Back in 2002 as a doctor

"Indeed, your eyes are blurred too." Huang Lao smiled, "It's not as good as me. Find Zhou Congwen, I think he can wear it."

Zhou Congwen!

Deng Ming sighed deeply, his junior brother is really a treasure, the boss even believes that he can assist in completing the spell that he just imagined.

"Then I'll call Zhou Congwen." Deng Ming took out his mobile phone.

……

……

Zhou Congwen walked in front, making a creaking sound when stepping on the snow.

A child from Northeast China grew up in a world of ice and snow, and later worked in Shanghai. He has not seen snow for some years, so he is a little novel.

Director Han looked a little funny at Zhou Congwen's appearance.

Sure enough, he was a young man. At this time, he probably wanted to build a snowman and have a snowball fight in his heart.

"Professor Zhou, you really have a childlike innocence." Han Chu said with a smile, standing in the snow, he was chubby, and he was a standard snowman with a little snow piled on it.

"Heh." Zhou Congwen smiled lightly, trying to get rid of some nostalgia in his heart.

"Professor Zhou, I have read your file. You are from the Northeast, and you went to school in the Northeast. I didn't expect you to have such a deep affection for Xue. By the way, I can't stand the cold weather, and I'm already planning to buy a house in Sanya. "Han Chu walked and chatted with Zhou Congwen all the way.

"Sanya."

"Yeah, more than ten years ago, Hainan developed real estate and there was a lot of chicken feathers. Now I don't dare to buy it casually, for fear of stepping on thunder. But the northeast is indeed not suitable for human habitation. Look at coastal cities, such as Shandong. There are plenty of old people in their 80s going to the market. What about the Northeast?"

"Yes, the cold weather, high incidence of cardiovascular and cerebrovascular diseases, and complications such as tracheitis and bronchitis are all very difficult diseases of the elderly." Zhou Congwen said.

"The temperature difference between indoor and outdoor is [-] degrees now." Han Chu raised his fat, almost inseparable hands and let out a sigh of relief.

In the air-conditioning, white mist was dense, as if a fairy cast a spell.

"Fifty degrees, what a strong cardiovascular and cerebrovascular can withstand it." Han Chu said with a smile, "Professor Zhou, your interventional surgery is very good, have you practiced?"

"Network, do you go online?" Zhou Congwen asked, "There are doctors uploading videos of various operations on professional websites."

"No, I don't have time. Occasionally I go to Sina to read news, but I'm old and my eyesight is blurry, so I can't go on it for long."

Zhou Congwen smiled slightly.

I hope Han Chu will still be able to say the same about the Internet time on the mobile terminal more than ten years later.

In my memory, this chubby little fat man was watching short videos with his mobile phone every day at that time, and I didn't see him say anything dazzled.

"Just as I said, there are many surgical videos posted by doctors on the Internet, especially some foreign professional websites, which often have videos of difficult surgeries. These surgeries are of great reference value, so it is best to watch them." Zhou Congwen said, "It's a pity that our internet speed is too rubbish, and it takes a day to download."

Hearing Zhou Congwen complain slightly, Director Han laughed.

"Professor Zhou." Director Jiang leaned over, "Give me the URL, I'll go and have a look."

"Okay." Zhou Congwen said, "I'll send you Weibo later...in your mailbox."

"WeChat? What's that?" Director Jiang was taken aback.

"Mailbox, you got it wrong." Zhou Congwen said, "It's good to watch more surgery videos. Many surgeries have already formed experience, which can be used for reference. However, it is somewhat different from the previous model of master leading apprentices. Find out for yourself."

Director Jiang's index finger moved wildly.

Ever since he saw Zhou Congwen's Budd-Chiari syndrome operation, he had the idea to see a high-level operation.

But there was no chance, so I relied on Zhou Congwen.

Unexpectedly, there is such a website where professional doctors share difficult surgery videos, and Director Jiang can't wait.

"For example, for example?" Director Jiang asked repeatedly.

Zhou Congwen smiled, and at this moment, the phone rang.

Taking out the Nokia, Zhou Congwen glanced at it, and suddenly his waist straightened up like a steel gun, showing his sharp edge, smashing the snowflakes all over the sky.

Several people around were startled.

"Boss." Zhou Congwen bowed slightly with the phone in his hand, and said respectfully.

"Zhou Congwen, what are you busy with?" Huang Lao's voice came over.

There was silence in the snow, Huang Lao's voice was like a god of creation, heard in the ears of several people, full of majesty.

"I just had a thrombolysis operation for mesenteric arteriovenous embolism caused by pneumoperitoneum, and I am going to have a meal."

"Heart interventional surgery, are you okay?" Elder Huang asked leisurely.

"No problem." Zhou Congwen replied with certainty.

Elder Huang didn't doubt it either, but said in a declarative tone, "I'm invited to attend the annual meeting of Circulatory Internal Medicine on the weekend. It just so happens that I have some experience with the operation Xiaoxue is about to perform. Come and help me."

"Oh." A smile appeared on Zhou Congwen's face, "Boss, is there an annual meeting held by the Imperial Cardiovascular Hospital? Is there any public surgery, and what kind of surgery is it?"

"Classic crush surgery."

"Okay, no problem." Zhou Congwen said, "Shall we do it?"

"Director Xue from the Cardiovascular Hospital of Circulatory Intervention invited Dr. Miyamoto from Shun Tenten to do the final surgery, but it's not important. I recently studied the classic crush surgery, and felt that there were too many complications, so I changed my mind."

Director Han, Director Jiang, and Professor Wen's eyes were fixed.

Although I don't know what the classic crush surgery is, it sounds like an old surgery that has been polished for an unknown number of years.

It is almost impossible to change this old technique, but Huang Lao said that he has a new idea!

Zhou Congwen narrowed his eyes.

The boss is indeed mighty!

The advanced version of crush surgery is DK-crush surgery, which was developed by the boss in 2004-2005 in the previous life.

This advanced procedure is for heart stenting where the coronary arteries bifurcate.

Once the DK-crush operation was established, it has not evolved for decades, and it was included in the world's cardiovascular disease treatment guidelines in 2018. It can be said to be the ultimate operation based on existing material technology.

Speaking of the new technique, Huang Lao said with relief and joy, "Come, let's study it together."

"it is good."

"Crush surgery has been studied."

"Yes, boss, don't worry."

"Sneak a few chicken feet here." Huang Lao lowered his voice and said to Zhou Congwen.

"Okay!" Zhou Congwen's tone became much more cheerful, and even the ice and snow around him seemed to feel the change in his mood and laughed.

"That's it, how much surgery did you do on the weekend?"

"The work of the workstation is not on the right track yet, not many." Zhou Congwen said honestly, "For the time being, only ten operations have been carried out, and we have to do it step by step."

"Then see you on the weekend, and you can contact Deng Ming."

"it is good."

After a brief exchange, Zhou Congwen hung up the phone.

"Professor Zhou, what is the classic crush operation?" Director Jiang asked curiously.

"There are plaques in the trunk and branches of the coronary artery at the same time, and two stents are required." Zhou Congwen replied briefly.

"I...go..." Director Jiang is in vascular surgery, of course he understands the difficulty of this operation.

"How?" Director Jiang immediately asked.

Zhou Congwen laughed, "Director Jiang, are you going to change careers?"

"..." Director Jiang scratched his head and smiled wryly.

"I don't know if Director Teng Fei Teng has performed a similar operation." Zhou Congwen tried his best to recall, but he couldn't remember whether the Second Hospital of Medical University performed the crush operation at the end of 2002.

"Professor Zhou, you're going to the annual meeting before your ass is warmed up? Why do you invite Mr. Huang to the recurring annual meeting?"

"Heart surgery often helps the circulatory department." Zhou Congwen said with a smile, "And my boss also performs circulatory interventional surgery. The academic circles are quite critical of this."

"..."

Zhou Congwen's words made Director Han feel the shadow of swords and swords, and he was full of murderous aura.

……

……

Note: The DK-crush procedure was invented by Professor Chen Shaoliang, formerly of Lanzhou University and now Nanjing First Hospital, and was recommended by the European Society of Cardiology (ESC) "Myocardial Revascularization" guideline in August 2018.

I originally wanted to write about Professor Chen, but I was afraid of offending when I wrote it, so I bowed first here.

Chapter 0651 the boss is taking the stream of consciousness

"Mr. Huang is not a cardiologist..." Director Jiang was a little distracted, and asked half a sentence.

"Hahaha." Zhou Congwen laughed, without explaining, and walked all the way forward and said, "Once upon a time, there was a social elder brother who drank too much in the middle of the night and was cut off from forehead to chin with a knife."

Director Han found Zhou Congwen more and more interesting, and didn't want to talk about the new technique, so the topic changed smoothly.

"We often encounter similar situations. The current law and order is fairly good, but it was really chaotic a few years ago." Director Han said jokingly.

"I went to the emergency department that day. I saw such a serious injury. I called the ENT department, oral surgery department, ophthalmology department, and neurosurgery department."

A knife wound, four departments, the doctor thinks it is normal, but it is absolutely unthinkable to ordinary people.

"After reading it, everyone thinks that we need to sew. In fact, this is nonsense. I want to let the patients know that the situation is more serious, and let several departments coordinate who will come first." Zhou Congwen said, "Then the oral surgery department will start to sew. .”

Director Han listened with great interest.

"External mouth, ear, nose and throat, and ophthalmology happen to have something to do, so the part above the hairline of the scalp will be stitched by the neurosurgeon."

"I didn't see the ophthalmologist when I finished my work, but the wound on the corner of the patient's eye was already closed." Zhou Congwen said, "Then I was very angry."

"Sewed by God? It shouldn't be." Director Han pondered.

"Well, the patient felt that it was too dark, it was just a knife wound, and he had to change the stitches in different departments. He had already dialed dozens of people on the phone, and was going to go back for revenge. He couldn't wait, so the doctor from Shenwai stitched it up. "

"How is the patient, nothing serious happened?" Director Han asked.

"Out." Zhou Congwen said, "I saw that the situation was wrong, and I didn't even confiscate the fee, so I wrote an informed consent first. The doctor in Shenwai has just been on duty for a short time, so I don't know the severity, but I have to know. The patient is anxious. Just messing around, he, a professional doctor, is also messing around in a hurry, playing the piano indiscriminately."

Han Chu nodded slightly.

He was a little surprised that Zhou Congwen, who had just been working for two years, said such words.

However, Zhou Congwen had already proved himself with his strength, and Director Han did not speak.

what is this?

This is the natural temperament of a superior doctor.

"The social elder brother signed impatiently, indicating that he asked for it and had nothing to do with the doctor, so he hurried to fight."

"After a few days, it is said that he came back again." Zhou Congwen said: "The doctor in Shenwai didn't know how deep he was, he sewed up the patient's lacrimal sac, followed by dacryocystitis, followed by keratitis, and then Corneal ulcer."

"Are you blind?" Director Han asked.

Blindness and non-blindness are two very different things to do, at least from the medical services point of view.

Han Chu is knowledgeable, and Zhou Congwen knows this very well, so he treats him differently. The relationship between the two of them in the previous life was very good.

"No, but it's close." Zhou Congwen said, "The affairs of different departments have to be handled by different departments. Is that right, Director Jiang?"

"..." Director Jiang was taken aback.

Zhou Congwen talked for a long time and gave an example, but unexpectedly he slapped himself in the face. Is he addicted?

"Who said that?" Director Han said, "Generally speaking, when new technologies first arrive in the clinic, their ownership is not clear. Let me give you an example, such as spine surgery, Director Jiang, which department do you think should be done?"

"orthopedics."

"In foreign countries, neurosurgery and orthopedics are half of the family, and no one has taken over the other." Zhou Congwen said, "It is evenly divided. But domestic orthopedics has already started to work, and the big bosses in the Temple of Heaven have nothing to do. It is estimated that in China, orthopedics will perform spinal surgery in the future."

"That's it. Interventional surgery, it's most appropriate to do it outside the heart." Director Han deliberately flattered Zhou Congwen, and said without hesitation and conscience, "No matter how many things happen in the circulatory department, it is said that after the stent operation, the last Serious complication-heart rupture, it's not necessary to go on stage outside the heart."

Zhou Congwen smiled slightly, this wretched fat man was still so likable when he spoke.

"Circulation can only ask for consultation, but as long as the judgment is clear outside the heart, you can go directly to the stage."

Director Jiang doesn't think this is right, if that's the case, he can retire directly.

There are specialists in charge of the blood vessels in each position. What does the director of the vascular department eat?