Back in 2002 as a doctor

One thought that Zhou Congwen had never touched a knife, and the other thought that Zhou Congwen was a natural assistant.

Zhang You wanted to poke Wang Chengfa's eyes blind, what is having eyes but not eyes?

An old director can actually make his doctors practice such exquisite and delicate sutures, but he doesn't even know it.

At this level, it is not 01:30 points higher than myself.

The patient's heart was beating non-stop, but Zhou Congwen's anastomosis of the coronary vessels was not affected at all, and it looked like a mess.

Especially people like Zhang You, who retreated despite difficulties, were dumbfounded by Zhou Congwen's stitching.

Zhou Congwen's performance aroused Zhang You's competitive spirit, not the competitive spirit of a decisive battle, but Zhang You began to use 120% of his strength to concentrate on surgery.He didn't want to be hurt by Zhou Congwen because he couldn't be a good assistant. If so, where would this old face be put.

Not daring to be distracted, Zhang You concentrated on watching Zhou Congwen anastomose the blood vessels, and immediately handed over the thread scissors.

Zhou Congwen cut off a needle.

When cutting the thread, the equipment nurse held the needle and cut the needle, and Zhou Congwen began to cut the thread.

Zhang You stored and managed the sewing needles in time to prevent them from falling.

Zhang You grasped many details very well, and Zhou Congwen was quite satisfied.

And he took the initiative to moisten Zhou Congwen's hands with sterile warm saline when tying the knot, so as to prevent the suture from breaking due to excessive friction, and at the same time reduce the anastomotic damage caused by suture pulling.

It's actually quite cool to be an assistant. Seeing Zhou Congwen finished knotting his hands calmly, Zhang You thought proudly.

Oh shit!How come I am the director of the Chest Department of the Second Hospital of Medical University in the provincial capital, so proud of being an assistant all the time!Zhang You began to curse in his heart.

Can you have a little something to do?

Chapter 0176 Attitude Change

After the anastomosis of the anterior descending artery was completed, Zhang You confirmed one thing——Zhou Congwen's surgery level can be ranked among the top five in the country.

Thinking of this, he was even more cautious.

Hand over the aortic sidewall forceps, vascular forceps, tissue scissors, and a No. 11 blade to cut off excess tissue on the aortic vessel.Pass the hole punch, and perform end-to-side anastomosis with the proximal end of the graft vessel and the aorta with 6-0 Prolene thread.

Zhang You felt that he was exceptionally smart today, just like when he was a young doctor, he went all out to cooperate with the surgeon, for fear that he would be scolded by the teacher if he made a mistake.

All details have been taken into consideration, for example, clean and moist gauze should be used when punching the aorta, and the remaining vessel wall on the punch should be cleaned in time to avoid blood vessel embolism caused by being brought into the surgical field again.

Zhou Congwen concentrated on the operation without any other distractions, ignoring Zhang You's psychological activities at all.

Isn't it right to be a good assistant?It's only when there is a problem that I have seen the devil.

The operation is performed little by little.

The anastomosis observation group at the distal end adopts "sequential" bypass, which is followed by diagonal branch or obtuse marginal branch-left ventricular posterior branch-right coronary artery posterior descending branch.

Place "pug" clamps to block the blood flow at the proximal and distal ends of the anastomotic stoma, and use 7-0 Prolene suture for continuous suture, and loosen the "pug" clamps every time an anastomotic suture is completed, so that the area dominated by this segment of blood vessels can be closed in time. Restore blood perfusion.

32'22", the anastomosis is complete.

Warm saline rinse, papaverine rinse, no reinforcement sutures, everything looked perfect.

"Close." Zhou Congwen said lightly.

Zhang You really wanted to record this operation and go back to brag about it, saying that he did it by himself.

Who can do it without the non-stop jumping and building of octopuses?

Looking at the whole country, there are only a handful of people who can do this.

"Sister, take off the 10x lens for me." Zhou Congwen turned his head and asked the roving nurse to take off the 10x lens.

This is the end of the operation!

Zhang You glanced at the ECG monitor, then at Zhou Congwen's young face, feeling dazed.

The surgery was done so quickly that I couldn't even dream of it.The non-stop jumping and building bridges can be done with ease, and the only unfamiliar equipment is the 10x mirror.

For the remaining steps, Zhang You began to sneak away. For him, he didn't think about it after the operation, and at most he went to see it after the operation.

He was interested in Zhou Congwen.

Chen Houkun was mistaken, thinking that Zhou Congwen was a catalyst to improve his own level.As for Chen Houkun, he deserves it too!Zhang You cursed secretly in his heart.

His attitude toward Zhou Congwen seemed to be changing. Zhang You no longer focused on the operation, and began to think about the general direction in the future.

Win over Zhou Congwen and cut off Chen Houkun's foreign aid from the root.I'm really curious what Chen Houkun's expression would be if he could poach Zhou Congwen.

As the operation progressed, Zhang You had already made up his mind to talk to Zhou Congwen directly after the operation.

Young people, as the director of the Thoracic Surgery Department of the Second Hospital of Medical University, I'm afraid I'm already in high spirits if I flatter him.

Well, just do it!

After the operation, I took the tube back to the small intensive care unit of the chest department.

Zhang You fell behind, perfunctory Wang Chengfa all the way, and concentrated on waiting for Zhou Congwen to finish his work.

"Xiao Zhou, smoke a cigarette? Are you allowed to smoke in the locker room?" Zhang You asked Zhou Congwen with a smile.

"Let." Zhou Congwen did not refuse, but smiled, "The signs that prohibit smoking in the locker rooms of operating rooms all over the country are background boards."

Zhou Congwen knows exactly what kind of shit Zhang You can pout.

The reason why he hesitated was because the timelines of many people changed after he came back.What about Zhang You?What if something changes?

After three days of farewell, you should look at each other with admiration.What if Zhang's friend changes, Zhou Congwen has the idea of ​​just in case.

Coming to the locker room with Zhang You, Zhou Congwen opened the locker and took out the white ganoderma lucidum. Looking back, he saw Zhang You holding the soft Zhonghua in the red box.

"Suck me." Zhang You bared his teeth and said as gently as possible.

"No, I'm not used to Huazi...Zhonghua." Zhou Congwen smiled.

"This is real cigarettes. My friends in Shanghai give me cigarettes every year. They are all taken directly from the tobacco factory."

"I'm really not used to smoking, I'd rather use Ganoderma lucidum." Zhou Congwen refused.

With a flick of Zhou Congwen's wrist, a white ganoderma "jumped" out.

Zhang You's mind moved, and he remembered something, "Xiao Zhou, I have a question, I don't know if I should ask it or not."

"Director Zhang, you are welcome."

"Are you Huang Lao's student? Although the age does not match, but..." Zhang You asked cautiously, leaving a blank at the end, and throwing the topic to Zhou Congwen.

Mr. Huang, the legend of cardiothoracic surgery exists, not to mention the creation of domestic cardiothoracic surgery, his role cannot be overstated by saying that he deserves the most credit.

He has a habit - only smoking Bai Lingzhi.

Wearing patched clothes and cloth shoes with exposed toes all year round, with hands bowed and waist, smoking white ganoderma, he looks no different from an old man in the countryside.

Zhang You has never met Mr. Huang, but only knows that his old man's house is still here.

If you don’t smoke Ruan Zhonghua, you have to smoke Bailingzhi. This “key” same habit, together with Zhou Congwen’s style in the emergency rescue and his steady heart when he was building a bridge, the answer is ready to come out.By the way, the walking posture seems to be similar too, Zhang You took another careful look at Zhou Congwen.

For a moment, he even wondered if the person in front of him was the legendary Huang Lao.He only met Huang Lao twice, and his image was rather vague when the school was in session.But the more I look at it, the more I think it looks like it, whether it's Bai Lingzhi or... the walking posture with hands back and waist bent.

"Oh, I've heard of it, but I haven't seen it." Zhou Congwen replied with a smile, "Mr. Huang is a top-ranking figure in the Department of Thoracic Surgery, and we only have two academicians in the Department of Thoracic Surgery. Director Hao is still on the clinical front line, so we may have a chance to meet him. But Youngest Huang, I guess it’s enough.”

Uh……

guessed wrong!

Zhang You was taken aback.

But Zhou Congwen's words are full of flaws.

Only two academicians?what to say!There are almost no other departments!There can only be at most one academician of the Academy of Engineering in a medical branch, which is an unspoken rule.

Old academicians do not recommend or leave, and the "new" people below have no way to become academicians.There are two academicians in the Department of Chest, which is already very good, okay, but "only".

This is so crazy to say.

Zhang You silently lit a stick of Zhonghua, took a deep breath, "Xiao Zhou, I know you have a good relationship with Professor Chen, but I don't want to affect our relationship."

"Ah."

"How do you practice your surgery?" Zhang You asked curiously, "Who is your teacher?"

"I learned from the video, foreign teaching videos." Zhou Congwen said calmly, "If you are interested, see the patient later. If the condition is stable, go to my house and I will show you."

Show... Zhang You looked at Zhou Congwen with great interest.

I'm still young, and I can't help telling others about my achievements, looking forward to recognition.

But Zhang You couldn't think of what Zhou Congwen could do at home. Could it be that he has relatives in the United States and Europe, and gave him some high-tech products?

Maybe, who knows.

"Which deputy doesn't want to be upright, and which principal is willing to be lonely." Zhang You suddenly changed the subject, looking into Zhou Congwen's eyes and said.

This sentence is quite meaningful, Zhang You didn't expect Zhou Congwen to understand it, but he just wanted to say it.

Chapter 0177

"I don't care about this." Zhou Congwen told Zhang You very clearly, "Director Zhang, as doctors, we should be more pure. We don't talk about doing what we do and love what we do, and we don't talk about the principles of curing diseases and saving lives, but what we pursue is always technology. progress, relieve pain."

Too young, technological progress is so easy?Zhang You looked at Zhou Congwen with a smile, as if looking at himself when he was young.

The main thing is that the world of young people is too easy to idealize. If you want to make technological progress, do you want to make technological progress?If this is the case, it is impossible for each dynasty to have only 5000-200 years in the upper and lower 300 years.

History is constantly reincarnating, ranging from a dynasty to a branch of medicine.

Seeing Zhang You's smile, Zhou Congwen said lightly, "Director Zhang, I know what you're thinking."

"Oh?" Zhang You looked at Zhou Congwen with interest.

"Humans, the vigorous learning period is before the age of 30. To become a doctor requires a lot of clinical experience, so the maturity period is before the age of 40. After that, there is little contact with new technologies, and it is enough to retire safely. "

Zhang You raised his eyebrows.

He didn't think about what Zhou Congwen said, but it did make sense after careful consideration.I wanted to test Zhou Congwen, but I never expected that he would hit the nail on the head, talking about my current situation.

"Surgeons around the age of 40 still have ten or twenty years to live after they become directors. For example, Director Wang still thinks about retiring and returning to his job, and then he will be the leader for a few more years."

"There shouldn't be reemployment in your situation, but as long as you are in the position of director, you definitely don't want to have too many challenges. It's like the monkey king among the monkeys, who must occupy a good source of food and water."

"Humans are really no different from animals."

Zhang You listened to Zhou Congwen's words silently, he was a little surprised.

Zhou Congwen's tone hit the nail on the head, not like what a young man should say.

"If it was decades or hundreds of years ago, you and the current old director did the right thing, because the level of technology has never improved. But what kind of society is it now, let alone talk about our chest surgery. "

Zhou Congwen broke his fingers and said.

"When your master opened the chest, it was the same as our third hospital. There was no electric fever, and the chest was opened for 500 blood, right?"

Zhang You nodded.

"Electric cautery is a good thing, and it's easy to master. It's not difficult, so there's no resistance to popularizing it. But what about removing the ribs after thoracotomy? Director Zhang, can you complete the operation without removing the ribs before the old director retires?"

"Yes." Zhang You felt that Zhou Congwen looked like a monster.

Is this something a young doctor can think about?Is it something a young doctor should know?

"But as far as I know, the thoracic surgery of the medical university is still done before the old director retires." Zhou Congwen squinted at Zhang You with a white ganoderma lucidum in his mouth, "You became the director, and you kicked Professor Cui away, so you just didn't go for surgery." Rib, this is technological progress."

"..." Zhang You silently looked at Zhou Congwen.

"In the past, the old director did not do well in sleeve surgery, and he directly took the whole lung. Now you have started to carry out sleeve surgery vigorously, and how many patients have preserved part of their respiratory function? It is a bit of a waste of merit, but we two privately said that this is a great thing. "

Zhang You was silent.

Zhou Congwen's words are not something that a young man can say, but it is like Huang Lao sitting in front of him, looking at the overall situation and summarizing the step by step of the national thoracic surgery from scratch, from existence to excellence.

"However, technological progress far exceeds your ability to learn. Whether it's rib removal or not; or sleeve cutting and pneumonectomy, you realized it when you were in your 30s."

"After the best age, I don't want to be exposed to new surgical methods, and even have some resistance. It is natural to oppose the popularization of new surgical methods. But I am not polite, the future thoracic surgery will be performed by thoracoscopy. All over the world, Director Zhang, you sent Professor Chen to the thoracoscopy department, I know you meant exile. But you misread the future and missed it."

"..."

Zhang You remained speechless.

He never expected Zhou Congwen to say these things to himself.

Originally thought that Zhou Congwen was showing off his surgical training, showing that he had not made a name for three years and became a blockbuster; he had not flew for three years and soared into the sky.No one, especially young people, wants to be recognized.