cardiologist from the Cleveland Clinic to make an examination and diagnosis, and in the end it was..."

As he spoke, Director Teng Feiteng shrugged and spread his hands, expressing that he was powerless.

Zhou Congwen smiled and strode towards the circulation department.

"What do you think?" Teng Fei asked.

"If the Cleveland Clinic thinks there is nothing wrong, and I hear Qingyao talk about the various examinations done before, the preliminary judgment should be idiopathic ventricular fibrillation, also known as primary electrocardiographic disease."

Teng Fei was at a loss, primary heart disease?What the hell is that.

Zhou Congwen actually didn't know when the theory of primary electrocardiographic disease was formed, but it definitely wasn't before 2002.

"Idiopathic ventricular fibrillation mostly occurs in young and middle-aged people, and 70% of them occur in healthy male patients under the age of 40. In recent years, reports on this disease have been reported year by year in Southeast Asia, such as the Philippines, Thailand, Singapore and other countries. increase."

"..." Teng Fei was even more at a loss.

Cases in Southeast Asia have been counted in Zhou Wen's mind?

That's weird.

Where did Zhou Congwen know such detailed data?Has anyone done research on this?Teng Fei's mind was blank.

Chapter 0614

"Xiao Zhou, what are you talking about...all undiagnosed diseases are primary electrocardiographic diseases?" Teng Fei asked confused.

"Hahaha." Zhou Congwen laughed.

What Teng Fei said was straightforward, and it sounded ridiculous, but it was true.

This is also caused by the so-called historical limitations.

Many young and middle-aged men died suddenly for no reason, like Yuan Qingyao's Uncle Wu is an example.

One second he was driving the combine harvester perfectly, and the next second he had a cardiac arrest. No wonder there are so many folk tales of strange powers and chaos.