Back in 2002 as a doctor

Page 230

Zhu Jun's face twisted into a cucumber.

"I opened the sample and took a look. The trocar you designed is very simple, but it is also very practical." Huang Lao praised, "It's not bad, you have a heart."

"Hey, we'll know tomorrow if it's good or not." Zhou Congwen replied with a smile.

In any case, you have to try it before you can do it. Zhou Congwen has this confidence, and the boss also has this vision.

"Director Zhu, is the CT room arranged for tomorrow?" Deng Ming asked directly after shaking hands with Zhu Jun.

"It's been arranged, Director Deng, why do we need to do CT first." Zhu Jun didn't understand what was going on.

"You will understand after the patient shows you the trocar." Deng Ming said.

The trocar sketched in Zhu Jun's mind was still not connected with the small pulmonary nodule resection operation. He was very confused and took Huang Lao, Deng Ming, and that annoying Zhou Congwen upstairs to take a look at his mother and second aunt.

There were some problems with the preoperative examination. After all, Zhu Jun's mother was very old, and she had severe emphysema, asthma, bronchitis, and mild pulmonary heart disease.

After Huang Lao confirmed, everyone came to Zhu Jun's office, Huang Lao sat in the middle, and Deng Ming handed Huang Lao's bag.

Seeing Huang Laozhen took out a box seriously, and took out a "syringe" from it.

"Director Zhu, you are a family member of the patient, so I need to explain it clearly to you before the operation." Huang Lao said lightly, "This is a new product from Olida, and we are on trial. But whether you use it or not is up to you. .”

"Oh oh oh." Zhu Jun kept responding.

"The principle is like this." Mr. Huang explained with a "syringe", "We went to the CT room half an hour to an hour before the operation, and found small pulmonary nodules under CT. Through CT positioning, use a trocar Pierce it in."

As he spoke, Huang Lao made a piercing motion with the "syringe" in his hand.

"To determine the location, it should not be too far away from the small pulmonary nodules, and it is best not to be too close. About 5mm is the most ideal location, which is not difficult."

"And then the anchor inside the trocar stays in the lung."

Zhu Jun knew that what Mr. Huang said was not difficult was only for Mr. Huang himself. Although there is CT positioning, it is extremely difficult to complete the puncture at a distance of 5mm.

As he said that, Huang Lao pressed a button of the trocar, and the fixed anchor inside the trocar popped out at the position of the needle head.

The moment it pops out, the four claws of the anchor open.

Zhu Jun knew very well that if it was in the lung, the four claws of the anchor would grab the lung tissue and would not easily fall off with the removal of the trocar.

Afterwards, Mr. Huang made a virtual effect, assuming that the anchor had been fixed in the lung, and then pulled out the trocar.

"Outside guide lines will be left on the lungs, and then the position will be confirmed by CT positioning, and the preoperative positioning will be completed.

When performing surgery, the guide line can be seen directly through the lens, and we can easily determine the location of the small pulmonary nodules through imaging and fixed signs. "

Mr. Huang seemed to be teaching Zhu Jun, but also seemed to be talking to himself.

His crooked fingers gently stroked the trocar, loving it.

"..." Zhu Jun didn't expect such a way.

The method of positioning the body surface that I have been looking for for a long time before seems so mentally handicapped in front of the trocar.

With his thoughts rising, Zhu Jun had mixed feelings in his heart, the most important thing was a wave of unconvinced energy.

Zhu Jun didn't even notice his psychological changes.

If the trocar was a product of Olida, he would not have such an idea;

If it was said that the trocar was brought by Mr. Huang, he would not have such an idea.

It's a pity that Deng Ming and Huang Lao said in advance that the trocar is Zhou Congwen's "work", so Zhu Jun was particularly "responsive".

"Director Zhu, did you understand?" Elder Huang asked.

"Understood, I..."

Zhu Jun was a little hesitant, not knowing what to say or not to say.

"I told you that you are not a thoracic surgery doctor, but a family member of the patient. If you have anything to say, you can say anything." Huang Lao's eyes were deep, and he seemed to have seen Zhu Jun's thoughts deep in his heart that he didn't even realize.

"Old Huang, my mother is not in good health, will this positioning needle cause more damage? You know, my mother has emphysema, I'm worried..."

Zhu Jun stammered his explanation, looking into Huang Lao's eyes while talking, for fear that Huang Lao would walk away in a hurry.

"Oh, that's right." Huang Lao nodded, "That's fine."

Zhu Jun was taken aback, he thought Huang Lao would try to convince himself, but he didn't expect Huang Lao to say something directly - forget it.

What's the matter?Does it count as surgery?

Are you offending Mr. Huang?

For a moment, Zhu Jun was a little scared.

"Old Huang, that's not what I mean, it's just... just..."

"It's okay." Huang Lao said lightly, "I told you that you are a family member of the patient. If you don't want to use it, we can directly perform surgery to cut off the small nodules."

Uh...Zhu Jun stared blankly at Mr. Huang, not knowing what kind of medicine he was selling in his gourd.

"Director Zhu, don't think too much." Deng Ming stood up to smooth things over, "The boss is communicating with the patient's family before the operation. If you have concerns, then don't worry about it. It doesn't matter if you cut it directly with the endoscope."

"..." Zhu Jun had mixed feelings.

Although Mr. Huang and Director Deng talked better than expected, it seemed that he had missed something.

"That's it. The stage will open at [-] o'clock tomorrow morning." Mr. Huang carefully retracted the anchor, put the trocar back into the bag, and handed it to Deng Ming as if he was holding some treasure.

"Let's go back to rest first. Today's operation is quite big, and the boss is a little tired." Deng Ming said to Zhu Jun with a smile, "See you tomorrow morning, Director Zhu."

"I'll pick you up and Mr. Huang tomorrow morning."

"No need, Xiao Zhou has a car, let's take his car." Deng Ming said.

Zhu Jun glanced at Zhou Congwen, feeling unspeakably irritated.I don't know why, but Zhu Jun's heart is very dry.

After getting into the car, Deng Ming said with a smile, "Boss, Director Zhu is really stubborn."

Huang Lao closed his eyes slightly and leaned on the seat.

"No surprise, it's normal." Huang Lao said lightly, "Director Zhu Junzhu doesn't want to get involved in thoracoscopic surgery, he is used to surgery, and it will be difficult to change it."

Huang Lao and Deng Ming have seen many similar things, not to mention grass-roots hospitals, even major public hospitals in the imperial capital.

The old directors insisted on the big uncovered thoracotomy, saying that they were unwilling to learn the use of thoracoscopic surgery.

But Zhu Jun seems to be particularly stubborn, and he doesn't even want to decide on his position.

It's okay, anyway, there are still 6 operations in the Third Hospital this week, and the application of the locator will definitely be seen.

Chapter 0401

"Boss, it is difficult for you to promote thoracoscopy in the imperial capital." Zhou Congwen asked.

"Whether it is difficult or not is the same thing." Huang Lao smiled, "I have seen too many difficult things in my life, and promoting thoracoscopy is not a big deal."

This is true, Zhou Congwen knew that the boss had indeed experienced hundreds of years of great changes in human history in his life.

From the wars and the small-scale peasant economy when he was a child to a series of changes after the founding of the People's Republic of China, and then to reform and development, he will go through more in the future.

The changes of the times are used as the background, and the boss has never seen anyone.

"It's hard to change your perception. What Xiao Zhou said is right. In fact, they are all worse than bad, as long as they are not that bad. But too many people are going to fall, and they can't pull them back."

"It's normal." Zhou Congwen felt that the boss was not that happy, so he changed the topic, "The understanding of diseases is also progressing a little bit. Hypertension was not considered a disease decades ago."

"Zhou Congwen, are you kidding me?" Liu Xiaobie scolded while driving.

High blood pressure is not considered a disease, so what is considered a disease?

"Miss Liu, that's true." Deng Ming said with a smile.

"what?"

"Around World War II, high blood pressure was not considered a disease in the medical community. Doctors and researchers believed that high blood pressure was a self-protection mechanism of the human body and should not be artificially intervened." Deng Ming explained.

"Are you all so unreliable in the medical field?" Liu Xiaobie was surprised.

"That's right, it's just so unreliable." Zhou Congwen took over the topic, "Do you know how Roosevelt died?"

"Killed by lightning?"

"That's Franklin, and Franklin didn't die." Zhou Congwen knew that Liu Xiaobie was talking nonsense, so he didn't care, and continued, "Roosevelt's blood pressure had reached 220 mm Hg before he died, but there was no treatment at that time. Blood pressure cerebral hemorrhage, he was taken away by a wave."

"pity."

"The boss is right. Although we are not as bad as before, we are not much better. At least high blood pressure is still incurable. What do you think, boss?" Zhou Congwen asked.

"Yeah." Huang Lao nodded.

"How did you doctors realize it later?" Liu Xiaobie asked.

"It was discovered by insurance workers after World War II." Zhou Congwen said, "The insurance practitioners discovered that almost 140% of the insurance sold for blood pressure higher than [-] mm Hg lost money."

"Look at it, I said that currency is the driving force behind human progress. Making money is the real business, the only serious business."

"It's too early to afford nothing." Zhou Congwen said with a smile.

"Xiao Zhou, instead of going back to the hotel, go to see the patient. Help me find a white suit, and I'll stop by your hospital." Huang Lao said suddenly.

"Boss, you are not tired."

Although Zhou Congwen knew very well that the hospital was like a scenic spot in the boss's heart, he couldn't leave it at all.But today I did a case of pulmonary echinococcosis. The operation was exhausting, and I was still worried that the boss would not be able to handle it physically.

"Go to the hospital and wander around to see your medical level."

Zhou Congwen didn't try to dissuade him, the boss said so, if he said "no" forcefully, it would only make the boss unhappy.

Returning to the Third Hospital, he took a look at the postoperative patient.The patient's family members were obviously still immersed in the shock of a pot of golden pearls and couldn't extricate themselves, looking a little dull.

The patient was sleeping, and there was nothing abnormal about the monitor and chest bottle. Mr. Huang was very satisfied with this.

Zhou Congwen found his own white clothes for Mr. Huang and Deng Ming. The boss wore his white clothes a little too big, and he looked quite happy.

"Boss, take a look at our inpatient department?" Zhou Congwen said, "Actually, there's nothing to see. It's like this in primary hospitals, and electric burners are new."

"Go to the emergency room first."

"Are you planning to stay in our hospital in the future?" Zhou Congwen said with a smile.

"Look at it casually, and take it as a rest."

Zhou Congwen saw the boss walking slowly with his arms behind his back, glanced at Deng Ming, and shrugged.

"The boss is just used to it." Deng Ming was afraid that Zhou Congwen would not understand, so he explained, "He doesn't have any hobbies either. He just takes a stroll to the hospital when he has nothing to do, so he just treats it as a relaxation."

"What a habit." Zhou Congwen smiled, then chased after him, and accompanied the boss all the way to the emergency room.

Just as he was about to bow his hands, Zhou Congwen saw a slight movement of the boss's shoulders out of the corner of his eyes, and immediately straightened up.

"How many times have I told you that young people must be aggressive, don't be like an old man like me. If you become like Director Zhu, you will rot in Jianghai City." Huang Lao said.

Zhou Congwen laughed, knowing that the boss must have been upset at the time, and took it out on himself.

There is no way to explain this matter. My boss has always been a young man, brave and diligent, and never tired.

When people get old, they will always stop unknowingly, tend to be conservative and stubborn, and are unwilling to touch new things. Only the boss is an outlier. I wish the director is "normal".

While walking, Zhou Congwen introduced the Third Academy.

At the beginning, it was the health center of the group company, a slightly larger health center.

Later, because of the ability of the first director, he persuaded the group company to spend money, and forcibly invested in a future tertiary first-class hospital.

At first, the third hospital focused on obstetrics and gynecology. Who would have thought that the obstetrics and gynecology department would almost shrink to the point of bankruptcy more than ten years later.

The vicissitudes of life, the vicissitudes of life.

Zhou Congwen walked around with the boss, feeling a lot of emotion.

When I came to the emergency department in front, the emergency department was always messy, and the smell of adrenaline and dopamine was everywhere.

Zhou Congwen accompanied the boss with a smile, gossiping to make the boss less angry.

This time period is not too busy. When passing by the internal medicine clinic, Zhou Congwen glanced at it and saw a girl with a mother who was seeing a doctor. The doctor asked intermittently about the medical history.

After listening to a few sentences, Zhou Congwen said with a smile, "It is the most difficult thing to ask a girl under 20 years old about her medical history."

"Yeah." Huang Lao nodded, "Have you encountered it before?"

"Meet one." Zhou Congwen said, "The patient had a stomachache. After a physical examination, I thought it might be an ectopic pregnancy or appendicitis, so I asked about the medical history."

Hearing Zhou Congwen talk about the case, Mr. Huang suddenly became energetic.