Back in 2002 as a doctor

"Dad, what's the matter?" Li Ran's heart tightened suddenly when he heard the voice.

"Your mother has a big neck pain."

Dajingjin is a dialect in Northeast China, which means neck pain.Li Ran scratched his head. Although there was no expression on his face, his heart was relieved at once.

If your neck hurts, you can basically be sure that you have a stiff neck while sleeping, as long as you are fine.

Thinking about it, my mother is only 54 years old, her blood pressure is fine, and she won't have any serious illnesses.

"Dad, did you have a stiff neck?" Li Ran asked expressionlessly.

"No, I cried because of the pain, not a stiff neck." Li Ran's father said hastily, "When I first took medicine and drank water, it hurt when I swallowed something."

Li Ran was taken aback.

It hurts to cry, and it hurts to swallow. This is definitely not a stiff neck!

Is it...

Although Li Ran is only a freshman in the third grade, he has heard and seen Zhou Congwen for more than a year, and he grows faster than others just by watching such a top expert.

My old lady's problem is not a stiff neck, but most likely a carotid artery dissection!

Severe pain, involving the pharynx, Li Ran was dumbfounded when he thought of this.

His fingers convulsed, and the phone fell to the ground with a smack.

"Li Ran, what's wrong with you?" Shen Lang looked at Li Ran in doubt, and immediately bent down to pick up the Nokia.

Li Ran snatched the phone over and said tremblingly, "Dad, comfort my mother, don't make her nervous, take some painkillers, the dose can be larger. Immediately call 120 ambulance, now!"

After saying a lot of words in a row, Li Ran didn't even catch his breath.

"Li Ran, you don't need to go to the hospital. I just want to ask you what's going on." Li Ran's father was taken aback by his tone and whispered.

"You listen to me, go to the hospital quickly, and pay attention to your blood pressure! I'll go back right away." Li Ran said decisively.

"Immediately, you must control your blood pressure. I'll go back right away." Li Ran repeated.

Li Ran spoke intermittently, and repeated the matter of going back. It was obvious from a glance that he was in a hurry and panicked.

Shen Lang immediately called Zhou Congwen.

"Congwen, it seems that something happened to Li Ran. He wants to go back to Jianghai." Shen Lang briefly reported the situation.

"Huh? What's wrong?"

"Maybe Li Ran's mother is sick." Shen Lang said, "You see what to do next."

"You asked Li Ran to wait for me." Zhou Congwen said with certainty, "Take my car back and meet you at the gate of the hospital."

After confirming, Shen Lang hung up the phone and told Li Ran what Zhou Congwen said.

When he came to the hospital, the black red flag had already stopped at the entrance of the inpatient department. Zhou Congwen briefly asked about Li Ran's situation. Although he didn't say anything, he had the same idea as Li Ran.

"I'll go back with you."

"Congwen, no need." Li Ran said expressionlessly, "I'll go back and take my mother for an enhanced CT, and I'll contact you at any time. If you need surgery, I'll trouble you to come."

There is definitely no carotid artery stent in Jianghai City, not to mention 2003, even in 2023, Jianghai City would have difficulty in emergency surgery for such a disease.

Zhou Congwen had no other choice. He patted Li Ran and told him to hurry back.

Then I contacted Wang Xueteng and Li Qinghua, asking for various types of carotid artery stents, and at the same time contacting Li Qinghua to help make an appointment for enhanced CT in Jianghai City.

Carotid artery stents are relatively rare, and Wang Xueteng's side is not at hand.But she agreed to Zhou Congwen without hesitation, saying that she would go to the agents of the major manufacturers in the provincial capital to inquire about the inventory.

"Professor Zhou, carotid artery dissection? This disease is not common." Xiao Kai said with a frown, "There is no such diagnosis in textbooks."

"En." Zhou Congwen nodded.

This diagnosis was only officially confirmed in 2020. As of now, most doctors have never encountered it, and they don’t know that this disease still exists.

Let alone carotid artery dissection, not many doctors knew about dissection in 2003.

Zhou Congwen still remembers that when he went to the emergency department for the first time, he encountered three patients with severe pain in the chest and back.

However, one of the patients died suddenly in the emergency department of internal medicine. Zhou Congwen didn't know what the disease was at the time. Later, when he recalled it, he thought it was aortic dissection.

As for the diagnosis of carotid artery dissection, although there is no diagnosis, the principle is the same as abdominal aorta and thoracic aorta dissection - severe pain, irritability and so on.Urgent analgesia and blood pressure reduction are required.

Considering the location, Zhou Congwen felt that a few hours should be fine.

Moreover, there was nothing in his hand, and he was helpless when he went back by himself, Zhou Congwen knew this well.

So we still have to wait for Wang Xueteng to bring the bracket.

Xiao Kai quickly assigned Li Ran's work during the shift shift and ward rounds, which did not affect the treatment of today's surgical patients.

A few hours later, Zhou Congwen finished the operation and left the operating room. Wang Xueteng had been waiting outside with a trolley case for a while.

"Professor Zhou, we don't have all the models of carotid artery stents in the province. I brought all the stents. Other models are being transferred from outside the province. Regardless of whether they can be used or not, we will send them to Jianghai City first."

Wang Xueteng said clearly.

Zhou Congwen was very satisfied with her. Wang Xueteng never compromised on what he ordered, and tried his best to complete it [-]%.

"Hard work." Zhou Congwen smiled at Wang Xueteng very rarely.

Sitting in Wang Xueteng's car, Xiao Kai went up with him.

After getting into the car, Zhou Congwen didn't push Xiao Kai out. What he was doing today was wedge cutting. With Chen Houkun at home, he should be fine.

All the way back to Jianghai City, Zhou Congwen received a call from Li Ran on the way.

It is said that a low-density shadow and low-signal plaque can be seen at the carotid bifurcation. I don't know what it is.

"Controlling blood pressure may not be the cause of carotid artery dissection." Zhou Congwen finally let out a sigh of relief after hearing Li Ran's report.

Although messy and busy, Zhou Congwen finally got good news.

Chapter 1449 The Kettle in the Operating Room

"Professor Zhou, do you think there is no problem?" Xiao Kai asked tentatively.

"It should be." Zhou Congwen smiled, "I guess it was a false alarm. I'll talk about it after watching the movie."

Xiao Kai also knows that Zhou Congwen is now instructing Li Ran to follow the treatment method for carotid artery dissection just in case.

But Zhou Congwen had judged in his heart that Li Ran's mother was not carotid artery dissection.

It's fine if it's not. As for the specific diagnosis, Zhou Congwen already has an idea in mind.

"Professor Zhou, I have heard about aortic dissection since I came to our medical team." Xiao Kai said, "Besides, I often run to the chest pain center. I feel that although my technical level has not improved, But the vision has improved."

"It's okay." Zhou Congwen smiled, "The difficulty of heart surgery can only be regarded as above-average, and the difficulty of carotid artery surgery is not low, but the real difficulty is neurosurgery."

"Oh?"

Just as Zhou Congwen was about to speak, he held back immediately. He smiled, "There is a kettle in the operating room of 912, what do you think it is for?"

"I know the pressure cooker is used in orthopedics, but I haven't seen a kettle..." Xiao Kai said.

Wang Xueteng was taken aback when he heard that, the pressure cooker and kettle in the operating room?This goes where.

"One time when I went to the operating room, I smelled a smell of meat. I wondered which bastard was eating in the operating room. I don't know if I should go to the duty room." Xiao Kai said.

"Is it an orthopedic surgery, using a pressure cooker to sterilize?"

"Yeah." Xiao Kai nodded, "This incident has disgusted me for days, and the smell of meat makes me sour."

"Dean Xiao, what kind of surgery requires a pressure cooker?" Wang Xueteng asked curiously while driving.

"Manager Xiao Wang, I won't explain it to you in detail, most people can't bear it." Xiao Kai said with a smile.

"Well, don't listen to it, it's not interesting." Zhou Congwen said.

"Professor Zhou, what is the kettle for?" Xiao Kai changed the subject.

"President Xiao, what is the watershed surgery in neurosurgery?" Zhou Congwen did not answer Xiao Kai's question, but asked rhetorically.

"It's an aneurysm." Xiao Kai said with certainty.

"Yes." Zhou Congwen said, "Whether a hospital's neurosurgery is good or not depends mainly on whether aneurysm surgery can be performed. As for glioma, the probability of occurrence is low, so let's leave it to the Temple of Heaven."

"What about the kettle?" Xiao Kai asked.

"The shape of the arteries in the brain is much more complicated than that of the coronary arteries in the heart. Let's not talk about special cases, but high probability events." Zhou Congwen said, "Most of the aneurysm closure operations require microscopically micro-conducting the guide wire outside the body. Catheter shaping."

"Shaping?"

"That's not something that can be sent in by hand. You need to boil the water, and the heat of the water vapor will shape the head of the microcatheter into a certain angle, which is the angle at which the blood vessels in the head are bent when you see the angiography."

"Oh." Xiao Kai scratched his head when he thought of the complex deformities in his brain.He doesn't understand shaping very well, and if he makes it into a weird angle, can he still send it in?

Although he didn't understand, Xiao Kai didn't continue to ask.

If he talked too much, Professor Zhou might start the teaching mode.

"Professor Zhou, water vapor shaping, and then?" Wang Xueteng asked.

"Fixed with cold water, the advantage is that it can facilitate the operation, increase the stability of the microcatheter in the blood vessels of the brain, and prevent the aneurysm rupture caused by the microguide wire as much as possible. The most important thing is that the coil can be evenly distributed in the blood vessel. .”

Zhou Congwen explained and explained, but Wang Xueteng didn't understand a word. He only remembered that there was a kettle in the operating room.

Wang Xueteng felt completely different from the operating room in his impression when he thought of the operation being done on this side and the boiling water on the other side, which was full of life scenes.

Not to mention Wang Xueteng, even an old gun like Xiao Kai can't imagine it.

At present, interventional surgery in the Department of Neurology has not been carried out on a large scale, because it is not in the scope of diagnosis and treatment of cardiothoracic surgery, and Zhou Congwen did not take the initiative to do it, so Xiao Kai doesn't know much about it.

But he knew what Zhou Congwen said was right.

"Professor Zhou, when I went to the Central Hospital after graduation, our old dean was a heart-warming person, and he directly asked me to be admitted."

"Not happy at that time?" Zhou Congwen asked.

"At that time, I was a little confused and didn't understand anything. In fact, what I wanted to do most was neurosurgery. So I called back to consult and asked if thoracic surgery was good."

"What did your teacher say." Zhou Congwen was a little interested.

"The teacher said, just do chest surgery!" Xiao Kai laughed, "He said that the field of surgery in chest surgery is open, so you don't need to be cautious, and it's okay to bleed a little.

The chest cavity is so big, a little blood is like water, even if the intercostal artery is broken, it's fine.But neurosurgery is different. Capillary hemorrhage is unbearable, and surgery can bring people to death. "

"Indeed, our chest department has its own advantages." Zhou Congwen said with a smile.

"By the way, weren't you the director Lei who smashed the gynecology department with the medical records that day?" Xiao Kai sat in the car with nothing to do, and began to talk to Zhou Congwen about something.

"And then?" Zhou Congwen asked.

"They said that Director Lei used the medical records to hit the interns too much, and he suffered retribution." Xiao Kai said, "In the gynecology department's office, the tables are right together, and the interns put flower pots in the middle."

"The flower pot...is there an obstacle, so Director Lei can't get it right?" Zhou Congwen laughed dumbfounded when he thought of the layout of the gynecology doctor's office.

I didn't expect to put a bunch of flowers in the middle, but it still has this effect.

"Well, Director Lei is willing to use medical records to hit interns." Xiao Kai said, "The older generation has this habit. Sometimes I read medical records written by interns... not sometimes, almost every time I see medical records written by interns." They will raise the blood pressure by 10 mmHg."

"It's really unreliable." Zhou Congwen laughed, "But it's all started since then."

"Professor Zhou, did you do the same during your internship?" Xiao Kai asked with a smile.

Zhou Congwen glanced at Xiao Kai with a smile, Xiao Kai immediately shut up, and the words that many words must be lost echoed repeatedly in his heart.

"It doesn't make sense." Zhou Congwen said, "Medicine...is a flawed subject. My boss didn't fully understand it, let alone an intern. It's good that the students can memorize the books, and the others have to be explored in practice. "

Xiao Kai had already accepted Zhou Congwen's way of saying that he didn't regard his age as a shortcoming, and nodded.

"The boss often said that the surgery he participated in editing could be slightly better, and other textbooks could not be read."

"Can't see?" Xiao Kai was taken aback.

"Yeah." Zhou Congwen nodded, "The boss sometimes sighs and says that half of the textbooks are wrong, but unfortunately he doesn't know which half."

"..."

Chapter 1450 At least 20% of the articles are unreliable

"No...as for it." Xiao Kai was taken aback by Zhou Congwen's rebellious statement.

Textbooks, that are textbooks.

Zhou Congwen sighed, "Whether classical physics, relativity, or quantum mechanics are constantly being subverted, this is science. Although our medicine relies more on experience, it is still science. As for what is right, who knows. "