Back in 2002 as a doctor
Page 234
Chen Houkun also did not appear on stage, and he also had similar doubts.Will Zhou Congwen's positioning needle be useful? !
If it is useful, Chen Houkun decided to start thinking about it next week.
He has performed a lot of surgeries recently, and he is also facing the same problems that Zhu Jun encountered.But Chen Houkun had just started thinking about this matter, and Zhou Congwen already had a solution.
This speed was too fast, Chen Houkun stood behind and waited eagerly.
Mr. Huang brushed his hands, disinfected, put on his clothes, and stood in the position of the chief surgeon, while Deng Ming helped his boss hold the mirror.
He said that there would be no surgery, but Mr. Huang brushed his hands directly. No one dared to fight him. Zhou Congwen pursed his lips and laughed.
Zhou Congwen knew very well what kind of temper his boss had.
Incision, one-lung ventilation, standard procedure all the way.
When the light source lens entered the chest cavity, a white line appeared in everyone's field of vision.
"Is it very clear?" Elder Huang said with great satisfaction.
"En." Deng Ming responded, and punched another poke, the pliers went in and grabbed the thin end of the thread, "This is the thread behind the positioning anchor in the trocar, and the position is very accurate."
With this thread, I briefly recalled the preoperative CT image, and the linear cutting stapler was inserted in to start wedge resection.
Ka Ka Ka two shots, the operation was over, Mr. Huang took the severed lung lobe to the instrument table, asked for a blade and began to cut it.
The others surrounded Mr. Huang curiously, poking their heads to see what was going on inside.
Huang Lao cut it down with a single knife, but this time he did not see the small pulmonary nodules, but the positioning anchor appeared in everyone's field of vision.
The four metal claws that are hard to distinguish on ordinary CT are stuck in the lungs, like the flying tiger claws used in martial arts novels to fly over the walls.
But after the incision, the principle of the positioning anchor can be vaguely seen by looking directly at the naked eye and carefully identifying it.
Before Chen Houkun and Li Qinghua, they only had a general understanding of the positioning, and they didn't fully understand it until they saw it with their own eyes.
"I'll go, it's like this!" The doctor in the CT room was surprised.
It was the first time for him to see the structure of the internal organs of the human body, and he understood a lot of things at once after watching it.
"The design is good." Huang Lao said lightly, taking out the positioning anchor together with the thin wire behind it.
"Deng Ming, take a look, the inside looks like this." Mr. Huang twisted the positioning anchor and shook it at Deng Ming.
"Oh, I got it, boss." Deng Ming continued to operate on his own.
Li Qinghua and Chen Houkun belonged to the doctors who had more experience with thoracoscopic wedge cutting, and they were far more surprised than the doctors in the CT room.
Before each operation, we had to be careful and carefully determine the location of the small nodules.
The operation is not difficult, the difficulty is that the small nodules must be cut off.
However, it took Zhou Congwen five or six minutes to locate the puncture just before the operation, which greatly reduced the difficulty of the operation.
This……
It is simply an artifact of thoracoscopic surgery!
Li Qinghua's heart was hot, and his eyes were even a little red unconsciously.The biggest difficulty has been eliminated, and it is not difficult to perform similar operations by yourself.
Chen Houkun let out a long breath, and looked at Zhou Congwen with complicated eyes.
In the future, a puncture will be performed before each operation, and the possibility of problems in the operation is almost zero.
This is also... too awesome!
Looking at the delicate "flying tiger claws", Chen Houkun was a little dazed and a little excited, but immediately became dazed.
"Director Li, please find someone to help Deng Ming, and then send the next patient to the CT room." Mr. Huang said flatly, "Xiao Zhou, come with me and watch me do a case."
"Okay, boss." Zhou Congwen responded briskly.
The positioning of the puncture mainly depends on the equipment and the way of thinking. For Mr. Huang, the operation is as simple as eating and drinking.
The positioning distance is 5mm from the small pulmonary nodules. Huang Lao's operation is very stable. Just by looking at the operation, no one would have guessed that Huang Lao's hands, who are nearly [-] years old, are still so steady, as stable as Mount Tai.
Chapter 0408 the kid who skipped class
The surgery was over by one o'clock in the afternoon.
The operation of each of the six patients went very smoothly, which made the chest doctors feel a little unreal.
In the past, when Professor Chen flew the knife, the operation was already very fast. Compared with the previous large open chest and large uncovered cover, it is simply a leap forward.
However, every time Professor Chen Houkun finished wedge cutting, he had to carefully look for small nodules, which wasted a lot of time.Although time wasted, everyone knew that this step was essential.
But today's surgery is completely different!
The second operation was performed by Professor Chen. He was obviously more confident after the wedge cut, and he was not as nervous as before.
Cut along the reserved line of the positioning anchor, and see the small nodules next to the positioning anchor. The overall operation is much faster than before.
Fast is just one aspect. The biggest change is that there is no need to worry after the wedge cut. Everyone is very clear, even including the anesthesiologist and the itinerant nurse.
After the operation, he took a look at the patient and had a meal together. Zhou Congwen went to see off Mr. Huang and Director Deng, and Li Qinghua went to see off Chen Houkun.
Li Ran hesitated for a few minutes with a blank face. He didn't go home and went straight to the hospital.
Today's puncture positioning made Li Ran feel something, but he couldn't explain the specific feeling clearly. Now he just wants to talk to someone.
This seems to be a huge change, even if you are in it, you can feel it.
Shen Lang was sitting in the duty room and was climbing the grid when Li Ran came back suddenly and surprised him.
"Why are you back?" Shen Lang put away the manuscript in a panic.
"Shen Lang, are you still climbing the grid?" Li Ran asked seriously, just looking at his expression, he looked like Shen Lang's supervisor.
"I just went around the ward twice, and nothing happened." Shen Lang felt a little guilty, and quickly argued.
"I'm not the director, so you don't need to explain to me." Li Ran said expressionlessly.
But the sneer on his face made Shen Lang feel ashamed that he had done something wrong.
"Shen Lang, have you seen today's surgery, what do you think?" Li Ran only cared about one thing.
"How else can you think about it? In the future, as long as there is a physical examination, you can do small pulmonary nodules. But you think about it, how much is the physical examination?"
"Perhaps as everyone becomes richer, there will be more physical examinations."
"How is it possible, a lung CT costs 220, how much do we earn a month." Shen Lang said disdainfully, "It's just a coincidence, or the unit like a group company will reimburse it."
"I think Director Li can handle it." Li Ran said seriously.
Shen Lang smiled, he was unwilling to dampen Li Ran's enthusiasm.
From Shen Lang's point of view, Li Ran is just a physician, he doesn't understand anything.Chronic surgery in anterior thoracic surgery was okay, so how can we do more than 20 or less than 30 a year?
But since an accident in the obstetrics department last year, a woman died, and the family made a big fuss, people in Jianghai City had a very strong sense of distrust towards the Third Hospital.
The hospital had just started to improve, and this incident became a turning point.
Not only obstetrics, but also all surgeries suffered a devastating blow.
The chest department only performed 9 chronic operations in the following year, and most of them were patients from Director Wang's hometown.
Director Li is here, and the new official took office with three fires, and the fires are indeed quite prosperous.But in Shen Lang's view, these are irreproducible and unsustainable.
It is considered a benefit for the group company to do a physical examination for its employees, but can it still be done every year?
Maybe everyone's awareness of physical examination will increase, but that's all a matter of the year of the monkey.
Li Ran's thinking was too optimistic. Thoracic surgery still had to focus on major surgery, and laparoscopic surgery was just an auxiliary, just minor surgery.
"Do you think today's surgery is not going well?" Li Ran asked when he saw Shen Lang's strange expression, which was completely different from what he imagined.
"Fast, and very stable and accurate." Shen Lang said realistically, "But I still think that there are not enough patients to carry out."
Just as Li Ran was about to refute, Shen Lang's cell phone rang.
"Hey, Mom."
"Just had surgery, what's wrong?"
"It must be the kid who doesn't want to go to class, so he needs to get a CT scan, and send it to school if he has nothing to do."
"Oh, no radiation, no cancer."
After Shen Lang said a few words, he hung up the phone.
"Looking for your doctor?" Li Ran asked seriously.
"Having a doctor at home is like having a dean. They send all kinds of diseases here." Shen Lang said angrily, "It must be that kid who doesn't want to go to class and just thinks about playing truant. By the way, Li Ran, when you were young I have thought of ways to skip school."
"I don't play truant." Li Ran said seriously.
"Hahaha, when I was young, I often thought about skipping school." Shen Lang laughed, "Once I took a thermometer and walked on the kettle, and my temperature was 44 degrees, which shocked my mother."
Li Ran gave a thumbs up.
"I will definitely get beaten up in the end. I really don't want to go to class, it's so boring." Shen Lang recalled his own time gone by, "My cousin must also have this temper, don't even think about it. But he is much smarter than me, knowing Pretending to be a headache. Who knows what this thing is?"
Li Ran nodded, stretched out his hands to pull the corners of his mouth, and showed a smiling face to show his approval.
The two chatted for a while, Li Ran still wanted to talk about today's operation, but Shen Lang had no choice but to accompany him and said a few words.
More than ten minutes later, someone knocked on the door of the duty room.
"Shen Lang, are you there?"
"Third Aunt, I'm here." Shen Lang sighed, got up and went to open the door.
"Shen Lang, look what's wrong with your cousin." A middle-aged woman came in and greeted Li Ran habitually.
But seeing Li Ran's expression, she was taken aback.
Do you not welcome yourself?Shen Lang's third aunt was a little embarrassed.
"Third aunt, he is my colleague, and I stayed to help him see the ward." Shen Lang didn't explain Li Ran's matter, but simply said, "Let's go, I'll take you to the neurosurgery department for a look. "
"Don't you?" the middle-aged woman asked.
Both Shen Lang and Li Ran couldn't laugh or cry.
I really think doctors can't do anything.
Shen Lang didn't bother to explain much, so he talked to Li Ran, and then took him to the neurosurgery department.
I can't see anything, Li Ran thought to himself.
After a long time, Shen Lang came back dejectedly, with a particularly ugly expression on his face.
"Shen Lang, what's the matter?" Li Ran was a little surprised, did he see something wrong?
"When I went, Dean Xiao was scolding people. It's not right to leave, or not to leave, really." Shen Lang sighed, "I think the neurosurgery doctor is scolded like a grandson, as if someone owes his family money same."
Dean Xiao, Li Ran thought of that person blankly.
"Where's your cousin?"
"I told you to do a head CT, but my aunt refused to do anything, so I'm too lazy to persuade you." Shen Lang stretched his waist, "Go home, I'm fine now."
"Who is going to do a head CT?" Zhou Congwen's voice came from the door.
Chapter 0409 headache shortly after lights out
"Congwen, why are you back?" Shen Lang felt that today was very lively.
"Send the boss away, and come back to have a look at the patient." Zhou Congwen walked in and lay straight on the bed, lifting his 1.8-meter-seven long legs and stepping on the iron sheet behind the locker.
"Kong Kongleg, I feel that the saphenous varicose veins have become much more serious with more surgery stations these two days." Zhou Congwen said half-jokingly and half-seriously.
"It's useless." Shen Lang said with a smile, "We who do surgery must have varicose veins, don't even think about it. I made an agreement with Lao Liang from the general surgery department, and I will find him to operate on me when I am older. "
"What are you thinking? Our hospital will definitely have a vascular surgery department. And there is no need for a vascular surgery department. Let's go to the interventional department for radiofrequency ablation."
"..." Shen Lang looked at Zhou Congwen like he was looking at a fool, this guy must be exhausted, why is he running the train with his mouth full.
For saphenous varicose veins, it is still possible to find a vascular surgeon, but what the hell is the interventional department.
But in the duty room, it doesn't matter what you say, Shen Lang only thinks that Zhou Congwen is joking.
"What did you say just now that the patient needs a CT?" Zhou Congwen asked lying on the bed.
"My cousin, the brat insisted that he had a headache and couldn't sleep well. I think he looks haggard. He probably went over the wall to play legends in an Internet cafe at night."
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