Back in 2002 as a doctor
Page 303
"Yes, don't worry." Zhou Congwen said with a smile, "You should observe this operation more, and go back and recall it carefully. The patient is lying on the operating table."
"I'm afraid..."
"It's okay, I'll go to the sophomore year of medical school in the next year, and we will have many opportunities to communicate." Zhou Congwen said lightly.
Director Jiang was overjoyed.
Originally, he was looking forward to Zhou Congwen going to the Second Hospital of Medical University, but now he can't wait for Zhou Congwen to go back with him.
It's a waste of money for such a person to stay in the Third Hospital of Jianghai City!
But Zhou Congwen is right, the patient is still lying down, so don't think too much about it, it's important to hurry up and do the surgery.
Director Jiang hurriedly continued to fix the catheter according to Zhou Congwen's instructions, trying to capture and memorize every detail.
The operation was very fast, and the angiography was performed again in less than 10 minutes, and the patient's inferior vena cava had been completely opened.
Although Dr. Gao didn't know how to do the surgery, the black image of blood in the patient's inferior vena cava in the first image seemed to be pinched by a pair of invisible hands, with only a thin passageway.
But now, although the stenosis of the inferior vena cava has not returned to normal, it has been unobstructed a lot, and the function has recovered at least 80%!
This is more than enough!
Doctor Gao was a little emotional.
If it is done according to the previous operation method, the laparotomy is opened, the position is found, and the forceps are blocked to block the blood flow, the time is still limited.
Under the time limit, the inferior vena cava was incised, the membranous part was removed, and the inferior vena cava was sutured.
If this series of operations can be successfully completed, it will definitely be at the level of a national-level surgeon. I will never even think about it in my life, and it is impossible for my director to do it.
And even if a national-level surgeon performs the operation, the patient will have to go through a three-day dangerous period after the operation. Once there is a mistake in the suture position of the inferior vena cava, the patient will have to enter the uterus twice, or even die.
But in front of Zhou Congwen's operation...
Dr. Gao is speechless.
Back and forth, counting Director Jiang's time in a daze, it was only half an hour.
Not to mention, the length of time is actually not particularly important.The key is that Dr. Gao thinks...the patients can walk back by themselves after the surgery.
In the big surgery before yesterday, the patient stepped into the gate of hell with one foot, and it is certain whether he can be rescued.But now, it turned into an "operation" under the X-ray machine!The operation is not much bigger than the suturing of skin trauma.
This is simply incredible!
In particular, this patient has been treated by Dr. Gao for many years, and every time he pumps ascites to relieve symptoms, there is nothing else he can do.
In the hands of Zhou Congwen, half an hour "healed"!
Dr. Gao looked at the image on the screen and sighed deeply.
It's so awesome, it would be great if someone from the Third Academy could do it... No, isn't Zhou Congwen from the Third Academy? !
Dr. Gao had vaguely forgotten that Zhou Congwen was a doctor in the Thoracic Surgery Department of the Third Hospital, and treated him as a doctor in a higher-level hospital.
"Okay, let's send the patient back." Zhou Congwen took off his surgical gown and gloves and walked out with a smile.
"Xiao Zhou, is this the end?"
"Well." Zhou Congwen said, "It should be enough. Even if there is a repetition, it will be at least ten years later. If you have any problems, please contact me again, and I will deal with it."
"..."
"The fluoroscopy machine is still a bit difficult, it would be great if there is a dsa machine." Zhou Congwen felt a little regretful.
Doctor Gao almost didn't cry.
He forgot one thing—the Third Hospital did not have a machine for interventional surgery, and Zhou Congwen performed all operations under the unprofessional X-ray machine.
Do you want to learn similar techniques yourself?Doctor Gao began to hesitate.
Director Jiang seemed extremely excited, he surrounded Zhou Congwen and asked many questions.
Zhou Congwen answered one by one.
Although in the end Director Jiang still felt that he was still unsatisfied, but he also knew that he could only grasp so much for the time being, and the rest would continue to grow during the operation.
Today is not in vain, Director Jiang knows that he has gained a lot from running around all night.
He is looking forward to the establishment of the Academician Workstation in the next year, and the scene where Zhou Congwen goes to work in the Second Hospital of Medical University.
Or Huang Lao is Huang Lao, the students he taught in just a few days are so good.
Director Jiang attributed everything to Huang Lao, otherwise there would be no reason why Zhou Congwen would do such a good job in interventional surgery.
Zhou Congwen never tired of Director Jiang's questioning, but he rejected his idea of going back overnight.The two made do, Zhou Congwen took the initiative to call Master Shi for the first time and asked him to drive Director Jiang back to the provincial capital.
After sending Director Jiang away, Zhou Congwen let out a sigh of relief.
"Doctor Zhou, if there is nothing else, I will leave." Wang Xueteng knew that he would not be treated like Director Jiang, and Zhou Congwen would not find a driver for himself, so he came up to say goodbye.
"Thank you, Manager Wang." Zhou Congwen said lightly, "I will contact you more when I go to the provincial capital."
With Zhou Congwen's words, Wang Xueteng finally breathed a sigh of relief.
Relying on Zhou Congwen's connection with Huang Lao, his status in the company has risen!
Wang Xueteng drove his car and disappeared into the night, Shen Lang murmured, "Congwen, I want to go to the provincial capital with you!"
Chapter 0528 Cured Meat
Zhou Congwen really wanted to hold Shen Lang's ear and tell him loudly that the one waiting for him in the future is not a beautiful girl, but 912, the highest-level hospital in China!
But Zhou Congwen sighed when he saw Shen Lang's completely fallen ghost.
No way, I didn't know that this guy was still a pervert before.
Maybe this is life.
"Let's go, don't think about Manager Wang. His annual salary is hundreds of thousands, and you can't even earn 1 yuan." Zhou Congwen smiled, and patted Shen Lang on the shoulder, "I only said a few words to you because you It's a doctor in the department, and I don't want to offend you."
"I can work hard!" Shen Lang's eyes were full of determination for the first time.
It seemed to be okay, Zhou Congwen didn't have the determination to hit Shen Lang, so he took him back to the department to smoke a cigarette for a rest.
When Shen Lang was smoking, he was still out of his mind, as if his soul had been snatched away by Manager Wang Xueteng.
"Go, take a look at the postoperative patient and go home."
After smoking, Zhou Congwen and Shen Lang said.
"Congwen, do you have any relevant books?" Shen Lang asked.
Zhou Congwen's smile is like a blooming chrysanthemum.
It never occurred to him that Shen Lang, who had been absent-minded all this time, seemed to have been lying down for a long time, because a product manager was going to read a book.
It was a pleasant surprise.
Moreover, Zhou Congwen could feel that it was useless for Shen Lang to say that he went back to study diagnostics and was proficient in gossip.But now I ask myself to learn about surgery, because I want to become stronger from the bottom of my heart.
It's not too late, at least he is there, Zhou Congwen said with a smile, "I'll bring it to you tomorrow."
"Okay!" Shen Lang clenched his fists and looked forward, like a character on a promotional poster.
Zhou Congwen and Shen Lang walked slowly to the general surgery department to see the postoperative patients.
The interventional surgery has little damage, and there are basically no complications after the Budd-Chiari syndrome surgery, so Zhou Congwen is not in a hurry.
The reason why I have to go to see it is because of the habit of many years. If I don't take a look, I won't be able to sleep well when I go home.
When he came to the general surgery department, Zhou Congwen didn't find Dr. Gao either.After tossing all night, he was very sad and happy, it is better to let him rest early.
Entering the ward, the old branch secretary was sitting by the bed and was teaching the patient a lesson, chattering and having a bad temper.
Zhou Congwen smiled slightly, the fact that the old branch secretary can stay here explains everything, and the rest is not important.
The patient was trained like a grandson, he muttered and complained, "It's not an operation at all, it's useless."
"You know! Doctor Xiaogao has said everything, it must be fine. Lie down obediently, and your legs cannot be bent. If you dare to be disobedient, I will kill you tonight. I am already old, let it go My wife and children are hot on the kang and don't sleep, so I'm here to accompany you, and you still insist on me."
"Let me tell you, I have a bad temper right now, so don't kill yourself!"
Zhou Congwen smiled, "Old branch secretary, you will accompany me tonight."
"Doctor Zhou, you're here." Seeing Zhou Congwen coming in, the old branch secretary hurriedly stood up, "Not to mention living in his family, a big yellow dog also died the year before last. Now there is not even a breather. I don't take care of anyone. .”
"Besides, he was disobedient, and when he came back, he wanted to go to the ground."
"It's not okay to go to the ground, at least until tomorrow morning, and now the thighs can't be bent back." Zhou Congwen walked over with a smile on his face, and lifted the patient's quilt.
In the next second, the smile on Zhou Congwen's face froze, as if he had suffered a critical blow with negative attributes, and his whole body went into a state of stiffness and near-death.
It is a routine operation to instruct the patient to pressurize with a salt bag.
This was done before there was a hemostatic plate.Zhou Congwen has long been used to it, and taking a look at the quilt is just to appease the patient and avoid some rare complications.
But Zhou Congwen didn't see the salt bag, but saw the white salt sprinkled on the patient's accessories.It's like... trying to marinate the patient.
"What is this?" Zhou Congwen asked with a frown, his voice became much colder in an instant.
"Salt, the doctor ordered you to buy two bags of refined salt. The palm-sized gauze, two bags of salt will not be used. I plan to sprinkle a little on it in an hour." The old branch secretary explained.
"..."
Zhou Congwen was bombarded by five thunders, his outside was scorched and his inside was tender.
Shen Lang was also dumbfounded, is this marinating meat?Sprinkling so much salt, the patient's incision must be painful, no wonder he has been dishonest.
"Shen Lang, go get a dressing change kit." Zhou Congwen sighed, "Old party secretary, it's my fault, I didn't explain clearly after the surgery."
Zhou Congwen looked the old party secretary in the eyes helplessly and apologized first.
"Boy, it's okay. I didn't sprinkle enough? I saw that Dr. Gao had a rest, and I didn't dare to disturb him. I'm such an old man, I can always do this kind of thing. I haven't done it. I also saw my wife at home. did."
Of course, the old party secretary had already seen from Zhou Congwen's eyes that he had done something wrong, and apologized quickly.But he didn't know what was wrong with him, and he spoke a little slowly.
"What did you do?"
"Pick the pickles and press them with salt." The old branch secretary said logically.
"..." Zhou Congwen knew he was wrong, very wrong.
It should be taught hand in hand.
But fortunately, I came in time. Although I didn't come in time, it would be no big deal to pass the night, but... the patient must feel uncomfortable covered by the gauze soaked in salt water for a night.
"Old party secretary, that's not the case." Zhou Congwen raised his left hand and gestured at the joints between his index finger and palm.
"Here, here is the puncture point. Although we are piercing a vein, the pressure is not as strong as the femoral artery, but there is a hole in such a thick blood vessel, so there is still a certain pressure."
Zhou Congwen's posture was very vivid, and the old branch secretary nodded.
At this point in the explanation, Zhou Congwen bent his fingers, "Here, the salt bag is pressed on the bend to stop the bleeding."
"Oh oh oh." The old party secretary understood, he was a little embarrassed, and waved his hand and slapped the patient's arm, "It's all you, if you didn't make troubles, I would have asked the doctor what was going on Already!"
Zhou Congwen couldn't laugh or cry, and explained why his legs couldn't be bent back.
Shen Lang came over with a dressing change tray, and Zhou Congwen changed a piece of gauze for the patient, bandaged it with pressure, and pressed it with a salt bag.
"Doctor, there is only one bag of salt left."
"One bag is enough. Two bags of salt are for arterial pressure. I'm used to saying that." Zhou Congwen comforted the old branch secretary.
People in their 50s have to accompany the patient. The patient is not his son, but a five-guarantee household in the village. Zhou Congwen's respect for the old party secretary comes from the heart.
Grassroots cadres have worked very hard, and their prestige has been accumulated bit by bit.
After leaving the general surgery ward, Zhou Congwen breathed a sigh of relief. Fortunately, he was cautious and took a look before going home.
Although there may be nothing wrong if you don't look at it, but when you think of the old party secretary's method of bacon... Zhou Congwen can't laugh or cry.
Chapter 0529 The scar is healed, forget the pain
After returning home, Zhou Congwen washed and went to bed.
I haven't seen Liu Xiaobie for a long time, I don't know what that girl is busy with.
Zhou Congwen didn't dare to think about Liu Xiaobie too much. When he thought of her, all kinds of embarrassment would suddenly erupt, as if she was holding him in her arms like a princess, or as if he was riding on her neck...
Well, it's quite soft... Zhou Congwen fell asleep in a daze as he thought about it.
Early the next morning, I washed and ate and went to the hospital.
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