Back in 2002 as a doctor

Page 455

Zhou Congwen frowned slightly, recalling what Zhang You said.

Chronic obstructive pulmonary disease, aortic arch dissection...

"Director Zhang is polite." Zhou Congwen pondered, "I'll follow along and take a look. I'll learn from you."

Zhang You felt that Zhou Congwen's expression and tone were very strange.

But with emergency surgery, he had absolutely no time and no mood to think about it.Being able to speak politely to Zhou Congwen in the midst of his busy schedule is already a sign of extremely high EQ.

But with Zhou Congwen around, Zhang You obviously has more confidence.

With the wind under his feet, he trotted into the operating room. Without waiting to get into position, Zhang You took a look at his vital signs and took the time to brush his hands.

Since Zhou Congwen was invited to participate in the operation, he must give up the position of the surgeon. Zhang You still knows this.

But when he laid out the sterile sheet himself, he was about to stand in the position of the first assistant, but Zhou Congwen said calmly, "I'll go up and have a look, and the third assistant is fine. Director Zhang, you can do the surgery."

"Professor Zhou..."

"I just took a look." Zhou Congwen insisted.

"..."

Zhang You was speechless, but what could he say?Forcing Zhou Congwen to be the surgeon?Isn't that a joke.

Feeling bitter in his heart, he had put his posture in a very low position, why Zhou Congwen still didn't appreciate it.It's like taking a look at it, and it's really a look at it on stage.

Sansuke is a special place for pulling hooks. When encountering a place where the operation is relatively deep, Sansuke has no surgical field at all, and he can't see shit.

Ugh.

Zhang You sighed deeply in his heart, but a kind of stubbornness welled up in his heart.

You, Zhou Congwen, think that if you don’t have the surgery or the chief surgeon, I won’t be able to do it?Let me show you my level today!

Although Zhang You also knew that his level must be inferior to Zhou Congwen's, there is still a high probability that the emergency elephant nose surgery can be done.

Hope it's okay, Zhang Youxin prayed silently, then put on the surgical gown and stood in the position of the surgeon.

Zhou Congwen "honestly" stood in Sansuke's position diagonally opposite Zhang You.

The operation begins.

Zhou Congwen hardly moved, silently watching Zhang You's operation, which put Zhang You under great pressure.

Zhang You won't be nervous if the interns watch the surgery.

If you are in a good mood, you will talk about a few technical details. If you are in a bad mood, you will bow your head and perform surgery. There is no such thing as an intern.

But Zhou Congwen was different.

That is an existence whose technical level is geometrically higher than that of Zhang You. Under Zhou Congwen's "death gaze", Zhang You felt that he was starting to turn smoothly, and he couldn't even make a smooth start.

Chapter 0780

But no matter how bumpy the operation was, Zhou Congwen didn't say a word.

Gradually, Zhang You also recovered his state.And because of Zhou Congwen's "death gaze", Zhang You gradually entered into a state of flow that was unfamiliar to him.

But Zhou Congwen watched Zhang You's operation process motionlessly, like a statue.

The patient has COPD, and Zhou Congwen estimated that the tasks given by the system are related to chronic diseases.

Chronic obstructive pulmonary disease is a kind of chronic bronchitis and emphysema with the characteristics of airflow obstruction, which can further develop into common chronic diseases of pulmonary heart disease and respiratory failure.

Generally speaking, patients with COPD are accompanied by symptoms such as cough, sputum production, dyspnea, and general fatigue.

When the condition is serious, the patient has no way to lie down at all, and can only sit upright to breathe, which is a special suffering.

While watching Zhang You undergo surgery, Zhou Congwen pondered over the urgent tasks issued by the system.

It must be related to fire, and the patient has chronic obstructive pulmonary disease, and the oxygen flow rate is relatively high.

But medical oxygen, fire...

Without cutting the lungs, what does the high oxygen concentration have to do with the fire?

Various illogical inferences flashed in Zhou Congwen's mind, but he denied them one by one.

impossible!

impossible!

Still impossible!

If it was lung surgery, Zhou Congwen had seen a fire.

Even Zhou Congwen has seen cases of patients with intestinal obstruction because a large amount of fecal matter fermented in the intestines to produce methane, causing everything in the intestines to catch fire.

And the cardiothoracic surgery does not move the lungs, but performs elephant nose surgery, why does it catch fire?

Zhou Congwen is well aware that there are so many clinical cases, even in two lifetimes, there are too many strange things that he has never seen.

Similar tasks given by the system can definitely be used as an important reference, which has been proved countless times in the previous life.

Seeing Zhang You sawing the sternum with a sternum saw and pulling the sternum to expose the operative field, Zhou Congwen was not at all curious about the operation.

It must be that my thinking is wrong, the fire mentioned by the system is just a metaphor.

Thinking of this, Zhou Congwen began to itch his teeth with hatred.

It has been more than half a year, and a lot of tasks have been done, but the system still looks like it is dying.

What's so good about an elephant nose surgery?Zhou Congwen was concerned about why the fire broke out.

After thinking about it, it may be caused by a pipe leak.But Zhou Congwen carefully looked at the surrounding pipes, smelled them with his nose, and listened with his ears upright, but he didn't find anything abnormal.

Or is the system task just a description?a description?Zhou Congwen felt that this possibility was also great.

It's really disgusting, the little guy in the system can't see anything clearly on the panel.

It was also specially marked in the position of the reward last time, and at other times I have been plucked.

Although Zhou Congwen didn't care about being plucked by the system, he hated the behavior of making himself guess about everything else.

Zhang You used a median sternotomy incision. Because of the huge tumor in the arch, he extended the incision to the left neck appropriately.

Zhou Congwen couldn't figure it out, so he could only silently watch Zhang You perform the operation and prepare to adapt to the situation.

Zhang You has already sawed the sternum with an oscillating saw, first separated the tissue behind the sternum, and gradually opened the sternum, and is freeing the nameless vein.

"Sister Zhao, help me get a footstool." Zhou Congwen said.

Although he is 1.8 meters seven, the surgery area is too deep, and the position of the third assistant can't see anything except the hook. Zhou Congwen can only ask for a footstool to see what is wrong with Zhang You's surgery.

Hearing what Zhou Congwen said, Zhang You suddenly panicked.

"Professor Zhou, don't say a word, I feel flustered." Zhang You quickly raised his head and said aggrievedly.

"Be careful with free veins, do it normally, the operation is not difficult."

"!!!"

Countless exclamation marks flew over the heads of Zhang You, including the first assistant opposite him, and the second assistant beside him.

Zhou Congwen is really good at pretending.

Aortic arch replacement surgery, a surgery at the level of the heart and chest ceiling, is countless times more difficult than heart bypass surgery, but Zhou Congwen said that it is not difficult at this level.

But everyone present knew that Zhou Congwen was qualified to say this.

Which cardiac surgery is the most difficult?

Complicated congenital heart disease surgery!none of them.

Compared with complex congenital heart disease surgery, elephant nose surgery is so simple and gentle.

Last year, Zhou Congwen was an assistant and assisted Chen Houkun in the complex congenital heart disease operation, which is still vivid in my memory.

Zhang You sighed inwardly, and continued to focus on the operation.

Since Zhou Congwen doesn't speak, that's good, it's better than him not doing anything but talking.

If Zhou Congwen came up with a blah blah, this is wrong and that is wrong, Zhang You feels that the day has really never been posted.

He then carefully dissected the proximal branches of the innominate artery, left common carotid artery, and left subclavian artery, and freed the lower and upper edges of the distal arch tumor while keeping the mediastinal pleura intact.

This is one of the difficulties of the operation, Zhang You concentrates on a little bit of distraction.

"Prepare the umbilical cord." Zhou Congwen suddenly whispered to the itinerant nurse.

"Umbilical cord?" The itinerant nurse was taken aback.

"Using the umbilical cord to pull the nerve can avoid damage as much as possible." Zhou Congwen stared at Zhang You's hand and said lightly.

The itinerant nurse immediately ran out to find a special umbilical cord for obstetrics. Zhang You let out a sigh of relief. This proved that Zhou Congwen's silence after taking the stage was not to find fault with himself, but that he really had nothing to say.

The umbilical cord was quickly placed on the instrument table, and Zhou Congwen told him to pay attention to prevent damage to the left vagus nerve and recurrent laryngeal nerve. After that, he stopped talking and watched Zhang You's operation in silence.

The dissecting aneurysm of the aortic arch is very large, and it is a bit troublesome for Zhang You to dissect it.

"Extracorporeal circulation first." Zhou Congwen said in a timely manner, "It will be easier to dissociate after cooling down."

"Okay, I think so too." Zhang You was not polite at all, and immediately started the pre-procedural steps of extracorporeal circulation.

Cannulation of the femoral artery and cannulation of the superior and inferior vena cava were performed.

Extracorporeal circulation was established, and a left ventricular decompression tube was placed through the right superior pulmonary vein.

The first dose of cardioplegia was infused directly through the aortic root or the left and right coronary ostia, and then the cold-blooded cardioplegia was continuously perfused through the coronary sinus.

The more Zhou Congwen looked at it, the more strange it became. It was not surprising that the system issued tasks. In his last life, he met the dog next door, and the system issued a love task for himself, and the rewards were very generous.

But it has something to do with "fire"...

Is it hot?Zhou Congwen looked at Zhang You, and saw that he was concentrating on the operation without a word of nonsense, and seemed to be in a state of flow.

Maybe that's what it means.

Because he stood on the side, Zhang You's fighting spirit was aroused under various moods, so that he performed super-level.

It would be more reasonable to explain it this way, Zhou Congwen smiled.Even though he thought so, Zhou Congwen was as steady as an old dog and took all precautions.

"Prepare a basin of salt water." Zhou Congwen and the equipment nurse said.

"Flush?" Zhang You was taken aback.

Chapter 0781 The Gaze of the Great Demon King

A few gazes instantly fell on Zhou Congwen.

"I'm also idle when I'm idle. I'll clean the instruments so that the nurses won't be too busy." Zhou Congwen explained helplessly.

"..."

"..."

"..."

There was a lot of bleeding during the operation on the elephant's nose, and the equipment that was removed was full of blood.

The equipment nurse should wipe it in time, otherwise once it condenses, it will be very uncomfortable when it is used again, and there may even be a small probability of causing an accident.

But that was the job of the equipment nurse, and Zhou Congwen was "too bored" and wanted to please the equipment nurse.

Zhang You had nothing to say about this, he squinted at the equipment nurse, it didn't look good, what's wrong with Zhou Congwen, is this, tempted?

It turned out that he was good at it.

Zhou Congwen really came to make soy sauce, and even helped the equipment nurse clean the equipment when he was bored.

Shouldn't he concentrate on assisting himself to complete a difficult operation?

Zhang You didn't dare to say anything, he just secretly glanced at Zhou Congwen occasionally when handing over the equipment.

Zhou Congwen did not clean the instruments as he said, but stood on the footstool, his head almost touched the shadowless lamp, and looked down at the operation area.

Zhang You can also be regarded as a veteran soldier who has experienced many battles. He once boasted that he has never seen any big scenes.

But today's scene has never been seen before.

Zhou Congwen, who was clearly of a very high level, observed his operation without moving a single step, with a basin of warm salt water beside him.

Some time ago, Zhou Congwen assisted the hepatobiliary surgery department to perform liver transplantation and Zhang You had heard about it for a long time.