Back in 2002 as a doctor

"Congwen!" Seeing that Shen Lang walked out of the corridor of the emergency department, he immediately grabbed Zhou Congwen, "What's your relationship with that little girl?"

Zhou Congwen frowned and looked at Shen Lang, "If you know too much, you will be silenced, don't you understand?"

"Hahaha, I feel that you have a story."

Xiao Kai envied Shen Lang very much.

He didn't dare to ask Zhou Congwen directly about such words.

However, although Xiao Kai was also very curious, he didn't want to see Zhou Congwen in trouble, so he hurried up to make a rescue.

"Professor Zhou, gall-heart syndrome? I have a little impression, but I have already returned it to the teacher. What's going on?"

"Biliary heart syndrome is a clinical syndrome of coronary artery insufficiency, cardiac activity disturbance and abnormal electrocardiogram caused by biliary system disease."

Zhou Congwen smiled and explained.

Shen Lang was dejected, he knew very well that Zhou Congwen definitely didn't want to reveal the "secret" between him and that tall, thin girl.

"Uh, I only heard that patients with myocardial infarction will have upper abdominal pain, so I made a rule in the central hospital that all patients with abdominal pain in the emergency department should have an electrocardiogram."

“原理类似。”周从文道，“心脏受T2-8脊神经支配，而胆囊、胆总管受T4-9脊神经支配，二者在T4~5脊神经处存在交叉。”

"When there is inflammation in the biliary tract and the pressure in the bile duct increases, the T4-5 nerve reflex causes the coronary arteries to constrict, reduce the blood flow, and induce cardiac dysfunction.

In addition, when the concentration of bilirubin and bile acid in the blood increases, it can excite the vagus nerve, cause vagal reflex, and directly inhibit the energy metabolism of myocardial cells and reduce the function of heart activity. "

Originally, Xiao Kai just wanted to make a rescue, to tell Shen Lang not to die, and to let Zhou Congwen not be embarrassed.

But after Zhou Congwen explained in detail, Xiao Kai felt that this thing was much more interesting than asking about Zhou Congwen's private life.

Xiao Kai didn't know about Gallbladder Syndrome before, and he was just talking nonsense just now.Listening to Zhou Congwen's explanation, Xiao Kai's eyes lit up, as if Shen Lang heard gossip.

"But the patient's symptoms of cholecystitis and stones are not serious."

"Principal Xiao, from the patient's statement, does she get sick every time the girl group performs on stage?"

"I heard, is it related to nervousness?"

"Well, I guess it has something to do with nervousness." Zhou Congwen said, "The electrocardiogram is fine, so I immediately thought of cholecystitis. Besides, even if there is something wrong with the electrocardiogram, cholecystitis must be ruled out."

"The patient said that there was a problem with the electrocardiogram before. What's going on?"

"About 1/3 of the patients may have non-specific ST-segment depression and T wave flattening or inversion." Zhou Congwen said, "The higher incidence of arrhythmia may be related to biliary tract disease causing cardiac autonomic regulation disorder through autonomic nerves, especially vagal reflexes. , prone to reentry excitement."

It would be a bit too much to ask again. Although Xiao Kai was curious about Zhou Congwen's diagnosis process, he had already said so much. If he asked more questions, Zhou Congwen might not be able to explain it all by tomorrow morning.

"Shen Lang, learn a bit." Xiao Kai patted Shen Lang on the shoulder, "I will work in the chest pain center in the future, and when I meet similar patients, I will have a B-ultrasound. If the patient has an opinion, just say so."

Of course Shen Lang knew the importance of this diagnosis, but it was just gallbladder syndrome, just remember it. What interested Shen Lang more was the relationship between Zhou Congwen and that little girl.

I don't usually see Zhou Congwen attracting bees and butterflies, so why did a beautiful woman fall from the sky and fall on him?

This gossip-burning Shen Lang is itchy, but he still has a semblance of reason after all, and he doesn't want to die in the Second Hospital of Medical University.

"Biliary-heart syndrome, can it be called worry?" Shen Lang said a homophonic stalk.

"Yes." Unexpectedly, Zhou Congwen gave an affirmative answer, "Worry, it induces neurological reflexes, leading to similar situations. Didn't the patient just say that every time the girl group performed on stage, she would get sick."

"Then I will remember." Shen Lang said with a smile, "This disease is quite easy to remember."

"Dean Xiao is right, you need to have a B-ultrasound scan for similar situations." Zhou Congwen said, "If you go straight up for coronary angiography and nothing happens, it would be a big joke. Although the patient and the patient's family may not say anything about you , but it’s not good.”

"I know." Shen Lang waved his hand, he still wanted to ask Zhou Congwen about that little girl named Shining.

Seeing Shen Lang's expression, Zhou Congwen sighed.

"The pink pennant was given by her."

"!!!" Countless exclamation marks appeared on Shen Lang's head, seemingly endless.

This time even Xiao Kai became curious, fan banner, who has seen this thing clinically.

Professor Zhou Congwen Zhou deserves to be number one in the world, even the pennant is pink!Xiao Kai admired in his heart.

However, he adhered to the principle of not committing suicide, and did not continue to ask, but cast expectant eyes on Shen Lang.

Shen Lang swallowed sharply, but he also knew that this matter already belonged to the thunder pool, and since he didn't have steel and iron bones, it was better not to get involved in the thunder pool.

Chapter 1073 The Wandering Needle

When Chu Yuntian returned to Shanghai, he wanted to spend a few days with his father.

ERCP technology is not difficult for Chu Yuntian. Although he has not done it himself, this technology has already been carried out in Mayo, and it is a routine examination and treatment method.

The domestic medical level is incomparable with Mayo, which is also expected.

Although this technology has been around for more than 30 years, the level of technology in China is similar to that of a desert, which is one of the reasons why Chu Yuntian said nothing about staying in the country.

Seeing his old man's clumsy operation, Chu Yuntian thought it was a little funny at first, but he became more and more serious.

Each generation has its pursuits and dreams, and I can't just apply what Mayo said to my father.

"Yuntian, do you see that my level has improved a lot since you came back last time?" Academician Chu said to Chu Yuntian a little complacently after showing his operation.

"indeed."

The last time I came back, my father's operation was almost inseparable.

The door of the endoscopy room was closed, and my father and the nurses were not allowed to enter except myself.

This kind of closed-door practice is not because there are too many people and noisy, but mainly because my father doesn't want others to see his most clumsy side.

After all, he is an academician, and his compulsion is extremely high on weekdays. If someone sees him studying clumsily... Besides, this is also caused by the old man's strong heart.

I didn't expect my father's progress to be so fast!

Chu Yuntian looked at his old father with a smile, "Dad, don't tell me, if you were doing surgery back then, your achievements might not be low."

"What are you talking about? It's not low achievement." Academician Chu said with a smile, "Although he can't compare to Huang Lao, that kid Zhou Congwen must not compare to me."

Chu Yuntian knew that his father mentioned Zhou Congwen frequently, lest he dare not mention it and fall into the demons.

"How is the country now?" Chu Yuntian asked.

"It's okay, let's go step by step." Academician Chu said, "I study ERCP technology behind closed doors, and I don't know much about others."

"I'll be your assistant, try again."

Chu Yuntian chatted casually without any logic.Only when he is with his father can he feel that the world is safe.

The two of them performed together, and the operation was many times smoother than academician Chu himself.

It is very important to have a good assistant. Sincerity is very important. Academician Chu can only sigh once again that Zhou Congwen is a surgeon, and he is a thoracic surgeon. He can only watch that piece of jade being "robbed" by Mr. Huang.

After performing three biliary tract stent operations in the morning, Academician Chu felt that his level had skyrocketed again.

"Take a rest and eat." Academician Chu was full of ambition.

In terms of ERCP, Academician Chu knows that he is already at the leading level in China, because other hospitals rarely have equipment.

Now what I am staring at is not domestic, but to catch up with the world's top level.

But when I think about the fact that ERCP technology was developed in the late 60s, it is hard to say whether it can be achieved.

To find an opportunity, we still need to recruit a young man with quick eyesight and quick hands. If he can't do it by himself, he will pass on his experience and let him continue to study and catch up.

In the past, Academician Chu may have had some self-preserving thoughts. After all, it is an unwritten rule in China to cultivate surgical beasts.

You can do surgery, but I can't do ERCP?There is no such reason.

But every time he thinks of Zhou Congwen, Huang Lao, and Huang Lao's three students jointly suppressing all the judges in the World Cardiothoracic Surgery Competition, Academician Chu will feel agitated and heroic.

The peaches and plums are speechless, and the next step becomes a path.

Mr. Huang never said anything, but vaguely, the general trend has come into being.

Especially thinking of the scene of Huang Lao chasing and beating Zhou Congwen with a broom in the 912 compound in order to protect Zhou Congwen, it made Academician Chu dumbfounded.

After changing clothes, Academician Chu felt a little tired.

"Huh?" Chu Yuntian took out his phone and suddenly let out a cry.

"What's wrong, Yuntian."

"The hospital called me a lot." Chu Yuntian shook the phone at his father.

"Oh? Isn't there a lot of work recently?" Academician Chu asked, beating his old waist.

It is true that I am getting old, I have practiced all morning, and I haven't worn lead clothes for a long time, but even if my whole body is sore, Academician Chu also feels that the years are not forgiving.

New technology is really not what I should think about at my age.

"Who knows, let me ask." Chu Yuntian began to call back.

Academician Chu's English level is limited to reading foreign periodicals with a dictionary, listening to his son chatting in American English with average native language level, academician Chu has a gratified smile on his face.

My son is no worse than Zhou Congwen, he has already matured.

Moreover, he is not squeamish or hypocritical. After suffering successive failures, he becomes more and more courageous, and he already has the quality of becoming a master.

After Chu Yuntian hung up the phone, Academician Chu asked, "What's the matter?"

"The old Morgan's has something to do, ask me to go back for consultation."

"Consultation." Academician Chu was a little disappointed.

After all, his son may not have been able to come back once in the previous year. Although he has flown back twice this year, he still hopes that his son can stay at home with him more.

"The consultation fee is 100 million." Chu Yuntian laughed, "Dad, Mayo's medical treatment..."

"Huh?" Academician Chu was taken aback, "So much?"

"Didn't I tell you that?" Chu Yuntian smiled, "You have always been unwilling to believe it. Let me tell you this, domestic medical care is for everyone, Xiehe and Huaxi are powerful enough, people come every day People are going, I feel a headache when I look at it.”

Academician Chu nodded.

"Looking at the excitement, in fact, there is no money at all. Ordinary people, what money can they have?" Chu Yuntian said, "The location of Xiehe is too good, and I don't want to build a branch. I don't know the situation in Huaxi. But simply put , the annual gross income of Xiehe and Huaxi together can’t keep up with Mayo.”

"Affirmative." Academician Chu smiled, "The Mayo Clinic earns billions of dollars just from providing physical examinations to the world's richest people every year."

"Simple, easy, and making money. I think this is what medical care should be like. Dad, the brainwashing in China is severe. Everyone is making money, so let doctors treat diseases and save lives. Is there such a thing?"

"It's not the same." Academician Chu waved his hand, "Mayo Clinic does have higher income and higher net profit, but..."

Saying that, he paused.

Academician Chu didn't want to continue talking about this topic.

Because in the end it's a dead end.

Why did I send my son abroad back then?Don't tell the truth if you see it through, and you have no friends if you say it is broken.It is true to vote with your feet, and what you say is all the truth, which is useless.

In fact, this is also very good. My son will have no worries about food and clothing in the future, and he will not be very busy.No matter how much, it depends on him.

"What disease?" Academician Chu changed the subject and asked about the patient's condition.

"It's weird." Chu Yuntian said, "Old Morgan has been bedridden for more than ten years, and has been coughing dryly for the past month. The physical examination found that there was a needle in his right upper pulmonary artery."

"!!!" Academician Chu was stunned.

"It's estimated that Old Morgan has mild Alzheimer's on that side. It may be that he inserted the sewing needle into the blood vessel along the indwelling needle during the onset of the disease."

"Uh, this..."

Chu Yuntian's description is incredible.

"It is said that the sewing needle is a souvenir that old Morgan has always kept. It seems that it was used by his favorite maid when he was young. Let alone this, this disease...is too strange."

"The metal needle first appeared in the wrist, originated from the right radial vein, entered the superior vena cava through the venous system of the upper extremity, passed through the right atrium and ventricle, and entered the distal end of the right upper lobe artery." Chu Yuntian continued.

"I can understand the source, but I can only say that old Morgan's luck is simply against the sky."

"What about now?" Academician Chu was startled.

"The needle tip pierced the right upper lobe artery, which is very close to the bronchial artery." Chu Yuntian said, "Actually, it's not a consultation. The hospital asked me to go back to do a right upper lobe resection."

"One million for one operation?" Academician Chu smiled helplessly.

"100 million is the consultation fee, and the operation fee is another." Chu Yuntian smiled.

Academician Chu was a little complicated. He knew that the unit of measurement his son was talking about was US dollars.

"Are you sure?"

"The surgery is not a big one, but the Morgan family...they have too many people, and it also involves the issue of family property, so they haven't made up their mind yet."