Back in 2002 as a doctor

Destroy corpses and wipe out traces, seamlessly.

Finally, Zhou Congwen gave the boss a piece of white ganoderma.

Mr. Huang was not surprised by Zhou Congwen's behavior at all, and took a puff of cigarette happily, "Xiao Zhou, tell me your views on interventional surgery."

"Let's intervene in surgery. It really depends on whether the academic leader is strong." Zhou Congwen didn't dare to hide anything, and said directly, "For example, our chest and circulation are evenly matched, so it depends on what the people below do. The physicians are all overwhelmed." , They rushed up like crazy when there was an interventional operation.”

"It's worthless." Elder Huang once again scolded contemptuously.

Zhou Congwen knew very well that his boss was talking about a heart surgery doctor.

"With the gradual development of interventional closure, stents, and thrombolysis operations, the work of cardiac surgery is definitely less and less." Zhou Congwen said, "And what do small doctors and primary hospitals use to practice surgery? The smallest patent ductus arteriosus When there is a shortage of housing, these interventional operations can be done.

Without these surgeries, the foundation of cardiothoracic surgery will no longer exist. Without a backup force, the heart can only shrink and shrink again. There is no way. "

Zhou Congwen calmly explained his "view".

He experienced all this in his last life, not to mention 2002, even between 2005 and 2008, no one could see the decline of cardiothoracic surgery. Biggest piece of cake.

But they didn't expect the cardiac surgery to collapse so quickly.

"There's another point, boss, that you may not have noticed."

"Huh?" Huang Lao looked at Zhou Congwen intently.

"B-ultrasound is also improving. Prenatal examinations have found that the birth rate of fetuses with deformities is decreasing."

"That's right!" Mr. Huang felt that what Zhou Congwen said made sense, and slapped his thigh, "Therefore, there will be fewer surgeries in this area in the future."

"Having said that, patent ductus arteriosus is not a difficult operation, and if the atrial defect is taken away by the interventional department, the patient will benefit.

However, if there is no room for doctors in cardiac surgery, the whole foundation will collapse, and there will be fewer and fewer successors. I estimate that the cardiac surgery in primary hospitals will collapse completely. "

"Oh." Huang Lao shook his head.

"I estimate that cardiac surgery can only rely on left main and complex multivessel lesions within ten years to survive."

"Stubbornly resisting, desperately struggling." Huang Lao added two more idioms.

Judging by the shape of his mouth, it seems that he is going to say that the dog jumped the wall in a hurry.

Zhou Congwen laughed loudly, "Boss, don't be like this."

"Let them carry out interventional surgery, no one is actively doing it. I really want to be 30 years younger!" Huang Lao said bitterly.

"At least your prediction is correct. The postoperative effect of left main surgery is much better than interventional surgery."

"Surgery is in your hands!" Huang Lao said, "Physicians have to go through countless operations to understand the anatomical structure, and surgery has long been tired of looking at it. It's a simple thing, just don't do it!"

"You always calm down, and someone can do it."

"I went to Fuwai for consultation a few days ago, guess what I saw?" Huang Lao asked suddenly.

"Emmm, you said."

"People outside the heart are squatting at the door of the interventional catheterization room waiting to receive patients! Shame on you, show your eyes!"

Zhou Congwen smiled helplessly.

It turns out that my boss still has this obsession in his heart.

But this obsession is likely to disappear soon.

It's not that the development of cardiac surgery makes the obsession disappear, but that you gradually get used to it.

Zhou Congwen smiled and said with a cigarette in his mouth, "Speaking of which, neurosurgery generally controls interventional surgery, at least [-]-[-]. General surgery is the strongest, completely suppressing liver interventional surgery."

Old Huang pouted.

Although he didn't want to admit it, it was a fact and he had to admit it.

"We... the Department of Circulatory Medicine is becoming more and more proficient in anatomical structures, and it is estimated that valve surgery will be carried out soon."

Structural heart disease is the most proud field of cardiac surgery, and it has a large number of patients. For rheumatic heart disease, there are countless patients across the country.

It is one of the dreams of every senior surgeon to be able to proficiently complete mitral valve repair.

"Huh?" Huang Lao was stunned, and said angrily, "Why does the catheter touch the valve!"

"Boss, let's think about it, if there is such a procedure." Zhou Congwen began to instill TAVI surgery, which is transcatheter aortic valve implantation, to his boss.

The interventional catheter is sent through the femoral artery, and the artificial heart valve is delivered to the aortic valve area to open, so as to complete the implantation of the artificial valve and restore the function of the valve.The operation does not require a thoracotomy, so the trauma is small and the postoperative recovery is fast.

"Who is doing it, why don't I know?" Elder Huang was puzzled.

Zhou Congwen smiled, "This year, Professor Alain G. Cribier from France performed the first human TAVR operation."

"..." Huang Lao looked at Zhou Congwen suspiciously.

In the eyes of his boss, Zhou Congwen saw a lot, and he finally saw one thing - the boss is not a reborn person.

All inferences about the future are only based on his solid basic cognition and unremitting vision for the future.

The dragon-slaying boy turned into a dragon, but his boss was always a boy.

Zhou Congwen's eyes became more and more gentle. It was a very lucky thing to be able to chat with his boss about the past, present and future in such a night.

"The last field of cardiac surgery is the aorta and heart transplantation. But the aorta, I'm still pessimistic."

"What's pessimistic?"

"Boss, it's not possible now. If it's possible, what if we can make a custom-made large frame according to the position of the three hairs of the aortic arch?" Zhou Congwen asked.

Huang Lao was taken aback, private order?

Although I have never heard of this sentence, it is easy to understand.

Just how to solve the problem of cost?If the cost is not considered, there seems to be a way.

"The final field is heart transplantation. Maybe everyone will need heart transplantation in the future. Stents, bypasses, and thrombolysis are all heresies. Have you said that these are all rotten procedures and cannot be cured? .It’s broken, replace it with a new one, how easy it is, right.”

"Hahaha, it's early in the day." Elder Huang finally became a little happier.

Chapter 0358 Academician Workstation

"Doctors outside the heart look down on doctors who do interventions. This is going to cause serious trouble. Originally, from the perspective of anatomy, our doctors outside the heart are the most suitable for interventional operations, but... alas."

Huang Lao repeated his point of view and sighed.

This was a hurdle he couldn't get over.

Although it doesn't make a big difference who performs the surgery for patients, it makes a big difference for Mr. Huang.

The elderly who stand at the pinnacle of cardiothoracic surgery always hope that cardiothoracic surgery can continue to grow and develop, and absolutely do not want the heart to shrink.

"Boss, don't be depressed, as long as someone else can do it." Zhou Congwen said with a smile, "It's very good that you can push and carry out laparoscopic surgery. I heard from my classmates in Shanghai, who is studying laparoscopic surgery? He didn’t even dare to let people visit, and he cursed as soon as the door of the operating room was opened.”

"Hahaha, that old guy. He always tells me that the surgery in the north is crude, but the surgery in the south is delicate. I want to see if he accepts it!"

Speaking of this, Mr. Huang was a little proud.

"That's it, don't you want to make progress." Zhou Congwen said with a smile, "Walk and see, the doctor of circulatory medicine..."

"Don't mention the cycle, I feel bad."

"Hahaha, don't do that."

"Xiao Zhou, your girlfriend came to me a while ago, did you study that document?" Elder Huang suddenly changed the subject and asked.

"Huh? What information?" Zhou Congwen was taken aback.

"A database of digitized human bodies."

"..." Zhou Congwen was speechless, Liu Xiaobie did such a big thing behind his back? !

"I read the materials she brought, and you have a long-term vision.

With the deepening of research on genome, transcriptome, proteome, and metabolome, combined with the popularization of new technologies such as single-cell sequencing and spatial transcriptome, cell types will always be differentiated digitally, and the spatialization of tissue cells will be analyzed separately. Certain biological behaviors. "

Zhou Congwen was stunned.

This research, not to mention the present, is also an extremely sophisticated research at the moment of his rebirth.

Through the integration of big data, the physiological process and biochemical reaction of a cell, an organ or even a system can be digitized, and even the entire human body can be digitized in the end.

Zhou Congwen highly doubts that the system is such an existence. Its appearance may be due to the collision of planes, or the disorder of time and space, so it happened to him by chance.

Liu Xiao, don't you want to engage in such sophisticated things?

What is she doing with this thing?

She casually said that she wanted to set up a laboratory, but she...

Could it be that the system that fell on him in the previous life was created by the future Liu Xiaobie?Zhou Congwen was stunned for a moment, and he clicked his lips, feeling more and more possible.

I have been reborn, what is impossible?

"Does someone always have to do it? At that time, I was more interested in the project proposal. It happened that a laboratory was built for me in the courtyard, so I asked you to participate in it. But speaking of it, this is a money-losing product, a lot of it. Burning money, it is basically impossible to get back the money.”

Huang Lao said leisurely.

"Look at what you said, it is right to burn money. If you don't burn money now, you will definitely have to buy it abroad at a premium in the future. The key is that we buy from others and don't sell it." Zhou Congwen said.

"Tell me, what do you think." Elder Huang leaned on the back of the chair, looking into Zhou Congwen's eyes.

Zhou Congwen panicked with hatred in his heart, and so did Liu Xiaobie, why didn't he tell himself about such a big incident.

"Boss, just now we talked about the end of the road in cardiac surgery, but after all, there are still left main and complex multi-vessel coronary surgeries that can be done, so it's not dead."

"I asked you about the digitized human body." Huang Lao was not confused, he interrupted Zhou Congwen and asked.

"Listen to me." Zhou Congwen said, "I estimate that several departments died first. Which departments do you think it is?"

Huang Lao frowned, thinking.A few seconds later, he suddenly said, "Image and pathology!"

Zhou Congwen really admired his boss.

His eyes can travel through 30 years, and he can see the future at a glance.

"Yes, the first two areas where computer AI made doctors unemployed under the big data are imaging and pathology. Computer reading is more..."

As Zhou Congwen said, he suddenly thought that he could use his brain to perform three-dimensional reconstruction. Did the system bring this part of his function to him?

"Be accurate, calm, and objective. You can compare countless cases in the database. Humans can't do this." Huang Lao nodded.

"Yes, this is a part of digitization, a relatively simple appearance. As for what Xiao Bie wants to do, let her do it. She doesn't lack money, so just throw it away." Zhou Congwen said pretending to be indifferent.

"Do you know how much it will cost?"

"Boss, do you know how much money Xiaobie has now?"

"How many?"

Zhou Congwen smiled and said nothing.

Mr. Huang knew that he was asking too much, so he changed the subject, "In 1990, when the Human Genome Project was officially implemented. Now it has been 12 or 3 years, and we are running abroad, and we haven't even started. Since you and your girlfriend If you want to do this, let’s start. But don’t get involved in scientific research, it’s too likely to go in the wrong direction now.”

"..." Zhou Congwen sighed.

It's all Liu Xiaobie's nonsense, I didn't expect the boss to give such high expectations.

"The future is the future, and the most important thing is to focus on the present. Xiao Zhou, how is your thoracoscopy going?" Huang Lao asked.

"Very good, now I only do simple surgery for small pulmonary nodules."

"What is simplicity? This is planning for a rainy day. When Bian Que sees Duke Huan of Cai, please recite it for me." Mr. Huang entered the boss mode.

There is nothing wrong with ancient philosophies applied to modern medicine.

"When Bian Que saw Duke Huan of Cai, there was a room for him. Bian Que said..." Zhou Congwen began to recite the text habitually, Huang Lao was slightly startled, and raised his hand to stop Zhou Congwen.

"I always feel that we know each other." Elder Huang looked at Zhou Congwen suspiciously, looking him up and down, as if he knew this young man again.

"Hey." Zhou Congwen smiled, "Boss, it's not too late to get to know each other now."

"I'll tell you something serious." Huang Lao didn't continue talking about the above topic.

Zhou Congwen looked at the boss with a smile on his lips.

Based on his understanding of the boss, the next step must be to accept himself as a closed disciple.

In the last life, my boss held back for about a year after seeing me. During this period, I observed carefully and found a few special cases and asked me to come to 912 for surgery. Later, I made an exception and admitted, and successfully became the boss's student.

"Boss, tell me." Zhou Congwen said obediently.

"Everything has to be done step by step, just like the laparoscopic surgery in our thoracic surgery department. You said that we can do it just by doing 912?" Huang Lao asked.