Back in 2002 as a doctor

The step-by-step procedure allows adequate exposure of the ventricle and capture of the posterior mitral leaflet.Capture the anterior leaflet of the mitral valve by pulling on the arteriovenous annulus at the arterial end before fully releasing the mitral device. "

Zhou Congwen explained the operation process, and Shi Ping felt that his mind was full of mud.

He listened, he listened, he read, he understood every word Zhou Congwen said, but Shi Ping found that he didn't understand anything, he didn't understand anything.

Really fucking.

It's not that Shi Ping has never seen interventional surgery. He can understand ordinary circulatory surgery, whether it is thrombolysis or stent removal.

No surgery is difficult.

But when it came to interventional surgery for valve replacement, Shi Ping was in a daze.

The organ being operated is the heart that he is familiar with, but at this moment the heart is very strange in Shi Ping's eyes.

What's all this... Shi Ping almost cried.It's not that Zhou Congwen's explanation is not detailed enough, but that he really can't do it.

"Here is coaxial alignment by manipulating the arteriovenous annulus and delivery sheath; here is CardiAQ valve placement; here is left ventriculography showing CardiAQ valve in good position without significant mitral regurgitation."

Zhou Congwen did not try to teach Shiping to learn the operation, but simply introduced the whole process of the operation like a tour guide.

The video is played at normal speed, so that the text can be talked about in any week.

"Following angiography and transesophageal echocardiography showed that the mitral annulus device was properly positioned and functioning normally, the delivery sheath was pulled back and the atrial septal defect was occluded with a 16mm atrial septal occluder."

"Because my boss and I performed the operation together, the operation went smoothly. If the level is lowered, it will not be so fast, and extracorporeal circulation may be needed."

"In order to ensure hemodynamic stability, 15-20 minutes of extracorporeal circulation can be used during the operation. As for how much contrast agent is used, it depends on the situation during the operation. The director at the time is a skilled surgeon, so he must know that it is necessary to discuss the facts and not generalize."

Great surgeon... Zhou Congwen's comment almost made Shi Ping laugh.

But this smile is definitely not a usual smile, but a helpless, aggrieved kind of smile, and it is even more of a description.

"The preoperative color ultrasound image indicated that the mitral valve ring was dilated and the mitral valve regurgitation was severe. Here is the echocardiographic image added later. After the operation, the reexamination showed that the average transvalvular pressure of the CardiAQ device was 2mmHg. Only slight paravalvular leak.

The highest left ventricular outflow tract pressure difference was 12mmHg, excluding left ventricular outflow tract obstruction.Here, postoperative [-]D echocardiography showing the mitral valve prosthesis during systole and diastole. "

"Postoperative three-dimensional echocardiography showed that the operation was successful."

"Professor Zhou, when the patient is pushed back...including the recovery time from anesthesia?" Shi Ping's voice had changed.

I took my mother to walk around the bed a few times, and then my mother had breakfast.To put it a bit vulgarly, the operation is over in the time it takes to fart, including the time for waking up from anesthesia.

This……

Even though the whole operation process is in front of his eyes, Shi Ping refuses to believe it is true.

How can it be!

"Yeah." Zhou Congwen said, "Because it was the first operation, the boss and I were more cautious and didn't let go of our hands."

Want to go faster?

"It will be much better in the future."

Even faster!

Can be faster! !

Shi Ping looked at Zhou Congwen helplessly, in his eyes Zhou Congwen had become a man radiating light all over his body.

Not only did Zhou Congwen complete the operation that he couldn't remove by splitting the sternum with an almost non-destructive interventional method, he even... had to keep improving. He was not satisfied with the 20-minute operation, and he wanted to be faster.

"After watching the operation process, you can see if there is any dissatisfaction." Zhou Congwen and the patient's family said, "If there is, we will make changes here."

"What?" The patient's family was stunned for a moment, and looked straight at Zhou Congwen.

"This is the operation process that you sign and confirm before the operation. If there is nothing dissatisfied, we will treat the whole process as a teaching operation. If there is any dissatisfaction, please bring it up." Zhou Congwen said.

"..." The family member of the patient pointed at the computer screen, "This is my mother's... no, it's my mother's... no, it's my mother's heart?"

"En." Zhou Congwen nodded.

"I can't tell what it is." The family member of the patient said, "I thought I was going to take off the video."

"What are you thinking about?" Zhou Congwen frowned slightly, disliking the patient's family members for a dirty mind, "What we want to record is the operation process, why watch other things. There are action movies in Japan, why do we record them ourselves?"

"..." Shi Ping sighed inwardly.

The cost of the operation recording in front of me is probably enough to buy a small Japanese company.

At that time, there were as many movies as you wanted, Zhou Congwen's words were not rough.

When ordinary people in society talk about this, what they think is... ahem.Don't blame them, after all, they are not doctors.

"Can you?" Zhou Congwen asked.

"Okay, okay." The patient's family members were also quite satisfied, and he said repeatedly, "But doctor, you recorded this yourself, and the postoperative medication is indispensable."

Zhou Congwen laughed, "Do you know how much the operation cost?"

"I don't know, it's worth eight thousand dollars." The patient's family said.

"Because it is the first one, the cost is relatively expensive, it should be around 300 million." Zhou Congwen said.

"!!!"

"!!!"

Shi Ping and the patient's family were stunned.Even Shi Ping did not expect the cost to be so expensive.

"U.S. dollars." Zhou Congwen added at the end.

Shi Ping's mind buzzed, and he felt that he had missed hundreds of millions.

Zhou Congwen wanted to perform tens of millions of surgeries on his mother for free, but he actually refused...what the hell.

"It's already costing so much, and the postoperative medication is not worth the money at all." Zhou Congwen said with a smile, "Don't worry, I will send it to you. But there is a request, and I have to tell you in advance."

"Doctor, tell me."

"Watch your mother take medicine every day. It's free. If you don't take it for nothing, don't waste it." Zhou Congwen warned, "If you don't take the medicine and cause other problems, I will talk to your village secretary to discuss compensation."

"..."

"Without money and land, I can't escape you." Zhou Congwen threatened.

"I see."

"Of course, don't take it just because it doesn't cost money. Food and medicine are three-point poisonous, do you understand?"

Chapter 1369 Director Shi, I'm Really Sorry

Wang Xueteng is very busy.

Last year, she had a hope, that Zhou Congwen could do as much as possible.

Life is expensive.

The only hope for a girl like Wang Xueteng who came from a poor family and was born in an unhappy family is Zhou Congwen's hard work, helping her to conquer the country in another dimension.

But now Wang Xueteng doesn't think so anymore, because Zhou Congwen is more tossed than she expected in the best situation.

Even the consumables for thoracoscopy were quickly "abandoned" by Zhou Congwen, and he went straight to a higher dimension.

Not only the doctors in the thoracic surgery department were stunned, but even the product manager of the manufacturer burst into tears.

There are countless examples of how long it takes a new consumable from research to launch.Experts also predict how long such epoch-making things like laparoscopy will last.

But what about Zhou Congwen?

Wang Xueteng stood at the door of Zhou Congwen's office in a daze.

At this time last year, I also went to create a CD by myself. The operation was esophageal cancer radical resection under thoracoscopic surgery.

No one thought that a junior doctor in Jianghai City would do it, and no one thought that he could do it so well.

How did you feel when you made the CD yourself?Wang Xueteng tried hard to remember, but it was hard to remember that time.

This year Zhou Congwen rushed forward, passively followed behind, and the exhausted people fell on their backs.Although the time is only one year, to Wang Xueteng, it seems like half a lifetime has passed.

At this moment, the mood is completely different from that moment.

At that time, I seemed very happy, thinking that the use of thoracoscopy had finally opened a door, and behind that door was a blue ocean without competition.

I can lie down comfortably and earn money for a period of time.

But now?

It is true that Zhou Congwen’s medical team has more surgeries in a year than Zhang You of the Second Hospital of Medical University + all the professors leading the team combined, and even multiplied by 2.

The key is that the Second Hospital of Medical University used to have many thoracotomy operations, but Zhou Congwen only performed thoracoscopy no matter what the patient was.

This year Wang Xueteng earned a lot of money.

However, Zhou Congwen seemed tireless. The minimally invasive procedure of thoracoscopic surgery could no longer satisfy him. He even extended his claws to the cardiac surgery department and completed the valve replacement operation with incredible means.

Is it not good to use a thoracoscopic valve replacement? The more Wang Xueteng thought about it, the more wronged she became. She silently looked at the door.

The door opened slowly, and the patient's family backed out with their buttocks pouted.

"Doctor, I will trouble you then."

"You're welcome." Zhou Congwen had a smile on his face, but Wang Xueteng knew that behind the smile was a cold breath of abstinence.

"I still need to do several echocardiograms one after another. If there is no unexpected situation, I will be able to go home tomorrow." Zhou Congwen said lightly. Condition."

"Oh oh oh, definitely."

"That's it. If you are satisfied, go to Dr. Shen to sign." Zhou Congwen said, "I called him."

"Good good."

The family members of the patient hurriedly said hello.

After seeing off the patient's family, Shi Ping, who was stunned beside Zhou Congwen, was still standing like a puppet.

"Director Shi, you should go back first too." Zhou Congwen began to push people away, "Although your mother's operation was a day earlier than that of the bed next door, she will be discharged later."

Zhou Congwen stabbed Shiping's heart with a knife, and blood flowed horizontally.

"Although they are all minimally invasive surgeries, minimally invasive is not the same as minimally invasive." Zhou Congwen took out another knife with a smile, "Minimally invasive surgery is still slightly worse, as I told you at the time."

The second knife pierced Shiping's heart, and the tip of the knife shook slightly, causing Shiping's heart to ache.

Zhou Congwen didn't mock Shiping, but slowly patted Shiping's shoulder with regret in his eyes.

Don't be too obvious about the expression of sorrow and anger.

Even an outsider like Wang Xueteng can read Zhou Congwen's meaning.

Countless knives were pierced into Shi Ping's heart at the same time, and Shi Ping almost spit out his big aunt.

Zhou Congwen's last expression made Shi Ping feel ashamed.

No matter what I say, I am an old doctor in thoracic surgery, so I don't believe Zhou Congwen when it comes to making choices.

It's okay not to believe in Zhou Congwen, but you have to believe that Huang Lao is not.

Shi Ping left in a daze, Zhou Congwen watched his figure go away, and said to Wang Xueteng, "Manager Wang, I have to work hard for you recently."

"Professor Zhou, tell me." With a smile on his face, Wang Xueteng took half a step forward and stood beside Zhou Congwen.

I used perfume today, Zhou Congwen can definitely smell it in this position.I hope that Professor Xiao Zhou can take one more look at himself, just one look.

Wang Xueteng thought to himself.

But she was still disappointed.

Zhou Congwen of the abstinence department seems to have completely sealed his five sense organs and six senses, and he is self-serving to explain the task.Wang Xueteng knew that he was a tool in Zhou Congwen's heart, a tool to promote thoracoscopy, not a beautiful girl.

As a tool, you must have the awareness of a tool. Wang Xueteng immediately restrained his emotions and listened carefully to what Zhou Congwen said to do.

The apprehension that was worrying about being salty a year ago has long since disappeared. Occasionally, when Wang Xueteng thinks of this abstinent man, he will complain that he is too cold and not enthusiastic at all.

"It's still early, and directors who are interested in new technologies can watch the CD." Zhou Congwen explained, "Actually, it's okay to hold a seminar now, but the boss thinks the amount of surgery is too small. And I don't think the boss is satisfied. I guess Surgical procedures need to be adjusted one after another.”

"Some tasks should be done in advance. Manager Wang here is more familiar with us, so I will trouble you."

Zhou Congwen said it politely, but Wang Xueteng knew that he was asking, not discussing with himself.As for bothering yourself, it's just a declarative sentence, not an interrogative sentence for discussion.

"Professor Zhou, you are too polite, this is what I should do." Wang Xueteng said with a smile.

Her body bowed slightly forward at an angle, with Zhou Congwen's height, she should be able to see something out of the corner of her eyes.

It's a pity that Zhou Congwen, a man of the abstinence department, didn't understand the style at all. After speaking, he raised his hand and waved it, then turned and went back to the office without even saying a word of nonsense.