Back in 2002 as a doctor
Page 73
"Did you make an appointment during the surgery?" Chen Houkun asked.
"..." Shen Lang was stunned for a moment, then immediately lowered his head.
Chen Houkun didn't blame Shen Lang either, and said with a smile, "It's okay, it's the first time I've met Frozen in an appointment. Go ask for one, and ask how soon it will come out."
"I'll go." Zhou Congwen said, turned and walked out of the operating room.
It was not until he left that Wang Chengfa let out a sigh of relief.
I don't know why, Zhou Congwen always puts inexplicably huge pressure on himself recently, so that every time he sees his young face at work, Wang Chengfa's heart throbs inexplicably.
Soon after Zhou Congwen came back, he said helplessly, "The pathology department said that an appointment should be made in advance for freezing during surgery..."
Chen Houkun was puzzled and glanced at Wang Chengfa.
"Professor Chen, let me get in touch. The little doctor doesn't understand this kind of thing." Wang Chengfa flipped his mask, and he could see his mouth curling through a layer of mask.
"what happened?"
"In the pathology department of our hospital, Director Chi is the only person who can do intraoperative freezing. There are not enough manpower, and intraoperative freezing must be made by appointment." Wang Chengfa gave a "reasonable" explanation.
Chen Houkun was speechless, the grassroots hospitals are really rough, if you make an appointment, what should you do if you have appendicitis?No intraoperative freezing?Once there is cancer, isn't it over?
Although the possibility of cancer is extremely low, intraoperative freezing is still required.However, grassroots hospitals probably do not have this kind of concept. In their view, everything will be fine after appendectomy, and bowel cancer is not considered at all.
Zhou Congwen was also very helpless. He remembered that the Third Hospital did not require all excised tissues to undergo pathological examination until many years later, and if necessary, intraoperative freezing was required.
When this order was promulgated, the surgical system seemed to be quite defamatory.
So what to do, the level of medical care in 2002 was like this, there was no way, Zhou Congwen secretly sighed.
Wang Chengfa turned around and looked sideways at Zhou Congwen, a little proud.
But then he heard Professor Chen's words, "Xiao Zhou, brush your hands and help me."
Wang Chengfa staggered.
Why can't Professor Chen leave Zhou Congwen?Shouldn't Shen Lang on the opposite side help him when he stepped down?Why did Professor Chen go directly to Zhou Congwen?
In fact, Wang Chengfa knew the answer.
Zhou Congwen has performed extremely well in recent surgeries. There are surgeries in which he was the first assistant to prevent him from being on stage, surgeries in which the Second Hospital of Medical University sent a car to pick him up to "rescue the stage", and surgeries in which Zhou Congwen was injured in a car accident alone. surgery.
But Wang Chengfa selectively forgot that Zhou Congwen was still that little doctor who knew nothing in his mind.
He felt that he was out of favor and shouldn't be given up as an assistant.
But now there is no way to stand back, Wang Chengfa can only walk out of the operating room depressed, and contact the frozen matter during the operation.
"Xiao Zhou, it really is a menstrual-type spontaneous pneumothorax." Professor Chen took out the lens and wiped it with wet gauze while communicating with Zhou Congwen.
"The evidence chain is clear, the differential diagnosis is also very clear, and the diagnosis is very likely to be correct."
"What's next?"
"I don't recommend cutting, suturing, and wiping with gauze. It's better to use high sugar."
Generally speaking, as in the case of the patient in front of me, the visceral and parietal pleura should be wiped with gauze after the surgery has repaired all visible air leaks.Postoperative chest model adhesion, even if there is a pneumothorax again is not afraid.
This is also called pleurodesis, which is a commonly used method in clinical practice.
But Zhou Congwen does not recommend using high sugar.
Although there are many benefits of high sugar, when pneumothorax is persistently healed after thoracentesis and closed drainage, high sugar is used for flushing, and it also has a certain pleurodesis effect, but instead of using high sugar for wiping with gauze?
Chen Houkun was a little puzzled.
"The pleural adhesion caused by high sugar is not serious, and the damage is relatively small. Wiping the pleura with gauze...is too rough." Zhou Congwen understood what Chen Houkun was thinking, and whispered.
Rough, this is the only adjective Zhou Congwen can think of.
Chen Houkun didn't care, the operation was almost done, only the tail was left, as long as the diaphragm was sewed up and the chest cavity was dealt with.
"Xiao Zhou, I talked to Olida's manufacturer today, and they refused to grind the drill for me."
"You found Olida alone?"
"Ah."
Zhou Congwen sighed, Professor Chen is still honest and kind.
"Isn't it right?" Chen Houkun asked.
"I think we should find a few more companies and let them sit together." Zhou Congwen thought for a while and said with a smile, "Only choose one company to reach a short-to-medium-term cooperation, and grinding drills is just a little bit of goodwill at the beginning."
Chen Houkun was taken aback for a moment, thinking carefully about Zhou Congwen's words, it seemed reasonable.
Suddenly a voice came from behind Chen Houkun.
"Anyone who is free, answer the phone for me." Professor Chen glanced behind him.
Liu Di hurried forward, carefully took out the mobile phone that Professor Chen put in his trouser pocket from behind, and stuck it to Professor Chen's ear after connecting it.
Chen Houkun leaned back slightly and answered the phone at an angle.
"Xiao Wang, I'm doing surgery in Jianghai City, what do you want from me?"
"Oh? The demonstration operation is settled, that's fine."
"Okay, I'll make arrangements here!"
After hanging up the phone, Chen Houkun said in high spirits, "Xiao Zhou, Olida agreed, and we will organize an academic meeting, with Professor Pan Cheng from the imperial capital doing a live broadcast of the surgery."
"Live broadcast?! Are you sure it's a live broadcast or not a recorded broadcast?" Zhou Congwen frowned.
Chapter 0126: Demonstration Surgery Doomed to Fail
It is very difficult to live broadcast surgery. Zhou Congwen has done many live broadcast surgery in his previous life, so he is very clear about this.
In various disciplines, there are incidents of live surgery overturning. Even the top surgeons have to hesitate repeatedly in the face of live surgery.
The familiar operation was stumbled during the live broadcast, and the technical level was greatly affected.
Even Zhou Congwen should try to do as little live surgery as possible to avoid technical distortion caused by tension and anxiety during the operation.
Is Olida so courageous now?And asked Pan Cheng for surgery...
Pan Cheng is a cutting-edge professor in the imperial capital, with a high level, which Zhou Congwen has never denied.But Pan Cheng's shortcoming is that he has a bad temper and is willing to scold others. Basically, he will scold everyone, including the anesthetist and the itinerant nurse, once an operation is performed.
This is the case when the operation goes well. If it doesn't go well, all kinds of instruments are flying all over the place, and two sterile bags are not enough for one operation.
Therefore, Pan Cheng's reputation in the circle is not very good.
During the operation, I was anxious and nervous. Zhou Congwen had seen all kinds of surgeons.
But Pan Cheng's swearing style was the only one I saw in the last life. After a few years, the doctors in Pan Cheng's department couldn't stand people like him and resigned one after another.
Ask Pan Cheng to do the live broadcast... Olida is really too courageous, Zhou Congwen has no choice.
"Xiao Zhou, this is a good thing, why don't you see me happy?"
"I'm very happy." Zhou Congwen said coldly.
"..." Professor Chen couldn't figure out what was going on in Zhou Congwen's mind, but he still invited, "Xiao Zhou, let's start the live broadcast next weekend, come and see."
Standing opposite, Shen Lang glanced at Zhou Congwen and Chen Houkun with surprised eyes.
"Recently, the province's thoracoscopy committee will definitely be established. I'll get you a committee member." Chen Houkun threw out a sweet and greasy cake, but Zhou Congwen was not very interested in it.
Shen Lang was really shocked this time, school committee!And it's at the provincial level. Director Wang Chengfa isn't even a municipal school committee.
Zhou Congwen smiled, "I'm just a treating doctor, the committee member is not suitable, the pressure is too much, forget it. If I am not on duty next weekend, I will go, do you think so?"
On duty, Chen Houkun never thought about such a thing, after all, he has not been on duty for a long time.
"I told Lao Wang, you go together." After Chen Houkun finished speaking, he put his shoulder on Zhou Congwen's shoulder and whispered, "If you don't want to communicate with Lao Wang, I will arrange for you to stay in another hotel."
Zhou Congwen was not thinking of Wang Chengfa, but what confused him was Olida's operation.
Live surgery is still a rarity in this day and age.
First of all, we need to find patients, all free of charge, and even subsidies.But it is not just any patient, it must be a simple mild patient.
Otherwise, what if the operation fails?
Secondly, we have to sprinkle hero posts all over the place, and I don't know how many people Olida wants to invite this time.
There are too many related things, Zhou Congwen is not optimistic at all, not only is he not optimistic, he is ready for Pan Cheng's live broadcast surgery to hit the street.
Just as he was thinking, Wang Chengfa hurried back.
"Professor Chen, it's endometriosis." Wang Cheng said angrily.
Although the preoperative diagnosis was verified, it can be said that the diagnosis and operation went well, but Wang Chengfa's face could not be seen to be beaming, but was covered with a layer of bluish black.
Chen Houkun stopped talking about what he had learned, and began to suture the diaphragm wound.
When Zhou Congwen was an assistant, Professor Chen still had a feeling of divine help, but he gradually realized that it was not his own level, but the level of the little doctor beside him.
Wang Chengfa brushed his hands again, put on his clothes and prepared to go on stage.
"Old Wang, how about..." Chen Houkun was looking at the screen, saw Wang Chengfa already putting on his clothes, and said helplessly.
It was hard to say this, but he didn't want to give up Zhou Congwen's opportunity to be an assistant, so he stammered reluctantly to prevent Wang Chengfa from "making trouble".
Wang Chengfa frowned. He felt more and more that he would be marginalized in this way. By the way, he couldn't even invite Professor Chen anymore.
But I have a special status in the chest department of Jianghai City, because in the early years, the old director was sent to feed the rabbits, so he was very isolated.
Wang Chengfa always felt that something was close if he didn't find someone to tell the truth.
Damn it, it's all Zhou Congwen's fault, Wang Chengfa gave Zhou Congwen a vicious look.
Wang Chengfa couldn't refute Professor Chen's words, and he didn't want to offend the foreign aid in the provincial capital, so he could only vent his anger on Zhou Congwen.
He looked up at the surgical field, and saw that Professor Chen had sutured all the places where the liver could be seen, but the camera started to move, pointing to a smooth place.
"How did you support the mirror? Could it be?" Wang Chengfa said contemptuously.
"There is a microhole here." Zhou Congwen responded lightly.
"Microhole? Open what..."
Before Wang Chengfa could finish his sentence, he saw Professor Chen directly grasping the diaphragm with long pliers.Immediately after gently, a 2-3 mm micro-hole appeared in front of the eyes.
The micropores are extremely small, and even though Chen Houkun had found them, Wang Chengfa still felt that it was just an illusion.Because it was too small, Chen Houkun didn't sew it up at all, and put a titanium clip on it.
"Xiao Zhou, you have really nice eyes." Professor Chen smoothed things out with a smile, "I'm getting old, and my eyes are somewhat astigmatism. I can't see such small pores."
Wang Cheng stared at the titanium clip on the screen in embarrassment, not daring to speak anymore, no matter how unhappy he was.
No one wants to be slapped in the face, and Wang Chengfa has no tendency to shake M.
He was just worried why every time he wanted to trouble Zhou Congwen, he would end up rubbing him on the ground?Shouldn't it be him, the director, who rubbed the little doctor on the ground to his heart's content?
But since the day when Zhou Congwen took pictures of internal medicine in front of his eyes, Wang Chengfa remembered that he had never taken advantage of this young doctor.
It's really weird.
The operation was still going on in Wang Chengfa's doubts, and two more microscopic holes were sutured, and he began to soak and rinse with high sugar.
Wang Chengfa didn't even dare to question why he didn't wipe the pleura with gauze. He stood behind Chen Houkun in a contaminated sterile gown and watched the operation silently.
The final steps were completed quickly, the chest was closed, the tube was withdrawn, and the operation was over.
"Old Wang, go to your office and talk about something." Professor Chen turned around and stepped off the stage after finishing the last stitch, and said to Wang Chengfa.
"Oh? What's the matter?" Wang Chengfa was puzzled.
"Olida will organize an annual meeting next weekend, and everyone from the three northeastern provinces will come." Professor Chen took off his sterile gloves and walked out of the operating room with Wang Chengfa.
Shen Lang looked at Zhou Congwen, a little discouraged, "Congwen, what do you do when you go home every day? Is it just sleeping?"
Chapter 0127
"Going home is of course to rest." Zhou Congwen said perfunctorily.
"Then your surgery..." Shen Lang could already see that something was wrong.
"Maybe it's because I accidentally served as Professor Chen's assistant twice." Zhou Congwen answered irrelevantly. He had been thinking about Pan Cheng's live-broadcast surgery.
The development of thoracoscopy must let the "conservative" doctors see hope. Let Pan Cheng come to perform the operation, it is better not to come.
Olida's brain is flooded. There are so many professors in the imperial capital. For example, his boss in the last life has already performed laparoscopic surgery at this time. Why not invite him?
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