Back in 2002 as a doctor

Nothing will work, and the technical method of overthrowing the administrative director is also not feasible. What does Zhou Congwen want to do?Chen Houkun was really confused.Especially when Zhou Congwen talked about the issue of principle, he vaguely felt that the little doctor in front of him had a big structure, and he would definitely not be someone in the pool in the future.

"I have my plan, Professor Chen, you don't have to worry about me." Zhou Congwen said lightly, "I will come to help you if you need it in about half a year. To be honest, I am very optimistic about the future of thoracoscopy."

When the topic came back again, Chen Houkun panicked.

What kind of future can the ostentation of thoracoscopic surgery have? !

Sighing deeply, Chen Houkun's cell phone rang, startling him.

"Hello? Director Zhang."

"Uh... I'll be right there."

After hanging up the phone, Chen Houkun didn't get up and leave in a hurry, but he pondered for a few seconds and dialed the phone.

"Xiao Zheng, what happened in your department? Director Zhang said that the whole hospital will consult and ask me to come right away."

Listening to the doctor on the other side telling what happened, Chen Houkun became more and more silent.

After hanging up the phone, Chen Houkun sat there for a few minutes without moving.

"Professor Chen, what's the matter?" Zhou Congwen took the cigarette butt from Chen Houkun's hand, extinguished it together, and threw it into the trash can.

……

……

An hour ago.

All the important leaders of the Second Hospital of the Medical University came from home in the middle of the night, but only the dean and the vice president in charge of clinical affairs entered the office to participate in the consultation of the whole hospital, and everyone else waited outside.

A mother in the province was hospitalized in the Department of Circulatory Medicine because of a heart problem. The diagnosis was a pericardial cyst with a large amount of right pleural effusion.

Three punctures were performed to extract the effusion, but a problem occurred after the last puncture, and a large amount of bloody fluid was drawn out.Re-examination of CT showed a large amount of pleural effusion on the right side, and the amount of effusion was even greater than before!

The non-coagulant fluid was extracted by pleural puncture, and the HGB was only 53g/L. Immediate closed chest drainage led to a total of 1100ml of bloody pleural effusion, and the chest tube was blocked by blood clots.

Something must have happened, even if you think on your heels, you can figure it out.

Non-coagulant, sudden large amount of pleural effusion on the right side, all clinical symptoms point to one thing - rupture of intercostal artery during thoracentesis!

This is one of the complications of thoracentesis, and the probability of occurrence is not high, but once it occurs, thoracic surgery is required, and thoracotomy is performed to stop the bleeding.

That's why we have this hospital-wide consultation.

Chapter 0092 a dark cauldron

Zhang You sat in a corner with a sad face, his eyes flickered, his right hand was picking the nails of his left hand, he didn't know what he was thinking.

There are not many people sitting in the office, there are more than a dozen directors and deputy directors of the relevant departments, as well as the dean, the deputy dean in charge of clinical work, the director of the medical department, and the secretary of the patient's family and...the family.

Everyone looked serious.

"Director Teng, what you're thinking is that there was a side injury during the thoracic puncture, and the intercostal artery was ruptured, leading to massive bleeding. Is that what you mean?" The secretary, surnamed Yin, summed up the words of Teng Fei, the director of the Department of Circulatory Medicine, and finally asked.

Director Teng Fei turned pale and nodded.

"Director Zhang of the Department of Thoracic Surgery, your opinion is that the old man is old, and he has heart failure and hemorrhagic shock. It is more or less auspicious to open the chest to stop bleeding. Is that true?" Secretary Yin continued to ask.

Zhang You was taken aback for a moment, then he sighed deeply, but instead of sitting down and talking, he stood up and bowed respectfully.

"I emailed the old man's information to my teacher in the imperial capital, Academician Mei. Teacher Mei's statement is...the statement is...the statement is..."

Secretary Yin frowned. He glanced at the time and silently told Zhang You to speed up.

"Ms. Mei said that it is unlikely that the elderly will survive the thoracotomy. If it is possible, it is recommended to do minimally invasive treatment."

"Minimally invasive?!"

The eyes of the person sitting on the chair in front of Secretary Yin suddenly lit up.

Zhang You gritted his teeth and made up his mind, "It's video-assisted thoracoscopic treatment. To put it simply, a large thoracotomy requires a 30cm incision on the chest wall. The thoracotomy itself is a huge trauma. The elderly may not be able to bear it."

"However, thoracoscopic surgery involves making three 3cm incisions on the chest wall, and using high-tech instruments to enter the chest cavity to complete the operation."

"This is a new technology. Our institute has taken the lead in launching it nationwide, and it is led by Professor Chen Houkun, the deputy director of our department..."

"Is it possible to do it? Is it too dangerous?" The sitting person asked in a deep voice as his face was as deep as water and as dignified as a mountain. He tapped his fingers on the table lightly to interrupt Zhang You's report as if he was speaking at a meeting.

"It can be done!" Zhang You immediately said, "The risk of thoracoscopic surgery is geometrically reduced. But you can imagine, the traditional wound of 30cm and three incisions of 3cm, the blows suffered by the elderly are completely different."

The situation was urgent, and no one at the scene seemed to have noticed Zhang You's words.Wounds, incisions, definite numbers, everything went the way he wanted.

"Then do thoracoscopy, is Professor Chen here?"

"I've already notified him, but he hasn't arrived yet." Zhang You said seriously, "I'll urge you again."

"Before you said that you can treat pericardial cysts with thoracotomy. Can thoracoscopic surgery be used to treat pericardial cysts? Anyway, it will be opened once. If it only treats the symptoms but not the root cause, there may be other problems soon."

Zhang You seemed to have eaten bitter melon.

Dean Bao was afraid that Zhang You would lose his head and say something that should not be said, so he hurriedly said, "Thoracoscopic surgery has just started in China, and it can be used to stop bleeding at a very high level. It is impossible to cut a cyst in the heart."

That one nodded.

"I'll urge Deputy Director Chen again, why are you so slow." Zhang You said in a low voice, picked up the phone, and slowly exited the conference room.

……

……

"How old is the patient?"

"88 is old."

Zhou Congwen sighed.

He knew very well why Director Zhang Youzhang called Professor Chen, and he also understood the final direction of Professor Chen's call to relatives and friends to inquire about the patient's condition.

Let Chen Houkun take the blame.

An 88-year-old man, 1100ml of non-coagulant blood was extracted by closed chest drainage, and then the chest tube was blocked, which proved that there was large blood vessel bleeding.

As for the blood vessels... Although Zhou Congwen didn't see the patient and the imaging data, he also had his own considerations - the intercostal arteries were more likely.

Director Zhang must have dared not open his chest, for fear that the patient would not be able to come to the stage.Not to mention him, even in his prime he wouldn't have undergone open chest surgery.Whether it is laparoscopic or da Vinci robot, it is more suitable than surgery.

It’s fine if you’re an ordinary patient, but you can still try it. It’s great to communicate well with the patient’s family, and the possibility of not being able to come to Taiwan is 99%.But if you don't do it, you will die 100%!

Can you say this to the person in the province?

What a joke.

Powerful people often receive treatment that makes people laugh and cry.If you say a word, you are afraid of being implicated, so why bother to show your head.

Zhou Congwen has worked in the Shuai Mansion before, so he knows the way inside.

Director Zhang You did not dare to perform the operation, thinking that the patient was doomed, and he was unwilling to take the blame for the Department of Circulatory Internal Medicine, so he threw the black pot directly to Chen Houkun.

Even Zhou Congwen can think of how Zhang You explained to the patient's family that a large chest opening would be bad luck, but we have a new technology that only needs to inflate three 1.5cm eyes and go in with a laparoscope.

If the mortality rate of large thoracotomy is too high, then the advantages of thoracoscopic surgery are fully demonstrated.

As long as the patient's family can think calmly, they will definitely follow Zhang You's thinking.

Is he wrong?No, not a single wrong word was said.

But what did he do?

Throwing the jet black and shiny pot directly on Chen Houkun's body, Zhang You did not seek merit but blame.Moreover, based on the patient's condition, at Chen Houkun's current level, it would take at least 2 hours to complete the operation.

It is really hard to say whether patients under anesthesia for 2 hours can bear it.

Zhou Congwen thought of the work process in the commander's mansion. In order to avoid these things, as long as there is a problem, it is a collective decision, which has nothing to do with everyone.

The Shuai Mansion's process is more scientific, but this kind of science is the tacit understanding reached after going through countless times of running-in, quarrels, open and secret battles, and finally everyone compromised.

Don't want to be handsome, Chen Houkun in front of him... is really pitiful.Not only was he kicked to the thoracoscopic team, but he was also reprimanded when something happened.

Zhou Congwen saw that Chen Houkun was sad and silent, and felt pity in his heart. Remembering how kind Professor Chen was to him in the previous life, he patted him on the shoulder, "Professor Chen, I guess you won't be able to push him away."

"I know." Chen Houkun knew it in his heart. He looked at the ground with a mournful face, vaguely seeing his future.

"How about I go up and help you?"

Give hands, and hear the word give hands again.Chen Houkun's eyes suddenly lit up, but then darkened again.

In his opinion, this is no longer something that can be done with hands.

The operation itself is not difficult, what is difficult is the age and condition of the patient.Helping hands can only solve the surgical problem. Can he make the old man ten years younger in the blink of an eye, or can he make the old man's heart and lung function better.

"Xiao Zhou, the patient is 88 years old, and the hemoglobin test result is only over 50g. The operation...is difficult."

Age and numerical values ​​are not ideal, Chen Houkun has no confidence.

No, he has confidence, but this confidence is reversed—the patient can't get down at all.

Chapter 0093

"With me here, it's definitely better than you having the surgery alone." Zhou Congwen said with a smile, "Anyway, I can't push you away, so hurry up and get on stage, the sooner the better, the sooner the chance of stepping down is greater. "

Thinking about it, Chen Houkun seemed to be doing the same thing. He stood up with his head down, and kicked the footstool aside angrily.

With a "bang", the footstool innocently hit the wall.

"I'll wait for your call outside the operating room, and let me know if you have an operation." Zhou Congwen ignored Chen Houkun's mood, but said lightly.

"it is good."

This is also a helpless way, Chen Houkun rushed to the whole hospital for consultation in desperation.

Zhou Congwen has long been familiar with such things.

Only when you have experienced this word, you will know its preciousness.

Obviously, Director Zhang You Zhang is the same as the one in his previous life, without any changes, he is still the kind of person who is struggling and has no responsibility.

Even if his surgery is pretty good.

If it drags on, the patient will undoubtedly die, and Zhang You will definitely be of no benefit.Zhou Congwen reckoned that Director Zhang was in a mess, so he casually dumped the blame on Chen Houkun, completely unaware of what would happen to him if the patient went wrong.

With his hands behind his back and his waist bowed, he walked slowly from the endoscopy room to the operating room. Zhou Congwen was thinking about the patient's condition as he walked.

The patient's condition is relatively simple, but now it is 2002.

If 10 years later, there will not be so many troubles, and he will go directly to the stage to stop the bleeding with laparoscopic surgery, and make the pericardium by the way, which is simple and worry-free.

It's a pity that it's 2002 now, there's no way, the technical level and medical equipment are there.

Sitting on a chair at the door of the operating room, there are several family members of patients waiting anxiously for the operation.About 15 minutes later, Zhou Congwen's cell phone rang.

"Xiao Zhou, the patient has been sent to the operating room, please help me." Chen Houkun said.

"Don't worry, Professor Chen."

"I'll go right away...Xiao Zhou, are you sure?" Professor Chen asked anxiously.

"There is no absolute certainty." Zhou Congwen said a whole sentence as if answering a question from the patient's family.

This is already an instinct, and it cannot be changed at all, neither in the previous life nor in this life.In the next life...let's talk about it.

"Say something auspicious." Chen Houkun said dissatisfied.

"Doctor, you never talk to death. What do you say, Professor Chen?"

Chen Houkun had no choice, although he knew that what Zhou Congwen said was right.

But now that he is emotionally unstable, why wouldn't he say a few nice words to comfort himself?If you want to say something nice, if you can die, I will ask if you can die!Chen Houkun felt resentment in his heart.

Soon, the door of the operating room opened, and a group of doctors, nurses and hospital leaders escorted the flat car in.

Chen Houkun waved to Zhou Congwen, and the two entered the locker room.

"The condition is not good, the blood pressure is too low, 80/50 mmHg."

"It is estimated that the intercostal artery is broken. If it cannot be stopped, no amount of blood transfusion will help." Zhou Congwen said while changing clothes.

"Xiao Zhou..." Professor Chen wanted to ask that question again, but he took it back.

"I'm here, don't worry." Zhou Congwen comforted Chen Houkun like he comforted his doctoral students in the previous life.

When Chen Houkun heard what Zhou Congwen said, he felt that it was even more unreliable, not as good as what he said just now.

He also knew that he was in a bad mood now, no matter what Zhou Congwen said, he would not think of the best for him.Chen Houkun sighed deeply, anyway, it was only a salted fish, so let's take the blame.