Back in 2002 as a doctor

"Don't mention it." Boss Chunxiao began to tell Zhou Congwen about the "evil" patients.

"Is there any information, pass it over and I'll take a look." Zhou Congwen pondered.

"Pass it over? For what?" Boss Chunxiao asked in surprise.

Zhou Congwen sighed and smiled wryly.

Yes, in 2003, mailboxes were not very big, and there was no way to send materials, so they had to be sent to the provincial capital.Even if it can be transmitted, scanning and the like are required, and a professional network cable is required. Ordinary people have no concept of transmission at all.

This will not really happen until 4G technology matures.

In 2003, it was really inconvenient.

"I heard you say that the patient's condition is not caused by evil spirits, so don't fool around with it." Zhou Congwen warned, "Believe it or not, don't talk about those ghosts and gods. It's always right to keep a respectful distance."

"Yes, I think so too." Boss Chunxiao felt that he and Zhou Congwen were really out of temper, "I also think it's not good to have too much contact. Believe it or not, what if I offend someone and block someone's money. But If you really believe me, after all, we came out of the nine-year compulsory education."

"It is said that there is a god standing three feet above the head. What kind of god's eyes are like lightning? This person is afraid that the ghosts and gods will not know if he does something good, and he is afraid that the ghosts and gods will know if he does something bad. He wants ghosts and gods to protect him, and ghosts and gods are also embarrassing."

"Hahaha." Zhou Congwen laughed.

"I'm serious." Boss Chunxiao started chatting with Zhou Congwen. "In my sports betting shop, everyone who wins big prizes says they are awesome. Those who lose everything say they are...hahaha, don't mention that."

"That's almost what it means." Zhou Congwen said, "If you don't get a diagnosis after you get sick, you always have to come to the higher-level hospital to see it. If you don't understand it when you come to me, it doesn't matter where you go."

Boss Chunxiao thought about it, "Doctor Zhou, may I take it to your place? Take a look at you by the way."

"Okay, I'll treat you to dinner when you're here, long time no see, really long time no see."

After hanging up the phone, Boss Chunxiao saw a group of doctors coming out.

"It has nothing to do with surgery. In the future, this kind of patients should not consult with surgery. If they understand it, the emergency department will know how to fool around."

"Go to the Department of Gastroenterology, the patient is vomiting so badly, what if there is an ion disorder."

"Explain to the patient's family and go to a higher-level hospital in the provincial capital." The director of the Department of Gastroenterology is definitely unwilling to admit such a troublesome patient. Like the doctors at the People's Hospital, she suggested that the patient go to a higher-level hospital for treatment.

What the higher-level hospital does depends on whether such intractable diseases are right.

The family members of the patients are also discussing in a mess, they have lost confidence in the hospital.

Whether it is the People's Hospital or the Third Hospital, they have done thousands of dollars of examinations but in the end there is no conclusion. Who can have endless confidence?

Boss Chunxiao frowned. It seemed that the family members of the patients were all inclined to find someone to exorcise the evil spirits. It would be difficult to persuade them to go to the provincial capital.

……

……

Zhou Congwen thought for a moment after hanging up the phone.

"Congwen, is the owner of Chunxiao Sports Lottery calling you?" Shen Lang asked.

"En." Zhou Congwen nodded.

"What's the matter, why do I hear exorcism?" Shen Lang began to gossip.

Zhou Congwen briefly described what happened.

"What do you think is the situation?"

"I don't know." Zhou Congwen said decisively, "I didn't see the patient, and I can understand the disease just based on the statement of a patient's family member who is not a doctor? Are you okay?"

"Hey, don't you have confidence in you?" Shen Lang smiled.

"Don't talk nonsense, this is not confidence, you..."

"Congwen, you said that the patient had abdominal pain for no apparent reason, rolled his eyes, and foamed at the mouth, have you ever seen it?"

"I've seen a lot." Zhou Congwen said lightly.

Shen Lang's eyes lit up all of a sudden, and the gossip that had been tortured by the interventional surgery training for a long time turned up again.

"Clinically, you have seen patients with shivering and high fever for unknown reasons." Zhou Congwen asked.

"Yes." Shen Lang nodded, "Many patients did not have a reasonable explanation in the end."

"During my internship, I met a patient who accidentally fell into a big pit on the side of the road when he was drunk, and suffered multiple rib fractures on the left side."

Zhou Congwen felt complacent when he was gossiping with Shen Lang.

Fortunately, Liu Xiaobie raised a question that day, and he added a sentence of practice time.

Otherwise, with Shen Lang by his side from work to now, no matter what he says, it is easy to make mistakes, which is really hard to explain.

"Fixed the rib fracture? If you don't have surgery, you will have abnormal breathing and a headache." Shen Lang really didn't notice the internship period, and asked immediately.

"No." Zhou Congwen said, "After closed thoracic drainage, the patient refused thoracotomy and fixed rib fractures, and his vital signs were stable. I explained the complications of abnormal breathing and other conditions to the patient and the patient's family. Decided to observe the changes in the condition and treat the symptoms at any time."

"What happened later?" The gossip in Shen Lang's eyes began to turn.

"I went to see the patient at ten o'clock in the evening. There was nothing wrong with his speech, and he kept asking for water. Fasting water, do you know what's wrong?" Zhou Congwen said, "I saw that the vital signs were stable, and I pressed my stomach again. , out of caution, let him fast until tomorrow morning."

"As a result, I fell asleep soundly after I lay down, and the nurse knocked open the door..."

"I...go..." Shen Lang was surprised, "Congwen, you were so busy during the internship? You are really talented! By the way, do the little nurses not want to meet with you? The kind that wants to ask for leave."

0747 - Deficiency Science

"Don't talk nonsense, my class has always been normal." Zhou Congwen glanced at Shen Lang contemptuously, "The patient's ECG monitoring suddenly called the police, and the nurse ran over to see that the blood pressure was 60/40 mm Hg, her face was pale, and her body was clammy and cold. Obvious state of shock. Don't rush to hit the door to blame!"

"That's right, you didn't have an abdominal ultrasound?" Shen Lang didn't worry about whether Zhou Congwen's class was busy or not, he was fair and at ease, and Zhou Congwen's sophistry was useless.

"It's all checked, and it's all right." Zhou Congwen said, "I was also taken aback at the time. I was wearing one slipper, but I didn't put on the other slipper, so I just ran over to check on the patient's condition."

Shen Lang frowned, and the gossip in his eyes turned more quickly.

Now that everything has been investigated, it may be the possibility of delayed rupture of the internal organs. If this happens, if the delay is a little bit, the gods will have nothing to do.

"I ran over and touched the patient's radial artery fluctuations. The patient was sweating a lot and was clammy. He knew he was in shock as soon as he touched his hands. Shen Lang, what would you do if it happened?" Zhou Congwen asked.

"Go check B-ultrasound, CT."

"I asked the nurse to check the blood sugar first." Zhou Congwen said.

"That's right!" Shen Lang patted his thigh, "It may be hypoglycemia...but hypoglycemia will not cause a drop in blood pressure."

"Let's check it first, anyway, the blood sugar at fingertips is fast." Zhou Congwen said.

Shen Lang nodded.

"The blood sugar is normal. I touched the patient's stomach and it was soft. The breath sounds in both lungs were weak, and the water column fluctuations in the chest bottle were not bad, and there was not much blood drawn out."

"Then asked the nurse to prescribe three courses, and took the patient for an examination with the liquid. The patient only had a 16-year-old daughter by his side, and it was snowing heavily outside. The two of us pushed him for the examination. It was really painful." Zhou Congwen Thinking of the situation that day, he sighed.

"and after?"

"No matter what the examination is, the patient will be fine after returning." Zhou Congwen said lightly.

"..." Shen Lang was speechless, thinking of the situation Zhou Congwen encountered at that time, anyone would be at a loss what to do.

"I find it very strange. Is this a clinical experience, so I stood by the bed and chatted with the patient for a long time." Zhou Congwen said, "Guess what?"

"Huh? This is my speaking style, why did you become like this?" Shen Lang looked at Zhou Congwen suspiciously.

"Infected by you." Zhou Congwen felt a little helpless when he remembered that Liu Xiaobie had DISS, "The patient said that a similar situation happened five years ago before his mother passed away. His whole body was trembling, and his whole body seemed to be infected. It’s as if the backbone has been taken away.”

Shen Lang knew that Xirou was coming, not only was there gossip in his eyes, but there was also a flame burning behind him, and his ears were erected like antennas.

"The patient's mother stuffed a clove of garlic into his anus and said it would heal soon."

"I'll go, that's okay? What's the reason?"

"I don't think it has anything to do with garlic, and it has nothing to do with the anus and rectum. After thinking about it, it should be caused by the dysfunction of the vagus nerve. When the time is up, it will be fine. I and the patient's family members pushed the patient for nearly a month in the hospital. Is it okay in two hours, the garlic or something is just a coincidence, and I also said that it will be fine in a wheelchair for an hour."

"It's a bit far-fetched." Shen Lang said.

"That's true, but I can't find a suitable explanation." Zhou Congwen said frankly, "Medicine itself is a flawed discipline. Hypertension was not considered a disease during World War II. Roosevelt died of hypertensive cerebral hemorrhage. .”

"Okay, but is stuffing garlic really useful?" Shen Lang asked.

Zhou Congwen laughed, he had already guessed that Shen Lang was not interested in other things, he only loved the weird way of stuffing garlic in his anus.

"Compared to the patient Boss Chunxiao mentioned, I don't know what the reason is. Abdominal pain, I yelled, then passed out, and continued to vomit violently after waking up..." Zhou Congwen frowned and talked about the patient's condition and signs.

"Is it really not bewitched?"

"Shen Lang, I admit that there are high-dimensional creatures, and at least I don't object to this statement." Zhou Congwen smiled lightly, "But you can't just focus on gods, ghosts and high-dimensional creatures. Shen Lang, you have experienced the nine-year system compulsory education."

"Rich people believe in this more." Shen Lang retorted.

"That's because...don't talk about it." Zhou Congwen smiled, "Did you draw the line?"

What Shen Lang said was that the annual head incense of major temples and Taoist temples cannot be measured by money.

"Peng Yiming is in charge." Shen Lang said.

Drawing lines is a rule set by Zhou Congwen when he was in the Third Academy.Before the operation, two doctors and at least one nurse should read the images of each patient, and draw a mark with melanin on the affected side, so as to avoid too many patients and open the wrong side during the operation.

Zhou Congwen's status in the world was indeed high in the past, but he couldn't explain his "mentally retarded" mistakes on the wrong side.

Because of being busy, because of chaos, because of self-confidence, no matter what the reason is, this is an unforgivable mistake.

Now there are fifty to sixty surgeries a week, and there will be more surgeries in the future, so Zhou Congwen set the rules early in the morning and followed a standardized and standardized path.

It might be a bit of a hassle at first, but once the doctor gets used to it, it will be fine.

"Next, thoracoscopic surgery needs to improve."

"Progress?" Shen Lang was confused by Zhou Congwen's words, wasn't he still talking about the various situations encountered in the clinic just now, why did he immediately talk about progress.

Zhou Congwen's thoracoscopic surgery is extremely good. This was proved by his surgery at the annual meeting. Shen Lang can't figure out how to improve.

"In the future, some simple operations, such as wedge resection of small pulmonary nodules under thoracoscopic surgery, will be changed to double holes, and then changed to single holes after a while."

"..." Shen Lang was stunned.

Three-port laparoscopic surgery is minimally invasive, but Zhou Congwen wants to perform single-port surgery? !

"Then group into groups." Zhou Congwen said his plan with a smile.

"Ah? How to group?"

"One group per person."

"!!!"

"Someone will come to study and study after a while. If you have a bad temper and can't find a doctor to help you hold the mirror, you will have no work." Zhou Congwen said with a smile.

Shen Lang was completely stunned.

How big is Zhou Congwen's heart?The blueprint he designed Shen Lang couldn't even dream of.

If that's the case, the academician workstation + Chen Houkun's team can't perform tens of thousands of surgeries a year? !

"That's all for the future, don't worry." Zhou Congwen said, "Go to the rounds and see the patients who will be operated on tomorrow. Surgery, no matter how small the operation is, it is a big deal, and no matter how big the operation is, don't be afraid. Solution."

……

At the Mayo Clinic, Chu Yuntian was undergoing overnight surgery.

Since returning to China for the "failed" operation, Chu Yuntian seemed to be a different person. The number of operations in his medical team was directly multiplied by 5, increasing the amount of operations like crazy.

Chapter 0748 Invitation Letter to the World Surgery Competition

"Chu, have you been taking OxyContin recently? Why do you feel that your condition is not right?" the anesthesiologist joked with Chu Yuntian.

Chu Yuntian shrugged, but did not answer the anesthetist's words.

"Chu, the most recent surgeries you have performed are all heart bypasses or pure arterial grafts. Why?" The anesthesiologist was a little tired, and he could only keep talking to keep himself focused.

"Because of this year's World Surgery Competition, the cardiothoracic surgery procedure is heart bypass surgery." Chu Yuntian said lightly.

"My God! You want to become the number one in the world?! Didn't it mean that you are not interested in this competition!"

The anesthetist immediately cheered up after hearing such a big gossip. He raised his hands and said happily.

"It's not a shock. I am number one in the world." Chu Yuntian said flatly.

When he said this, his expression was calm, but what appeared in front of him was the back of Zhou Congwen wearing a hat, mask, and surgical gown, undergoing surgery.

Originally Chu Yuntian was indeed number one in the world, although he didn't prove it with the boring world competitions he once thought.

However, when he returned to China for thoracoscopic surgery, he was taught by Zhou Congwen how to behave, which shocked Chu Yuntian greatly.