Back in 2002 as a doctor

"It's different." Zhou Congwen said with a smile.

He knew what Xiao Kai meant, but then denied it.

"Later, after squatting in the traffic police for a long time, Director Deng didn't have anything to do. After all, it was stolen and obtained. What can he say as a doctor." Zhou Congwen said, "But he came to the hospital for an examination and found out when he was preparing for fifteen days. another question."

"And alcohol?"

"Yes, it is said that after 13 or 4 hours of metabolism, the alcohol content in the blood is already very low. You can take a blood test again, and the ethanol concentration is 68.46mmol/L, which is much higher than the previous test."

"!!!"

Both Xiao Kai and Professor Han were stunned.

"Director Deng had no choice but to ask the boss to come forward. The boss suggested checking the intestinal flora, and later found that the number of candida in the patient's intestinal flora was about 30 times that of ordinary people."

"Many people in the academic circle now believe that self-brewing syndrome is a pseudoscience, but the boss firmly believes that it is a disease." Zhou Congwen said, "I will go and see, it is possible that the patient is self-brewing syndrome, but..."

"But what?" Xiao Kai was a little anxious.

"It's not like the patient, because the alcohol content in the blood is normal. Director Yang just said that the patient's urine problem was reminded by the nurse. Because when the urine was sent for routine examination, it smelled like alcohol."

"So the alcohol content in the urine was specially checked."

"Uh……"

"The endogenous fermentation of alcohol in the digestive system to intoxicate people does not seem to be applicable to the current situation." Zhou Congwen continued, "I am just skeptical, and I am not sure what is going on for a while. Just have a look."

"Professor Zhou, you have worked hard." Xiao Kai said seriously.

"Hahaha, Dean Xiao, what are you being polite about?" Zhou Congwen said with a smile, "I was planning to go to the imperial capital in the next few days, but I was in a hurry, no problem."

This is an inconclusive disease in 2003. Zhou Congwen still remembers the definition of the concept of self-brewery syndrome, which was pointed out in the "Clinical Practice Guidelines" issued by the Infectious Diseases Society of America in 2009.

Candida is the fungus most commonly infecting humans and can involve any organ, says the Clinical Practice Guidelines.

Director Yang of 912 disagreed, thinking that the patient drank in private and deceived the doctor with the patient's family, which is also understandable.

This is a contradiction between patients and doctors due to the imperfection of existing clinical medicine.

To go to see the eye, Zhou Congwen, Professor Han, and Xiao Kai drove straight to the provincial capital airport.

The plane to Shanghai flew first, and after sending away Professor Han, Xiao Kai stopped pretending, and asked with a sad face, "Professor Zhou, are you okay?"

"I don't know." Zhou Congwen shrugged, "If it doesn't work, I have to trouble you, Dean Xiao."

"Trouble?" Xiao Kai was taken aback.

Chapter 1028 Initial Letter S·B

Zhou Congwen has no special ideas, just solve the problem if he has a problem.

Although he has given a possibility, even Zhou Congwen himself only thinks it is a direction of thinking, the possibility is not great, and he has to see the patient before talking.

But Xiao Kai was extremely depressed. Although his expression didn't change much, Zhou Congwen looked at Xiao Kai and felt that he was covered in a layer of tired gray-white mist.

Thinking about it, it's really embarrassing if this kind of thing is done, if the two sides quarrel, Xiao Kai, who is caught in the middle, will be quite embarrassing.

"Dean Xiao." Zhou Congwen asked with a smile while waiting for the plane, "Why do you feel that you are not in good condition?"

"Alas." Xiao Kai also relaxed a lot after seeing off Professor Han, he sighed, and said sadly, "I called you all the way to arrange it. Originally... you know about liver transplantation. Insane surgery."

Zhou Congwen shook his head.

In terms of surgical difficulty, organ transplantation is far from top-notch.

In cardiothoracic surgery, the difficulty of lung transplantation does not even rank in the top five.

But Zhou Congwen also knew what Xiao Kai meant - in the hearts of ordinary people, organ transplantation is the top-level operation, not one of them.

"This is a very revealing thing, and I won't hide it from you. You can definitely imagine that if the operation can be completed smoothly, I can advance and retreat freely in Baishui City."

"Hehe, don't panic." Zhou Congwen comforted, "The daring Director Yang and Director Deng have a good relationship, and they won't make things difficult on purpose. There must be something wrong in between."

"I also know that embarrassment is impossible. If other laboratory indicators show that it is impossible, then forget it. I will explain it to the person in the city, and everyone will understand.

But you say non-drinkers suspect alcoholism..."

The more Xiao Kai talked, the more depressed he became.

Zhou Congwen patted Xiao Kai on the shoulder, he really had nothing to say about this kind of thing.Now even I don't know what is going on, I have never encountered a similar situation before.

The case of self-brewery syndrome is also not like, Zhou Congwen ruled out this rare condition that has not yet been recognized by academics.

"President Xiao, don't panic, just go and see the patient. I can't do it. I still have the boss. Don't worry, Director Deng said hello. If you don't give him face, you have to look at the boss's face. You won't deliberately embarrass him .” Zhou Congwen said.

Thinking of the old man with his arms bent and his waist bent, who looked very old but could make the diagnosis come to light every time, Xiao Kai felt a little more at ease.

In terms of clinical experience and status in the world, no one is better than Huang Lao, after all, his age is there.

Even the monstrous Professor Zhou Congwen Zhou beside him can't compare to his boss in this regard.

"Professor Zhou, do you think two people need a liver source at the same time, Director Yang can't tell?"

Although Zhou Congwen said for sure, Xiao Kai has already started to think about various conspiracy theories.

"Probably not." Zhou Congwen shook his head, "Surgeries like liver transplants... Forget it, I can't say much about it."

Speaking of this, Zhou Congwen thought about 3D printing viscera.

In the future, in addition to the brain being studied, other organs can be solved with 3D printing technology and cell cloning technology.

At that time, there was no shortage of liver sources, and it didn't matter if you wanted to change them.

But in 2003, Xiao Kai even pondered on this kind of conspiracy theory.

Xiao Kai scratched his head, knowing that his guess just now was very bad.

"President Xiao, don't frown all the time, let me tell you some gossip." Zhou Congwen said with a smile, "Speaking of liver transplantation, it is not a major operation."

Xiao Kai was speechless.

Liver transplant, that is a liver transplant!

In the Second Hospital of Medical University, being able to perform two liver transplants is a major event that can be boasted for a year.

"In the Queen Elizabeth Hospital in Birmingham, England, there is a doctor named Simon Bramhall, who has a very high level of liver transplantation."

"An English doctor."

"Well, he has a habit, a particularly bad habit."

"Huh?" Xiao Kai forced himself out of the feeling of frustration and loss, and followed Zhou Congwen's thinking.

"Dr Simon Bramhall used to carve his initials on patients' livers when performing liver transplants."

"!!!" After hearing Zhou Congwen mentioning this gossip, Xiao Kai was stunned.

Zhou Congwen smiled, this happened in 2013, he casually said something to divert Xiao Kai's attention.

In 2013, Xiao Kai may have already developed dementia, so I don't believe he can remember it.

If he could really remember, he wouldn't admit it.

"Engrave your name?!" Xiao Kai was surprised.

"That's right." Zhou Congwen said, "I don't know what his reason is, but there is something wrong with his operation, and he needs a second operation.

It happened that Dr. Simon Bramhall was not at home, and other doctors performed the second operation.After the laparotomy, the doctor who performed the second operation found that the patient's liver was engraved with the words "sb". "

"..." Xiao Kai was speechless.

Although he doesn't have access to the Internet, he has more or less heard from Shen Lang and others that sb means idiot.

Simon Bramhall, his initials are indeed sb, and what he does is indeed sb.

"Why did he do this?"

"I don't understand, but I guess it's for a thought?" Zhou Congwen said.

"The patient's liver... is fine."

"The argon knife is used to stop the bleeding, leaving a mark of sb on the surface of the liver, that is, a scar. It's fine, but it's just nausea." Zhou Congwen said, "The liver has a strong self-healing ability, you know. "

"Yes, I have seen a patient who had the left lobe of the liver removed. Five years later, the left lobe of the liver continued to grow, and it was even bigger than before."

Although Xiao Kai said so, he also knew that the thing of engraving on the transplanted liver was very bad.

"It's nothing to do," Crown Prosecution Service prosecutor Elizabeth Reed said in a statement. "This was a deliberate and unlawful infliction on a patient while he was under anesthesia.Such violations are not only immoral, but criminal. "

"Yes." Xiao Kai nodded, "It's really hard to imagine a doctor doing this kind of thing."

"A lot of things are ambiguous. If you take a half step, there will be big problems." Zhou Congwen said, "President Xiao, let me ask you, what might go wrong in our clinical affairs."

"..." Xiao Kai was puzzled, sorted out carefully, and said a few points, but Zhou Congwen shook his head in denial.

"Surgical video recording is the most prone to accidents." Zhou Congwen said affirmatively at last.

"No way." Xiao Kai said, "We made an agreement with the patient in advance, and those who agree to record the operation video or prepare to live broadcast have complete signatures. I can't see any problems with the written text."

"Ha ha."

"Moreover, there are more or less subsidies for patients with less expenses. Everyone is very happy. There are two patients who are not sure about their condition and have not undergone video surgery. Their families are still very unhappy."

Chapter 1029 Degree

"Are you worried that the family members of the patient will not admit it, and will bite back after the operation?" Xiao Kai asked tentatively.

"The patient's family will not." Zhou Congwen said, "Signing the paperwork, exempting medical expenses and subsequent treatment expenses, and the world's top doctors performing the surgery, these conditions are enough."

"If you feel bad, just refuse, it doesn't matter."

"Then what do you mean..." Xiao Kai pondered.

"There are several kinds of live or video surgery. One is very formal, such as the kind of surgery that learns to live broadcast. Before the operation, patients have to go through repeated screening. Even if the patient wants to do live surgery, they may not be able to get it."

Speaking of this, Zhou Congwen smiled, "That kid Chu Yuntian is really unlucky, he can even screen out the faults of patients."

"Yes, that day you..." Xiao Kai's spirit was a little lifted, and he began to talk about the embarrassment that he sat down to watch the operation on the day he learned last year, and saw Chu Yuntian encounter an unexpected situation and the embarrassment that he couldn't get through the operation.

Although it is wrong to ridicule people, Xiao Kai's emotions are real.The most important thing is that Zhou Congwen was really awesome that day, even looking back now, Xiao Kai is still full of enthusiasm.

"There is a problem with this kind of surgery. It starts recording from the time the patient enters the operating room." Zhou Congwen sighed thinking about what happened in the future.

"Is there a problem?" Xiao Kai wondered.

He had almost forgotten the part that had nothing to do with the operation. He only remembered whether the patient was a man or a woman, and his approximate age. He had a rough assessment of the difficulty of the operation in his heart.

"Let's not talk about this first, do you find any difference between the video of my operation and the video of the society?"

"I noticed the start-up time." Xiao Kai said, "We only started recording the surgery video when the list was laid."

"Yeah." Zhou Congwen nodded, "Now with the emergence of the Internet, what does Dean Xiao think has changed?"

"Learning surgery is easy." Xiao Kai said, "The first time I watched the live broadcast of surgery was in 1999. At that time, Teacher Shen from the Imperial Capital invited teachers from Tokyo Medical University Hospital to perform academic surgery. The equipment was shipped from Tokyo. …It’s useless to say something, and I was dumbfounded at the time.”

"Hehe, it's normal."

"The operation is really good." Xiao Kai said with emotion, "After watching the surgery performed by the professor at the Tokyo Medical University Hospital, there are only 4 words in my mind - sitting in a well and watching the sky."

"So after that, there will be related societies, and you will participate?"

"Yes." Xiao Kai temporarily forgot about the troubles of liver transplantation, and said with a smile, "That's why I met you more than half a year ago."

"Yes." Zhou Congwen said, "This must be the case. Surgical videos are a source of learning and communication between doctors. If there is no technological progress, many patients will die silently. But you must master a degree, which is very important."

"Speed?" Xiao Kai wondered, "The video of the surgery is so bloody, who wants to watch it."

"If the Internet is more developed in the future, can everyone post every bit of their life online?"

"No one watches this kind of thing, right? If a layman sees a piece of hula full of blood, he might be able to vomit it overnight."

As Xiao Kai spoke, he vaguely realized something.

"Not necessarily." Zhou Congwen said.

He thought of those Internet celebrities who would rather eat shit and pretend to be crazy in order to gain attention in the future.

It's not shabby to make money, Zhou Congwen also understands.

But academic matters must not change taste, this is the bottom line.

Xiao Kai thought about what Zhou Congwen said, but felt it was impossible, so he said with a smile, "There are black sheep everywhere, for example...Professor Zhou, you know."

"what's up."