Back in 2002 as a doctor

How is that possible!

Although Wang Chengfa thought that all of this was a coincidence, he felt a little guilty.

Seeing Wang Chengfa's expression changing again and again exposed outside the mask and hat, Zhang You sighed.

"Director Wang, you really missed your mark."

"..." Wang Chengfa was silent.

"According to what you said, it is impossible for a small doctor to play a role in this kind of rescue. But you see just now, to be honest, the patient would be cold now without him." Although Zhang You was a little ashamed, he told the truth .

At this time, he saw that Wang Chengfa was extremely awkward. He didn't even know the level of the little doctor under him. What's the use of having this director.

"Can……"

"It's not that I admit cowardice, but that's how things are." Zhang You shook his head helplessly, "I know what you think, but I still want to say something, Director Wang, you're mistaken."

"Director Zhang, it's better to explain to the patient's family if we go down now." Wang Chengfa argued in a low voice.

"Explain?" Zhang You sneered, "It's just to postpone a big trouble. I've decided on this matter. The patient's family invited me to perform the operation. Naturally, I will explain to the patient's family if something goes wrong. Director Wang, you What do you say?"

Wang Chengfa never expected that Zhang You would say such deadly words, nor did he expect that Zhang You would be so optimistic about Zhou Congwen.

Even people like Zhang You took the initiative to take responsibility.

And Zhou Congwen was very strange, did he really miss it?It's impossible!

I have practiced medicine for more than 30 years, how many people have I met since I was a doctor?Which surgeon is not fed out one by one.

There used to be a cold joke that the doctor who killed the most people had the highest level. This "joke" explained one thing from the side - the growth of a doctor is completed through mistakes one after another.

Was Zhou Congwen's operation taught by God?

Wang Chengfa thought in a daze that he couldn't understand that Zhang You rushed to visit him when he was hospitalized in the Second Hospital of Medical University, and was going to join hands to deal with Chen Houkun and Zhou Congwen.

How did the world change in the blink of an eye?

Zhang You didn't say much to Wang Chengfa, he silently recalled the whole rescue process just now.

Using extracorporeal circulation to rescue a ruptured heart, I have only heard of it, but I have never seen it.But if the results are used to infer the reverse, what Zhou Congwen said is right.

If the patient is alive, what about bypass surgery?

Zhang Yousi thought about it, and finally gave a wry smile.

I don't even have a 10x scope, it's only equipment for microsurgery.Cardiac surgery will also use it, but only if you don't stop jumping and building bridges.

If Zhou Congwen didn't know how to perform non-stop bypass surgery, what would he do with a 10x lens?

eccentric.

Although there are many things that I don't understand, Zhang You will recall Zhou Congwen's cooperation with him just now... no, it's the feeling when he cooperated with Zhou Congwen to do extracorporeal circulation.

Zhang You felt compelled, so he calmed down and thought carefully, and soon realized that it was not Zhou Congwen who improved his surgery, but Zhou Congwen's level of surgery was unfathomable and unattainable, and he unknowingly turned himself into an advanced surgeon. String puppets.

No matter what I do, Zhou Congwen imperceptibly hints at it!

This idea was simply too terrifying, Zhang You was stunned for a long time before reluctantly accepting it.

It was hard for him to imagine that someone in the country would have such a high surgical level, not only technically superior, but also unknowingly turning himself into a marionette.

With many thoughts in his mind, Zhang You suddenly asked, "Xiaohua, how did you feel about the extracorporeal circulation just now?"

Hearing Zhang You's question, the extracorporeal circulator said in a daze, "Director Zhang, do you want to tell the truth?"

"Well, I said that he was better than me in rescuing, tell the truth." Zhang You said affirmatively.

"We have performed thousands of cases of extracorporeal circulation in our hospital. According to my judgment... there is no surgeon in our hospital whose level of surgery is higher than that little doctor just now."

Anesthesiologists, equipment nurses, and extracorporeal circulators are bystanders, and Zhang You understands this.

You can't listen to surgeons bragging, that's subjective cognition.If you want to know the level of a surgeon, you still have to listen to these objective evaluations that follow the operation all the way.

Wang Chengfa was dumbfounded, he didn't expect the evaluation given by the extracorporeal circulator to be so high.

"Wait for him to come back." Zhang You said affirmatively.

Soon, Zhou Congwen came back with a box.

"What brand?"

"Olida's." Zhou Congwen replied frankly.

"You and Olida have cooperated very well." Zhang You said meaningfully.

"Oh, Director Zhang hasn't contacted?" Zhou Congwen couldn't listen to the words of the gun and the stick. He put the 10x mirror aside, opened the box and asked the roving nurse to put it on for him.

Turning around to brush his hands, Wang Chengfa looked at Zhou Congwen's back viciously, until the back disappeared, and then he lowered his voice and said viciously, "There are no rules."

"Hehe, just for fun." Zhang You didn't take it seriously, and said with a smile, "No one has contacted the equipment dealer, it's normal. We don't use much chest surgery, and we sell wrists. Look at orthopedic surgery. , Everything is flying. Olida and several orthopedic consumable suppliers are about to use their brains to compete."

"So do we." Wang Chengfa said.

"But having said that, for the sake of... hahaha, our orthopedic professors have already started thinking about hip replacement and knee replacement. If it wasn't for the money, who would want to do research."

The patient's vital signs were stable, Zhang You was a little relaxed, and began to tell "jokes".

Chapter 0175 can be a bit promising

With the door closed on these things, the family can talk about it, and they dare not talk nonsense when they go out.

No one has ever said that medicine is used to support medicine, and medicine is thrown into the market, and there are too many things to carry, many of which are just unspoken rules, and everyone who understands it understands it.

What Zhang You felt was that Zhou Congwen looked gentle, but he was really untouchable.As soon as I thought about the yin and yang and made fun of him, he directly responded.

Wang Chengfa was surprised. Seeing that Zhang You was not angry, he stopped talking about Zhou Congwen, but continued to talk along Zhang You's words.

Soon Zhou returned from Wenshuashou.

"Xiao Zhou, it's more convenient for you to come to the surgeon's seat." Zhang You said, "Director Wang and I will squeeze together."

Zhou Congwen glanced at Zhang You, but said nothing.

Zhang You smiled and raised his hands in front of his chest, and walked to the opposite side.Zhou Congwen was also polite, brushed his hands and put on his clothes, and stood directly in the position of the surgeon.

In the operating room, the anesthesiologist, itinerant nurse, and equipment nurse were speechless.

This was in 2002, and the foreign experts were still conscientiously completing the operation, and the overall number of flying knives was also small. There was no such situation that more than ten years later, foreign experts were invited to sit down and watch, and local doctors completed the operation.

But it was precisely because of this that they were astonished.

The Third Hospital of Jianghai City has never performed coronary artery bypass surgery alone, why did Zhang You give up the position to Zhou Congwen!

Normally speaking, Zhang You's actions mean that... he admits that he is not as good at surgery as Zhou Congwen.

but

Is this possible!

"30mL normal saline + 30mg papaverine." Zhou Congwen said.

The nurse froze for a moment, she was not used to Zhou Congwen giving orders.But then a sharp gaze fell on her, and she immediately started dispensing the medicine.

Zhou Congwen drew liquid with a 10ml syringe and injected it into both sides of the internal mammary artery.The role of papaverine is to relieve vasospasm and at the same time make the tissue edema, easy to dissociate.

After injecting papaverine, Zhou Congwen patted the syringe on the side of the patient's leg, and then opened his hand.

A pair of hemostatic forceps clapped in his hand.

With a movement of Zhou Congwen's fingers, the hemostatic forceps were left in the sterile field, and he said in a deep voice, "Low-energy electric knife, titanium clip."

"..." The equipment nurse was taken aback, "Xiao Zhou?"

Uh... Zhou Congwen woke up.Now it is 2002, not only does it not have low-energy electric knife, the third hospital does not even have the most basic electric burn.

Zhou Congwen almost fainted from crying on the operating table.

I was careless, what the hell, it was really difficult to go back to 2002 to have an operation.How to do surgery without a low-energy electric knife?On this condition, I am afraid that people with a slightly lower level will not be able to do it at all.

Zhou Congwen, who has long been accustomed to the convenience of various consumables, can only do a good job of psychological construction, bit the bullet and free the internal mammary artery a little bit.

Although it is not difficult for Zhou Congwen, it is not as quick and convenient as a low-energy electric knife to cut off with a single touch.

Freezing, ligation, freeing again, ligation again, the operation was slow, and Zhou Congwen burst into tears.

But "slow" is just what he thinks is slow, compared with low-energy electric knife cutting at one time and titanium clips at the same time, it is slow, but in Zhang You's opinion, the operation is so fast that it has already flown.

He can only be an assistant. After Dr. Zhou performed the operation faster, Zhang You also cried.

It turned out that the person who delayed the operation time turned out to be himself.

"Aren't there any pug clips?" Zhou Congwen asked cautiously.

The nurse stared blankly, her eyes widening.Pug, what the hell is that.

"Temporary blocking clips, vascular surgery...should be in the laparoscopic bag of general surgery." Zhou Congwen said helplessly.

"Yes! I'll make one." The itinerant nurse said immediately.

Zhou Congwen was a little moved when he finally had a handy device.

No, we must promote the development of technology, so that I can use something more convenient.

A coronary artery bypass surgery can handle anything, but if the difficulty of the surgery soars to the sky, it will not work without something at hand.

After freeing the internal mammary artery, Zhou Congwen replaced the internal mammary spreader with a bypass spreader.

Zhang You was not idle either, with two medium-curved forceps and No. 10 silk thread with a large round needle, he cooperated with the chief surgeon to cut the pericardium and suspend it.

He hasn't been an assistant for some years, but his level is there, and he can be an assistant with ease.

Assist Zhou Congwen to connect the heart fixation device and the carbon dioxide insufflation pipeline.

When freeing the target vessel, pass the bypass vessel forceps, No. 15 blade, coronary knife, coronary angle scissors, coronary bougie, and shunt plug of appropriate size in sequence.

Everything went smoothly, and Zhang Youqing couldn't help being a little proud.

But after thinking about it, I am so proud of myself, why the fuck is it not a little clinical doctor who cooperates with the old director in surgery.

Zhang You couldn't laugh or cry.

When preparing the bypass material vessels, pass the fine vessel scissors and mosquito forceps in sequence.The 8-0 Prolene suture was passed to Zhou Congwen for anastomosis, and the end of the suture was clamped with rubber tube mosquito forceps about 2cm away from the suture needle.

Zhang You became serious at this time.

Non-stop jumping bypass surgery, which is just beginning now.

"Sister, 10x lens." Zhou Congwen turned his head and said to the itinerant nurse.

"Xiao Zhou, did you buy it yourself?" The roving nurse asked Zhou Congwen while putting on a microscope, "Our trauma department said that a director came from the People's Hospital, and he could do severed finger replantation, so he used a 10x microscope. You are very advanced, you deserve it yourself."

"Well, it's for practicing at home." Zhou Congwen said casually.

The speaker had no intention, but the listener had the intention. Zhang You froze for a moment, and looked at Zhou Congwen seriously.

Could it be some academician's apprentice?Or is the illegitimate son of a rich man living in Jianghai City?

No way, how could a disciple of an academician end up in the Third Hospital of Jianghai City and be bullied by others; a child from a wealthy family is out of his mind and becomes a doctor.Fresh clothes and angry horses, Yingying Yanyan is life.

But a 10x mirror is not cheap, at least tens of thousands.

In 2002, I personally bought this thing to train surgery... Alas, Zhang You himself has never used it.

The patient's heart seems to have regained some energy after the rescue just now, and "wake up", every beat is so powerful.It drives the coronary arteries and pulses violently.

Keep jumping and building bridges!

Zhang You naturally knew the difficulty.

It's not that he hasn't tried it, but after failing a few times, he no longer dares to do it.What if something goes wrong?Zhang You is conservative, it's better to be his own director honestly.

Without the help of the octopus, Zhou Congwen was going to do it like this. Zhang You watched Zhou Congwen's movements intently.

Zhou Congwen flicked his wrist, and the light reflected from the needle tip disappeared immediately. Zhang You could only see the 8-0 Prolene thread going back and forth between the blood vessels.

This speed... Zhang You was surprised.

Not only is the speed fast, Zhou Congwen seems to have completely ignored the beating of the heart, or he has become accustomed to the beating of the heart, and every movement takes into account the interference, so that the non-stop jumping and matching of the octopus is even better than that of Zhang You It's faster to do a stop-beat anastomosis.

really do!

How did he do that? !

Countless question marks flashed in Zhang You's heart. He couldn't understand how a young doctor like Zhou Congwen managed to do this.

The ridiculous ones are Wang Chengfa and Chen Houkun.