Back in 2002 as a doctor

These bumpkins, Zhang You thought viciously.

At the same time, when he was envious and jealous, he finally made up his mind that he must participate in the World Cardiothoracic Surgery Competition next year!

Eat thread?

What a big deal that is.

Teng Fei's old woman can eat it, so why can't she eat it.

And to be number one in the world, with status in the world, it is not up to him to decide what will happen in the future.

Looking at the medical team as if it was Chinese New Year, everyone was happily playing with the certificates. Zhang You didn't read too much, and didn't go home to rest. Instead, he went directly to the dean's office to report to Dean Chen.

The Chest Pain Center should be established, this matter must not be delayed, absolutely!

……

……

After get off work, the medical team happily went to dinner.

Zhou Congwen usually doesn't like to sit in a private room. This is a habit passed down by his boss. Boss Huang said that there are fireworks in the hall.

Regarding the number one in the world, Zhou Congwen doesn't want to say more. The purpose of today's gathering is to summarize and look forward.

He didn't say a lot of useless nonsense like the leaders of the academy, he simply affirmed everyone's work achievements, and threw out the goal for this year - to win a world number one next year.

No one was surprised either. Mr. Huang was already an octogenarian and was still working on the front line, like a tireless old scalper.

As Huang Lao's "personal" disciple, it would be the strangest thing if Zhou Congwen could relax in his 20s.

And with the blessing of the world's number one halo, countless doubts have already automatically disappeared.

Zhou Congwen used his strength to prove that his bragging can be realized, that's all.

"Professor Zhou, there are a few patients in our hospital who need surgery, do you think you have time recently?"

After Zhou Congwen finished speaking and drank the celebration wine, Xiao Kai asked.

"Yes." Zhou Congwen gave an affirmative answer.

"What I mean is..." Xiao Kai pondered for half a second, then smiled, "The wedge resection surgery for small pulmonary nodules, in fact, all the doctors here can do it."

This is true, Zhou Congwen does not deny.

The wedge resection surgery for small pulmonary nodules has already lowered the threshold to the minimum. If you don’t know how to do it after half a year, you can just kick him back to your hometown. There is no need to work in the academician workstation.

"The problem we are facing is the number of beds." Xiao Kai said, "I have a bold idea."

"Is it to turn the cardiothoracic surgery department of Baishui Central Hospital into an out-of-hospital bed?" Zhou Congwen asked.

"Yes." Xiao Kai nodded without any surprise, admitting Zhou Congwen's words.

The Second Hospital of Medical University is incomparable to 912, not to mention every inch of land and every inch of money.

But it is extremely difficult to get a bed here.

Squeeze Zhang You's bed?That big die didn't know how much meat he had to bite off, and Zhou Congwen didn't want to owe Zhang You too much favor.

Regarding Zhang You, Zhou Congwen wanted to send him to the chest pain center.

It is too wasteful to use Zhang You for wedge resection of small pulmonary nodules.

Xiao Kai's opinion is very good. Although there are still some small thoughts below, they are all within the range that Zhou Congwen can tolerate.

"Our ward has 40 beds. If you agree, Professor Zhou, let's try twice and run in twice. If everything goes well, I will ask Dean Guan for a new ward."

Xiao Kai shook his head.

In fact, he has his own difficulties. Dean Guan has already started mixing sand in his ward, and a new chief physician has been transferred to comment.

Xiao Kai was trying to figure out what Zhou Congwen meant, if he could kill the current commentary... that's impossible, as long as he can kill his arrogance.

"Ah."

Zhou Congwen nodded, as if he didn't know what Xiao Kai meant.

In Baishui City, there are 80-100 more beds. It is my own hard work, but the number of surgeries can be increased by leaps and bounds, singing all the way.

And there are a little more sparks being ignited.

"If you agree, I will start accepting patients on my side." Xiao Kai said with a smile.

"Accept." Zhou Congwen made a final decision.

"How much do you think is suitable?"

"According to the maximum capacity of your hospital's operating room, I don't understand this. Dean Xiao can figure it out."

Xiao Kai knew that Zhou Congwen belonged to Han Xin's kind of surgeon, the more the better.

However, accepting patients according to the maximum capacity of the operating room still made Xiao Kai startled and slightly absent-minded.

"Congwen, why are you in such a hurry?" Shen Lang asked.

"Are you in a hurry? Not in a hurry." Zhou Congwen said, "The academician workstation has been established for several months, and the number of surgeries is only 1232. With such a small amount of surgeries, how can I explain to the boss when he returns from the front line?"

"..."

"..."

Everyone was choked by Zhou Congwen's words.

In less than half a year, the medical team completed 1232 operations, and also participated in the World Cardiothoracic Surgery Competition and won No.1.

This kind of achievement is outstanding no matter where it is placed.

But from Zhou Congwen's point of view, isn't that enough?

Huang Lao's requirements are so strict? !

This is no longer strict, but harsh.

"The current social contradiction is the growing material culture of the masses..."

Zhou Congwen began to instill values ​​in the doctors present like Mr. Huang.

This passage is included in the textbooks of middle and high schools, and now everyone in the medical team can recite it in full, because they have listened to it too much.

I should have been bored at first, but with the world's number one award in my hand today, Zhou Congwen said it seemed a little different.

With more income and better life, the average life expectancy will naturally increase.

When the People's Republic of China was founded, the average life expectancy was 35 years old. Among the people present at that time, Xiao Kai and Chen Houkun's graves were all tall. If there is a small grave bag.

Everyone else is not far from death.

But now it is 2003!

Medical treatment belongs to a relatively terminal chain, and the energy will be transmitted to medical treatment only after the whole society progresses.

After all, if you can't even eat enough, it's useless to ask for Zentraedi's medical level.

What Zhou Congwen said still makes sense.

With the halo of being the number one in the world, even preaching seems so lofty.

"However, the increase in the number of operations is due to the amount of operations, so we still need to pay attention to medical safety." Zhou Congwen said, "Brother Chen and Dean Xiao, you two are old doctors, so please work hard."

Zhou Congwen finally made a final conclusion and set the tone of future work.

Chapter 0991 round wolf grandma

"There are a few things to be aware of in terms of the details of our day-to-day work."

Zhou Congwen's three words never leave work, everyone has long been used to this, and Chen Houkun belongs to this kind of person, so it is not surprising.As for Xiao Kai, an old fritter, what Zhou Congwen said, he would never refute.

"The next detail we need to improve is the postoperative infection."

"Yiming, please record it." Zhou Congwen said, "First, bathe the whole body of the patient the night before the operation, or wipe it with soap or disinfectant."

As soon as Zhou Congwen finished speaking, before Peng Yiming had time to react, Xiao Kai took out the glasses case from his handbag and put on the glasses.

He also had a small notebook and ballpoint pen in his handbag, which he took out together.

Zhou Congwen was stunned by all the equipment.

Xiao Kai pretended to be listening to the dean of the university and the leaders of the city, and carefully recorded what Zhou Congwen said while wearing reading glasses.

Zhou Congwen felt emotionally, it is really not easy to be a vice president.

I don't know if Director Deng Mingdeng will also wear reading glasses and act humble after becoming the vice president this year and next, and listen to the dean's long-winded words on it.

"Second, during most operations, alcohol-based antiseptics should be used in the operating room for disinfection."

"We don't use the messy disinfectant in the operating room. If there is any resistance to this, I will negotiate with the director of the anesthesiology department."

Zhou Congwen said seriously.

"Professor Zhou, this is..." Xiao Kai was puzzled.

When he first started working, surgical disinfection was iodophor, alcohol deiodination, etc.But over time, there are now more worry-free disinfectants.

But those sanitizers have one thing in common—expensive.

"It doesn't matter whether it's expensive or not." Zhou Congwen is also an experienced clinician, and he knows exactly what Xiao Kai is thinking. "It's not that the anesthesiology department has lost its source of income. It's just disinfection with alcohol, which greatly reduces the chance of infection after surgery."

"There's another theory. I'll go back and talk to our anesthesiology department." Wearing reading glasses, Xiao Kai wrote down what Zhou Congwen said.

"Third, for non-diabetic patients, blood sugar should be kept stable during and after surgery, and the target blood sugar should be less than 200mg/dL. In conversion, it is 11mmol/l, which can completely reduce the possibility of postoperative infection."

"fourth……"

"fifth……"

"sixth……"

"No.18, in patients with normal lung function, such as general anesthesia and endotracheal intubation. Give a higher concentration of oxygen during the operation and immediately after extubation."

After Zhou Congwen finished speaking, he glanced at Xiao Kai.

Dean Xiao did not perform in kind, but honestly recorded what he said. It seems that he is still going to go back and study it carefully to become a clause that can be promoted in the clinic.

Xiao Kai wearing presbyopic glasses looks like a wolf grandmother, Zhou Congwen laughed heartily.

"Professor Zhou, it's really detailed." When Xiao Kai saw Zhou Congwen finished speaking, he lowered his head slightly and looked through the reading glasses, which was different from the usual Dean Xiao.

"Well, there are some things that our medical team doesn't do." Zhou Congwen said, "President Xiao, please keep memorizing."

"Yeah." Xiao Kai became more and more interested, but he didn't say anything. He adjusted his reading glasses and got ready to record.

"First, the application of antibacterial dressings after surgery has nothing to do with wound infection. Now and in the future, if antibacterial dressings appear clinically, our medical team will not use them at all."

"..." Xiao Kai was speechless.

Antibacterial dressings sound like a serious thing, but Zhou Congwen's talk here has become a useless and deceptive thing.

However, he did not raise objections, but recorded honestly.

"Second, plastic surgical drapes, whether they have antimicrobial components or not, are unnecessary for any surgery."

"Surgical film, I hate it the most." Zhou Congwen said, "No matter who comes to do the work, tell them that I don't agree to use it."

"Okay." After Xiao Kai wrote down this item, he put an emphasis on it.

Surgical film has now entered the clinic, and many departments are using it.But since Professor Zhou has clearly expressed his opinion, there is no need to do so.

"I don't like plastic, especially during the operation, it's already annoying to wear one or two layers of sterile gloves, and I especially don't like the rattle of plastic bags."

"Third, during clean and clean-contaminated surgery, no additional antibiotics should be given after laparotomy, even with drainage. In addition, there is a lack of evidence-based evidence that additional intraoperative antibiotics prevent surgical site infection." (Note)

"Professor Zhou, it is used in clinical practice. According to you, is it useless?" Xiao Kai became more and more surprised, and his pen seemed to become heavier and heavier as Zhou Congwen narrated.

"Well, it's useless." Zhou Congwen said with certainty, "These useless work can be simplified to make the steps and process of the operation simpler, clearer, and clearer."

"Then I will write it down."

What Zhou Congwen said stunned all the doctors present.

Shouldn't antibiotics be used before and after surgery?

Logically speaking, using more antibiotics can reduce the chance of infection no matter what, but Zhou Congwen said it was useless.

Don't use it if you don't need it, and the medical team doesn't point to antibiotics to eat, saving one step at a time.

Shen Lang was a little puzzled, this had nothing to do with making money, but a routine.