Back in 2002 as a doctor
Page 229
"Henry Meige first reported Meige's syndrome in 1910, referred to as blepharospasm in China." Mr. Huang said the answer, "It is different from the eyelid twitch that Xiao Zhou just said. Severe blepharospasm will make the patient feel blind. The eyelids couldn't be lifted at all, and they kept trembling."
Zhou Congwen smiled, the boss is really awesome!
"Why did you open your mouth?" Deng Ming asked in surprise.
"Opening her mouth, sleeping, talking, and snoring can relieve a little bit, but she seems to have tried all of them, but the effect is getting worse and worse."
"Boss, I'll go and tell her." Liu Xiaobie said vaguely while holding the skewer, "How can this disease be cured?"
"There is no way to cure it." Huang Lao said helplessly, "Maybe he will be fine in a second, or he may never be fine."
"..."
"It is said in foreign literature that injection of botulinum toxin can be treated, but this thing is too expensive, and secondly, it is not available in China. Thirdly, and most importantly, it has too many side effects, and the face is a little stiff after the injection."
Zhou Congwen thought of some cosmetic effects of botulinum toxin later, but he still did not recommend using botulinum toxin to treat Meige syndrome.
"It is said that there are doctors abroad who are using pacemakers to treat Meige syndrome. The specific clinical data on a large sample have not yet come out, so we don't know the effect." Huang Lao sighed, "Doctors can cure up to 20% of the diseases, maybe None, including many diseases that can only relieve symptoms.”
"So, Xiao Zhou's description is very good and correct, rather than bad."
"Don't worry, there will always be a day, boss." Zhou Congwen comforted.
Zhou Congwen didn't say what that day was like, as long as he and the boss knew it, there was no need to explain.
"It is difficult for others to understand people with this disease. Many people say they are hypocritical. Generally speaking, empathy does not exist." Huang Lao said lightly, "Although doctors can't empathize with others, they must not easily judge patients as hypocritical. We don’t know about too many diseases.”
Deng Ming made a note to himself, but he must have lost this game. In terms of diagnosing the fit of the two of them, they are not as good as the boss.
It's just that this little guy Zhou Congwen is so strong in diagnosis, Deng Ming is a little surprised.
"Sorry, sorry, I'm late." Liu Wei hurried over at this time, found Huang Lao and Zhou Congwen's position after entering, and bowed down to apologize.
"Xiao Liu, sit down, I'll take a few bites first when I'm hungry." Huang Lao said with a smile.
The lots in front of Liu Xiaobie had piled up like a hill, Liu Wei smiled, he wouldn't take it seriously if he was so obviously polite.
Liu Wei was surprised that he just invited Mr. Huang to eat in such a small restaurant.
It's not that small restaurants are bad, but the smaller the restaurant, the better the relationship between Mr. Huang and the doctors of the Third Hospital.
The bigger the restaurant, the more important the proof is, and other ways must be used to prove something.
In the northern market, you have barbecue and dinner, how familiar is this relationship? !
Liu Wei once again refreshed his understanding of Zhou Congwen and thoracic surgery.
"Mr. Huang, I went to see the patient again, and he is fully awake, and the pain is not so bad. There is some liquid in the chest bottle, but there is no gas." Liu Wei reported cautiously.
"Well, the operation was not bad. I haven't seen such a typical pulmonary echinococcosis patient for several years." Huang Lao said, "Your level is also good. I heard they said that you are the first anesthetist to master single-chamber ventilation. ?”
"Yes, I saw the use of thoracoscopy in my third year of medical training in the provincial capital, and felt that there would be a future in the future, so I learned single-chamber ventilation.
Although our institute has not carried out much in the past few years, it is slowly doing so.Until Director Li came to carry out a large number of wedge cutting operations, I can be regarded as useful. "
"The Third Hospital of Medical University, tell me what interesting things you encountered there." Elder Huang asked.
Liu Wei was taken aback, he didn't understand what Huang Lao's question meant, and he was afraid that his wrong words would make Huang Lao unhappy.
"Brother Liu, the boss wants you to tell a joke." Zhou Congwen reminded.
joke.
Liu Wei was in trouble.
How many surgeries Huang Lao has undergone in his life, and those driving jokes probably Huang Lao has listened to tirelessly.
He hesitated for a moment, and said with a smile, "Old Huang, when I went to the Third Hospital of Medical University, I was basically a doctor at the lowest level. I had never seen anything. It belonged to Grandma Liu. When I entered the Grand View Garden, everything I saw was novel.
I was with a local doctor who did general surgery and studied gastrointestinal after I went there. "
"On the first day, I was familiar with the environment. On the second day, my teacher took me to the stage, and the buddy who happened to live with me also came to the stage. I saw him and knew that he was so nervous that he almost passed out. In fact, I was also nervous."
"Well, it's definitely the first time I'm going to be nervous about surgery in a large hospital." Huang Lao said slowly, staring at the barbecue stove outside the door.
"At the beginning of the stage, the operator, Mr. Yang, cut it down with a single knife, and then started electric heating to stop the bleeding. Mr. Yang said, smoking. The buddy froze for a moment, I think he was a little confused. Then Mr. Yang said it twice, obviously a little unhappy gone."
Smoking is not smoking, but the smoke from electric heating at high temperature. The basic principle...is similar to barbecue.
"That buddy became anxious all of a sudden, and lowered his head to the operation area and sucked in all the smoke from the electric burner with his nose."
"..."
"..."
"Nonsense, don't you have the concept of sterility?" Huang Lao smiled and reprimanded.
"That's right, Teacher Yang's face was so ugly, he kicked him out of the stage directly, and asked the science and education department to let someone else take him when he said he was going back." Liu Wei laughed.
Zhou Congwen thought of the picture of a burly man smoking with his nose on the operating table with his butt pouting. It was so beautiful that he dared not think about it.
But Liu Wei can be regarded as interesting, what he said should be appropriate to the situation, he is a good person.
Chapter 0399 will move the stumbling block
Zhu Jun was sitting in the office, his eyes were not bright at all, he had been in a daze for a long time, so long that he even forgot the time.
The "Anatomy" in front of him also seemed to be yellowed, unknowingly experienced the baptism of years, and was dilapidated.
Originally, Zhu Jun was looking for information, but the scenes he experienced in recent months repeatedly appeared before his eyes.
During the physical examination in the hospital, three doctors under his team found small pulmonary nodules. Zhu Jun didn't take it seriously, and he was treated when he was sick. Such a small pulmonary nodule operation was nothing to Zhu Jun, who had experienced many battles. What.
He has treated many large tumors in this life, is a small nodule less than 1cm considered a disease?
But he never expected that the seemingly stable Department of Thoracic Surgery of the People's Hospital would collapse.
Although it is too early to say that it collapsed, Zhu Jun knew Li Qinghua well, and he already had this kind of judgment vaguely.
First, Li Qinghua, a "traitor", left the Third Hospital and became the director of a health center.Afterwards, Yuan Xiaoli and the others went to the Third Hospital for surgery, which was equivalent to slapping themselves twice.
Then came the inexplicable power outage. Zhu Jun originally thought that the third hospital's surgical skills were not enough, so he didn't do lymph node dissection.But at that time, he knew that Zhou Congwen's level was not only higher than his own, but even comparable to Director Deng of 912.
He is not resting on his laurels, but after performing a small pulmonary nodule wedge resection, Zhu Jun realized that this operation looks simple, but how troublesome it would be if the small nodules could not be removed.
So Zhu Jun has been studying imaging and anatomy since then, trying to find the method that Huang Lao looked back at the film and cut it with a blade to expose the small nodules in his field of vision.
But everything was useless. After studying for a period of time, Zhu Jun couldn't get in at all.
The relationship between body surface positioning, anatomical positioning, imaging and anatomy is simple but complex.Zhu Jun was very helpless. Although he didn't say anything, his body was very honest and wanted to give up.
Can I compare myself with Huang Lao?This is the reason Zhu Jun thinks of every time.
I feel sleepy after reading a book, after all, I am getting old, Zhu Jun comforted himself in this way.
This time, my mother and second aunt were hospitalized for surgery. Fortunately, I still had Director Deng's phone number, and Zhu Jun was very pleased to be able to invite people from the imperial capital.Otherwise, only Professor Chen Houkun Chen did the most in the province, what should I do?
Yuan Xiaoli and Liu Dacheng can go to the third hospital for surgery, although it is equivalent to slapping Zhu Jun twice, but he can bear it.
But once my mother and second aunt also go to the Third Hospital for surgery...
The consequences could be disastrous.
Every time Zhu Jun thinks about this matter, he is glad that he can still contact Deng Ming, the great god.
Is it wrong to just invite experts in the past?Zhu Jun thought to himself.
It's best to have some contact with the doctors in the higher-level hospital, otherwise, wouldn't it be embarrassing once you encounter the situation in front of you.
When Zhu Jun woke up from his trance, it was getting late, he sighed softly, picked up his mobile phone to disturb Director Deng Mingdeng, and checked the ticket again.
The last time he picked up Director Deng, Zhou Congwen took the lead by entering the train station with a small trick, which made Zhu Jun very unhappy.
He contacted his friends in the railway system and reconfirmed that this time he would go to the train station to pick up people at the platform no matter what.
What Zhou Congwen can do, he must be able to do it himself, Zhu Jun thought unconvinced.
The phone was connected quickly, and Deng Ming's gentle and generous voice came from the other side.
"Hello, Director."
"Director Deng, excuse me." Zhu Jun said politely with a bit of humility, "I want to check the time again..."
"My boss and I have already arrived in Jianghai City." Deng Ming said with a smile.
Zhu Jun's head buzzed, and he almost fainted.
The high pressure went to 220!
Mr. Huang and Director Deng have arrived? !
Although this is good news, why didn't Director Deng inform himself?And Huang Lao came with him!
A figure appeared in front of Zhu Jun—Zhou Congwen.
It's him again, it must be him!
"The third hospital admitted a patient with pulmonary echinococcosis. The boss came two days early and just finished the operation."
"..." Zhu Jun was speechless.
Pulmonary hydatid disease, that kind of patient really needs a higher-level doctor to perform surgery, so it is only natural to find Mr. Huang.
but!
Thinking of the Third Hospital, Li Qinghua and Zhou Congwen, Zhu Jun felt awkward in his heart.
"We don't have anything to do here. I was about to call you just now, but you said it was a coincidence." Deng Ming said with a smile, "We will go to see the patient in the afternoon, then take a rest, and prepare for the operation tomorrow morning."
"It's been hard work, Director Deng." Zhu Jun gritted his molars and said politely.
"By the way, Director Zhu, I would like to trouble you with one thing."
"You say."
"Contact the CT room, and the puncture positioning will be done before the operation tomorrow." Deng Ming said, "With the puncture positioning, the operation will be easier."
"Puncture?" Zhu Jun was taken aback.
"Well, Zhou Congwen's little gadget, let's see if it works."
"..."
Zhu Jun regretted it a little.
If he knew that he would hear the name Zhou Congwen repeatedly, he might as well take his mother and second aunt to the imperial capital directly.
Now he doesn't want to think about it at all, and he doesn't even want to hear the name Zhou Congwen.
He is like a hard stumbling block, very annoying.The key is that this stumbling block can still move, no matter where you go, you can meet him.
What the hell, Zhu Jun cursed viciously in his heart.
But he didn't show it. After all, the person on the other end of the phone was Deng Ming, tomorrow's surgeon, a well-known domestic boss.As long as Zhu Jun has a semblance of reason, he will not offend Deng Ming.
"Director Deng, I'll make arrangements now," Zhu Jun said.
"Then we'll go to the People's Hospital later, let's call."
Deng Ming hung up the phone, Zhu Jun looked helplessly at the sky outside the window.
The autumn is crisp and the sky is blue, but Zhu Jun's heart is full of gloom.
puncture?position?What does it mean?
Zhu Jun has a dewy face.
More than two hours later, Zhu Jun received another call from Deng Ming, and he went down to meet Mr. Huang and Director Deng.
But things always develop in the worst direction. Standing beside Mr. Huang is not only Director Deng, but also the young doctor who has almost become Zhu Jun's endless nightmare——Zhou Congwen.
"Boss, the principle of positioning needles is actually very simple. As long as you master it well, there will be few problems." Zhou Congwen communicated with Huang Lao while walking.
"I thought about it, and it is indeed more suitable than agar blue. Originally, my idea was radioactive substances, but after research and research, I found that if suitable radioactive substances can directly target tumors, it is too complicated and has little to do with surgery. .Your method is good, simple and direct, and conducive to promotion."
When Zhu Jun heard Huang Lao's praise, he felt very uncomfortable.
Chapter 0400
"Old Huang, Director Deng, thank you for your hard work." Zhu Jun went up to meet him, bowing his waist, with a smile on his face.
No matter how unhappy he was, he didn't dare to throw face at Huang Lao.
"We don't work hard, Xiao Zhou worked hard." Huang Lao said with a smile.
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