Back in 2002 as a doctor
Page 109
Chapter 0186
Chen Houkun didn't go to participate in the rescue, but just sat on the stairs and thought for a long time.
Chen Houkun was not surprised to be taught a lesson by a young man and a small doctor.He could understand what Zhou Congwen said.
Chen Houkun even took the "unbelievable" cognition that thoracoscopy is the future, which he took for granted.
Not counting anesthesia, 2-3 thoracoscopic surgeries can be performed in the time of one thoracotomy. The patient suffers less trauma and recovers quickly. Why is such an advanced surgical technique inferior to traditional surgery?
It is entirely possible, and it can even be said that it is inevitable.
There is only one flaw—clinicians now start to learn from thoracotomy, and differences in habits and cognition are the obstacles that lie ahead.
The so-called country is easy to change, but nature is hard to change.
As for certain operating habits of thoracoscopic surgery, there is no other way but to gradually become proficient.
And myself...
Chen Houkun gradually figured it out, although he was still a little unwilling, but Doctor Xiao Zhou had already told Zhang You the "cheat book", what else could he do?
Continue to grind the eggs, now I can't even grind out a whole egg, so I will break it after thinking so much.
It's really ridiculous to think about hiding the way of surgical training every day and not letting others know.Just like what Zhou Congwen said, it's really a bit of a waste of time!
Although his thinking was not clear, Chen Houkun could accept it.
He calmed down, stood up and walked out of the fire escape to change clothes and go home directly.
There is nothing to do in Corey, it is better to go home and do surgery training.As for things like patient acceptance, it takes time, and Chen Houkun can't control it.
……
……
Time passed bit by bit, day by day.
buzzing~~~
The drill in Chen Houkun's hand lightly landed on the egg shell.
After practicing for a long time, Chen Houkun has initially mastered some skills.Although these are not very advanced, but with more than 20 years of surgical experience, he vaguely feels that his level is slowly improving.
The fragments of egg shells were flying, Chen Houkun held his breath and concentrated, the strength in his hand was just right.Swimming between the egg's hard shell and the microscopic inner membrane, Chen Houkun even felt like he was cutting a dingo out of a cow.
He was so absorbed that he didn't dare to be distracted.The recent period of training has gained a lot, but Chen Houkun still can't grind an egg completely.
It's easy to say at the top, but the more difficult it is to go down.The surge of the inner membrane of the egg made the movements complicated, and Chen Houkun even felt that his brain was not enough to calculate the strength of the next step.
We can only turn all these into instincts, and it takes a lot of hard work to turn them into instincts. Chen Houkun understands the truth of this and continues to forge ahead bravely.
"Crack~"
With a sound as thin as a gossamer, Chen Houkun stopped his movements, stared blankly at the egg white flowing out of an invisible crack in the egg, and sighed.
Failed again.
it doesn't matter,
continue!
Chen Houkun calmed down, cleaned up the drilling platform, and brought up another egg.
He seemed to return to his youth, practicing as if he was a medical student.
……
……
Zhang You sat at the table in distress, staring blankly at Mo Zuan.
"You are like a demon every day, what are you thinking about?" Zhang You's lover asked.
"Surgical training." Zhang You sighed.
"You haven't practiced enough? I remember that when you were young, you grew up in the operating room like crazy every day. I had to deliver meals every day, and you didn't go home at all. I thought you fell in love with some little nurse." Zhang You's lover smiled and talked about the past.
"Thinking nonsense." Zhang You rebuked absently in a low voice.
His mind was full of drills and broken eggs.
"How old are you, and you still do surgery training. Don't you say that your surgery is the first in the province? What's the matter? Want to go to the imperial capital? What's the fuss? If you work hard for a few years, you should be second-tier." Zhang You's lover smiled. road.
"Oh, you don't understand." Zhang You shook his head.
"Of course I don't understand, but old Zhang, look at you now, you are grinding eggs when you get home. Aren't you smashing eggs with stones? How can you smash the shell of the egg without breaking the inner membrane?" Zhang friend's lover said.
If Zhang You hadn't witnessed Zhou Congwen grind a whole egg with his own eyes, he would have given up long ago, thinking it was an impossible task.
The simple operation in Zhou Congwen's hands, why can't he do it himself?Zhang You looked at Mozuan with some despair.
These days, he used at least 2000 eggs, but at most he could only grind off a little bit of the egg shell, and the rest... couldn't be done at all.
This is just grinding eggs, and it hasn't progressed to the point of cutting the inner membrane and suturing it with surgical needles and threads.
What a treat!Zhang You stared blankly at Mo Zuan, a little discouraged.
"Old Zhang, you should say something."
"Well, don't say it's impossible, I saw someone grind a whole egg with my own eyes." Zhang You said helplessly, "Not only did he grind it out, he also cut a hole in the inner membrane and sutured it continuously with needles and threads."
"So powerful? It's impossible. Are you dreaming?" Zhang You's lover couldn't imagine what Zhang You described.
"It's real, it's not a dream. Forget it, go do your own work and don't get involved with me." Zhang You said helplessly.
"Old Zhang, you really are going back as you live." Zhang You's lover said disdainfully.
"How do you talk?"
"You are the director, and anyone with good skills can be recruited here. Otherwise, what do you do as the director? The director is a management post. Is your main job is to perform surgery? It is to manage people." Zhang You's lover said very normally.
Zhang You was taken aback.
Yes, dig over here!
Let Zhou Congwen do it himself, why should he do it himself.
A while ago, Zhang You heard a gossip - a specialist in trauma surgery opened a private hospital in the Pearl River Delta, which only performs replantation of severed fingers.
He is already old, and it is very difficult for him to anastomose blood vessels under a microscope.
So he raised a dozen young people, only taught them to replant severed fingers under a microscope, and stayed in the operating room from morning to night every day.
This is the legendary surgical beast.
It is said that the old professor is also ruthless. Young people are not allowed to apply for a doctor's certificate or major, and they are not allowed to intervene in postoperative rounds and treatment.
There are 10,000+ severed fingers in the Pearl River Delta every year, and the work is impossible to do, and the old professor is not worried... Well, that's the reason.Isn't Zhou Congwen capable? Just dig him up and squat in the operating room every day for surgery!
Zhang You looked at Mozuan, and his already disappointed mind gradually became active again.
"Old Zhang, don't you have dementia?" Zhang You's lover asked worriedly when he saw him startled again.
"No, you're right. I'm old and I can't do things that are too delicate. It's more practical to poach people." Zhang You said, picking up the phone.
Chapter 0187
During this period of time, Zhou Congwen's life was very quiet.
Go to work, go to get off work, and train surgery every day.Although there are many emergency cases, Zhou Congwen has gradually gotten used to this rhythm, and his mentality has changed slightly. He is no longer the existence who stood at the highest peak in the medical field and had a bird's eye view of all living beings when he was just reborn.
Wang Chengfa didn't provoke Zhou Congwen too much, and he didn't bring up or follow up on extracorporeal circulation.
Zhou Congwen estimated that Wang Chengfa encountered some resistance, but this kind of thing has nothing to do with him, and he would definitely not go for extracorporeal circulation.
Liu Xiaobie is not at home, but every three to five days he will send a few text messages to communicate.
There seemed to be progress on her side, and the investment fund caught two more big fish, both of which were short-term projects, but they didn't buy Apple's stock as Zhou Congwen imagined.
She is good at making money, Zhou Congwen gradually felt relieved.In my memory, it seems that Apple will embark on a long journey after the release of Love Crazy 09 around 4. It is not appropriate to buy it now purely from the perspective of capital utilization efficiency.
In the middle, there was a big bull market in China, a bull market in commodity futures, and then there was a big rise in Apple and Oracle.Zhou Congwen didn't understand it very well, and gradually extinguished the idea of using 8000 million to buy Moutai for dividends.
After all, Liu Xiaobie is doing quite well, and the money is increasing at a speed visible to the naked eye.
After the annual employee physical examination was over, Zhou Congwen didn't care much about his own examination results. He called Li Qinghua just before he got off work and invited him out for dinner.
Zhou Congwen made a deep self-examination on this matter. He had told Chen Houkun a long time ago that he would like to trouble him to contact Li Qinghua.But both of them are technical talents in nature, and they are socially flawed.
In addition, Chen Houkun has been obsessed with grinding eggs recently, so he simply forgot Zhou Congwen's request.
Zhou Congwen didn't care, and simply invited Li Qinghua directly.
Li Qinghua was very surprised to receive Zhou Congwen's invitation. To Zhou Congwen's surprise, he did not agree directly, but hesitated for a while before "reluctantly" agreeing to come down for dinner.
What happened?Zhou Congwen was a little strange after hanging up the phone.
According to my understanding of Li Qinghua, he should make people respond like a spring breeze, instead of hesitating for a long time before answering.
It is rare for Zhou Congwen to rush to the restaurant instead of going home after get off work.
Usually, he rarely entertains, pushes as much as he can, and lives a life isolated from the world.
Zhou Congwen calculated the memory of his previous life, and felt that there was nothing wrong, so he came to the small private room of the hotel with his hands behind his back.
It was strange that Li Qinghua hadn't come yet when he arrived 5 minutes earlier than the agreed time.
Zhou Congwen deliberately chose a restaurant that was relatively close to the People's Hospital. According to Li Qinghua's style of doing things, he should arrive first.But he didn't think too much, sat down and waited quietly for Li Qinghua.
After the appointed time, Li Qinghua still did not show up.
About 15 minutes later, footsteps were heard outside.
"Congwen, I'm sorry, I'm really sorry." Li Qinghua opened the door and came in. He didn't have the airs of a prince of thoracic surgery at the People's Hospital, so he apologized before entering the door.
"It's okay." Zhou Congwen smiled slightly.
Li Qinghua's face was a little serious and tense. He barely smiled, but he didn't look happy at all.
"What's wrong?" Zhou Congwen asked strangely.
"Well, my primary school teacher's thyroid follicular cancer has metastasized, and his condition is not very good recently. The teacher was kind to me when I was young, and I went to see it after work..." Li Qinghua seemed unwilling to say more when he said this, and changed the subject, "From the text , the demonstration operation some time ago was performed by you and Professor Chen together, right?"
"Yes." Zhou Congwen nodded.
"Excellent!" Li Qinghua was a little happier when he talked about this, and praised him without hesitation with a thumbs up.
After ordering a few dishes at random, the two sat in the small private room while eating and chatting.
Li Qinghua didn't ask Zhou Congwen what he wanted from him. Seeing that Zhou Congwen didn't say anything, he began to ask for the specific operation method of thoracoscopic lung lobectomy.
Zhou Congwen had mastered the technology to the bone, so he asked a few casual questions, and after understanding Li Qinghua's level, he explained in a way he could understand.
They are all chest doctors, so there is no need to talk about the most basic local anatomy. Zhou Congwen focused on the difference between laparoscopy and thoracotomy.
It's easy to talk to someone who understands. Li Qinghua ponders occasionally, but soon his thinking can follow Zhou Congwen's narration.
While chatting and eating, although Zhou Congwen didn't drink alcohol, Li Qinghua ate this meal with great interest.
After about two hours, Zhou Congwen still had countless things to say, and Li Qinghua still had countless questions.
An incoming call from the mobile phone interrupted the communication between the two of them. Li Qinghua took out his mobile phone, and his face became very ugly again.
"Hey?"
"Respiratory acid with acid? What medicine did you give?"
Zhou Congwen frowned, and what Li Qinghua said was respiratory alkalosis with metabolic acidosis.
The etiology of respiratory alkalosis combined with metabolic acidosis is mainly due to excessive exhalation or discharge of carbon dioxide in the body, and a decrease in the concentration of carbonate in the body, accompanied by a compensatory increase in the concentration of chloride ions. Chlorine metabolic acidosis.
This kind of change in general patients means that the condition is very serious, and basically they did not run away in the intensive care unit.
No wonder Li Qinghua came so late, he really encountered a difficult problem.
"Ineffective...Okay, I'll be there right away." Li Qinghua hung up the phone after finishing speaking.
"Congwen, I'm sorry." Li Qinghua apologized first, "My teacher's condition is not very good, I'll take a look. The two of us... well, I wish I had known you earlier. It's not enough to drink with a bosom friend, but it's not too bad. Later, we will communicate more later.”
"What medicine did you give?" Zhou Congwen didn't follow Li Qinghua's words, but asked a question.
Li Qinghua was startled.
"Because my teacher has a history of coronary heart disease, the doctors in severe cases tried intravenous heparin, and tried adenosine, diltiazem, and electrical cardioversion to slow down the tachycardia. Unfortunately, none of them had any significant effect."
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