Back in 2002 as a doctor

Page 491

It is not an exaggeration to say that I am a roundworm in the boss's stomach.

"You have to learn, you have to improve, you can't..."

Zhou Congwen and Deng Ming kept responding, and from time to time, they gave examples to prove that it is not too lonely, lonely, or embarrassing for the boss to instill values.

This is part of the fanfare. Zhou Congwen and Deng Ming cooperated very well.

After changing clothes and returning to the ward, Huang Lao was chattering with both his first disciple and his closed disciple all the way.

The boss is really old, Zhou Congwen feels a little sad.

Although he speaks clearly, he is still a little rambling, which is also one of the common problems of the elderly.

But who can reverse the dimension and ignore time?

Maybe there will be in the future, but standing on the threshold of 2003, Zhou Congwen thinks that no one can do it.

I went back to the ward and took a look at the postoperative patients and the one-stop surgery patients yesterday, and everything was stable.

Especially the one-stop surgery patient, although he can't eat yet, he looks very energetic.

He is holding the negative pressure drainage connected to the gastric tube, and his son is helping to carry the chest bottle, wandering around in the ward.

The surgical trauma is small, and the recovery is extremely fast. Taking medicine on time after the operation can guarantee the smoothness of the coronary arteries for 10-15 years with a high probability.

Mr. Huang expressed his satisfaction with this "unbelievable" treatment result.

Zhou Congwen is good, really good, the more Mr. Huang looks at Zhou Congwen, the more pleasing to his eyes.

Leaving the ward, Huang Lao said lightly, "I'm fine, I'll stay overnight, and tomorrow I'll remove the patient's drainage and gastric tube with my own hands, and then I'll go back to the imperial capital."

"Okay, boss." Zhou Congwen bowed beside his boss and said.

"Don't worry about the surgery video, the patient's postoperative data should also be tracked." Huang Lao said, "There is still a problem, that is, the long-term postoperative tracking data is not enough, but after all, it is only a surgical operation, and anyone with eyes can see that the surgery is done. How nice."

"Hey, that's it!" Zhou Congwen said proudly.

"You are also looking for patients here." Huang Lao said, "But before the middle of March, you may have to run on both sides."

"The number of patients on 912 is larger than yours here." Huang Lao added, "You fly over and practice surgery in 912, and your name is still on your academician workstation."

"Don't worry, boss, I will cooperate." Deng Ming said immediately.

He and Zhou Congwen had already explained everything in the previous "small chat". Although it was vague and simple, it almost passed by, but Deng Ming knew what Zhou Congwen meant, and he also believed that Zhou Congwen knew what he meant.

In this World Surgery Competition, Zhou Congwen will definitely not compete with Zhou Congwen for the title.

And some honors are also a necessary means for Zhou Congwen to buy people's hearts.I have been entrenched in 912 for many years and have deep roots.

Having this honor is icing on the cake, and it doesn't matter if it doesn't.

Mr. Huang seemed to arrange things lightly, and accompanied by Zhou Congwen, he ate and went back to rest.After Zhou Congwen sent his boss to the hotel, he immediately turned back and began to prepare for future work.

The meaning of the boss is obvious, one-stop surgery still needs a lot of running-in.

Although Zhou Congwen performed thousands of one-stop surgeries in his previous life, who would dislike doing too much with one technique?

Moreover, it is a technique that hits the number one in the world, so Zhou Congwen is very cautious.

Even though he knew that he could completely crush Chu Yuntian, he still only despised him strategically, and did not reject the boss's kindness tactically.

Besides, if some dark horse jumped out and I accidentally capsized the gutter, wouldn't my Dao heart be damaged?

There are so many heroes in the world, Zhou Congwen is cautious, not to mention, his youngest brother before him is now squatting at Johns Hopkins.If they really cultivate one or two young heroes to participate in the competition, they have to be cautious.

The operations on the home side have to be carried out one by one. After Zhou Congwen came back, he called all the members of the medical team to the office of the academician workstation to arrange future work plans.

The simple operation was performed by Chen Houkun. The wedge resection of the small pulmonary nodules has basically taken shape, and similar operations have been carried out in the last 3-5 operation days.

Zhou Congwen is going to let other doctors except Chen Houkun do it.

When I went to 912, I encountered a patient with a difficult operation. Chen Houkun and Xiao Kai decided to accept the patient on one operation day. Before that, I flew back to complete the operation.

Although it is a bit complicated, Zhou Congwen does not want to give up any point, he is determined to win this World Series.

Fortunately, after several months of running-in, coupled with the rich experience of Wen Shangyi last week, the medical team was directly brought on the right track and on the fast track.

There is no rush to increase the speed, every step should be steady, the steps should not be too large, and small steps should be taken quickly.

The doctors in the medical team expressed their excitement and apprehension about their upcoming surgery.

After all, Shen Lang and Li Ran's qualifications are not enough to become the chief surgeon, and they must be watched by a superior doctor.

Unexpectedly, the day of becoming the chief surgeon came so soon!This is unthinkable in the Third Hospital of Jianghai City.

After the arrangements were made, Zhou Congwen asked for everyone's opinions to check for gaps and fill in gaps.

A large number of surgeries can be performed, but absolutely no accidents, this is the bottom line.

Early the next morning, Mr. Huang came to the hospital to check the patient's early examination results, and removed all kinds of tubes from the patient himself.Seeing that the patient was in good condition and could not wait to go home, Elder Huang flew back to the imperial capital with peace of mind.

……

……

Mayo Clinic, consultations have continued.

This is a medical record from Wellington, England, and the patient is the supreme being in England.

The 77-year-old has a severe coronary heart disease. Although her physical function is relatively good among her peers, she had a serious accident in anesthesia three days ago when she underwent coronary artery bypass surgery at Wellington Hospital.

As for the specific reason, she is still looking for it. Now she is maintaining treatment at Wellington Hospital. With no other options, Wellington Hospital, the best cardiovascular hospital in the UK and even in Europe, can only seek help from colleagues around the world.

Chapter 0844 excimer laser

"Have you checked the general anesthesia?"

"Everything has been checked, and there is no problem. I am doing laboratory tests one by one."

"The physical examination did not reveal the possibility of a reaction with general anesthesia for the time being. However, the allergy was serious at the time. Wellington Hospital's opinion was to compare all the drugs, try to find the problem while stabilizing the coronary blood supply, and hurry up for surgery."

Inexplicable allergic reactions are clinically a headache.

Especially when it comes to a 77-year-old man, every allergic reaction, every inflammatory storm and abnormal reaction of organs will cause irreversible damage to the body.

Everyone handled this matter very cautiously, and it is said that No. 10 Downing Street has sent a special team to supervise it.

Otherwise, Wellington Hospital would not seek help from top hospitals in the world.

Wellington Hospital itself is the best hospital in Europe in the field of cardiovascular disease. If you ask other hospitals...they don't think there will be any results for this kind of thing.

"How is that person's physical condition?"

"According to the data, it can be maintained for the time being."

"Temporary?" One person shook his head. If the medicine can be maintained, Wellington Hospital will seek help from the world's top hospitals?

Although this possibility is also possible, taking a step back, the 77-year-old experienced a severe allergic reaction, and coronary spasm and thrombosis would be further aggravated.

As for cardiorespiratory fitness...

The data is all on the screen.

Even maintenance is only an expedient measure. If the problem cannot be solved with coronary artery bypass surgery, the only thing left is PIC surgery.

However, angiography showed that her anterior descending artery was extremely blocked.

She has been treated systematically since she suffered from coronary heart disease for the first time 22 years ago.

However, due to the limited understanding of coronary heart disease at that time, although many treatment plans were top-notch at the time, they still seem a bit sloppy now.

Moreover, she underwent coronary artery bypass surgery 15 years ago, and there was no allergy to anesthesia at that time.

It is precisely because of this that Downing Street felt that it was not an accident but a well-planned incident.

After a long period of time, her blood vessels were finally completely blocked. Looking at the long occlusions on the imaging data, everyone knew that another bypass surgery was the only option.

Neither thrombectomy nor thrombolysis is possible.

As for stent implantation, it is impossible!The space between the anterior descending branch and the circumflex branch cannot even pass through the guide wire, let alone the stent.

However, general anesthesia is required for bypass surgery, and one problem after another has appeared before everyone's eyes.

"Chu, do you have any suggestions?"

Chu Yuntian was sitting in the conference room wearing an isolation suit. He was forcibly taken from the operating room.

Recently, Chu Yuntian has gone crazy after undergoing total artery bypass surgery for three lesions. He even seldom eats, and lost 15 catties in weight.

But Chu Yuntian's skills improved rapidly during the devil-like operation!

Originally, Chu Yuntian could say that his surgery level was at the top of the Mayo Clinic, but as he performed surgery day and night, his level gradually increased, and even in the Mayo Clinic, he could not find a doctor who could match him.

As a human being, there is always pressure to be motivated. The pressure Zhou Congwen brought to Chu Yuntian was unimaginable.

"There is no good way." Chu Yuntian shook his head, "I can do surgery, it's not difficult. But general anesthesia and accidental allergies are not problems that surgeons should deal with."

The professor who asked about Chu Yuntian shrugged.

"I heard that excimer laser ablation is being studied in Japan, which can solve the problem relatively perfectly for patients with reocclusion after coronary artery bypass grafting."

"The Japanese? I really don't want to deal with them. After every bow, I have a very bad feeling. They just take the bow as a notification. In fact, no matter what mistakes they make, they don't care, even me. I suspect that while bowing humblely, they are preparing to drag the whole world to die together."

"Their madness has nothing to do with hypocrisy and therapy, I think excimer laser technology can be used."

"Local anesthesia to avoid allergic reactions again. If it can be prescribed, the queen can maintain it for at least 10 years."

"She's old enough."

Chu Yuntian was not interested in these, he sat silently on the seat, moving his fingers lightly, as if performing an operation.

During this period of time, hundreds of total artery bypass grafting operations for three-vessel coronary artery disease were performed unexpectedly, and the patients recovered well after the operation.

All the statistics are positive, Chu Yuntian is confident to win the competition.

I really want to see Zhou Congwen's expression right now, Chu Yuntian thought to himself.

As for the condition of the person who was hospitalized in Wellington Hospital, Chu Yuntian sincerely believed that it had nothing to do with him.

There are many reasons for drug allergy. This matter is the responsibility of pharmacology experts and anesthesiologists. I am just a surgeon.

No matter why she had an allergic reaction, as long as she can be under general anesthesia, Chu Yuntian is sure to complete the operation.

But he also knows that there are at least 20 doctors in the world who can do the same thing!

Wellington Hospital itself is the best hospital for heart disease treatment in the UK, and even in Europe, and they are full of talents.

If you can solve the allergy problem, you don't need to do surgery yourself.

"I'm going first." Chu Yuntian felt that holding this kind of case seminar was a waste of time, so he stood up and said firmly.

Looking at Chu Yuntian's leaving back, the other doctors were still very tolerant.

No matter where the genius and the strong are, they have their own privileges, especially Chu Yuntian, a young genius who has reached the pinnacle of cardiac surgery in his early thirties.

Everyone knew that when his heart couldn't continue to work, Chu Yuntian was definitely still on the front line of clinical practice, and he was probably the number one surgeon in the world.

Who wouldn't want to have a higher level of self-surgery?Even if there is only one line.

"Ask Shun Tenten, how many surgeries have been done with their excimer laser technology."

"I asked a month ago, and that guy from Miyamoto said he had done 122 cases, and they are still doing it recently."

"Is it working well?"

"It is said that it is not bad, and there is almost no precedent for surgery failure."

"Although I was skeptical about excimer laser technology, I wanted to see it for myself."

"This technology is relatively mature. Excimer laser is a cold laser with no thermal effect. It is a pulsed laser with strong directionality, high wavelength purity, and high output power. Microseconds belong to ultraviolet light.

Used to clear blood clots in blood vessels, the effect is infinitely better than thrombolytic therapy! "

"Ask Jun Tendo, I have a feeling - the Queen's body won't wait for those pharmacologists or Downing Street 10 task force to find the problem. If Jun Ten Ten thinks it is possible, I think excimer laser technology can be tried .”

Chapter 0845 It Was Her

Japan, Tokyo, Juntendo Hospital.

Dr. Miyamoto stepped off the operating table wearing an isolation suit.

"Doctor, Wellington Hospital asked about excimer laser technology. I think their opinion is to try it. You know how difficult it is for pharmacology to find allergy medicine."

Dr. Miyamoto smiled slightly, "Only excimer laser technology is the optimal solution for secondary surgery!"