Back in 2002 as a doctor

"There are too many malicious academic suppressions. If you swallow your anger and put peace first, you will definitely suffer more attacks." Zhou Congwen said slowly.

Xiao Kai felt that Zhou Congwen and Huang Lao seemed to have some deep meaning in their questions and answers, but he couldn't find it out in a trance.

"So, we must fight back immediately, and we must not show mercy. And before doing so, we must weigh the opponent's strength, and strive to win with the absolute advantage of a lion chasing a rabbit."

"That's what the boss did to Dr. Laurent in Bordeaux a few months ago."

Xiao Kai was stunned.

"A doctor Laurent can't make much waves, but with the emergence of ESD surgery, a group of people will definitely be robbed of their jobs, so this attitude is very important." Zhou Congwen said lightly, "The boss has already expressed his attitude. , and make the consequences look more serious, so that there will be less resistance when implementing ESD procedures in the future."

"As for Zhu Jun, hehe."

Xiao Kai already understood why Mr. Huang asked Zhou Congwen that sentence just now, and why he asked the school himself a question.

Thinking back carefully, Xiao Kai felt that there was nothing wrong with his answer just now, and it should be considered a dangerous pass.

"Intellectuals have their own weaknesses." Huang Lao suddenly said leisurely, "But after enough research, I have confirmed that what I did is right. What should I do when I face conservative views? They can admit defeat without fighting. Is it? Without a broom, will the dust be swept away honestly?"

Xiao Kai could tell from Huang Lao's words that he must have been a harsh man when he was young, even now that the loess is about to bury him, he is still spicy.

Definitely not as benign as it seems.

"Oh." Huang Lao suddenly sighed.

"Boss, although the Department of Cardiac Surgery doesn't do interventional surgeries, isn't there a Circulatory Department?" Zhou Congwen immediately comforted him knowing what his boss was thinking.

Huang Lao shook his head, feeling a little distressed.

It seems that there are many things that even Huang Lao can't do, Xiao Kai thought to himself.

"That's it. I flew here this time to talk to you about a few ideas for the new technique."

"Boss, I can fly there." Zhou Congwen said.

"You are busy, so I threw you here and set up an academician workstation. You have done a good job." Mr. Huang looked at Zhou Congwen and said earnestly, "I am idle and I am idle. The work at 912 is on track, so I flew here to find You talk a few words, then go back."

"Boss has worked hard." Zhou Congwen said, "I'll ask Shen Lang to take you back."

"No need..." Huang Lao waved his hand, but suddenly stopped, "That little guy Shen Lang is still recovering?"

"I've already started to come back for surgery." Zhou Congwen said, "I see that his surgery is better than before. Boss, do you think chorea can be controlled?"

"You mean that Shen Lang's subtle operations have neurological symptoms of chorea? Hahaha." Huang Lao laughed.

Zhou Congwen chuckled, this was just a joke, but Shen Lang has indeed improved in surgery since he narrowly escaped death from rabies.

Zhou Congwen expressed some incomprehension that that kind of unreliable character could be improved by leaps and bounds.

The phone rang and Zhou Congwen answered the call.

"Are you in the chest pain center? Okay." Zhou Congwen simply replied, "Boss, please rest for a while. Shen Lang from the chest pain center came to me and said that there is a consultation for me to go see."

"Go."

Xiao Kailue hesitated, followed Zhou Congwen out of the office, and closed the door gently with his hands back.

"Professor Zhou, Huang Lao asked just now..." Xiao Kai asked immediately after he came out.

"The spherical chicken in the vacuum, do you know what it is?" Zhou Congwen asked rhetorically.

"..." Xiao Kai shook his head.

Vacuum, spherical chicken, whatever.

"A farmer finds that his chickens are not laying eggs, so he asks a physicist for help. The physicist does some calculations and announces that I have found a solution! But this solution is only for the vacuum farm. Ball chicken works.”

"This is a meme from the American drama The Big Bang Theory." Zhou Congwen said.

Xiao Kai's face was dewy.

He has never been in contact with any American drama or The Big Bang Theory, and he doesn't know how it is related to today's events, so Xiao Kai dare not say a word of nonsense.

"The meaning of this joke is that physicists use an oversimplified model to simulate the real world." Zhou Congwen said, "Hawking cares about this reality as a dependent model. Just now, anyone with a normal mind would think that Zhu Jun Is provocation boring?"

Xiao Kai nodded.

"Who am I? I'm a closed disciple of the ancestor of cardiothoracic surgery in the country. To put it bluntly, Zhu Jun has to call me "little master uncle."

Zhou Congwen said contemptuously, "The boss is afraid that I will be too nerdy, and this kind of temper will not go far in the future. I read a lot, simplify the model, and am willing to reason. But how can there be so many reasons?"

"This time Zhu Jun found a good opportunity. When I was still perfecting the relevant inspections, he came up to make irresponsible remarks. But he was unlucky, and it happened to be a syncope caused by esophageal cancer. So, if you want to find fault, then You have to be aware of the consequences.”

"To put it simply, we doctors have always believed that this world is reasonable. But looking at the history books, most of the tragedies come from here."

With Zhou Congwen's words, Xiao Kai finally merged, and suddenly became enlightened.

Chapter 1393 The Boss' Opponent Is Already Dead

"It is said that doctors are more timid." Xiao Kai said with a smile.

"Well, the boss is afraid that I will be cowardly too. This person, if he really can't stand the pressure, he is destined to not go far." Zhou Congwen said, "That's why he asked me what I planned to do."

"I thought before that it's not worth wasting time on someone like Zhu Jun," Xiao Kai said.

"Shall we kill the chicken for the monkeys to see?" Zhou Congwen said with a smile, "An overly simple model is not acceptable. Do you think the boss's status in the world is based on research? That's only part of it."

"I thought……"

The combination of these things today and the previous rumors from the Bordeaux Central Hospital made Xiao Kai a little confused.

he murmured.

"Do you think the boss is really gentle and a refined elder?" Zhou Congwen asked with a smile.

"Yeah." Xiao Kai nodded and looked at Zhou Congwen seriously, "I really think so."

"Let me give you an example. When I read martial arts novels, I think it is very appropriate." Zhou Congwen said, "There is such a sentence in Yitian Tulongji - Zhang Sanfeng has been famous for 70 years, and the people who fought with him back then are dead. Clean and clean, there is no one else in the world."

"Uh……"

"The same is true of my boss." Zhou Congwen said seriously, "People who had academic disputes with the boss back then have long since died. Whether it is old age, illness, accident, or the boss's continuous blows It ends in depression, in short, the boss is the one who laughs last."

What Zhou Congwen said is hard to think about carefully, but if he thinks about it a little more, Xiao Kai feels that the three views have been completely subverted.

Could it be said that the kind-hearted Huang Lao was so brave when he was young, he forcibly fought his way out?

Although Xiao Kai knew a little about the academic world, he never expected that the old man at the top of the food chain would have such a life.

Also, things like hello, me, everyone, hello will only appear in the dean's speech.

That's a fairy tale, not reality.

"Don't think about it." Zhou Congwen said, "Just go step by step. By the way, Dean Xiao, the matter you answered today really exceeded my expectations."

Xiao Kai turned his attention back, "I'm just thinking about it."

"That's not what you said." Zhou Congwen said, "The problem is that you don't know the existence of the Nursing Department. Now you nurses don't have a management department that turns the door."

"Well, no."

"Dean Xiao, come with me." Zhou Congwen suddenly said something that surprised Xiao Kai.

This was the first time that Professor Zhou Congwen invited himself publicly, and Xiao Kai's heart was blank.

"Talent, as expected of an old doctor who graduated from Xiehe and has been in clinical practice for decades." Zhou Congwen said with a smile, "If you were younger than ten years old, I guess Director Deng would ask you to be the director of the hospital for him."

"Uh……"

"Director Deng is now the deputy dean, so he will be the dean in the future." Zhou Congwen said, "Your thinking is right, we hate seeing each other later."

"Hahaha." Xiao Kai laughed, "Professor Zhou, you flatter me so much."

Seeing that Xiao Kai didn't answer his own words, Zhou Congwen was not in a hurry, and hurried to the chest pain center.

……

……

Shen Lang sat beside the patient's hospital bed, with a folder of medical records on his lap, flipping through the printed test sheets one by one, with a trace of sadness on his face.

The patient was a 49-year-old female with a history of hypertension for 10 years.

No other geriatric diseases.

Two years ago, she experienced paroxysmal chest pain accompanied by numbness in her left arm, which lasted for 2-4 minutes each time. At that time, the Second Hospital of Medical University just started angiography examination, and director Teng Feiteng performed coronary angiography on her.

Angiography showed irregular lumen in the proximal part of the anterior descending artery, no obvious stenosis and blockage in the proximal and middle myocardial bridges, circumflex branch and right coronary artery, and the chest pain was controlled after drug treatment.

One week ago, the patient had recurrence of chest pain, the nature of which was the same as before, the pain was aggravated, the duration was prolonged, accompanied by sweating, and lasted for 1 minutes.

The patient came to the Second Hospital of Medical University for treatment. The coronary angiography performed by Shen Lang in the emergency department showed that no stenosis was found in the left main artery, 40% stenosis in the proximal anterior descending artery, 50% stenosis in the middle section, 30% stenosis in the proximal circumflex branch, and 95% stenosis in the distal section. % stenosis, 40% stenosis in the middle of the right crown.

So at that time, Shen Lang implanted a stent in the patient's distal circumflex branch.

Originally, this is a minor operation, and generally patients are fine after it is completed, and the narrowness of less than 50% can be ignored, and the impact is not great.

After the operation, antiplatelet, lipid-lowering, vasodilator, ventricular rate control and other drugs are taken orally regularly, and the patient's pain will improve.

However, unexpectedly, after the stent implantation, the patient's chest pain problem has not been completely resolved.

Not two days after being discharged from the hospital, the patient had chest pain again yesterday, accompanied by numbness and sweating in the left arm, and it continued for 20-30 minutes. He came to the chest pain center, and the chest pain was relieved by intravenous infusion of isosorbide mononitrate after the emergency department. .

But the relief was also temporary, and the patient had another chest pain a few hours later.

The emergency department had a contrast scan, and the result of the scan made Shen Lang scratch his head.

Angiography showed no obvious stenosis in the left main artery of the patient, 50% stenosis in the proximal anterior descending artery, 40%-50% stenosis in the middle, and TIMI III grade forward blood flow.

The proximal circumflex branch was narrowed by 30%-40%, the distal stent was unobstructed, and the forward blood flow was TIMI III; the middle right coronary artery was stenosis by 40%-50%, and the forward blood flow was TIMI III.The stent was unobstructed and there was no obvious residual coronary stenosis.

This is troublesome, no matter how you check it, it will be fine, at least there will be no such severe chest pain as hers.

Shen Lang looked at the test sheet in distress, and looked up at the ECG waveform on the patient's ECG monitor.

Suddenly someone patted Shen Lang's shoulder from behind.

"Shen Lang, consult." Teng Fei said.

Shen Lang nodded, and followed Director Teng Fei Teng to the office next door.

"I think the patient's condition is caused by perimenopausal female hormones, autonomic dysfunction, and coronary microvascular disease." Teng Fei was not polite, and said straight to the point.

The other doctors listened silently to what Teng Fei said, and the doctor in charge of the bed immediately wrote down a series of words that Teng Fei said.

Shen Lang frowned.

"Director Teng, the patient's electrocardiogram seems to be very serious, not like autonomic dysfunction or menopausal syndrome." Shen Lang said frankly, a bit "tiger".

Teng Fei glanced at Shen Lang.

This guy is really stubborn, although he is not the director of the Chest Pain Center, this area belongs to a temporary organization, and Zhou Congwen is in charge, but after all, he is also the director of the University of Circulation Science, Shen Lang, a young doctor who has not been promoted, dares to refute his words.

If you change someone else, you don't understand the rules.

However, the relationship between Shen Lang and Zhou Congwen is quite close, and in recent months, apart from the period of illness, Shen Lang has performed a lot of interventional emergency operations, the level of which is obvious to all.

Although not as good as Zhou Congwen, Teng Fei felt that she was a little taller than herself.

She suppressed the anger in her heart and asked, "Doctor Shen, what do you think about it?"

Chapter 1394

"Then what do you say?" Teng Fei held back the anger in her heart and asked as kindly as possible.

This is Shen Lang, the man who can't even take away rabies, if any other little doctor dared to talk to him like that, Teng Fei would have already kicked him against the wall.

"..." Shen Lang was also very helpless. Looking at the medical records, he thought to himself that it would be best to seek Zhou Congwen for consultation at this time.

But Zhou Congwen is studying new techniques with Huang Lao, so it's best not to bother him.

It's just a patient with inexplicable chest pain. He has had angiography done twice, and they are all normal. It seems that it is not good to find Zhou Congwen for this kind of situation.

Zhou Congwen is not a summoned beast, he will be there whenever he is called.

Seeing that Shen Lang didn't speak, Teng Fei and Xia Tian said together, "Give Nicorandil orally, improve microcirculation, and see the situation."

After finishing speaking, Teng Fei asked again, "Doctor Shen, do you have any other opinions?"

"I think...if...if it's possible...to do another radiography." Shen Lang said in a low voice.

"Doctor Shen." Teng Fei said seriously, "Although contrast is said to be minimally invasive, both the contrast agent and X-rays will affect the patient. Moreover, the cost of contrast is not low, and it is difficult to explain to the patient if it is not necessary. "

"Director Teng, the patient's electrocardiogram showed that there was a myocardial infarction." Shen Lang said with his neck stuck.