Back in 2002 as a doctor

Page 452

Back then when I was admitted to Xiehe, the classmates in my class thought I was a monster.

The subcutaneous tissue layer was injected with tumescent anesthetic solution, and Zhou Congwen bluntly peeled off this layer completely.

His technique was steady, and Xiao Kai felt in a trance that he was back in college.

At this moment, I am not doing surgery in the treatment room, but watching the teacher in the anatomy teaching and research room make specimens of local anatomy.

Zhou Congwen's blunt separation was very simple, although it was not fast, but there was no bleeding, Xiao Kai did not realize many dangerous places.

It wasn't until the dissociation was over that he saw that Zhou Congwen avoided several blood vessels just now to avoid hemostasis and growth delay caused by insufficient local blood supply after the operation.

Xiao Kai also found that Zhou Congwen paid special attention to the thin subcutaneous tissue in the folds, tried to avoid penetration, and trimmed them moderately.

Xiao Kai didn't ask about the specific reason, he simply didn't think about it after seeing it.

It's just a cosmetic plastic surgery, and I don't want to work in this field, so why bother to ask.

Soon Zhou Congwen asked Xiao Kai to tighten the scalp flap upwards and backwards, fix it with the standard 5-point method, and cut off the excess scalp.

The incision was closed with 3-0 and 5-0 absorbable layered sutures.

Drainage and head and face elastic bandages were placed.

The operation took 34 minutes.

"Dean Xiao, do you know the precautions for changing the dressing?" Zhou Congwen asked.

"Is there anything special?" Xiao Kai asked cautiously.

"No, if you have something you don't understand, ask me." Zhou Congwen said, "The operation was relatively successful, because considering the damage is relatively large, the lower eyelid part will be performed after half a year."

Xiao Kai was a little strange just now, but with Zhou Congwen's explanation, he understood.

It is also a clinical routine to divide a face into two and perform two operations.

"Professor Zhou, what is your estimate of the postoperative effect?"

"No problem, I can return to the appearance of about 25 years old."

……

……

Note: I think the operation should be under general anesthesia, but the literature says local anesthesia.I have never seen, never seen a similar patient, and it is hard to understand why it is local anesthesia.

Still respect the literature.

Quoted from: Chinese Medicine Guide 2014-03-17.

Chapter 0775 Father and Son Soldiers

Watching the patient's forehead wrinkles disappear, Zhou Congwen left the treatment room after pressure bandaging.

The patient's family had Xiao Kai to explain, which saved a lot of saliva.

When Zhou Congwen returned to the office, he saw Yuan Qingyao running in happily.

"What are you running for? In the hospital, keep your focus and let the patients see what you want." Zhou Congwen said in a deep voice.

"Brother Zhou, the article has been published, the next issue of "New England"!" Yuan Qingyao said happily.

"Article? What article?" Zhou Congwen frowned.

"It's my friend who brought his girlfriend to see the cough, Brother Zhou, did you forget?"

"..."

Zhou Congwen really forgot. Although the case is special and strange, it’s okay to remember it. As for the article, Zhou Congwen has long forgotten it to the ends of the world.

"Qingyao, you haven't published top sci? You shouldn't." Zhou Congwen looked at Yuan Qingyao with a smile and asked.

"Published one with a teacher, but never a first author."

"There will be awesome sci publications soon." Zhou Congwen said, "Has the statistics been done?"

"Well, I have all the records." Yuan Qingyao said seriously, "Brother Zhou, how many citations do you estimate?"

"At least 3000."

"!!!"

Although Yuan Qingyao vaguely guessed the number, he was still surprised and excited when Zhou Congwen said it.

Although I will not be the first author of the top SCI papers cited more than 3000 times, but under the shadow of this digital halo, I will definitely have a place in the academic world.

"You have worked hard during this time." Zhou Congwen said gently.

"No hard work, no hard work!" Yuan Qingyao replied immediately.

There is such a good project, just doing statistics, what's the hard work?

"I said before that you can have three days off during the New Year, but now it's too much." Zhou Congwen said, "Tell my family."

"As I said, I will go back early this year to have a look at the new year. I won't stay at home to watch the new year. I will come back to see patients."

Zhou Congwen nodded.

It goes without saying how important the significance of thousands of operations and top-level papers are, and it is not in vain to ask Yuan Qingyao to help him work.

Seeing that Zhou Congwen even forgot all the articles published in the "New England" magazine, Yuan Qingyao's excitement disappeared, and he concentrated on thinking about Zhou Congwen's paper.

……

Mayo Clinic, 19:42 pm.

Chu Yuntian had an operation for a day and sat in the locker room to rest.

He didn't change his clothes right away, but stared blankly at the light and shadow reflected on the window.

Originally, this time should be the most relaxing moment. After completing the day's operation, I will go home and take a hot bath to relieve the fatigue in my limbs and bones.

But since Chu Yuntian returned to China to attend the annual meeting, he never relaxed.

Every time he wanted to relax, Zhou Congwen would appear in front of his eyes.That figure lashed Chu Yuntian's body like a whip, telling him that it's not time to rest yet.

For the World Cardiac Surgery Competition in spring, Chu Yuntian raised the heart bypass surgery to another level.

The vessels used in routine heart bypass surgery are the internal mammary artery and the great saphenous vein.

Because it is more difficult to take the artery, many doctors use the great saphenous vein instead.

This is academically speaking of vein grafts and arterial grafts.

The advantage of vein grafting is that it is easy to obtain, but the disadvantages are also obvious-the patency rate of the great saphenous vein is only 10% and 15% after 50 years and 25 years after surgery, and the long-term effect is not as good as that of arterial grafts.

However, the surgical method that Chu Yuntian will use this time has been greatly improved. The bypass vessels for the three coronary arteries are all constructed by arterial bridges.

The 10-year patency rate of arterial grafts can reach about 85%, and the long-term benefit is higher than that of the great saphenous vein.

The disadvantage of this is that the operation becomes extremely cumbersome, not only the bilateral internal mammary arteries must be stripped, but the radial artery must also be stripped.

Although it was "a little bit" troublesome, Chu Yuntian knew that if he wanted to surprise everyone in the World Surgery Competition, he must have an eye-catching surgical method.

As for the operation of total artery graft, it's not that no one has done it before, it's just that it's not as good as myself.

But there are also problems in building arterial bridges, otherwise most doctors would not choose the great saphenous vein.

Radial artery occlusion in elderly patients may cause serious consequences, so the academic circles believe that if the radial artery is to be grafted, the patient must be under 50 years old and must not have complications such as diabetes.

Under 50 years old, three-vessel disease, no complications...

The selection of patients was a headache, Chu Yuntian mobilized his own network resources, and only then was he able to collect enough patients for surgery.

Fortunately, his technical level is high, and he performs every operation very seriously.

With the completion of one operation after another, various doubts and difficulties have been clearly improved one by one, and he even has his own breakthroughs at certain points.

Chu Yuntian is full of confidence, this year's World Series No.1 must belong to him.

In the past, Chu Yuntian didn't like the World Series, which may have something to do with his fixed thinking, or it may have something to do with academician Chu's precepts and deeds.

But at the annual meeting in China, Chu Yuntian lost completely, no matter from the perspective of imaging or surgery.

Feeling uneasy, Chu Yuntian knew that he had to overcome this demon.

So when he knew that Mr. Huang recommended Zhou Congwen to participate in the World Cardiac Surgery Competition, he also asked his teacher to recommend him without hesitation and qualified for the competition.

This time, no matter what, it can't fail, and it won't fail.

Chu Yuntian had great confidence in his technique... Just as he was thinking, his phone rang.

It was an overseas call, and it was after nine o'clock in the morning in China. Chu Yuntian knew that it was his father, Academician Chu, who called.

After answering the phone, Chu Yuntian finally relaxed.

At the moment of exhaustion, being able to hear my father's voice can indeed effectively relieve tension and anxiety.

"dad."

"Yuntian, I checked the information, and some may be useful to you." Academician Chu's voice was very calm and warm.

Chu Yuntian smiled, he knew that his father must be looking up relevant data.

"I sent the detailed information to your mailbox."

"Tell me briefly?" Chu Yuntian didn't want to hang up the phone.

"The relevant data of Chinese radial artery shows that its length and inner diameter are 18.50±2.85cm and 2.45±0.32mm, respectively, and its length can satisfy any target vessel."

This is a difficulty that Chu Yuntian must overcome when using the radial artery bypass.

The difficulty does not come from the operation, but whether it can be replicated.For example, different races, different physical conditions, etc.

The pure arterial bridge has many benefits, but because of the age limit, Chu Yuntian worried that Huang Lao in the judging committee would make trouble for it.

So my father has been helping himself to find data in the huge library recently.

The domestic Internet has just been connected for a few years, and many previous journals, papers, and magazines cannot be searched online.

Finding solid data is critical.

"What you do is very meaningful." Academician Chu encouraged lightly.

"Thank you." Chu Yuntian felt warm in his heart.

"How was the operation?" Academician Chu asked.

"The recent surgeries have been very successful, with 38 surgeries. The postoperative patients recovered well, and there is no failure case for the time being."

Hearing what Chu Yuntian said, Academician Chu was very relieved.

After all, the son has grown up.

He is no longer the rebellious child he used to be, he wants to prove to himself that he is strong, to prove that he is stronger than himself.

To be better than his old father is not the end of life, Chu Yuntian finally found his opponent - Zhou Congwen.

And what he said was very modest and cautious, which Academician Chu especially liked.

"keep it up."

"it is good."

"I asked the director of the Department of Gastroenterology at the Second Hospital of Medical University yesterday. He meant that Zhou Congwen has been busy with the academician workstation. But the hospital is very interested in the competition, but the technique..."

"Dad, I don't need to know the opponent's information." Chu Yuntian said firmly.

Academician Chu paused. He knew that this was actually his own worry. Did he know what kind of surgery Zhou Congwen was doing? Chu Yuntian would still use pure arteries as arterial bridges to complete coronary artery bypass grafting.

Talking too much would mess up his mind.

"Okay, are you going home for Chinese New Year this year?"

"No, when I get the first place in this year's World Series, I will go home and let the two of you have a good drink."

"come on."

"Will do!"

After hanging up the phone, Chu Yuntian stared blankly at his own shadow on the window.

I am the best, there is no one, that Zhou Congwen must be a shooting star, and the only star is myself!

Chapter 0776 I am special