Back in 2002 as a doctor

Zhang You rinsed silently, and he quickly felt the benefits of this equipment nurse.

No matter what you want, you don't need to raise your head or speak, as long as you stretch out your hand, the thing will fall in your hand without any delay.

Although it was the first time for him to cooperate with me, his eyes were very bright.

Huang Lao crushed himself, really from every dimension and every corner, Zhang You felt emotional.

Not to mention personal quality, whether it is an assistant or an equipment nurse, the people around Mr. Huang are so strong that he can't imagine.

The first operation is over, and the second patient is sent up.

There was no video recording of today's operation, and some links were missing, but the speed was much slower than yesterday.

Zhang You gradually got used to it, and the progress of the second operation was faster than the first one.

Indeed, as Mr. Huang and Zhou Congwen said, the operation is very simple. After two operations, Zhang You has already mastered the basic skills.

The difficulty of the operation plummeted to the point where Zhang You felt like he had his eyes closed... It was definitely not possible to close his eyes, but it was reduced to an outrageous level.

The ancients said that seeing a mountain is a mountain, seeing a mountain is not a mountain, and seeing a mountain is still a mountain. There are three levels of cognition.

Zhang You has not considered similar philosophical issues, but today he seems to have touched the threshold.

Whether it is surgery or interventional surgery, the sole purpose is to treat the disease.

Combining the two into a hybrid surgery has the effect of turning decay into magic. Zhang You felt that the shadowless lamps in the operating room today were extraordinarily bright.

The operation became smoother and smoother, like drinking nectar, Zhang You gradually concentrated on the operation, Huang Lao and Zhou Congwen simply missed the third patient's operation, but Zhang You did it very happily and smoothly.

Although this is not a valve replacement in the standard sense, Zhang You knows that it is a valve replacement.

Judging from the cognition accumulated from previous work experience, many patients suffer from severe trauma due to valve replacement surgery, which causes doctors and patients' families to have many concerns about whether to perform surgery or conservative treatment.

Even if they barely come to power, some patients will not be able to get out of the ICU alive.

With surgery, 99% died; without surgery, 100% died.

This sentence is not only the mantra of neurosurgery, but also the mind is often said.

After all, the patients with valvular insufficiency are basically the elderly, and there are countless rheumatic heart diseases. Anyone who can perform surgery, whether it is the patient himself or the doctor, has to take great risks.

But Huang Lao and Zhou Congwen's improved hybridization technique opened Zhang You's eyes.

The operation is not as complicated and daunting as the simple interventional operation before, and it is not as injurious as the operation of splitting the sternum.

It can be said that this is a nearly perfect technique.

The only shortcoming is thread eating, but Zhang You can't care about this now.

When the third patient was sent down, Zhang You took off the sterile surgical gown and gloves, and went straight to wash his hands.

"Director Zhang."

A hand rests on Zhang You's shoulder.

"Ah?" Zhang You was taken aback.

"Today's operation is finished." Zhou Congwen said.

"..."

In a daze, Zhang You had already forgotten the number of surgeries. He was like the most energetic young man entering the bridal chamber, fumbling but slowly looking forward to it.

"It's done, so fast." Zhang You felt lost.

"Director Zhang, how are you?" Zhou Congwen asked.

"Hiss..." Zhang You took a breath and remained silent for a long time.

"Take off the lead coat." Zhou Congwen said, "It's strange."

Zhang You can no longer feel the weight of the lead clothing. Surgery on 912 and surgery at home are two completely different concepts.

After home surgery, his back hurts every time, but he can perform three surgeries at 912. He is full of unsatisfactory feelings.

I really want to do more surgeries!

After Zhang You suddenly realized what was thinking in his mind, he began to recall the last time he had this thought.

At that time, I seemed to be very young.

It is also amazing to have the feeling of rejuvenation after undergoing surgery. The big teeth behind Zhang You's sterile mask gritted.

"Let's go." Zhou Congwen finished speaking, turned and left.

Zhang You took off the lead jacket silently, instead of throwing it on the ground, he hung it on the shelf honestly.

This is not my home, if someone from a higher-level hospital like 912 said a few words because of some shit, it would be wrong.

A little nurse here dares to train herself, let alone a BOSS-level figure like the exclusive equipment nurse who has cooperated with Huang Lao for 21 years.

When Zhang You honestly returned to the locker room, he smelled the familiar smell of cigarettes when he entered the door.

Sitting under the slogan "No Smoking", Mr. Huang happily smoked Bai Ganoderma lucidum, which made Zhang You dazed for a moment.

"Boss, that's about it." Zhou Congwen asked.

"It's almost there." Huang Lao said, "Tomorrow's surgery video, prepare to take it to the competition."

"This year's competition..." Zhou Congwen pondered, "There seems to be something wrong."

"In the face of absolute strength, any trick is like a cart."

"The boss is mighty!" Zhou Congwen praised.

"Working hard is better than anything else, don't flatter."

"I'm not flattering." Zhou Congwen said seriously, "The boss is indeed mighty! If you don't believe me, ask Director Zhang."

Chapter 1471 Lobbying Group

The new consumables have passed the FDA certification, which is the most important thing for Aolida Group recently.

Lawrence and the power of the family lobbied the FDA review panel at all costs.

Normally speaking, to pass the FDA's approval, in the past, at least hundreds of surgeries were required, and tens of thousands of surgeries were required to prove its effectiveness.

Moreover, long-term postoperative follow-up data and the process of feedback on various indicators of patients after surgery are required.

Although the approval process of consumables is much simpler than the approval process of drugs, and the 501K process has been created based on some loopholes in the rules, allowing many products to take advantage of the loopholes.

However, the 10 successful operations performed by Dr. Miyamoto are still not enough.

Even if Olida made great efforts on the side of the review experts, the progress was relatively slow.

Normally, 100 cases of surgeries are relatively common, and it is easy to pass the approval under the control of the 501K process.

Even in recent years, 50 surgeries have passed the FDA's review and entered the final stage.

Lawrence only had the information that Dr. Miyamoto had performed 10 operations in several months, which was obviously not enough to read.

But he was not discouraged.

As long as it passes the FDA's review, the product can enter the clinic, plus a series of operations, such as the cooperation between Dr. Miyamoto and Fukaya Owada is "perfect".

In short, technology is progressing, and more and more doctors join in, and the road ahead will be better.

But the FDA's expert group is still very rigid, even the FDA's rules on high-value surgical consumables are full of loopholes that have been eroded by multinational companies... Everything Lawrence did was in vain.

No expert would dare to tie his academic reputation to 10 surgically validated new consumables.

Other consumables are just a sideshow, but the new technology submitted by Olida is a clear violation.

But Lawrence tried every means to slowly and firmly promote the approval of the expert group, visiting and approving the members of the expert group one after another.

He doesn't want to convince everyone, as long as he can convince more than half of the people.

Lawrence led his own lobbying group, visiting and persuading one after another, trying his best.

Today I am going to visit and lobby one of the most stubborn experts-Joe Johnson.

He is a cardiovascular expert and one who uses a lot of interventional consumables.

Dr. Joe Johnson is familiar with Dr. Miyamoto, and he has rejected Dr. Miyamoto's remarks very early.

But in order to pass the FDA review, Lawrence still had to face Dr. Qiao.

In the office of Massachusetts General Hospital, Olida's expert team finally met Dr. Joe Johnson.

He is about 50 years old, with gray hair at the sideburns, and looks serious.

Facing the arrival of Olida's chairman, Dr. Joe Johnson expressed his welcome implicitly, but Lawrence could see that he was out of the most basic courtesy.

Following the statements made by Olida's expert group, Dr. Joe Johnson's face was always stern, without a trace of a smile.

"Dr. Qiao, we are old friends." Lawrence said enthusiastically, "This is an epoch-making technology. I believe you can easily recognize this with your professionalism."

"The operating table is cumbersome." Dr. Joe Johnson frowned and said, "My professionalism tells me that this operation cannot be done on a large scale. Moreover, the number of patients undergoing surgery is too small to be of reference value."

Then, he looked at Dr. Miyamoto, "Dr. Miyamoto, how high is the failure rate of surgery?"

This is a rather embarrassing question.

Dr. Miyamoto did not answer directly, but continued to explain the advanced nature of this technique.

Soon he was interrupted by Dr. Joe Johnson.

"Dr. Miyamoto, we are all experts in interventional cardiac surgery, and I have always recognized your technical level." Dr. Joe Johnson said, "But from my point of view, new surgical methods and new consumables are important. A revolutionary change, and I applaud that."

"But!"

"The success rate of the operation is too low. At least I watched the operation CD no less than ten times after receiving it. I think the chance of my completion of the operation is no higher than 10%."

"New technology needs brave doctors to promote it." Lawrence said, "Joe, if we are obsessed with the success rate of surgery and don't face its good adaptability, I think we will miss the opportunity to change history. "

Dr. Joe Johnson shook his head seriously, "Mr. Lawrence, what I mean is that this operation is impossible to popularize, and the operations you provide... are too few."

As he spoke, a sneer appeared on the corner of his mouth.

"If possible, I don't think Olida Group would want to pass the FDA certification with only 10 hands-on videos."

"Indeed, there are many loopholes in high-value consumables used in surgery, and the FDA has also passed the approval with a very tolerant attitude, letting clinical practice speak for itself."

"But this consumable you brought out is ridiculous!"

Lawrence sighed, "Joe, we are old friends, how can you agree?"

Dr. Joe Johnson looked at Lawrence and said nothing for a long time.

After 5 minutes of silence, Dr. Joe Johnson said in a deep voice, "Sufficient number of operations and long-term feedback show that the mitral valve clip has no side effects on the human body."

Lawrence's eyelids trembled, and he looked at Joe Johnson with a sneer that lifted the corner of his mouth.

Damn, stubborn old things, it is their existence that hinders the promotion of new technologies in this world!

The cost of research has been greatly increased, which seems very just, but she is killing, this is murder in disguise!

Lawrence slandered Dr. Joe Johnson viciously in his heart, but the smile on his face did not change.

"How many surgeries do you need?"

"A hundred at least," said Dr. Joe Johnson.

With that said, Dr. Joe Johnson glanced at Dr. Miyamoto.

"If you have enough confidence."

Crap, be confident who will visit you in private!Lawrence was furious in his heart. He knew that it was Dr. Joe Johnson's tactful refusal.

How long did it take Dr. Miyamoto to complete 10 operations? If this is performed at the annual meeting of the World Interventional Cardiac Science...

Lawrence's brain throbbed with pain.

"That's it, I'm going to have a damn clinic today." Dr. Joe Johnson began to see off the guests.

"Forget the damn outpatients, they are not worth the time of an expert like you." Lawrence laughed, "Joe, my old friend, I sincerely invite you to work in Olida's technical department."

Doctor Joe Johnson smiled, stood up and was about to leave.

"One year, $300 million."

Dr. Joe Johnson paused.

"350 million, just need some professional advice from you, this is part of curing diseases and saving lives, those damn diseases are waiting for technology to conquer, Joe!"