Back in 2002 as a doctor

Page 190

"President Xiao, Director Teng Feiteng of the Circulatory Department and Director Jiang of the Vascular Surgery Department of the Second Hospital of the Provincial Medical University are coming to us. The manager of the manufacturer is also here. Large shelves of various diameters are fully prepared."

Zhou Congwen said.

Dean Xiao was taken aback, this time he was really surprised.

"Coincidentally" corrected the diagnosis of cerebral infarction to thoracic aortic aneurysm, which is nothing, it is a normal thing.

Maybe Zhou Congwen has seen similar patients during his internship.

As for his own misdiagnosis, Dean Xiao didn't care too much, since it's not too late for anyone to see a doctor.

But just as this was confirmed, Zhou Congwen actually told him that the two directors of the medical university and the manufacturer had rushed over while he was still having a headache as to what to do.

I go!

Is this the energy that a little doctor can possess!

Dean Xiao finally knew why Wang Chengfa was sent to the outpatient clinic. It was not a coincidence, absolutely not, but the doctor named Zhou Congwen in front of him was acting as a hindrance.

Young, disobedient, embarrassing himself in front of so many people, all things combined, let Dean Xiao attach importance to Zhou Congwen, as a real opponent.

……

……

Imperial Capital, 912.

"Director Deng, who is Zhou Congwen? You are so caring." Director Geng asked curiously.

In Jianghai City, such a small and remote city, Director Geng didn't expect that Deng Ming would have someone he knew there, and they looked familiar.

"Zhou Congwen, Zhou Congwen..." Deng Ming didn't answer, and the bearded face seemed to be chanting the three words Zhou Congwen, which was particularly attractive.

"Hey, hey, Director Deng, what's going on! I'm just babbling about soup and ignoring me." Director Geng felt dizzy and hurriedly called to stop.

"I'm not thinking about what to say." Deng Ming smiled, and the bearded face seemed to be smiling too, "A few days ago, a patient who underwent esophageal cancer surgery more than 20 years ago developed an esophagus-bronchial fistula, the boss On a whim, the patient insisted on going to Jianghai City for surgery without bothering the patient."

"Old Huang is in good health." Director Geng praised.

"It's okay, I think it's mainly because they are too strict at home, and they go out to eat meat..." Deng Ming said with a long sigh.

"Hey, let me ask you who Zhou Congwen is, and you tell me Boss Huang. Could it be that Boss Huang met a piece of rough jade in Jianghai City?" Director Geng asked with great interest.

"Jade in the rough?" Deng Ming said to himself, then shook his head, and the bearded face also shook his head, "It's not long ago."

"..." Director Geng was taken aback.

Director Geng couldn't understand how capable people could be in a place like Jianghai City, and Deng Ming spoke hesitantly.

"Director Deng, you're so stupid, why are you acting like a bitch today?" Director Geng scolded unhappily, "What's going on?"

"Old Geng, let me ask you, is my thoracoscopy done well?" Deng Ming suddenly changed the topic again.

"Okay." Director Geng said very directly, "Boss Huang is still open-minded, you look at tumors, and now they are mainly surgical operations, and thoracoscopic surgery is still an auxiliary operation.

I guess we have to wait for those old directors to retire before the new directors can carry out thoracoscopy smoothly.You are different, Mr. Huang fully supports it, and it is not too much to say that the technical level is the first in the country. "

"No. [-] in the country." Deng Ming smiled, and the bearded face was also smiling.

"The boss and I met a young man in Jianghai City. He had been working for two years, and his walking posture was exactly the same as the boss. If it wasn't for the big age difference, I thought it was the boss's twin brother.

Cough, cough, to say something that should not be said, if the boss is not still there, I would have thought he was the reincarnation of the boss. "

"..." Director Geng shuddered.

"How can there be such an evil thing, you think too much." Director Geng said.

"No, I don't usually believe that. But you didn't see Zhou Congwen... Let's put it this way, I'm good at performing thoracoscopic surgery, right? Zhou Congwen, an undergraduate student who has been working for two years, is no worse than me, and his consciousness is even better than mine. Stronger. If it were you, what do you think?"

When Director Geng heard this comment, he shook the thermos in his hand, and the soaked goji berries almost spilled out.

He knew exactly what level Deng Ming was. The evaluation of number one in the country was not an exaggeration, and it was definitely not a compliment to Deng Ming in front of him.

With Boss Huang's endorsement, 912 is the first large public hospital in the country to carry out thoracoscopic surgery on a large scale.

Everyone admired Boss Huang for this.

People in their 80s can accept new technologies so quickly. Not to mention anything else, this alone is embarrassing.

And many directors who are not too old have solidified their thinking and absolutely do not accept new things, and they are far behind Huang Lao.

And Deng Ming made it very clear that the little doctor named Zhou Congwen in Jianghai City was a doctor who had graduated from a bachelor's degree for two years.

Graduating from a bachelor's degree means that there is no boss, no teacher, and you are an ordinary doctor.

And his surgery is as good as Deng Ming's, and his consciousness is even worse... This evaluation is a bit too much.

"Director Deng, are you kidding me?"

"No." Deng Ming smiled, "On the way back, my boss ate the chicken feet bought by Zhou Congwen, and he was full of praise."

Director Geng didn't know whether Boss Huang praised the chicken feet or Zhou Congwen.

"My boss has high vision, and many young people can't get into the eyes of the law. This time, I think he has really moved his mind."

"Oh? Want to take in apprentices? Why didn't you bring them back. I'll treat you to dinner when I find time. I won't take your boss with you. I'll take a look at this one too."

"The boss has his own ideas. The key is that he is old, and I will take him under the door. I know what level I am, and I can't do it at all. If I am trained by Zhou Congwen to be like a dog, I will not be seen by others." joke."

Chapter 0329 diagnosis?no difficulty

"Hahaha, no, Director Deng, you are overthinking."

"You haven't seen Zhou Congwen. What scares me the most is that he walks in the same posture as my boss, with his hands bowed and his back bent. He doesn't look like a young man." Deng Ming is still a little confused when he recalls Zhou Congwen.

"Very interesting young man. I don't know if the operation is good or not, but the diagnosis is true. How many cases have we encountered in patients with thoracic aortic dissection manifesting as cerebral infarction?"

"13 cases, the first case was almost misdiagnosed, if the boss didn't take a look at it, he probably would have died." Deng Ming laughed.

"Yes, we have Boss Huang to check. But you say a young man, where does he have experience? As a doctor, it's normal to treat headaches and feet. If it weren't for a few lives in his hands, who would How can you think of a cerebral infarction to check the heart."

When talking behind closed doors, Director Geng is more presumptuous and speaks directly.

Indeed, it is the normal state of medical treatment to treat headaches and feet.

From the symptoms of a cerebral infarction to aortic dissection, it requires extremely deep diagnostic skills. Even Director Geng didn't think he could be foolproof, so he was a little puzzled.

"I'm also surprised, so I didn't have the operation today, so I came directly to you."

"Today's internal medicine round, I asked for leave and didn't go, so I have to accompany you."

"When Zhou Congwen called me, I saw the boss in front of me. It was terrible." Deng Ming said leisurely, "I would not be surprised if this kind of thing happened to the boss. But you said that Zhou Congwen is a young man in his 20s. ..."

"What is Boss Huang doing?" Director Geng asked suddenly.

"what?"

"Could it be Boss Huang..."

"Don't make trouble, old Geng, my boss is aboveboard and will never do those weird things!"

"..." Director Geng also had a whim, and he smiled embarrassingly.Two days ago, I saw Boss Huang walking slowly in the hospital with his hands bent and his back bent, and he even said hello.

This idea is indeed a bit weird, Director Geng also laughed, "Don't tell your boss later, if Boss Huang gets angry, I will be in great trouble."

"No, why hasn't Zhou Congwen replied yet?"

"Let me ask, and see what the other side says." Director Geng said, picked up his mobile phone and called Dean Xiao.

……

……

"Director Teng, thank you for your hard work." Chen Houkun got into the car and said to Teng Fei.

"Old Chen, what did you say Zhou Congwen wanted the brace for? You told him Director Jiang was back?"

"No, I seldom communicate with the vascular surgeon, but he communicates a lot with you. I also want to ask you, did you tell Xiao Zhou?"

The two looked at each other.

After a long time, Teng Fei said with a smile, "I am really more and more interested in this little doctor. Guess he will put on airs."

"No." Chen Houkun said with certainty, "It must have been written in the literature. He happened to meet such a patient, and the patient couldn't go back and forth. Didn't he find me?"

"To be honest, Chen, I have a hunch that Zhou Congwen should be able to do aortic stenting, and his level is not bad." Teng Fei said seriously.

"Stop making trouble, Director Teng, how many years have you been involved in cardiac interventions, at least two years? Can you place a stent for the ascending aorta?"

Teng Fei shook his head.

"So, how could Zhou Congwen do it. What I'm curious about is that the Vascular Department will take over this job. I don't know how good Director Jiang is. You don't know, we used to be most afraid of aortic dissection surgery."

Chen Houkun said with a strange expression on his face.

In addition to all kinds of weird congenital heart diseases, the pinnacle surgery of cardiothoracic surgery, total aortic arch replacement surgery is definitely one of them, and Chen Houkun has researched on it.

"The patient seemed to be fine, but he still had to explain to the patient's family. But anyway, the patient's family thought it was a joke.

Once I had an operation, the thoracic aorta was swollen like a steamed bun after the chest cavity was opened, and the capsule of the blood vessel was as thin as paper, which would burst if touched.I made all the preparations at that time, and reached in after cutting it open.But guess what? "

"The pressure on the aorta was so high that my finger was washed away by the blood for the first time, and I couldn't put it in at all."

"The aorta is broken, there is no way." Teng Fei sighed.

"Yeah, the blood went directly to the room, like a fountain. In less than 30 seconds, the patient's blood pressure disappeared... Sigh."

Speaking of the patients who died by his hands in the past, Chen Houkun sighed.

This disease is very difficult to treat, and it is not even close to death, but 99 deaths are almost the same.

"Let's see what Director Jiang is going to do. It would be a great thing if it can be done with a stent."

"Old Chen, you are familiar with Zhou Congwen, what do you think of him?" Teng Fei asked suddenly.

"Huh? What do you think?"

"Isn't his director, Wang Chengfa, the stent I put in a while ago? His heart stopped suddenly. Do you remember that?"

"remember."

"The manager of AstraZeneca's U.S. Pharmaceutical Research Department rushed over to find him, but Zhou Congwen refused without hesitation. Tsk tsk tsk, I don't understand how he knew, and what I don't understand is what can happen if we meet. At least AstraZeneca can give a chance to study abroad."

"Xiao Zhou likes to do surgery, and I didn't expect his diagnostic skills to be so high."

The two chatted for a while, and the topic would become a dead topic every time it came to Zhou Congwen.

Even Chen Houkun who knows Zhou Congwen "best" doesn't know how to describe it.

Zhou Congwen made it very clear about the patient's situation this time. Both Chen Houkun and Teng Fei believed that even in the Second Hospital of Medical University, this patient had to be missed.

There are many patients who die inexplicably every year. After all, medicine is not a perfect subject, and there is no way around it.

But why can Zhou Congwen give a diagnosis with full confidence.

Two cars were driving on the expressway, and in the car behind were Olida's regional manager Wang Xueteng and director Jiang of the vascular department.

After a while, Chen Houkun received a call from Zhou Congwen, saying that the patient's diagnosis was clear, and he would be able to go directly to surgery just waiting for them to come to the Third Hospital.

Diagnosis, clearly.

Just the weight of these four words made Chen Houkun feel inconceivable.

Cerebral infarction and aortic dissection as the first symptoms of limb insufficiency... I was misdiagnosed by myself, but Zhou Congwen gave a clear diagnosis abruptly.

Xiao Zhou is really interesting, Chen Houkun thought to himself.

It was a long road, and after a few hours, the two cars arrived at the Third Hospital.

Zhou Congwen stood at the door of the second inpatient department. Chen Houkun looked at him kindly, but he couldn't tell what was different about Zhou Congwen.

After getting off the car, Chen Houkun hugged Zhou Congwen's shoulder enthusiastically and asked, "Xiao Zhou, how did you make the diagnosis?"

"Ah?" Zhou Congwen was taken aback by Chen Houkun's question, "Diagnose as soon as you see it, auscultation? Experience? Such a simple diagnosis is not difficult."

Chapter 0330 Not a Fuel-Efficient Lamp

no difficulty...

Chen Houkun almost spit out a mouthful of old blood.

Now the Second Hospital of Medical University diagnoses a lot of aortic dissection every year, about 30 cases.But these patients almost all have the same symptom - severe pain in the chest and back.

The first-time doctor saw many patients. When patients with severe pain in the chest and back were concerned, they persuaded the family members of the patients to have a 64-slice CT scan, which saved a lot of deaths.