Back in 2002 as a doctor

Although he knew that Zhou Congwen had the aura of being number one in the world, but this aura was too dazzling. The big hearted director of the Second Hospital of Medical University actually put his posture so low in front of Zhou Congwen.

"Papa~" Zhou Congwen clapped his hands, "Let's put down the work at hand first."

Several young doctors in the medical team put down their pens in unison, turned around and sat down.

"Director Zhang, call your people too." Zhou Congwen stood up and walked to the writing board in the office, seemingly thinking about something.

Lu Tiancheng remained silent.

Everything that happened here was completely different from what he had imagined.

Zhou Congwen's status, level, and the operating mode of the entire medical team are far beyond imagination.

In the imagination, no matter how awesome Zhou Congwen was, at most he would be respected by Zhang You.

However, in the scene before him, Zhou Congwen had clearly recruited Zhang You into his subordinates.

It seems... I came to the right place!Lu Tiancheng had such an idea in his mind.

Chapter 1004

Soon, all the doctors came to the office, including Professor Zhang You's team leader.

"Let's talk briefly today. We will conduct training on the specific learning content before the operation." Zhou Congwen stood in front of the writing board and said bluntly.

Looking at Zhou Congwen's young face, Lu Tiancheng was slightly embarrassed.

He digs at the sole of the shoe with his toes, as if the embarrassment in his heart can be resolved partly.

What Zhou Congwen said was right... If Huang Lao said so, or even Zhang You said so, Lu Tiancheng would not feel anything strange.

But Zhou Congwen, he is too young.

Well, as long as he is not embarrassed, it is someone else who is embarrassed.

Holding a black pen in his hand, Zhou Congwen re-wrote the word "1.0" on the white writing board.

"Everyone knows that this year the boss took me to complete a small incision, one-stop coronary artery bypass surgery." Zhou Congwen smiled slightly, "I won the No.1 in this year's World Cardiothoracic Surgery Competition.

We will participate in next year's surgery competition, and we have already agreed with Director Zhang.

Let me tell you here first, the surgery that will be selected with a high probability next year is valve surgery. "

Heart valve surgery is also called valvuloplasty.

As the name suggests, surgery involves repairing damaged valves.

Valvuloplasty is usually performed on mildly diseased mitral or tricuspid valves, and surgery on the aortic valve is generally less common.

For severe heart valve disease, especially rheumatic heart valve disease, valve replacement is often selected.

The main methods of valvuloplasty such as Key's forming, DeVega forming and the use of C-shaped ring forming and so on.

This operation is very large, and the success rate of the operation is lower than that of coronary artery bypass surgery.

Although the medical community theoretically calls both valve surgery and coronary artery bypass surgery four-level surgery, Lu Tiancheng knows that the difficulty of valve surgery is higher than that of coronary artery bypass grafting to some extent.

It's like the level of chief physician and chief physician is uneven.

The truths are all interlinked.

"There is a general law in the development of human disease treatment technology, and it usually goes through a process from ineffective to promising, from major trauma to minor trauma or even no trauma."

Zhou Congwen talked eloquently, but Lu Tiancheng's eyes were a little straight.

He is not like a young doctor who just came out of Jianghai City, he is modest, cautious, and afraid of offending anyone.

At this moment, Zhou Congwen is like an expert and professor who has been cultivating cardiothoracic surgery for countless years. Opening his mouth is the universal law of human beings.

Is this a little big?

"I think valve surgery can be divided into several stages. The sternum splitting valve replacement surgery performed by the Second Hospital of our Medical University belongs to the 1.0 stage surgery."

"..."

"..."

The doctors in the room were stunned.

Zhou Congwen stood up and beat the Second Hospital of Medical University to death with a stick.

Since there is a 1.0 stage, there will be a 2.0, and even a 3.0.

Zhang You's face remained unchanged, and even the light flashed on the big die.

"The treatment of valvular disease can be traced back to 100 years ago.

In 1912, Dr. Tuer successfully separated aortic valve stenosis through the ascending aorta with his fingers; in 1940, Dr. Brock inserted a dilator through the innominate artery to separate calcified aortic valve stenosis.However, due to poor results, the above methods have not been promoted. "

Zhou Congwen ignored other people's feelings and continued to explain.

"In 1949, Bailey successfully performed closed dilation and separation of mitral valve stenosis, and it has been widely promoted and applied."

"In 1953, after long-term unremitting efforts, Gibbon and others successfully developed an artificial heart-lung machine, which laid the foundation for subsequent open-sight surgery for heart valve diseases."

"Here, tell me a gossip." Zhou Congwen glanced at Shen Lang and said with a smile.

Shen Lang's eyes suddenly lit up.

"The team established by Gibbon, the founder of extracorporeal circulation, belongs to IBM."

"Wow~~~"

There was a commotion in the office.

Zhou Congwen explained the history of valve surgery, and everyone was not interested in it.But when it comes to gossip and the famous IBM, everyone suddenly became interested.

The same is true for Lu Tiancheng.

IBM is a computer company, how did it connect with medical care?

"In 1949, Gibbon's team under the IBM Corporation developed the first working machine that could be tested on humans - the Model I.

The first patient was a 15-month-old baby girl who was suffering from severe heart failure. Although the operation failed, an autopsy found that the baby girl was actually born with a heart defect. "

"After Gibbon's team made an improved model, 18-year-old Cecilia Bavolek underwent a second operation with the help of the Model II, which was a complete success. By 1954, the research team had developed the Improved Model III. .”

"But in 1955, IBM began to phase out many non-core programs. Gibbon's team of engineers pulled out of Philadelphia, and IBM left the field of biomedical devices -- to Medtronic, Hewlett-Packard, and others."

"At that time, the field of biomedicine was only a small and insignificant department, and the input and output were not proportional, so IBM gave up continuing research. When we met the sales staff of Medtronic in the future, we had to give them a certain amount of respect. This is what cardiothoracic surgeons must do , showing respect for their heritage."

Zhou Congwen told a joke that was not a joke.

"After all, to a certain extent, the extracorporeal circulation system appeared in the clinical frontline only after Medtronic's continuous large-scale investment, and the minimum respect should be there."

"Then, in 1960, Dr. Harken successfully performed aortic valve replacement using a cage-ball mechanical valve; in the same year, Dr. Starr and his team successfully performed mitral valve replacement using a cage-ball mechanical valve. Valve surgery is basically mature."

"Valve surgery, 1960 can be said to be a mature year." Zhou Congwen said, "It has a history of 43 years."

"The timing of valve surgery in my country is basically similar to that in the world." Zhou Congwen went on to say, "In 1954, my boss cooperated with Mr. Lan Xichun to successfully perform closed dilation and separation of mitral valve stenosis for the first time in China. "

Having said that, the office suddenly fell silent.It was as if a pot of hot water had been poured with a ladle of cold water, it was so quiet and scary.

Zhou Congwen talked about his boss!

In 1954...with Mr. Lan Xichun...the first successful closed dilation and separation of mitral valve stenosis.

The thick history and the background of the teacher's family that can't be seen at a glance overflowed in this sentence.

The heavy and seriousness made all the doctors present stand in awe.

What is the background, this is it!

As long as you talk about domestic cardiothoracic surgery, you can't do without Mr. Huang, and you can't do without the boss Zhou Congwen mentioned.

Zhang You's eyes turned red with envy for a moment, it would be great if he could say this.

Chapter 1005

"In 1958, the boss and his teacher..." Zhou Congwen said, with a wry smile, and raised his hands to put his hands on his flat head.

This involves a deeper historical accumulation, even Huang Lao's teacher came.

"The boss doesn't want us to call us Shiye, saying that's the name in the old society." Zhou Congwen shook his head, but then said with a smile, "Let's continue. In 1958, the boss and the boss's teacher implemented the first case two in our country." Direct vision valvuloplasty."

"45 years have passed since now."

These words are really enviable, unconsciously, Lu Tiancheng's heart also warmed up.

In Jianghai City, when Zhu Jun was bragging, he would at most say that his level was no worse than that of the professors in the provincial capital, and talk about the inheritance of Jianghai's cardiothoracic surgery.

But whether it is the audience or the person who said this, as long as they are in the circle, they know that they are putting money on their faces.

Jianghai City, what a shitty inheritance.

But look at Zhou Congwen!

When people open their mouths, it is the history of the Republic.

One mouth is the first case of direct vision mitral annuloplasty in the country.

One mouth is what my boss was like 45 years ago.

Whether it's time or... anything else, taking it out can kill a lot of people.

This is something you can brag about when you are old and hold your grandson.

But from Zhou Congwen's mouth, it was as simple as eating and drinking.

Zhou Congwen could really pretend, Lu Tiancheng was dumbfounded, he looked at Zhou Congwen in a daze, with only one thought in his mind.

However, he knew that his teacher, Zhu Jun, was bragging, and he was the one sitting next to him at the time; and Zhou Congwen, this was a light statement of a fact, one that can't be avoided as long as it talks about the history of cardiothoracic surgery. open fact.

"In 1965, Mr. Cai Yongzhi and my boss worked together to complete the mitral valve replacement with a domestic cage ball heart valve."

"..."

"..."

"..."

It's my boss again!

Everyone is numb.

Zhou Congwen pretended to be, anyway, what he said was the truth, and there was no way to refute it.

"Here, I want to focus on it." Zhou Congwen tapped the pen on the writing board, making a bang bang bang sound.

"Mr. Cai Yongzhi was also a teacher and friend with my boss at that time. In 1958, he started the research on open-heart surgery under extracorporeal circulation. In the following year, he successfully performed the first case of ventricular septal defect repair under extracorporeal circulation in China."

"1958!" Zhou Congwen said, writing the number on the clipboard.

"So it's not an exaggeration for me to say the 1.0 era."

Zhang You was taken aback for a moment, he seemed to understand what Zhou Congwen meant.

The operation I am doing now is still the same operation four or fifty years ago. It was performed by Mr. Cai Yongzhi and Zhou Congwen's boss, Mr. Huang, under that environment and conditions.

Thinking of this, even people like Zhang You feel a little ashamed.

Zhou Congwen's sinister mouth couldn't bear the shame that had been cultivated for decades.

"In 1963, Mr. Cai Yongzhi went abroad for a meeting. Foreign experts asserted that the Republic would not be able to carry out valve replacement surgery within 30 years. But after Mr. Cai Yongzhi returned to China, he studied with my boss. It only took two and a half years. Changhai Hospital in Shanghai completed the first operation."

"Wow~~~"

The doctors in the office couldn't help making a noise.

Zhou Congwen smiled slightly, tapped the writing board with the pen in his hand, "I haven't finished yet."

Everyone was silent.

"The operation was successful, and the artificial ball valve is still beating vigorously in the patient's heart so far, setting a world record for the survival time of the replacement artificial valve."

"!!!"

Zhou Congwen's words exploded like a bomb.

It's just that the news was so surprising that no one in the office spoke.

"In March 1978, Mr. Cai Yongzhi and my boss made a tilting disc valve that reached the international advanced level at that time, and it was successfully applied clinically in December of that year.

This achievement won the first prize of scientific and technological achievements of the whole army. For this reason, the General Logistics Department of the Chinese People's Liberation Army awarded my boss the title of "Model Medical Worker". "