Back in 2002 as a doctor
Page 290
Zhou Congwen asked the nurse to go to the ENT department to borrow a mirror and a dressing tray. He stood beside the incubator and said softly, "Director Deng, are you going to write a thesis?"
"Well, Olida and I made an appointment. They have already done a good job on the Lancet side. In order to promote laparoscopic surgery for newborns, the boss also nodded." Deng Ming looked down at the nursing record and said in a low voice.
"Don't look at it, I'll give you a copy later." Zhou Congwen said lightly.
"Huh?!" Deng Ming was puzzled, looking up at Zhou Congwen's eyes.
If I understand correctly, what Zhou Congwen said meant that he gave himself data.
The data needed to write a paper is different from the data recorded in usual medical care. It is better to publish articles in China. Even if it is a document with a Chinese prefix, the habit is close to that of the Chinese people.
But if you want to submit a manuscript to a journal like The Lancet, it is very difficult to know what data and text formats foreigners need.
Is Zhou Congwen serious?he wrote?
"Director Deng, why are you looking at me like that?" Zhou Congwen smiled and narrowed his eyes, "Don't worry, give me this side, I'll come up with a structure, you can find someone to add something to it and post it."
"..." Deng Ming was speechless.
The surgery was performed beautifully, the command during the operation was clean and quick, and the postoperative care was also able to take care of it, which is enough to make people amazing.
But these are things that are still within the scope of medical treatment, and practice makes perfect.
Unexpectedly, Zhou Congwen could even handle a paper in The Lancet.
"Boss and Director Deng, are you going to help me publish a few papers, use up hard power, and not give me facts in the future? Then I thank you in advance." Zhou Congwen said with a smile.
This time Deng Ming was completely speechless.
Zhou Congwen is like a monster, no matter what happens, he can't escape his eyes.
And he didn't shy away from himself, saying what he had to say.
"I'll do my best, otherwise I'll be the first author of several papers from top journals, and I'll be embarrassed." Zhou Congwen said.
"How do you know, the boss told you?" Deng Ming asked.
"I'm not stupid." Zhou Congwen said naturally, "The boss asked me to be in charge of the academician workstation of the Second Hospital of the Medical University, where the sky is high and the emperor is far away, and no one makes irresponsible remarks. Even if there is, the boss stands behind me, There won't be too much resistance."
"But going back to 912 after one year will be different. As a postgraduate student who has just been a year old, he is not even an attending doctor. There will always be hidden dangers in some things. With the personality of your boss and Director Deng, you won't just let it go."
"What's our personality?" Deng Ming asked.
Zhou Congwen didn't answer, but said with a smile, "Prepare all the papers and hardware requirements for me to pass the line, and I will graduate directly next year. Director Deng, please make another trip, apply for an outstanding young man, and be promoted to a deputy high school in an exception. Being able to lead a group, isn't this the way to see it at a glance?"
"Actually, it's better to go abroad, get gilded, and come back to apply for Changjiang Scholars. But don't tell me about it, I'm not interested."
Deng Ming really wanted to dissect Zhou Congwen to see what he was pretending to be in his head. The way he just said is definitely not the way of the hospital.
Surgery can be said to be a talent, which Deng Ming also admitted.
There are all kinds of geniuses in the world, who either look at monuments on a flying horse, or have a long-term memory, or... For example, the example given by the boss, Mr. Yu Minyu used mental calculations to simulate nuclear explosions.
This is simply something that non-humans can do.
So Zhou Congwen can master thoracoscopic surgery proficiently, and Deng Ming just feels that young people are really lucky, with talent and a lot of youth, they can climb step by step.
The boss is actually this kind of person, otherwise he would not become the ancestor of domestic thoracic surgery.
But how could Zhou Congwen, a young man still in Jianghai City, know how to write papers in top international journals?
This is not a talent, this can already be regarded as a monster.
But Deng Ming didn't say anything. Before he knew it, his hand holding the nursing record had already formed an arc, as if the thermos cup was in his hand.
Liu Wei stood aside, completely unable to understand what Deng Ming and Zhou Congwen were talking about.He looked at the two of them in a daze.
"Okay, then you come here, I'll be lazy." Deng Ming didn't ask the doubts in his heart, but said while looking at the nursing record sheet.
"Look at the patient, I'll go and see what's wrong with the nurse." Zhou Congwen smiled lightly and patted Deng Ming on the shoulder, "Director Deng."
"Ok?"
"Exercise more, it's better than soaking goji berries in a thermos." Zhou Congwen mocked Deng Ming in a "naughty" way.
Zhou Congwen also knew that this sentence was a bit too much, not because he and Deng Ming could not say this sentence, but because it involved rebirth.
But today, a very difficult operation was completed, and the child's condition is very good. It is obvious from the first glance that the little guy can survive. Zhou Congwen is very happy, but he doesn't care about it.
Even if Deng Ming asked himself or had any doubts in his heart in the future, he would push it aside and say nothing.
I don't believe that Deng Ming can really dissect himself.
Zhou Congwen came to the rest room and glanced at Deng Ming through the glass.
The sterile mask covered more than half of his beard, Zhou Congwen smiled inwardly.
I still remember asking a question when I met Deng Ming for the first time in my last life—whiskers and hair should be similar. Doesn’t it violate the principle of sterility when going for surgery?
This should be the only weakness of the elder brother.
Zhou Congwen smiled heartily, took the mirror from the nurse and put it on his head.
"There are many disadvantages of using cotton swabs to clean ears, so don't do it in the future."
The little nurse giggled, "Doctor Zhou, your jokes are fun at all."
"What I said is true. If you guessed right, the main reason for your hearing loss is because the thread of the cotton swab stays deep in the external auditory canal, causing hearing impairment."
"..."
"If it continues, unfortunately, the deep part of the external auditory canal will be infected. If that happens, it will be troublesome!"
Zhou Congwen opened the dressing tray while talking, took out the fine tweezers specially used for ENT, and patted the little nurse on the head.
The little nurse was taken aback, she looked young at first glance, and didn't understand Zhou Congwen's meaning at all.
"Turn to the side." Zhou Congwen had no choice but to say a few words.
"Doctor Zhou, are you kidding me?"
The little nurse said it was a joke for the second time, but her face turned pale, Zhou Congwen's words startled her.
"Without a camera, you can't see what's going on inside. I'll let my colleagues take a look." Zhou Congwen said, "I'll just clip the cotton thread out, I hope it doesn't stick too much. I met a patient, the cotton thread was already attached to the tympanic membrane. Sticking together, and purulent infection, only major surgery can be done."
"Uh……"
Chapter 0505 Willing to do anything
Zhou Congwen's movements were swift and light.
"There was a patient who found that she had hearing problems in her left ear, and sometimes she couldn't hear any sound at all. After about 7 or 8 months, the situation began to gradually deteriorate.
When she used a cotton swab to clean her ear again, her left ear always felt very painful, and sometimes brown, unpleasant-smelling liquid flowed out, and there were even streaks of blood.
At first, the doctor also thought the situation was not serious, just a mild infection, and prescribed some antibiotics for her to go home to take.However, it didn't work. "
Zhou Congwen changed various angles to let the light shine in so that he could pick out his ears, while chatting with the little nurse, everything was quiet.
"Later, by chance, she met me. I took a look and found that the situation was very serious. At that time, I told her seriously that she had to be operated on immediately, otherwise her life would be in danger."
"Really!" The little nurse was already frightened.
What Zhou Congwen said was basically the same as hers.
"The patient had become infected deep in the ear canal, very close to her brain.
And it all turned out to be caused by loose cotton threads on the swab.
Even more unbelievable, I concluded from the medical history that these little cotton lumps had accumulated in the patient's ear canal for as long as five years! "
"It's okay." Zhou Congwen found the cotton thread accumulated in the little nurse's ear canal, and said with a smile, "I guess it hasn't been too long. You're lucky."
Liu Wei stood on the side the whole time. Hearing what Zhou Congwen said, he really wanted to scratch his head.
You are lucky, the subtext is to meet me.
I met the right person at the right time and the right place, is that what Zhou Congwen meant?
But this is the work of the ENT department, so what does it have to do with Zhou Congwen.
"Old Liu, come and take a look." Zhou Congwen greeted Liu Wei.
Liu Wei leaned over to take a look at the angle, and followed Zhou Congwen's line of sight to look inside.
I go!
Liu Wei was stunned for a moment.
In the depth of the little nurse's external auditory canal, there was a pile of things that couldn't see the color clearly. It didn't look like earwax, but it was stuck to the ear canal, and the adhesion was serious.
Liu Wei knew that Zhou Congwen was right. This was the appearance of the cotton thread on the swab dropped into the ear canal and weathered after an unknown period of time.
"How many times do you have to pick your ears?" Liu Wei said in surprise.
"More than a year, it's okay. The cotton thread in the ear canal of the patient I met last time almost turned into a stone, and it was difficult to get out." Zhou Congwen said lightly.
Although Shen Lang is not around for this kind of gossip, other nurses have similar attributes, and those who are not busy take the fastest time to take a look.
Everyone was taken aback by what happened in the little nurse's ear canal.
"Doctor Zhou, you can pick out the disease by picking your ears." Another little nurse asked in fear, "You can help me take a look later."
"Okay, it's okay." Zhou Congwen smiled, and began to use thin, sharp, toothpick-like tweezers to loosen the cotton threads stuck together in the little nurse's ears.
"Hold on, don't be afraid, I have it in hand." Zhou Congwen warned, "I'm afraid that if you shake it, the tweezers will penetrate the eardrum and stick into the brain."
"Doctor Zhou, don't scare me..."
The little nurse was about to cry from fright, and said tremblingly.
"Hahaha, just kidding, how can I make such a low-level mistake when I am so good. Even if you start dancing now, I can keep up with your rhythm and nothing will happen." Zhou Congwen laughed in a low voice.
Liu Wei was speechless, did anyone praise himself for being great?
But Zhou Congwen's technique was really powerful, the little nurse must be scared, she dodged twice inadvertently.
Once the little nurse hid slightly, but immediately felt bad and returned to her original position.
But Zhou Congwen's tweezers followed up, and Liu Wei's heart tightened when he saw it, for fear that Zhou Congwen would really smash the little nurse's tympanic membrane.
But nothing happened as expected. The tweezers in Zhou Congwen's hands were like the sheep he mentioned, as if they grew in the little nurse's ears, slowly loosening the sticky cotton threads.
A cotton thread was taken out, and the other nurses gathered around in surprise to observe.
two...
three...
"Fortunately, the time is not too long." Zhou Congwen said while pulling out the cotton thread, "The most serious patient I encountered had epilepsy because of pulling out his ears."
"Ah? Still have epilepsy?" All the nurses were surprised.
"Yeah, I also found it hard to believe." Zhou Congwen smiled. "When the patient saw the doctor, he said that he had left ear pain, headache, etc. within five years. Sexual nausea and vomiting, and even a short period of unconsciousness."
"I checked, and the patient had symptoms of necrotizing otitis externa.
This disease is usually accompanied by the discharge of yellow or green smelly fluid in the ear, earache, ear itching, and hearing loss.
Necrotizing otitis externa often affects the normal operation of other nerves, and in severe cases, it can also cause serious life-threatening conditions such as massive hemorrhage, meningitis, brain abscess, and encephalomalacia. "
"..." The little nurses were speechless.
"Over time, the infection has spread to the brain, causing seizures."
Ten minutes later, Zhou Congwen plucked out his ears and patted the little nurse on the head, "Let me look at the other side."
The little nurse had gained experience this time, so she changed her posture obediently. Zhou Congwen glanced briefly, "It's all right."
"Doctor Zhou, help me take a look too!"
"Doctor Zhou, and me!"
"One by one." Zhou Congwen said.
Sitting next to the incubator, Deng Ming saw through the glass that Zhou Congwen had become a master who cleaned his ears. Some nurses were busy, and those who were not busy lined up for him to clean their ears.
Alas, my little junior brother really has a way. When he first came to 912, he got along with the little nurses. Deng Ming felt emotional.
Zhou Congwen didn't pick out his ears for the sake of picking out his ears, nor did he want to show off his strength, but wanted to shorten the distance between him and the nurse.
What do other people think of a little doctor who came to 912 from a primary hospital?
The next doctor's order will be checked again and again, for fear that the little doctor will be unreliable and the nurse will be implicated.
Moreover, Zhou Congwen's sitting here does not conform to the rules of the hospital. If others stand on the moral high ground and point fingers and say something, I can only bear it.
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