Back in 2002 as a doctor

The consumables were not working, and Wang Xueteng felt offended.

But she thought about it again, the "positioning anchor" made by Zhou Congwen was indeed easy to use, and she was so angry that she didn't know how to release it.

Although I feel offended, I can only swallow this breath.

"Manager Wang, you..."

"The patient is my neighbor. He heard something was wrong in the middle of the night, so he got up to take a look." Wang Xueteng said half-truthfully, "Her boyfriend was scared stupid, so I had to come with her, or I wouldn't worry about accidents."

"Manager Wang is really warm-hearted." Shen Lang praised absently, and walked to the fire escape.

"Mr. Shen, how did you know that the patient has housing shortage?" Wang Xueteng asked.

After entering the fire escape, Shen Lang took out a cigarette and smiled, "I'm sorry, I'll smoke a cigarette to deepen my memory."

"..."

"What did you ask just now?"

"I think the patient has a cerebral infarction, but you just want an echocardiogram. How do you know that the patient has an atrial defect?" Wang Xueteng repeated the question.

"Oh, guess." Shen Lang said casually.

Wang Xueteng was furious, Shen Lang's words were too careless!

"I used to be in the Third Hospital of Jianghai City. I met a patient who became paraplegic when he slapped and slapped. causing spinal damage."

Shen Lang sat casually on the steps, recalling the past gossip.

Wang Xueteng felt that Shen Lang didn't have the salivating feeling when he looked at him, and was a little disappointed.

"There are a lot of problems that come out of popping. I'm very excited. Anything is possible. My cousin suffered a cerebral hemorrhage. Fortunately, Congwen contacted the Imperial Hospital and asked Teacher Wang Daming to do the embolism."

"Xiao Qiang, the vice president of our third hospital, got wind of it a while ago, you know."

"At that time, I was very curious when I saw the patient. I knew that the patient was sent to the neurology department and followed him all the way. After three days of investigation, they found out that it was a heart problem. Because of the vigorous activity, the thrombus fell off and was tied to the supply blood vessels of the spinal cord.

Of course, this conclusion was not made by our third hospital, it was diagnosed after the patient was transferred to the Medical University.The medical level of the third hospital is still a little bit worse, only headaches and feet hurt. "

Wang Xueteng was very curious when he heard Shen Lang's disorganized chatter. This person seemed to have an incomprehensible enthusiasm for all kinds of gossip.

"How can heart disease lead to infarction?" Wang Xueteng asked.

"I think it may be because the process is too intense, the thrombus falls off, and at the same time, there is a breath-holding behavior, which causes the chest pressure to rise. The previous cryptogenic heart disease will be highlighted, providing a channel for the thrombus." Shen Lang said.

"..."

After all, Wang Xueteng was not a medical student, so she looked at a loss.Fortunately, what Shen Lang said was simple and clear, not difficult to imagine.

"Many patients with congenital heart disease don't know they have the disease at all, and occasionally it will become the situation in front of them. The process of sex is too intense, plus holding your breath, the pressure in the chest cavity is high..."

While talking, Shen Lang began to make gestures, and told Wang Xueteng about regional anatomy.

"She was paralyzed by her boyfriend, and I felt more wronged when I was paralyzed by myself. I asked Congwen, and he said that there is no way. Maybe pregnant women pay attention to pregnancy checkups during pregnancy, which will reduce the possibility of congenital heart disease.

Another thing is to find that there is a problem with the child. When the child is 2-3 years old, he will have an operation directly to seal the gap in the house, and there will be no such thing. "

"In the end, the technology is still not developed enough. I said Manager Wang, does Olida have any relevant research?"

"Huh?" Wang Xueteng was taken aback.

It was difficult for Wang Xueteng to accept such serious words from Shen Lang's mouth.

"What research?" Wang Xueteng asked.

"Retrieve the thrombus. Congwen drew a picture for me. It is a net that can trap the embolus and take it out along the blood vessel. Congwen said that the embolus is actually not big, and it can be taken out immediately. life is basically unaffected.

But Congwen also said that this kind of technology doesn't exist yet, it's just his imagination. "

"Can your consumables not be so expensive, it is too expensive for many patients to accept."

"However, as Congwen said again, if it is not sold, it will be expensive and no one will study it, and it will be even worse."

Listening to Shen Lang's chatter, Wang Xueteng was a little distracted.

It doesn't make people feel weird whether such words of concern for the country and the people come from Huang Lao's mouth or from Zhou Congwen's mouth.

But just by saying it from Shen Lang's mouth, I feel that it's so dishonest.

Sure enough, the unscrupulous ones came right away.

"What are you talking about getting married? You might be paralyzed with just one slap. It's really frightening." Shen Lang said.

"..."

Wang Xueteng thinks that Shen Lang is really weird, he can say such things.

"By the way, Congwen also told me a formula for stroke 120, do you want to listen?"

"Stroke 120?"

"1 refers to looking at one face. If there are sudden crooked corners of the mouth, drooling, and asymmetric facial paralysis, it may be a stroke."

"2 refers to checking the two arms, such as whether there is numbness in the limbs, and there is unilateral weakness in parallel lifting."

"0 means listening to language, whether speaking is difficult, slurred, or unable to speak."

"The first two are okay. I think the 0 I listened to on Zhouyi is a homonym, which was made up by Congwen himself. But it's easier to remember, and it's pretty good."

Shen Lang continued to ramble.

Stroke 120... Wang Xueteng recalled carefully, and suddenly found that what he said was indeed reasonable.

Especially for young people, once a stroke occurs, the disease can be diagnosed quickly by following this set of comparisons.

Chapter 0638 Zhou Congwen opened up the space

When Shen Lang was "spreading nonsense", the operating room was also brightly lit, and the hepatobiliary surgery was in progress.

"Professor Wen, why do you use laparoscopy so frequently recently?" The itinerant nurse snatched the anesthesiologist's stool, sat in the corner to rest, and chatted with the surgeon.

"Hey! Old Chen is doing a great job, especially Zhou Congwen who is in charge of the academician workstation. Have you met?" the anesthesiologist interrupted with a smile.

"I see, for the surgery a few days ago, five operations a day, five operations a day, no matter what the operation is, the battle can be resolved within an hour, that's really fast!" Mr. Huang held the annual meeting, and Zhou Congwen performed three top-level operations in one go."

"That's right, the last operation couldn't be done by the guy from Mayo with eyes above the roof."

"Don't say it's him, his teacher didn't do it, and he was going to switch to thoracotomy halfway, but Zhou Congwen stopped it."

Everyone chattered about the demonstration operation that day, as if they had witnessed it with their own eyes.

Professor Wen Yuanwen used laparoscopy to cut the gallbladder. The operation was small and went smoothly.

He said while performing the operation, "The most important thing is what Dr. Zhou said at the end."

"What did you say? I saw him turn around and leave after the operation, full of grandeur."

"I said it at the annual meeting." Professor Wen narrowed his eyes, as if he was smiling, "Doctor Zhou said that as long as thoracotomy can be performed, thoracoscopic surgery can be performed, and it can be performed even better."

"Awesome!" The itinerant nurse exclaimed.

"Isn't that what I also feel excited about?" Professor Wen said, "Do laparoscopic surgery well. In the future, we will also say that as long as laparoscopic surgery can be performed, laparoscopic surgery can be performed, and it can be performed better."

"Professor Wen, don't blow it up. Can the combined pancreaticoduodenectomy be done?" the itinerant nurse said contemptuously.

"can!"

"Hahaha, one surgery takes 5 hours, it's like an old cow pulling a broken cart."

"That can be done." Professor Wen argued strongly.

"I'm talking about using a laparoscope. I don't believe you can use a laparoscope to remove the combined pancreaticoduodenectomy before I retire." The nurse made up the knife.

"..." Wen Yuan was speechless.

This is true.

Combined pancreaticoduodenectomy is the technical difficulty ceiling of general surgery. As long as surgeons in prefecture-level hospitals can complete the operation, they can proudly say that Laozi's surgery is the best in the city.

Even in the provincial capital, there are not many doctors who can perform similar operations.

Every hospital can be said to be one of the few.If you can win this surgery, you can lead the team. This is a hard standard.

Of course Wen Yuan can do it, but doing it with a laparoscope...he really thinks it can't be done.The operation is too complicated, and it is not the same as the double-sleeve resection of the chest department.

Perhaps this is the difference between thoracic surgery and general surgery.

"Be serious, the operation is about." Wen Yuan said, "The operation will be very fast, don't make trouble."

"The CO2 pressure in the abdominal cavity is 12mmHg, is that okay, Professor Wen?"

"The end-tidal CO2 partial pressure was 35mmHg, and the vital signs were stable," said the anesthesiologist.

It’s fine when you’re joking, but once someone brings up a serious point, you’ll seamlessly switch to the serious mode immediately.

But this model can't last long. The patient is doing normal things, and it's tiring to do the operation with a straight face.

Talking and laughing, after the operation, Wen Yuan was very careful not to leave directly, but to check the abdominal cavity.

During the operation, the gastrointestinal tract was normal and the gallbladder was inflamed.

It's okay, Wen Yuan turned around and stepped off the stage, and the assistant took the patient back.

……

The next day, the laparoscopic cholecystectomy patient was supposed to be able to recuperate and go to the bathroom on his own within 24 hours or so.

However, something unexpected happened, and the patient kept complaining of pain.

Wen Yuan thought it was pain from the incision, but when he went to see the patient, he found that the patient reported that the pain was sometimes on the left side and sometimes on the right side, but it had nothing to do with the incision or the gallbladder.

On physical examination, the patient's abdomen was flat and soft without a flat abdomen; vital signs were stable.Electrocardiogram was normal.

Wen Yuan was a little unhappy. He thought the patient was too hypocritical and always thought that he had undergone a major operation and it must be painful.

Many pains are imagined, but in fact they don't exist at all, Wen Yuan thinks so.

"It's okay, just sleep well and wake up." Wen Yuan instructed before leaving.

After leaving the ward, he called Chen Houkun, "Old Chen, is Xiao Zhou back?"

"Just arrived home, what did you want from him?" Chen Houkun asked.

"I'll go and have a look, let's meet and talk." Wen Yuan strode to the Thoracic Surgery Department.

The first thing Zhou Congwen did after he came back was of course a ward round, to check the condition of the postoperative patients, and prepare to be discharged.

Although the outpatient clinic cannot accept patients now, patients cannot stay for too long because of the bed turnover rate.

On this point, Zhou Congwen has no financial pressure and seems relatively free and easy.

After Zhou Congwen finished checking the house, Wen Yuan went up to meet him, "Xiao Zhou, did you run away with a flying knife?"

"Well, there is a leader in Baishui City who is sick. I met their vice president, so I went there." Zhou Congwen said simply, "Professor Wen, how much surgery have you done recently?"

"Fortunately, seeing that you have taken off the sleeves after undergoing thoracoscopic surgery, I am also thinking about it. Xiao Zhou, do you think laparoscopy can perform combined pancreaticoduodenectomy?"

"It can be done, but it is quite difficult." Zhou Congwen said.

What a joke, not only can it be done, but the effect is much better than the general laparotomy.

In more than ten years, Xiehe will use the da Vinci robot to perform combined pancreaticoduodenectomy, and patients will not need to go to severe disease after surgery.

At the end of 2002, who would dare to think of such a thing!

"Can you really do it? Can you do it?" Wen Yuan blurted out, but then laughed, "I'm just asking."

"I will do it." Zhou Congwen said lightly.

"..." Wen Yuan was suddenly dumbfounded.

Zhou Congwen knows everything!

Combined pancreatoduodenectomy, a ceiling-like surgery, is so interdisciplinary. He even said he could do it!

Although thoracic surgeons must know some general surgery operations, after all, there is a radical operation for esophageal cancer, but the distance between gastrectomy and combined pancreaticoduodenectomy is too far.

"If you have time, don't worry." Zhou Congwen said with a smile.

"Really?"

"real."

Wen Yuan was a little surprised to see Zhou Congwen's serious face, which didn't look like he was joking.

"I did gallbladder surgery." Wen Yuan said a little embarrassed, "Three cholecystectomies were performed yesterday, and two patients were fine, but I met a hypocritical patient who kept saying that I stomachache."