Back in 2002 as a doctor

It's really... showing off!Lu Tiancheng looked at Zhou Congwen in a daze.

In the long river of history, Huang Lao has come step by step, deep and lofty.

And Zhou Congwen was just a bystander, explaining to everyone the footprints left by Huang Lao.

Show off?Lu Tiancheng wished he could show off like this.

At this point, no matter what their character or status, whether it is Zhang You, Lu Tiancheng, or Chen Houkun, Xiao Kai, they are all envious to the extreme.

I really wish I could show these things to others.

"In 1986, because the boss had just won the number one in the world several times before that, the American company came to the door, looking for world-renowned experts to conduct animal experiments for the third-generation artificial heart valve-bileaflet valve. My boss took this job .”

"A total of 4 medical groups around the world are doing animal experiments. The boss, with the cooperation of Brother Liu, completed the animal experiments on bilobed valves in the shortest time, at the fastest speed, and with the highest quality."

"Brother Liu?" Zhang You asked in a daze.

"Oh, just a few days ago, the two of us went to Frankfurt and saw Liu Wuyan. Now Brother Liu is a tenured professor in Cleveland, and he lives very comfortably." Zhou Congwen said.

Originally Zhou Congwen explained history all the way, no one would have thought that he would have an intersection with the characters in history.Of course, Huang Lao is not counted. Everyone has long acquiesced that Huang Lao is a god-like existence in the field of cardiothoracic surgery.

Zhang You did not expect that Liu Wuyan, who cooperated with Zhou Congwen in the operation that day, would be so awesome. In 1986, he and Huang Lao completed the animal test of the bilobed valve.

And the bilobed valve has just entered the clinic in the Second Hospital of Medical University... Zhang You felt uncomfortable all over.

What Zhou Congwen said was true.

Although he was "showing off", he was indeed Huang Lao's direct disciple, even if the direct disciple might be put in quotation marks.

but!

This is the academician workstation!It is the academician workstation founded by Huang Lao! !

Zhang You was silent.

He knew Huang Lao was awesome, but he definitely didn't know Huang Lao was so awesome.

Although they are all engaged in cardiothoracic surgery, Zhang You usually pays homage to that distant, god-like old man in his heart. When he sees that familiar name while reading a book, he feels awe in his heart.

Unexpectedly, when this old man came to reality, unexpectedly... the assistant who was doing animal experiments at that time is now a tenured professor in Cleveland.

Amazing!

What about Zhou Congwen?What did he mean by that?Zhang You was a little confused for a moment.

Could it be to remind himself how awesome the old man behind him is.

For a moment, Zhang You couldn't help but laugh.

I simply take myself too seriously, and there is no such thing as warning myself.

Zhou Congwen simply told the history of valve surgery and stated some facts.

It's just that his boss happens to be a living fossil.

That's it.

Chapter 1006

Others were immersed in the interweaving of history and reality, but Zhou Congwen didn't stop. He clicked on the word 1.0 and continued to explain.

"Traditional heart valve surgery uses a standard median sternotomy, which splits the sternum completely.

This surgical method can well reveal the heart and great vessels, which is convenient for surgical operation, and is especially suitable for patients with multiple valves, complicated lesions, and requiring multiple surgical procedures or complex operations during the operation. "

"It is the standard approach for heart valve surgery, and it is still widely used today. However, median sternotomy surgery has disadvantages such as large trauma, slow recovery, severe pain for patients, and obvious scars, so it has gradually been criticized in recent years."

"So, this period is called surgery in the 1.0 era."

"Over the past few decades, the procedures for valve surgery have basically remained the same. This has led many of our cardiothoracic surgeons to have the illusion that as long as they learn how to operate, they can hold and eat for a lifetime."

Zhou Congwen didn't shy away from slapping Zhang You and a group of professors from the Second Hospital of Medical University.

Zhang You looked at Zhou Congwen, and his thoughts grew like weeds.

He didn't care about face slaps anymore. Ever since he witnessed Zhou Congwen get the first place in the world, he completely knelt down and couldn't think of any resistance.

In Zhou Congwen's hometown, the operation sketch he drew on the muddy floor while squatting on the ground reappeared in his mind.

Perhaps, it's really time for a change.

"Since French doctors successfully performed laparoscopic surgery in 1987, the concept of "minimally invasive surgery" gradually emerged.

In 1996, Car-pertier et al. successfully performed mitral valvuloplasty through a small chest incision using a TV-assisted device; in the same year, Cosgrove et al. reported the success of aortic valve surgery via the right parasternal approach, which is the earliest minimally invasive valve replacement Operation.

Since then, the 2.0 era of valve replacement surgery has been created. "

As he spoke, Zhou Congwen wrote a word 2.0 on the clipboard.

"However, the 2.0 era is just my personal understanding. Regarding minimally invasive valve surgery, there is no corresponding mature theory in the world, and it is not recognized by everyone."

"It's just a vague concept." After Zhou Congwen finished speaking, he whispered to himself, "It's a pity that it will become obsolete when it's just born, before it matures."

"Professor Xiao Zhou, what did you say?" Zhang You asked in surprise.

"It's nothing, let's continue." Zhou Congwen smiled slightly and continued to explain, "Compared with the standard full sternal split and the superior, inferior vena cava and ascending aorta cannulation to establish extracorporeal circulation, the small incision and non-sternal full split can reduce the The minimally invasive surgical approach can avoid or reduce damage to the body caused by non-physiological conditions such as extracorporeal circulation, blocked aorta, and cardiac arrest."

"However, the damage still exists. How do we minimize the damage and make patients adapt to surgery? This is the current focus."

"The relationship between the small incision and the sternum can be divided into three types: the small incision in the middle of the sternum, the parasternal incision, and the small incision on the side chest wall.

Small incision and minimally invasive valve surgery is suitable for single valve disease with good heart function, small heart, and no severe pulmonary hypertension, such as simple aortic valve replacement, mitral valve replacement and angioplasty, and tricuspid annuloplasty. Reports for ascending aortic replacement or Bentall procedure. "

"Professor Zhou!" Zhang You interrupted Zhou Congwen in surprise, "Can aortic arch replacement be done with minimal trauma?"

"Of course." Zhou Congwen answered as it should be, "Surgery, as long as it is not so complicated, or the surgeon does not need such a large incision and is familiar with the local anatomy, the smaller the incision, the better."

"Appendicitis is a typical example."

Zhou Congwen did not talk about the specific surgery, but told everyone about the 1.0 and 2.0 era of valve replacement surgery in general.

Even if it was very simple, he talked for a full hour.

"Xiao Zhou, according to what you said, there should be 3.0?" Seeing that Zhou Congwen had finished speaking and was about to leave work, Zhang You hurriedly asked.

"Yes, there is the 3.0 era." Zhou Congwen said, "But it has not yet appeared clinically. My personal estimation is that the 3.0 era is the era of interventional surgery. There is no need for sternum splitting or surgical incisions, only the femoral artery, The radial artery can be punctured and incised.”

"..."

Another frank interventional operation, Zhang You was almost driven crazy by Zhou Congwen's words.

In Zhang You's imagination, he won the first place in the world once, and when he retired, the operation had just been carried out in the clinic.I am a "world-renowned" professor, not to mention giving lectures globally, at least it is still possible to give lectures in China.

However, what Zhou Congwen meant was to say that the 2.0 era of valve replacement surgery will wither before it matures.

Then what are you trying to figure out when you are so busy?

Seeing Zhang You's weird expression, Zhou Congwen said with a smile, "But that's a long way off. The 2.0 era of heart valve replacement surgery still has at least 20 years to go. Even if there are related equipment and consumables, at that time Director Zhang's level can be understood at a glance."

Zhang You was speechless.

Whether Zhou Congwen comforted himself or satirized himself.

Did he see his own thoughts, so he said something soft?

Who knows, Zhang You became confused again for a moment.

"Generally speaking, heart valve replacement surgery is very difficult. I believe everyone here understands this. Our surgery this year is a 2.0 surgery. The details will have to wait for my boss to come back from the front line. After I discuss it with him Say more."

"Director Zhang, is there anything else?" Zhou Congwen asked.

Zhang You shook his head in confusion.

Why can't a technology run through a generation? How old are you? Is it possible that you really want to live and learn?

Life is more than just work. Workaholics like Zhou Congwen are rare, even rare. Zhang You doesn't want to become Zhou Congwen himself.

Of course, the number one in the world is still required.

After the meeting was over, Zhou Congwen led the medical team to round the ward.

After Lu Tiancheng personally experienced the status of Zhou Congwen's medical team, he couldn't believe his own judgment—this medical team is a medical team that will leave a strong mark in the medical history of the Republic.

This evaluation was so high that Lu Tiancheng himself couldn't believe it and found it absurd.

Just like Zhou Congwen just mentioned the few old people and their projects, maybe most people don't know it at all, but once it is mentioned, everyone will be in awe.

Are you about to be in it?

Lu Tiancheng followed the medical team at the end, thinking while participating in the rounds.

Thinking about what Zhou Congwen said just now, Lu Tiancheng resisted the throbbing in his heart.

A heavy sense of history welled up in his heart.

People, Chinese people, as long as they think of the four words of leaving a name in history, they may not even die.

Lu Tiancheng didn't realize this, he followed the medical team at the end of the throbbing emotion, and carefully observed the condition of the surgical patient.

Chapter 1007 Manuscripts

During the ward rounds, Lu Tiancheng found that 2 hours after the operation, the patient woke up from general anesthesia and everything was safe.

The thing that bothers him the most is the fact that the patient... doesn't have a chest tube.

Moreover, the patient's pain was not severe, and two patients with big hearts even said that they were about to go to the ground now.

But Zhou Congwen still kindly advised them to lie on the bed for at least 8 hours, and to check the film tomorrow morning, and they can be discharged from the hospital if there is nothing wrong.

When he heard the last sentence, Lu Tiancheng felt bad all over.

What does it mean to be discharged from the hospital tomorrow!

On the first day after surgery, it was still a thoracotomy.

Just...can...get out of...the hospital? !

The reason why Lu Tiancheng kept trying to come to study, and even did not hesitate to cut off his righteousness with his master who was in the way, was because he saw and heard a little bit about Zhou Congwen.

They are all old doctors with rich clinical experience. They have been engaged in cardiothoracic surgery for more than ten years. They have never seen any disease or patient.

The news of those scaly claws has been shouting in the depths of Lu Tiancheng's heart, guiding a way without a name.

But when he came to the academician workstation of the Second Hospital of Medical University and had just worked for less than 24 hours, Lu Tiancheng was already convinced by the working method of Zhou Congwen's medical team.

The various working methods of the academician workstation presided over by Zhou Congwen are subversive.

Whether it's the rigorousness of the patient review before the operation, the lightning-fast surgeries, or... postoperative recovery.

There is also a problem, that is, the patient's pathological results have not yet come out, but this is a trivial matter.

Go home and wait for the call. Anyway, even if the small nodules are malignant, as long as they are removed cleanly, they can be considered cured.

This probability is very high, at least 97% -99%.

The more Lu Tiancheng followed the ward rounds, the more silent he became, and the more things he thought about.

One after another, things that subverted one's "common sense" happened around him. Even the junior doctors in the grassroots hospitals brought out by Zhou Congwen from Jianghai City also vaguely looked like superior doctors.

Even Shen Lang and Li Ran had the audacity to call themselves teachers, and then pretended that they were helping the mirror on stage.

These styles are almost carved out of Zhou Congwen's template.

Who the hell led what kind of soldiers? Lu Tiancheng was speechless.

When it was off-duty time, none of the doctors in the medical team left. They went to the cafeteria after dinner and came back to continue writing medical records.

25 surgeries a day may seem awesome, but they are actually awesome, but countless tedious tasks need to be done before and after surgery, and these tasks must all fall on the head of the bed doctor.

Lu Tiancheng wanted to help with something, but was rejected by Xiao Kai. Now his task is to familiarize himself with the work here.

Looking through the medical records carefully, Lu Tiancheng was once again surprised to find that his cognition had been subverted.

A surgeon's medical record can be said to be scribbled like a line of poetry written by an alien.

Not to mention that patients and their family members can't understand, Lu Tiancheng has seen cases where doctors can't even understand the medical records they wrote.

However, the medical records of Zhou Congwen's medical team are upright, and Xiao Kai, a veteran who has experienced clinical trials, reviews the medical records very formally.

The last link is also almost flawless.

Although the medical record is not perfect if you really think about it and find faults, but for Lu Tiancheng, it is enough and enough.

It was really strict. Lu Tiancheng spent a day walking around and got to know Zhou Congwen's medical team and the basic procedures of the academician workstation.