Back in 2002 as a doctor

The practice certificate and scope of practice have been established since 2000, and inter-professional practice is simply not something he can do.

But now everything is still very chaotic. If I really want to change Zhou Congwen's scope of practice from thoracic surgery to anesthesiology, it doesn't take much.

And now no one cares about these things, Wang Chengfa's words are all reasonable, full of the old director's love for the little doctor below.

Tsk tsk, looking at Wang Chengfa's back, Zhou Congwen felt that this matter was getting more and more interesting.

The conversation tonight has never happened in the last life.

Perhaps in the eyes of Wang Chengfa in the previous life, he was just a trivial little doctor, who could easily flatten and round, which was not worth thinking about at all.

After he was reborn, the NPC also increased his IQ, and started to use new methods to play tricks, which is a bit interesting.

Zhou Congwen looked at Wang Chengfa's back with a smile and deep eyes.

……

There was nothing to say all night, and the sun still rose the next day.

Recently, it seems that the god of night shift has heard Zhou Congwen's call, and has been on duty for two quiet shifts one after another.

After the night shift on Friday, Zhou Congwen went home early to practice surgery.I need to come on Saturday because Zhang You was invited for coronary artery bypass surgery.

Extracorporeal circulator?Zhou Congwen thought in his heart.

Chapter 0169 The heart is really dirty

Early on Saturday morning, Zhou Congwen came to Corey, quietly waiting for Zhang You's arrival.

It is estimated that Wang Chengfa and Zhang You must have some kind of PY transaction, otherwise Wang Chengfa would not "climb" this tall branch at all.

The most powerful professors and directors in the imperial capital, such as Director Gu Chengxiong of Anzhen Hospital, never leave the imperial capital, and it is almost impossible to find him with a knife.

It's not a matter of money or not. If someone performs a thousand bypass operations a year, there's no time to waste on the road.

Because of this, Zhang You also claimed to never leave the provincial capital.In Zhou Congwen's view, what Zhang You did was nothing more than an imitation.

It was really rare that Zhang You, who had never been out of the provincial capital, came to visit. Zhou Congwen was very curious about what he and Wang Chengfa would do in the future.

But counting the time, if there is no major change in that matter, it is estimated that it will happen this month.

All calculations are useless in the face of the tide of history.

At eight o'clock in the morning, Wang Chengfa's voice came from the corridor, "Director Zhang, this way please, the patient is in our small intensive care unit."

Sparse footsteps went to the ward, Zhou Congwen waited quietly in the office.The doctor in charge of the patient was Liu Di, he was busy back and forth, and Shen Lang helped with small things.

Soon after seeing the patient, Zhang You went straight to the doctor's office to see the preoperative examination.

Zhou Congwen sat in the corner with deep eyes.

After Zhang You came in, he saw Zhou Congwen for the first time, but he didn't say anything, and his expression didn't change at all, so he pretended he didn't see him, and talked to Liu Di about the test report.

His words are very gentle, and the image of an old director who supports the younger generation is vivid on the paper.

"Okay, there are no surgical contraindications, let's go." Zhang You patted Liu Di's shoulder very gently, and said with a smile.

"it is good."

Seeing Liu Di go busy, Wang Chengfa smiled, "Director Zhang, this is a new doctor in our department. He used to work in circulatory medicine."

"Director Wang, your ambition is not small." Zhang You laughed.

The doctor from the Department of Cardiovascular Medicine was transferred to the Department of Cardiothoracic Surgery, so he didn't have to think about what to do in the future, it must be heart bypass surgery.

"Director Zhang, look at what you said. If the child is up to the challenge, you will be admitted to your graduate school in the past few years, please raise your hand."

"Hahaha, sure, as long as you can pass the basic score line, just come."

They talked lively, Zhou Congwen sat in the corner and listened silently.

Cardiac surgery?Ah!

Most of the interventional surgeries in the Department of Cardiovascular Medicine will be completed in the past ten years, resulting in the Cardiac Surgery Department either wiping the buttocks of the Department of Cardiovascular Medicine, or only performing bridges that are extremely difficult and unsure of interventional surgeries.

Ten years later, as interventional surgery became more and more mature, it was difficult for cardiac surgery to eat even this soup.

From the perspective of the future, both Wang Chengfa and Zhang You have certain historical limitations. They can't imagine that the promising cardiac surgery will suddenly come to an end.

Zhang You and Wang Chengfa talked and laughed and sat in the director's office. Zhou Congwen waited for 10 minutes before changing clothes and going on stage.

Before the operation, Wang Chengfa did not explain the specific matters to him, but Zhou Congwen believed that today's operation would not let him go, but kicked himself to the extracorporeal circulation side to see.

It is tantamount to nonsense for a surgeon with no foundation at all to master extracorporeal circulation technology in a short period of time.

Complicated machines can't understand at all, let alone the specific meaning of each step of operation,

This move was a killer move, if Zhou Congwen hadn't been reborn, he would have been pressed to death directly, there was no other way out.

In silence, Zhou Congwen changed into the isolation suit, put on a hat and mask and walked into the operating room.

In 2002, although Fuwai, Anzhen and other top hospitals in the imperial capital were able to perform beating heart bypass surgery, no one in the provincial capital could do this level.

Extracorporeal circulation is a must. Even Zhang Youlai had to bring two extracorporeal circulators in the extracorporeal circulation team for "Flying Knife". He didn't believe that Jianghai No. 2 Hospital had a competent extracorporeal circulator.

Zhou Congwen guessed that Zhang You was trying to make Chen Houkun look good and devour Chen Houkun's foundation as much as possible, so he took the extracorporeal circulation specialist out for the operation without hesitation.

Shen Lang and Liu Di were busy together, while Zhou Congwen stood quietly behind the extracorporeal circulator and looked at the machine.In Zhou Congwen's eyes, looking at this simple extracorporeal circulation machine is like admiring antiques.

It was really not easy back then, but such a crude machine was able to perform heart bypass surgery. Zhou Congwen watched with great interest as the extracorporeal circulator in the Second Hospital of Medical University familiarized himself with the machine.

Extracorporeal circulators can bring it, but the machine belongs to the Third Hospital of Jianghai City, but it has not been used a few times after buying it.Wang Chengfa could not perform bypass surgery, and many people complained about the purchase of this machine.

Ten minutes later, Zhang You and Wang Chengfa changed their clothes and came up.

Because the operation was relatively large, they didn't need to call to urge them, but they took the initiative to come up in advance to see if there were any mistakes.

"Director Zhang, this is Dr. Zhou who you picked up a few days ago, Zhou Congwen." Seeing Zhou Congwen standing behind the extracorporeal circulator, Wang Chengfa introduced to Zhang You, "Bypass surgery is the general direction of the future. I will let Xiao Zhou went to learn extracorporeal circulation techniques. You see, I have thrown all the elite soldiers into it, hahaha."

Wang Cheng smiled triumphantly, and Zhang You nodded slightly.

The extracorporeal circulator at the Second Hospital of Medical University looked back at Zhou Congwen in surprise.Extracorporeal circulation is performed by anesthesiologists. Is this little surgeon going to change careers?

eccentric.

Zhou Congwen didn't greet Zhang You like Liu Di did, but just stood quietly in the corner and looked at the extracorporeal circulation machine.

If you didn't know, you really thought he would obey Wang Chengfa's instructions and switch careers to become a cardiopulmonary bypass specialist in the future.

Zhang You was very satisfied with the "sincerity" expressed by Wang Chengfa. Chen Houkun's best assistant was not only unable to cooperate with him in the operation, but was also sent to work as a cardiopulmonary bypass specialist.

This is equivalent to cutting off an arm of Chen Houkun.

But this doctor Xiao Zhou is also really weird, when Chen Houkun is on the stage with him, his level soars... It's like a godsend, yes!It's like divine help.

Divine help?Zhang You suddenly thought of this word and looked carefully at Zhou Congwen.

It's a pity, Zhang You looked at Zhou Congwen with satisfaction and regret, it would be great if he met such a good little doctor earlier, why bother to ruin his future.

After Liu Di and Shen Lang finished their work, the anesthetist started anesthesia.

After adjusting their positions, Liu Di and Shen Lang went to brush their hands.Wang Chengfa's mask suddenly moved, and he said in a deep voice, "Shen Lang, stand below and watch, let Zhou Congwen take the stage."

Shen Lang was startled, full of grievances, but he didn't dare to argue, and stood aside silently.

Zhou Congwen smiled helplessly, and Wang Chengfa didn't even give him a chance to watch the operation of the extracorporeal circulation machine, for fear that he would "see" it.

This man~

The heart is really dirty.

Chapter 0170

Swiping his hands onto the stage, Zhou Congwen was a translucent assistant as usual, standing beside Zhang You according to Wang Chengfa's instructions.

In 2002, the three assistants had the opportunity to do the coronary artery bypass grafting operation—the first assistant sewed the skin when taking the great saphenous vein.

Zhou Congwen knew that Wang Chengfa would not leave this opportunity to himself.

There is no essential difference in other aspects of the second aid and the third aid, and Zhou Congwen still can't see anything.

He used to be a little transparent, but now he is a little transparent who is deliberately ignored.Anyway, I can't see the field of surgery, so the operator can pull the hook as he wants, just don't worry.

Zhou Congwen was not curious about Zhang You's skills. In 2002, no matter how strong Zhang You was, he could still defy the sky?

"Liu Di, Doctor Liu, right?" Zhang You was chatting with Liu Di who was opposite him while disinfecting.

Since Wang Chengfa has done more than he wants, Zhang You doesn't mind fulfilling part of his request.

"Yes, yes, Teacher Zhang." Liu Di was well-behaved, and instead of addressing Director Zhang, he called him Teacher Zhang.

"Where is the first dangerous point of the operation?" Zhang You asked while reaching for the knife.

"The sternum saw may damage the heart when sawing the sternum." Liu Di did his homework very well, and he blurted out the answer without even thinking about it.

Zhang You opened the skin with a knife, and then stopped the bleeding.Because he knew in advance that there was no electric fever in the third hospital, so he was not surprised and ligated a little bit.

"Do you know what conditions may cause a sternum saw to cut through the heart?"

Liu Di was slightly taken aback, this... the book is not very detailed.But Mr. Zhang Youzhang asked, and he had to answer no.

"The distance between the myocardium or the aorta and the sternum is small...narrow...short..." Liu Di thought of several adjectives, but everyone knew what he meant, and Zhang You didn't make things difficult on purpose.

The hemostat in his right hand clamped the bleeding blood vessel, and Wang Chengfa immediately wrapped the thread around the clamp, and the hemostat in Zhang You's hand left immediately after the ligation.

The two cooperated perfectly in the most basic work, and Zhang You still had time to take Liu Di.

"anything else?"

"I can't remember." Liu Di said frankly.

"When the sternum is deformed, it may damage the heart." Zhang You said with a smile.

"Oh oh oh."

"Blade of sternum saw came loose, cut through heart."

"The sternum saw wire cut the heart."

"..."

"The first operation caused adhesion between the heart and the sternum and the pericardium was not sutured, and the heart may be injured during the second operation."

Zhang You said a dozen possible situations in one breath.

"Liu Di, learn a little bit, this is clinical experience!" Wang Chengfa curled his lips, moved his mask slightly, and said in a muffled voice.

"When we performed heart surgery back then, we did it rashly. My teacher performed the first heart transplant in the country, which was a huge risk." Zhang You said while stopping the bleeding.

The first heart transplant, Zhou Congwen smiled, it happened more than ten years ago.

Various organ transplants, except for brain transplants that have not yet been studied, have no difficulties in surgery.Difficulties lie in postoperative, various rejection reactions and unexpected situations and so on.

Medical University performed a heart transplant more than ten years ago and never performed it again, unlike Wuxi, where a dilapidated infectious disease hospital was suddenly turned into a national lung transplant base.

So much so that the joke about head transplantation came out of the medical university more than ten years later, which is really embarrassing.

But although there are only a handful of successful cases, they are enough to brag about.This was the case in the previous life. As long as Zhang You underwent heart surgery, he would definitely say that he had undergone a heart transplant.

Others don't know it, but Zhou Congwen is very clear about it. When the country's first heart transplant was performed, Zhang Youzhan was not the surgeon, but himself, the second assistant.

"I met a patient with a ruptured heart during the thoracotomy. I was a little confused at the first time, but then he was fine." Zhang You began to bluntly separate.

"Let me ask you, what do you do after your heart breaks?" Zhang You asked.

Liu Di was taken aback.

This kind of question is absolutely beyond the outline, and it is impossible for a doctor who has not yet been promoted to take care of it to answer it.

"Actually, if people want to say that the skin is solid, it is the real skin. After a long time as a doctor, you will gradually believe in your fate." Zhang Youyou said, "Some patients were hit by a car and almost lost their parts, but they survived anyway. .Some patients went to the operating table and had a caesarean section or appendicitis, but died in the end.”

"Mr. Zhang, how do you deal with a broken heart?" Liu Di asked.

"One time we went on stage to perform coronary artery bypass grafting. When the sternum saw was halfway through, we found that the resistance was extremely high. We perform surgery just like driving a car. You must remember this."

Liu Di nodded repeatedly.

"There was a lot of resistance, and a lot of blood began to flow out of the incision. At that time, everyone else on the operating table was stunned. I immediately asked the operator to withdraw from the sternum saw, and found that the saw blade fell off."

"..." When Liu Di thought about the situation, he became nervous for no reason.

"At that time, I inserted my right index finger into the mediastinum, because I couldn't see it, so I could only feel it. I found that the anterior wall of the heart was ruptured, and I immediately blocked the rupture with my finger."

"This is the most appropriate way to deal with it. Then cut the sternum and found a 2.5cm long rupture in the anterior wall of the right ventricle. The rupture was immediately sutured continuously with 4-0 polypropylene suture."