Back in 2002 as a doctor

Only Zhou Congwen, a monster... no, and Huang Lao, are willing to study and improve tirelessly.

Chapter 0945 The Golden Rule of Surgery

After Shen Tianci finished an operation, he leisurely returned to his consulting room, closed the door and opened his laptop to watch a movie.

Meidi's life is the real life, Shen Tianci does not regret the choice at the beginning, although sometimes he misses the days with the boss.

If I stayed at 912 and went out to see more than 100 patients every day, I was so busy that I didn't even have time to drink saliva, so why bother.

I am at Johns Hopkins, and there are only 5 operations a week, which is unshakable.

As for outpatient clinics, although there are mandatory requirements, the amount is simply incomparable with that in China.

What is heaven?

It's under your own feet.

I don't even bother to complete such a small number of outpatient visits, let alone return to China.Doctors in China are in hell, and Shen Tianci feels that he has no brains.

The boss is in his eighties and hasn't left 912 yet. Sometimes Shen Tianci really doesn't know what the boss thinks.

I heard that the boss went to the front line a few days ago!

This is the most unacceptable thing for Shen Tianci.

Although the boss's going to the front line meant that he didn't have to face the boss in the judging of the surgery competition, and all he had to do was appreciate Zhou Congwen's surgery, but Shen Tianci still couldn't restrain his inner impulse and called the boss.

When the phone was connected, Shen Tianci didn't know what to say. He silently listened to the boss's breathing, just like the years when he stood beside him.

Knowing that the boss was fine, he hurriedly hung up the phone after a few words of advice. Shen Tianci also didn't understand why he wanted to call the boss on the spur of the moment.

Leisurely watching a movie, planning a beach vacation in Miami for the weekend, everything is so perfect, if not always thinking of my boss.

"Teacher, the organizing committee of the competition sent an email, asking if they have time on the weekend." Shen Tianci's student knocked on the door and said.

"No time." Shen Tianci was so lazy that he didn't even want to lift his eyelids.

"Oh, then I'll reply to them." Shen Tianci's student smiled, "It seems that the video of the game is not complete, and they are eager to watch it. It's really boring."

Shen Tianci didn't even bother to move his fingers, just like basking in the sun on the beach. For him, it was enough to see Zhou Congwen's operation in any surgery competition, and Shen Tianci didn't care about other people's operations at all.

"By the way, teacher." Shen Tianci's student suddenly remembered something, and before going out, he turned around and said, "The video of Zhou Congwen's surgery that you are following should have arrived."

"Huh? So fast?" Shen Tianci was taken aback.

"Yes." Shen Tianci's student complained, "You're still too young. I guess your teacher isn't at home. He panicked a long time ago. He just performed a random operation and mailed the video."

"Book a ticket, go to Germany on the weekend, go to Frankfurt." Shen Tianci suddenly sat up and said without doubt.

Shen Tianci's student scratched his head, "Teacher, I don't understand why the review site is set in Frankfurt, Germany."

"I didn't tell you?" Shen Tianci looked at his student, covered his forehead with his hands, with a helpless expression on his face.

"I didn't say that, teacher, why on earth?"

"Surgical operations matured little by little, and there was no anesthesia at the beginning."

"Well, I know, the mortality rate of surgery was super high at that time."

"The doctors at that time really dared to try any kind of surgery. If the boss...cough cough cough, then a golden development period of surgery was ushered in. Doctors performed operations recklessly, limbs, torso and even the brain could not stop surgery Doctor's footsteps."

When Shen Tianci's student heard the teacher say the word "boss", he was taken aback.

But he was immediately attracted by Shen Tianci's words.

"Let me ask you, which is the brightest pearl in surgery?" Shen Tianci asked.

"Heart surgery of course!" Shen Tianci's student replied without hesitation.

The person who asked the question was my teacher, who is a world-renowned heart surgery expert. If he answered neurosurgery... then it would be his own death, and he would fall irretrievably into the arms of death.

Shen Tianci's student has no doubt that his teacher will kick him to a rural clinic as an intern, no doubt!

So he answered cleanly.

"why."

"..." Shen Tianci's student was dumbfounded.

"Because after practicing surgery on a large number of different organs, the doctors of that era summed up the golden rule of surgery - the organ touched by the scalpel must be still, and the surgical field of view should be clear and bloodless."

"Uh, it seems to be right." Shen Tianci's student said.

Shen Tianci really wanted to kick him into the Pacific Ocean and show him what a great white shark looks like.

"Heart, heart!" Shen Tianci said coldly, pointing the table with his hand.

"Yes, heart!"

"Stopping the heart is still a clinical criterion for judging whether a patient is dead." Shen Tianci continued, "So at that time, because of the existence of the first two golden rules, cardiac surgery was considered a forbidden area of ​​surgery."

"Bill Roth, known as the father of surgery in the world, actually focuses on general surgery. Of course, that's from the current point of view."

"Bill Roth said that operating on the heart is a sacrilege to the art of surgery. Anyone who tries to operate on the heart will be ruined."

"Uh..." Shen Tianci's student was stunned.

He has no contact with this period of history, nor has he heard gossip.

Was heart surgery illegal back then?

"But less than three years after the death of the father of surgery, a German doctor named Rehn picked up a patient who had been stabbed in the heart at the Frankfurt Hospital."

"The operation... should be very simple." Shen Tianci's student murmured.

Before going abroad, he could independently complete the surgery for cardiac trauma, which was not difficult at all!

In contrast, hemorrhagic shock is more troublesome.

"The patient was fatal. He was sent to the Frankfurt Hospital on September 9th, and Dr. Renn operated on him on September 7th."

"I..." Shen Tianci's student was speechless, could he survive the trauma of his heart for two days? !

It was an amazing time.

"Wren wrote in his notes - I decided to have a thoracotomy and found that there was persistent bleeding from the pericardium.

Enlarged pericardial wound, cleared out old blood and clots, found a 1.5cm wound on the right ventricle... I decided to suture this wound.

After suturing to the third stitch, the bleeding was under control, and the pulse, heart rate and breathing were improved... This operation undoubtedly proved the reliability of heart suture repair. "

1.5cm, right ventricle, these keywords made Shen Tianci's students speechless.

This operation is too simple.

"In the next ten years, Rennes performed a total of 124 heart surgeries, with a success rate of 40%. Before that, the mortality rate of heart injuries was almost 100%."

Chapter 0946 surgery, not done alone

"To commemorate Dr. Ron and the origin and birth of the first cardiac surgery, every World Cardiothoracic Surgery Competition is held in Frankfurt, Germany." Shen Tianci said lazily.

Didn't you tell your students about this?

Shen Tianci didn't bother to think about it.

Just say it before you say it, and if you can't remember it anymore, send him to the outpatient clinic and let him face those nasty outpatients.

"Oh, so it is like this." Shen Tianci's student suddenly realized.

"Don't say you are my student when you go out, it's really embarrassing." Shen Tianci said lazily, "Hurry up and book a ticket."

"Yes, teacher."

"Come back." Shen Tianci said.

"what?"

"Book a ticket for the day before." Shen Tianci urged.

"I see."

If it weren't for the medical insurance that stipulates that he must go out to the clinic tomorrow... Last year's outpatient visits were not completed at all, and Shen Tianci could only make up for this year, otherwise... Even the tenured professor of Johns Hopkins would have to face extremely strict as a result of.

Really lazier and lazier, Shen Tianci thought helplessly.

If it weren't for the mandatory regulations, Shen Tianci wouldn't even want to see an outpatient.

It's so boring, Shen Tianci thought in his heart, he really wanted to fly over now to see the operation performed by the boss and that little guy.

……

……

Chu Yuntian sent the last patient out of the operating room.

Mayo's finishing ability is very strong. When he walks off the operating table, he doesn't need to worry about all follow-up matters. Naturally, a highly qualified critical care doctor will take over.

After changing clothes, he got the video tape, and Chu Yuntian went back to his residence to watch it repeatedly.

The operation was satisfactory, and Chu Yuntian breathed a sigh of relief.

Coronary artery bypass surgery is divided into several stages.

The first stage is a single vessel bypass surgery under extracorporeal circulation, and the advanced stage is multiple vessel bypass surgery under extracorporeal circulation.

In China, provincial hospitals are at this level.Even the level of most cardiac surgeons in the imperial capital and the magical capital is like this.

They also can't do surgery with a beating heart.

As it was believed 100 years ago, a non-stop beating heart with interference is definitely off-limits to surgery.

The second stage is off-pump surgery, single or multiple blood vessel bypass surgery where the heart keeps beating.

Chu Yuntian's level has already reached this level, and using pure arterial bridges is a huge step forward.

The operation was absolutely fine, every step was rigorous and beautiful, and even the strictest judges couldn't find any problems.

Chu Yuntian asked his assistant to burn the video tape into a CD.

Three CDs, three surgical recordings, his performance was stable, and it can be said that there were almost no flaws.

Then use this operation to break his inner demons, Chu Yuntian clenched his hands into fists, staring out the window at the not-so-busy streets of Rochester.

I don't know what kind of technique Zhou Congwen sent the video of the game this time.

It's actually not difficult for Chu Yuntian to find out, it's not highly confidential, as long as he calls his father, he can find out within 12 hours at most.

But Chu Yuntian didn't want to know.

It is an extremely dishonorable method to inquire about other people's information before the game, and Chu Yuntian's pride does not allow him to do so.

The more important point is that Chu Yuntian thinks that doing so means that he is already afraid of that kid named Zhou Congwen in his heart.

Only when he is strong is he really strong. Chu Yuntian wants to be number one in the world in an open and honest manner.

……

……

In an izakaya in an alley in Tokyo, Dr. Miyamoto knelt on the ground and bowed sincerely.

"Then please."

Owada Shen also put his hands on his knees, and said with a smile, "You did a good job, no one else knows about it."

"No!" Dr. Miyamoto said, "Please rest assured."

"I have studied the small incision and one-stop surgery, and I need your assistance, Miyamoto."

"Dr. Owada, please rest assured that next year's competition we will definitely present the best small incision, one-stop coronary artery bypass surgery!"

"The content of next year's competition should not be coronary artery bypass. Dr. Miyamoto, you are too hard on this matter, and you have no sense of beauty." Minister Owada said lightly.

Dr. Miyamoto looked at the ground, suppressing the burning anger in his chest.

What the pair of master and apprentice brought to him was humiliation, endless humiliation.

Mr. Huang improved the classic crush operation, changed the "fixed formula" with his own efforts, improved the success rate of the treatment of coronary bifurcation vessels, and created the DK-crush operation.

This is acceptable to Dr. Miyamoto.

After all, a brand-new spell will only appear in the academic world at least once every ten years.

But excimer laser ablation surgery...