Back in 2002 as a doctor

Chapter 0985 go together another day

Of course Xiao Kai would not refuse Zhou Congwen's invitation.

This is a crucial step to enter the core of the medical team. Before that, Xiao Kai was just a trainee. Now, with the change of the situation, both Zhou Congwen and Xiao Kai have changed a little in their hearts.

"Professor Zhou, I really didn't expect you to say that if you take the first place, you will take the first place." Xiao Kai said to Zhou Congwen on the road, his tone was very calm, like an old friend chatting, there was no flattery or flattery, just very indifferent.

"It's okay." Zhou Congwen smiled, "Your patient should be sent to 912."

"Today's train." Xiao Kai said, "I may have to take a leave of absence in a few days. On the day of the operation, I will follow the patient to the operating room and watch it come out."

"Let's go together." Zhou Congwen said, "This operation is over, and the patient will go to 912 to have a look during the recovery period. I have to report to the boss about the game."

"Huh?" Xiao Kai was taken aback, "You didn't report to Mr. Huang?"

"I talked about it on the phone, but I didn't go into details. After all, the boss is on the front line." Zhou Congwen said, "But the situation has gradually stabilized, and the boss may come down soon."

"We just got a reaction from here." Xiao Kai said, "It is said that the hotels in the city are full."

"Yeah." Zhou Congwen said, "It's okay, it's normal."

The current prevention and control work is incomparable with the future, and it is incomparable to analyze it from all angles and levels.

17 years have passed in the blink of an eye, and the various changes have been unclear to everyone, but the problems can be clearly seen by comparison in such a major event that changed history.

If things were changed to 17 after 2003 years, Zhou Congwen didn't dare to imagine how things would evolve.

"Mr. Huang is really working too hard." Xiao Kai said sincerely.

"Let's not talk about this, let's go together when the time comes. Director Xiao's relationship, Director Deng is not at home, the safer the better." Zhou Congwen said.

Xiao Kai's heart warmed.

Although Zhou Congwen went to the imperial capital mainly to see Huang Lao, but he can take a "trivial" matter of himself to heart, and there are too many meanings in it.

Xiao Kai didn't take advantage of the trend, and now the relationship between him and Zhou Congwen has undergone subtle changes, and what needs to be done are various practical things, not just verbal fluff.

"There will be some separate operating rooms in the operating room. Professor Zhou, you should do the work in advance." Xiao Kai changed the subject.

"Yes, I'm looking for Chu Han." Zhou Congwen said.

The two came to the operating room while chatting.

"Let's get together with the medical team tonight." Xiao Kai suggested.

"To be simple, it's just a number one in the world." Zhou Congwen said with a smile, "You have to look forward and take a longer view."

just one……

Xiao Kai sighed deeply, what was Zhou Congwen thinking in his heart?

Will he continue to monopolize this award?

"The Chest Pain Center will be established this year..." Zhou Congwen told Xiao Kai about the new surgery to be carried out before changing clothes and entering the operating room.

Today Zhou Congwen's medical team did not have an operation, and Liu Wei was assigned to other jobs.

Zhou Congwen knew that Liu Wei was actually a hidden danger in the medical team, because he worked in the operating room, and he didn't see much time every day, and most of the time he was in a state of dissociation.

But the good news is that Liu Wei hasn't played mahjong recently, which makes Zhou Congwen feel a little relieved.

When he came to Liu Wei's operating room, Liu Wei sat on the small round stool of the anesthetist and was staring at the screen of the monitor. He was holding a tube of pen in his hand, and the pen was spinning between his fingers.

"Old Liu, what are you doing?" Zhou Congwen walked in with a smile.

Zhou Congwen glanced at it by the way. It was a urology operation. Looking at the screen, it was laparoscopic nephrectomy.

"Congwen, you're back!" Liu Wei stood up happily, "Why didn't you tell me in advance when you arrived, I thought you would stay in the capital for a while."

"Just arrived, to see you."

Seeing Zhou Congwen's eyes fixed on the screen of the endoscope, Liu Wei said with a smile, "It's a patient with renal tuberculosis and non-functioning kidney, minor surgery."

Non-functioning kidneys can be removed en bloc.

In urological surgery, kidney removal may sound like a big deal, but it is actually very simple.Just like picking fruit, you can just prick the root and cut it off.

The more difficult operation is partial nephrectomy.

Because the kidney is relatively "fragile", there is no bleeding after the cut, but there is still a possibility of bleeding within 14-21 days after the operation.

"Old Liu, what have you been up to lately?" Zhou Congwen asked casually.

"Go home after get off work and read a book every day." Liu Wei replied honestly.

"Oh?" Zhou Congwen smiled, "Reading is amazing."

"Yes." Liu Wei nodded, and then glanced at the people in the operating room without leaving a trace.

Zhou Congwen knew that there were a lot of people here, and Liu Wei was too embarrassed to say something, so he said, "Then you are busy, the surgery is estimated to have half an hour left, let's talk about it when it's done."

After finishing speaking, Zhou Congwen turned around and saw the director of the Department of Urology stand up from the stool in the corner.

"Director Liu, why are you watching here?" Zhou Congwen was startled.

"I know." The director of the Department of Urology said, "The operation is too simple, it makes me sick just looking at it, so I won't do it."

Zhou Congwen smiled.

Indeed, it's like doing a wedge resection of a small nodule by yourself, let alone doing it, it's disgusting to look at.

This kind of simple operation is still done by the people below, and it is also for echelon training.

"Professor Zhou, I heard that you participated in the World Cardiothoracic Surgery Competition and won No.1?!" asked the director of the Department of Urology.

"En." Zhou Congwen nodded.

The director of the Department of Urology was full of envy, "Admiration, I really didn't expect it."

"There is a boss here." Zhou Congwen said a rare "modest".

"That depends on your level. I took a look at your surgery a few days ago. Technology has evolved really fast. When you perform coronary artery bypass grafting, not only does your heart keep beating, but the surgical incision is only a few centimeters."

"Ha ha."

"I admire it from the bottom of my heart." The director of the Department of Urology said sincerely, "When the doctors who came to study here saw me doing laparoscopic nephrectomy, they thought it was alien technology.

When I see the surgery you performed, I also think it is alien technology. We all know the difference in level. "

This is true.

For example, for minimally invasive spinal surgery, Peking University No. 30 is the best. Their [-]-year-old doctors are better than the directors of provincial hospitals.

When it spreads across the country, people have already started 3D printing, and continue to maintain a leading posture.

The two chatted, but kept their eyes on the TV screen.

The surgery...is pretty good, after all, it's simple.

After hearing what the director and Zhou Congwen said, the doctor in charge unknowingly secreted a large amount of adrenaline in his body.

They are all young people, and their vocabulary of being number one in the world is completely different from old fritters like Zhang You.

His hand speed unknowingly accelerated, and suddenly, a burst of bright red sprayed out, and the vision on the screen disappeared.

Chapter 0986 give up!

Zhou Congwen keenly noticed that when the operator was peeling off the fat on the renal pedicle, a small opening was suddenly torn open in the vena cava connected to the renal vein due to excessive force with the forceps.

This is a mess!

Zhou Congwen was also very helpless when a minor operation led to a major accident.

As soon as the blood spurted out, the director of the Department of Urology hadn't reacted yet. Zhou Congwen was about to speak when he heard Liu Wei's voice next to his ear.

"Give up!"

The surgeon was startled.

give up?give up what?

There is a small tear in the vena cava, why give it up.

Which idiot said that? !

"What nonsense!" Director Liu of the Department of Urology scolded coldly, "Small problem, why did you give up."

Director Liu of the Department of Urology did not understand, but the surgeon was in a daze.

He felt that what the anesthesiologist said to give up seemed wrong, and he probably misunderstood it.

But before he thought of the right path, Zhou Congwen said in a deep voice, "It's to get rid of the gas abdomen! Let go, not give up."

After bringing the sonhua sound, the meaning was expressed very clearly, and the operator immediately reacted.

It's letting go, not giving up.

"Pfft~~~"

The bright red of the lens quickly dimmed, and Shuye disappeared without a trace.

Zhou Congwen glanced at Liu Wei and was very satisfied with him.

Liu Wei's reaction speed was really fast. When an accident occurred during laparoscopic nephrectomy, he immediately found the main contradiction.

What is the main contradiction?

At this time, bleeding is not the main contradiction, but the establishment of pneumoperitoneum, open veins, and gas entering blood vessels to form gas embolism.

Prevention of gas embolism is more important than hemostasis.

It's just a torn vein, at least 10 minutes of rescue time.

But once the possibility of gas embolism is not noticed, the bleeding problem is solved, but there is a high probability that the patient will die inexplicably.

It was a surprise that Liu Wei had matured in a free-range state.

"What about the operation after deflation..." The director of the Department of Urology questioned in a low voice. He has not been in contact with laparoscopy for a long time, and he does not have much experience in various intraoperative and postoperative complications.

After all, he said just now that doctors from the cities below come to study, and seeing the Second Hospital of Medical University for laparoscopic surgery is like seeing alien technology.

The Second Hospital of Medical University has only been in operation for a few years, and it takes time to accumulate experience.

Director Liu was stunned for a moment before he realized, he glanced at Liu Wei in surprise, "Get ready to open your stomach."

"Wait a moment." Zhou Congwen said.

"Huh?" Director Liu was taken aback.

"Director Liu, let's go wash your hands together, may I help you?" Zhou Congwen asked.

"Laparoscopy?" Director Liu was stunned for a moment, "It's all deflated, and there is no surgical field, how to do a laparoscopy?"

The patient was still bleeding in the abdominal cavity. Although the pressure on the retroperitoneum was relatively high, it was a race against time.

Laparoscopic surgery has been halfway through, and it would be a pity to give up, but if you don't give up, you will have to face gas embolism.

Director Liu is also very tangled.

"It's okay." Zhou Congwen comforted while brushing his hands, "We can try it slowly with a laparoscope."

"But I've let go of my anger."

"The relationship between pneumoperitoneum pressure and vena cava pressure balance. Pneumoperitoneum pressure is generally 9-12 mm Hg. Renal surgery, because it is an extraperitoneal approach, the pressure will be higher. However, the pressure of the central vein is generally in the Below 10 mm Hg. This means that there is a high possibility of gas influx into the vena cava.”

Zhou Congwen explained.

"It is correct to give up pneumoperitoneum, but it does not mean that it cannot be established again."

"Re-establish?!" Director Liu was taken aback, he felt that what Zhou Congwen said seemed to be contradicting himself.

"Central venous pressure may not be able to fight against normal pneumoperitoneum pressure, but if the pneumoperitoneum pressure is reduced and the anesthetist tries to control the central venous pressure as high as possible, we should act faster and it should work."

"!!!" A series of exclamation marks floated above Director Liu's head.

Zhou Congwen said it very easily, but when Director Liu thought about the situation, his brain went numb for a while.

After brushing his hands back, Zhou Congwen glanced at it.

When he went to brush his hands, Zhou Congwen didn't tell Liu Wei what medicine to give.

Zhou Congwen already had a detailed plan in mind for these. If Liu Wei didn't take correct measures during the time of brushing his hands, Zhou Congwen also had a remedial plan.

But Liu Wei sincerely gave Zhou Congwen a surprise.

An anesthetist from the Third Hospital of Jianghai City would never say anything out of breath, and would never know what to give next.