Back in 2002 as a doctor

Should... these two words stunned Xiao Kai.

The practice certificate is a kind of standardized reform carried out by the Ministry of Health from top to bottom in the new millennium. It is not very formal yet, but it is always bad to be brought up to say something.

It shouldn't be that difficult to get a certificate when it's informal and messy everywhere.

Xiao Kai kept breathing with his hands in front of his mouth, warming his hands, "Professor Zhou, I'm really sorry about what happened this time."

Zhou Congwen picked up the phone, waved his hand, and made a call.

"Director Deng, there is something I forgot to ask." Zhou Congwen said.

"what's up?"

"The boss should give me a qualification certificate for interventional surgery."

"It's done, aren't you going to do a subcutaneous implantable cardioverter defibrillator? The boss said it's more formal, and he finished the practice certificate. What? You need to check? Why did you go to the academician workstation? ? Who leads the team?"

Deng Ming asked directly.

Every word hit Xiao Kai's heart.

The students under the academician's school have different confidence. If you directly ask who leads the team, Director Deng is putting on a posture of provoking the teacher to ask the crime.

"I just remembered to ask." Zhou Congwen smiled, "It's okay."

"Xiao Zhou, did you encounter any difficulties?" Deng Ming didn't believe it, and continued to ask.

"No, I just got bored recently. I helped Director Teng Feiteng of the Second Hospital of Medical University deal with a patient with ruptured aortic sinus and a guide wire inserted into the right atrial appendage. I suddenly thought of it." Zhou Congwen replied with a smile.

"It's fine." Deng Ming urged, "Xiao Zhou, we are the boss's students. We don't cause trouble but we are not afraid of trouble. We should see a doctor and do surgery well. If anyone dares to stumble, ask the boss to look after him. , As for the little people in your province, don't bother the boss."

Little man, Xiao Kai is a little sad.

"I know Director Deng, don't worry." Zhou Congwen said, "I usually have a good temper."

Xiao Kai was taken aback.

Generally speaking, you have a good temper, but what about the general situation?

"Here." Zhou Congwen twirled his phone and said with a smile, "Xiao Yuan, you heard it all, yes."

"I was overthinking, overthinking." Xiao Kai rubbed his hands and apologized.

It was really too cold outside, Xiao Kai was frozen into a popsicle, and he couldn't warm up at all when he first entered the room, he felt that he was shivering when he spoke.

"Yuan Xiao, how is your circulatory interventional operation going?" Zhou Congwen didn't seem to mind that he came to Baishui City but didn't have an operation, he asked very gently.

"Not good." Xiao Kai said, "First of all, it is difficult to select patients."

Zhou Congwen nodded.

"I dare not do things that are too heavy, and there is no need to do things that are too light." Xiao Kai told the truth.

"When you start a new business, you will always encounter troubles of one kind or another. It's okay." Zhou Congwen said with a smile, "It will get better with time, but whether the business goes smoothly or not depends on you leaders."

Leader, Xiao Kai smiled wryly.

But Zhou Congwen is right, it is indeed the case.

If there is support in the courtyard, no matter how big the matter is, the technological progress must be very fast.

After all, medicine is an empirical discipline, and doctors gradually mature through countless operations and treatments.

Existence like this evildoer in front of him has no universal meaning.

"Oh, it's difficult." Xiao Kai shook his head, "I still have a medical dispute at hand, which is about interventional surgery."

"The patient's left coronary artery was blocked in two places, one branch of the capillary vessel was blocked, and the right vein was completely blocked.

During the coronary angiography, the doctor and the family members of the patient explained that three stents should be placed at the two blocked points of the left coronary artery, but the right side is completely occluded. If the stent is placed on the left side, the blocked blood clot may fall and completely block the left coronary artery, causing the heart It will stop jumping and make rescue impossible. "

"The patient's family decided to undergo a stent operation after weighing it up. However, after two and a half hours of operation, the blocked blood vessel was not opened, and the operation failed in the end."

"After returning to the ward, the patient soon developed cardiac tamponade..."

Zhou Congwen sighed.

He understands Xiao Kai's meaning very well-whether the patient chooses coronary artery bypass surgery or interventional surgery, the risk is relatively high.

These are three lesions, basically competing with death.

Moreover, patients with three-vessel lesions generally have poor blood vessel conditions, so where can they find so many patients?

When he first came into contact with this type of surgery in the system space in his last life... Zhou Congwen thought of the unbearable past.

At that time, I accumulated coupons to buy opportunities for interventional surgery by myself, and I almost died once as a simulated human being. Zhou Congwen, who was as tough as a rock, almost didn't collapse.

And this is still a dead simulated human, if replaced by a real person, Zhou Congwen doesn't think he can survive.

Chapter 0626

"Technical problems are not considered medical malpractice." Zhou Congwen said.

"That's what you said, but the patient's family members don't agree." Xiao Kai sighed, "Professor Zhou, you said... well, I also know the thoughts of the patient's family members. Everyone wants to be [-]% successful. But the improvement of technology does not happen overnight. , If you don’t have an operation, you will die, but if you do it, you can still fight.”

Zhou Congwen also sighed.

I can use the accumulation of system space to improve my technical level, but other doctors do not have this convenient condition, and can only accumulate bit by bit in actual combat.

Difficult, the development of new technologies is difficult.

No one can become the accumulation of experience and clinical experience, which is also human nature.

There is always a difference between people's hope and reality. The two huge forces are like a millstone, and the doctor is caught between them.

It is only one aspect of what the so-called Daqianlang earned with consumables in later generations, and more doctors who fell off the horse halfway were not noticed at all.

Who cares about those white bones?

As for the thoughts of people like Wang Chengfa and Zhang You, Zhou Congwen is also clear that things after retirement are one thing. There is always a price to be paid for developing new technologies, and they just don't want to be that price.

Zhou Congwen didn't bother to ask the final result of the matter, it was pretty much the same anyway.

This matter is neither a medical trouble nor a medical malpractice, and neither party is wrong in principle, but the patient's condition is there, so it is difficult to think about it.

"It's here anyway." Zhou Congwen said lightly, "Is there any other patients who need surgery? You can go to the Circulatory Department. I'll see the level of your hospital from below."

"..." Xiao Kai was taken aback.

Zhou Congwen wants to teach for free? !

Teaching surgery is the best way to improve the technical and tactical level of doctors, but it is impossible to hire suitable doctors.

Doctors in high-level public hospitals are very busy, and they can't finish their own operations. Who is in the mood to go out to teach.

Moreover, this kind of guidance is different from door-to-door training.

There are not many operations that trainees can perform, and many difficult surgeries are not allowed to trainees at all.What I learned was only the scales and claws, but I didn't use it often when I came back, and it quickly became unfamiliar.

And then there is...

There are too many problems, and Xiao Kai knows how precious the opportunity for such a high-level doctor to come down to guide the operation is.

He was a little excited.

"Professor Zhou, really?!"

"Of course." Zhou Congwen said lightly, "The reason why the boss wants to set up an academician workstation in the Second Hospital of Medical University, I think Xiao Yuan should be able to guess some of the meaning. It's all here, and it's snowing. You can't go back in the dark. If there is I’ll just sit down and watch the surgery, if not, I’ll just look at the medical records.”

Xiao Kai shuddered as he entered the moment of being a sage, and all the unhappiness of being bullied by Dean Guan before disappeared.

Seeing Xiao Kai's expression, Zhou Congwen found it interesting. This person is really only suitable for working in technology, not in institutions.

Contact the director of the circulation department, because Professor Qin from the imperial capital is here to perform the operation, so everyone is there.

The director of the Circulation Department thought that Dean Xiao had been embarrassed, so he could only bring the so-called Professor Zhou to check the ward to show off his prestige.

But no matter how Xiao Kai is the vice president in charge of the clinic, he still has to give the face that should be given. The director of the circulatory department brought the subordinate doctors to welcome Zhou Congwen and Xiao Kai.

Zhou Congwen didn't talk nonsense. After he came, he checked the patients for surgery like the director of a major internal medicine department.

Needless to say, with Xiao Kai here, Baishui No. 6 Hospital has a lot of interventional surgery patients, at least [-] of them are still hospitalized.

Zhou Congwen checked one by one, putting aside the patients who were okay, and mainly looking at the patients with problems.

Soon, his eyes fell on a medical record.

The patient was a case of cardiac tamponade after coronary stenting. The director of the circulatory department performed pericardiocentesis and placed a drainage tube as soon as he found out.

It's just that the patient's condition didn't seem to improve. The blood routine showed that the hemoglobin dropped from 99g/l to 61g/l within five days.

"This patient." Zhou Congwen clicked on the medical records, "Take me to have a look."

The director of the circulation department frowned, Zhou Congwen must be looking for trouble.

Just such a patient with a problem, he just depends on the patient's condition.

Generally, there are not so many things to do with external experts. It is estimated that he was robbed of the operation and did not earn the fee for external experts, so he was unhappy, so he came to scold others to relieve his psychological depression.

The director of the circulation department can't help it either. This is the matter of the two deans and has nothing to do with him.But who made himself a small official?

Zhou Congwen glanced at the patient and began to examine the patient.

The director of the Department of Circulatory Medicine was a little disdainful. He did it so professionally, and he made it clear that he would go back to scold people later.

Zhou Congwen did a detailed physical examination on this patient, which lasted for 5 minutes and made the doctors behind him sleepy.

Five minutes later, Zhou Congwen left silently with his hands behind his back.

"Who was that person just now?"

"I don't know. Why do you feel that Director Zhang of the Department of Circulatory Medicine is a little unhappy when you come here for a physical examination at such a young age?"

"I'll go and see, maybe someone's child is here for an intern. This is too much. Is there any interns allowed to see patients?"

After Zhou Congwen left, the family members of the patient talked a lot.

Zhou Congwen didn't know what the patient's family members said, so he left with his hands behind his back and went straight back to the doctor's office.

"Director Zhang, I need a bedside echocardiogram and prepare for surgery. By the way, does your hospital have an occluder?" Zhou Congwen asked directly before sitting down after entering.

"Ah?!" Director Zhang was taken aback.

Under normal circumstances, the circulatory intervention guide wire punctures the coronary artery and causes pericardial tamponade. As long as it is discovered in time, it will take a few days to perform pericardial puncture and drainage.

This patient is indeed a bit strange, but it is far from being as simple as surgery.

And the occluder is not used on blood vessels, he doesn't even know this, he is really a young rookie with a big addiction.

"Professor Zhou, what's the patient's condition?" Seeing Zhou Congwen's serious expression, Xiao Kai asked quickly.

"The left ventricle leaked during the pericardiocentesis, and a tube was inserted into the left ventricle after the pericardiocentesis." Zhou Congwen said with a frown.

"..."

Director Zhang was startled, and subconsciously denied, "Impossible!"

"Haven't heard the breath sounds of both lungs for a few days?" Zhou Congwen asked.

Since he was not in his own hospital, Zhou Congwen was still being polite.If Shen Lang or Li Ran had made such a mistake, the medical record folder would have flew over and smashed him in the face.

"..."

When Director Zhang heard what Zhou Congwen said, his hands and feet suddenly became cold.

He only listened to the heart sounds during the ward rounds, but not the breath sounds of the lungs. How did he know? !

The patient is cardiac tamponade. If there is no special situation, who will check the breath sounds of both lungs?Besides, it is not a long-term bedridden patient, so it is useless to check.

Was it scaremongering, deliberate cursing, or... Director Zhang pondered carefully, and stood there in a daze for a moment, motionless.

Chapter 0627 a little capable big Qianlang

"This kind of mistake really shouldn't be." Zhou Congwen didn't sit down, but stood in the office with his back against the table, looking at Director Zhang and his doctors, and said in a deep voice, "Who will tell me about the complications of pericardiocentesis?" .”

"..."

Director Zhang was taken aback.

This is the teaching mode, which he is very familiar with.

This is also another way for superior doctors to vent their anger after discovering a problem, besides cursing others, to humiliate subordinate doctors.

A similar pattern was familiar to him.