Back in 2002 as a doctor
Page 299
"Brother Gao, the head nurse is brutal." Zhou Congwen whispered beside Dr. Gao.
"yes……"
"Why don't you prepare for surgery." Zhou Congwen suggested.
surgery?Dr. Gao was taken aback, what kind of surgery was performed?
He looked at Zhou Congwen, wondering what Zhou Congwen meant.
"I took a look at the patient with ascites, and the diagnosis was Budd-Chiari syndrome. No need for surgery, just interventional surgery. I saw that you were quite familiar with their old party secretary when you were in the emergency department just now?"
"Yes." Doctor Gao was still a little dazed.
He knew about Budd-Chiari syndrome, but the operation for this disease was too difficult, involving the hepatic vein and inferior vena cava, so no one dared to move it.
Interventional surgery... how to do that thing?Can it work?Countless question marks appeared in Dr. Gao's mind.
"Brother Gao, let's go." Zhou Congwen took off his gloves and led Dr. Gao out, "Let me just say, you have never been in contact with interventional surgery, so it's not surprising if you don't know."
"Is the operation major? Or let the patient go to the provincial capital?"
"I have no objection, but you have to be rich to go to the provincial capital, and you need someone to take care of you. I think the village party secretary is here, and the patient should be a household with five guarantees."
Dr. Gao said bitterly, the patient is indeed a household with five guarantees, and he doesn't have much money, so he didn't think about the surgery at all.
"Intervention consumables are not cheap, but I can get them."
"Do you do the surgery? It's against the rules." Although Dr. Gao took advantage of Zhou Congwen's favor, he was still very cautious in his choice.
"You can ask Director Jiang from the Department of Vascular Surgery of the Second Hospital of Medical University to do it. I've already contacted him. There is no fee for expert consultation, as long as you tell the old branch secretary here, I'm afraid it will cause trouble for you." Zhou Congwen said.
Doctor Gao was speechless.
Zhou Congwen has cleared all the obstacles, regardless of the cost, he still hires experts from outside. Is this a pie in the sky?
"Xiao Zhou, I don't know if surgery is possible, but what are you trying to do?" Dr. Gao asked the question in his heart helplessly.
In fact, Dr. Gao would not have said such things if he hadn't been familiar with Zhou Congwen, and he had done him a great favor by saving his life.
Asked, I judge the belly of a gentleman with the heart of a villain, and I have no medical ethics.
But that's all written in the book. In reality, who would rush to provide all kinds of valuable consumables, take risks, and insist on performing surgery on patients after death.
"All the patients had undergone caesarean section. It must be very uncomfortable. I couldn't bear to see it. I am familiar with Director Jiang, and it is not a big deal to have an operation." Zhou Congwen smiled, "And the diagnosis of Budd-Chiari syndrome is not early on your side. There is."
"Well, it was diagnosed early in the morning, but no one dared to perform surgery." Dr. Gao said helplessly, "There are few operations in the provincial capital. If you want to be safe, you need to go to the imperial capital."
"Actually, the operation is not major, and the patient will not suffer after the operation." Zhou Congwen said, "Do you want to see it?"
Doctor Gao's mind suddenly became active.
He himself is a person who does not rule out new things, otherwise he would not be able to think hard about the use of laparoscopy.
Budd-Chiari syndrome is basically a surgical taboo in general surgery. Now large hospitals have separated vascular surgery, but two departments need to be combined to perform surgery.
Even so, it is a very risky operation, and there is a great possibility that he will not be able to get off the operating table, otherwise Dr. Gao will go to the imperial capital if he can't be sure.
In fact, if you go to the imperial capital, the possibility of the patient's death is quite high, but it's just that Dr. Gao will feel better.
He doesn't want to admit that there are many things that doctors can't do, especially with the big hat of medical ethics on his head, which makes him even less willing to admit it, and just wants to avoid it.
Unexpectedly, Zhou Congwen said it so simply, there are outside experts, and everything can be pushed to the family members of the patients.
With no worries, Dr. Gao suddenly became interested.
What splashed on the wall with a pungent smelly liquid, all forgotten.
"Tell me about it." Dr. Gao was full of interest.
When he came to the office, Zhou Congwen drew a sketch on the medical record paper with a ballpoint pen, and began to explain the specific principles.
The reason is very simple, and it goes from the blood vessel, and the diaphragm part is expanded little by little with a balloon.
As soon as Dr. Gao heard it, he understood that no stent was needed, and the life expectancy of the patient would not be very long. After the procedure, the quality of life could be improved a lot, which achieved the purpose of the surgery.
"What if there is a blood clot?" Dr. Gao asked, "What about Type [-] and Type [-]?"
"Then go to the medical university and start thrombolysis treatment. When the thrombus opens, the disease will be half cured." Zhou Congwen explained.
It was hard for Dr. Gao to believe that the "incurable disease" in his consciousness could be solved so easily.
"Brother Gao, if you want to take a look, you can talk to the old party secretary. I think you are very familiar with the old party secretary, and he will definitely listen to what you have to say."
"That's not necessarily the case." Dr. Gao said.
Even though he said so, Zhou Congwen had confidence in Dr. Gao.
Zhou Congwen knew that the relationship between Dr. Gao and the old branch secretary had been at least ten years, and they spoke very casually.
In addition, the patient is an old bachelor with five guarantees, and now there is a seppuku incident, and he has arranged all the roads, and hired a professor from the provincial capital to perform the operation with less money.
As long as the old party secretary is not old and confused, he will definitely agree.
Sure enough, just as Zhou Congwen expected, Dr. Gao came back within 10 minutes after going out.
"Xiao Zhou, the old branch secretary agreed."
"He can call the shots."
"Yes!" Doctor Gao said, "When will your side be ready?"
"Hurry up, I'll send my driver to the provincial capital to pick up Director Jiang. It's not easy to ask Director Jiang to come by train."
"..."
Dr. Gao looked at Zhou Congwen with a bewildered expression.
My own driver...to pick up the director in the provincial capital, these are extremely strange to Dr. Gao.
Chapter 0521
Doctor Gao rarely sees similar things, quite rarely.
He had only heard of the tacit relationship between the so-so in Jianghai City and an expert in the provincial capital who were college classmates, squatting on the curb to see girls, and passing notes to each other during the exam.
It's just that even if there is a problem with this relationship, that person can transfer the patient to the provincial capital at will, but it has not reached the level that Zhou Congwen can call people here with a "casual" phone call.
Dr. Gao was very curious, he was a little worried that Zhou Congwen was bragging.
But the fact that he went to 912 was still in front of him, so he couldn't help but not believe it.
"Xiao Zhou, I'm fine here. I just reported it to the director. I said that the professor in the provincial capital contacted by the patient's family is going to do the emergency department, and the director agreed."
"Oh, what if the surgery fails?" Zhou Congwen asked.
"I have a clear conscience." Dr. Gao said, "A household with five guarantees, the village party secretary is his relative, otherwise he wouldn't be able to travel hundreds of miles to come here by bullock cart.
The old party secretary said that if the professors in the provincial capital can't help it, it will be fate. "
Zhou Congwen nodded. If the patients, mainly the old branch secretary, think so, then there is no problem.
He took out his mobile phone and called Director Jiang.
"Director Jiang, it's me."
Dr. Gao's heart was suddenly suspended, and he wanted to change someone else. Although he was making a phone call at this time, he would definitely smile like he was facing an expert in a provincial capital, and some people would even bend their waists involuntarily.
But what Zhou Congwen said was very simple and casual, even with a faint condescending feeling.
"Doctor Xiao Zhou, are you done with that? I'll drive there right away."
Director Jiang's hearty laughter came from the phone.
"..."
Doctor Gao was speechless.
This is not an invitation at all, Director Jiang from the Second Hospital of Medical University can't wait to come over.
The contrast between before and after was too great, Dr. Gao was a little confused for a while.
"I have a car, I will send a car to pick you up." Zhou Congwen said lightly, "Director Jiang, please tell me the address."
"No, what's the fuss. It's not worth it to spend four or five hours on one trip." Director Jiang directly denied Zhou Congwen's opinion, "I'll just drive there, and I'll drive back when I'm done."
"That... you've worked hard." Zhou Congwen didn't show any politeness to him, and responded directly.
"I'll call you soon, see you in the Third Hospital."
After speaking, Director Jiang hung up the phone.
Doctor Gao was dumbfounded.
When did the experts in the provincial capital become so easy to talk to?
It doesn't matter if you don't need expert consultation fees, but you have to pay for the gas yourself.
Although the gasoline is most likely a fuel ticket given by various related units, but the reason for running all the way to Jianghai City is to cure diseases and save lives...
Does such a person exist?
Does such a person really exist?
Zhou Congwen didn't know what Dr. Gao was thinking, so he picked up his cell phone and made another call.
This time Zhou Congwen's voice was not as gentle as before, but rather stern.
"Manager Wang, Director Jiang has already left, when will you arrive?"
"Doctor Zhou, I'm already on the highway." A woman's gentle voice came from the phone.
"Oh, drive well, don't be too fast." Zhou Congwen said lightly, and hung up the phone.
"This is……"
"Olida's regional manager asked her for some consumables. Although she said she didn't need a bracket, she still had to prepare it in case it was used." Zhou Congwen replied.
Ugh.
Doctor Gao sighed deeply.
Look at Xiao Zhou's gangster, make a few phone calls, and the problem is solved.
Although Dr. Gao doesn't know how expensive the interventional consumables are, he has some understanding of the cyclic interventions to be carried out at the People's Hospital.
It would cost thousands of dollars to perform an operation without putting on airs.
For a five-guarantee household, it’s really... Although Dr. Gao felt that it was a bit too much, he was still very happy that he could cure the patient, not suffer from a large amount of ascites in the future, and the patient’s quality of life could be restored.
"I'll go back and wait." Zhou Congwen put away his phone and stood up, "Tell the patient's family... tell the old party secretary to buy two bags of salt."
"What is it for?"
"The location of the needle in the interventional surgery to press the salt bag after surgery."
"Okay..." Before Dr. Gao could finish his sentence, the phone rang.
He picked up his phone and glanced at the caller ID. His whole body froze instantly, and his hands began to shake involuntarily.
Zhou Congwen frowned slightly, and leaned over to take a look.
010 is the area code of the imperial capital.
Pathology results came out!
"Brother Gao, answer the phone, someone else will hang up in a while." Zhou Congwen reminded.
There was a strange echo in Dr. Gao's chest, and his thumb trembled as if he had severe Parkinson's disease.
He tried hard three times before he answered the phone.
"Is it highly civilized?"
The voice on the other side of the phone was hurried and cold.
"I... I... am."
"Your lover's pathological results came out. It's not a malignant tumor, but it's the endometrium."
Dr. Gao's legs went limp, and he sat down on the ground with a "bang".
Zhou Congwen didn't expect Dr. Gao to have such a big reaction, and he blamed himself, what if he broke his sacrum.
Didu's phone has been hung up, and Dr. Gao's mobile phone is beeping blindly.
Zhou Congwen quickly helped Dr. Gao up, but his body was limp, like a pile of mud, tears streaming down his face, and a meaningless sob came out of his throat.
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