Back in 2002 as a doctor
Page 315
"No way." Zhou Congwen stifled the cigarette, "Shen Lang, I have something to tell you."
"Huh?" Shen Lang stared at Zhou Congwen, he felt something was wrong.
"Just now I met with the director and had a chat. If it is possible in the near future, we plan to carry out thoracoscopic radical resection of esophageal cancer. You..."
Before Zhou Congwen could finish his sentence, Shen Lang opened his mouth wide enough to stuff a goose egg in.
"What's your expression like?"
"Congwen, you are not joking, are you? This joke is not funny at all." Shen Lang shook his head, he was a little ashamed, it was obvious that Zhou Congwen was joking, but he believed it just now.
"I'm not joking." Zhou Congwen said seriously, "It's not difficult to perform radical resection of esophageal cancer under the laparoscope. How much contact do you have with your classmates? How much do they work in county and township hospitals?"
Zhou Congwen asked two questions in a row, Shen Lang was inexplicably surprised.
He could see Zhou Congwen's seriousness.
but……
Shen Lang has no concept of combined thoracoscopy and laparoscopy for radical resection of esophageal cancer.
It is said that the professor in the imperial capital had done it, but Shen Lang didn't see the video of the operation, he only knew that the professor had done the operation for nine hours.
Zhou Congwen wanted to try it wishful thinking, isn't it good to live?
Does this thing have a fever?
While thinking about it, Shen Lang subconsciously stood up and reached out to touch Zhou Congwen's forehead.
"Pa~" Zhou Congwen knocked off Shen Lang's hand.
"I'm not joking, you can ask your classmates, if you have a suitable patient, you can introduce them. I... I will let you contact Wang Xueteng when the time comes." Zhou Congwen said.
Hearing Wang Xueteng's name again, Shen Lang's expression became a little more vivid.
But only a little, he then shook his head, it was obvious that Shen Lang had a clear judgment on the relationship between himself and Wang Xueteng.
He is really a person who is a little bit in the dark, Zhou Congwen looked at Shen Lang with a smile.
"Congwen, if there is a medical accident, we will be in trouble in the future." Shen Lang began to formally communicate with Zhou Congwen.
"The operation will be successful. I will do it once and you will know it after seeing it. Believe me." Zhou Congwen said confidently.
"Nine hours?" There was a slight sarcasm in Shen Lang's words.
"More than two hours, and it will end in less than three o'clock."
"..." Shen Lang wanted to touch Zhou Congwen's forehead again, to see if this guy had a fever, why did he start talking nonsense.
Wang Chengfa did some radical resections for esophageal cancer.
Basically, the shift is completed and the patient is sent. The anesthesia starts at 08:30, and the stage opens before [-]:[-].
Although thoracotomy takes a little time to open and suture, it is superior in that the surgical field is large and the operation is simple.
It takes five or six hours. Zhou Congwen even said that radical resection of esophageal cancer with laparoscopic surgery saves time and labor compared with open thoracotomy.
impossible!
Absolutely impossible! !
Shen Lang firmly believed.
Seeing Shen Lang's expression, Zhou Congwen knew that he didn't believe it at all, so he smiled, "You can ask, the kind of patients who have no money at home and wait to go back to die. Come and try it. If you go back, you will starve to death, so come and try it." It might be possible to survive.”
"Can't you do it?" Shen Lang frowned.
"It's going to be changed during the operation. Why insist on thoracoscopic surgery if you can't do it?" Zhou Congwen said, "I and the director must have no problem with the traditional operation. What do you think?"
Shen Lang was a little moved for a moment.
Many patients in rural areas are not cured when they are found to be faulty, and they go back directly to wait for death.
Rather than that, it's better to try it.
"Congwen, you ask Olida to reimburse the expenses?" Shen Lang began to have some interest.
"Of course, there is still 1 to [-] yuan for the patient's family. But the operation needs to be videotaped, and this should be agreed with the patient and the patient's family in advance."
Shen Lang was taken aback.
This is the first time he has come into contact with the process of a demonstration operation, but he has heard people say about the development of new surgical methods in the past.However, at most a certain amount of hospitalization expenses would be waived, and Zhou Congwen even said that he could still give money!
With the possibility of living and earning money, it is good to leave some money to the family even after death, Shen Lang is sure to find the patient.
"Okay, let me ask." Shen Lang looked at Zhou Congwen, "Congwen, don't let anything happen."
"Why are you so timid?" Zhou Congwen said, "Don't worry, you just haven't seen it, you will do it after seeing it once."
"..."
Shen Lang really didn't know where Zhou Congwen got so much confidence.
Zhou Congwen knew that Li Qinghua instinctively resisted this matter. His personality was stable, and a small lung nodule was enough. Li Qinghua didn't have enough motivation to push forward with laparoscopic radical resection of esophagus cancer.
If there is a suitable patient here, Li Qinghua will admit it with a pinch of his nose, and there is still something to do.But if there were no patients, he would definitely not be so proactive.
Get in touch with Shen Lang and create an opportunity for him to work with beautiful women, killing two birds with one stone.
Chapter 0548
Baishui City, Office of the Vice President of the First Hospital.
Xiao Kai twisted the red invitation card in his hand, and looked at it quietly for a long time.
Jianghai City People's Hospital, Xiao Kai knew that this hospital was about the same size as his own hospital.But he was not interested in the invitation sent by Director Zhu Junzhu. Xiao Kai was only thinking about the little doctor who lived in the same room with him that day——Zhou Congwen.
To be honest, Xiao Kai was not satisfied with Olida's arrangement.
Xiao Kai couldn't accept that the vice president who was in charge of the clinic didn't have a big bed room, and had to share a standard room with others.
But the little doctor that day was really interesting, especially after Xiao Kai knew that the two-shot and one-shot thoracoscopic surgery was performed by this little doctor and Professor Chen, his interest in Zhou Congwen soared.
Originally, I wanted to find time and an opportunity to visit Zhou Congwen in Jianghai City, but I never made time because of my busy schedule.
This opportunity is now at your door.
Xiao Kai knew what kind of surgery Zhu Jun could do. Anyway, someone was spending money, so it would be better if he went to see Zhou Congwen "by the way".
Thinking of that young and immature face, Xiao Kai found it very interesting.
Young is young, but Zhou Congwen speaks very sophisticatedly, even Xiao Kai can feel that there is a sense of vicissitudes in Zhou Congwen's words that are not commensurate with his age.
This was a very weird and subtle feeling. Xiao Kai put down the invitation and picked up the landline to make a call.
"Director Ji, I'm Xiao Kai."
"I will also go to the annual meeting of Jianghai People's Hospital."
"I'm going to see an acquaintance, and you are attending your annual meeting."
……
……
Zhou Congwen didn't know that someone was coming to see him. He completely forgot about Dean Xiao who lived in the same room as him in the provincial capital.
He was just a passerby who met by chance, and not a patient. Zhou Congwen had no reason to remember him.
At this moment, Zhou Congwen was dragged to the X-ray room by Shen Lang, where he was looking at an image on the machine.
The image is through the chest and abdomen, but it is very weird, Zhou Congwen frowned very tightly.
A screwdriver-like object was in the cavity of the stomach. The resolution of the image was not very high, but Zhou Congwen could vaguely see the sharp tip of the cone right next to the stomach wall, and if the stomach moved a little, a big hole would be scraped out.
"Congwen, I just don't understand how this thing got in." Shen Lang said doubtfully.
"Oh." Zhou Congwen sighed.
Shen Lang is simply too gossip. If he spends half of his time on chest surgery and research, he will at least start as a leading professor in the future, and he will also be the leading professor of 912.
But he is interested in all kinds of weird things, not to mention "boring" business, even more interested in Wang Xueteng.
Just like this morning, when Shen Lang answered the phone, he dragged Zhou Congwen to watch the fun.
It was indeed a very strange case, and Zhou Congwen scratched his head.
The human pharynx is curved, not a straight up and down pipe.How the screwdriver was swallowed raw, Zhou Congwen couldn't figure it out either.
Zhou Congwen's first instinct was that the patient's trachea and esophagus would be damaged.
However, looking at the plain film, the patient had no hemopneumothorax and no mediastinal problems at all.
What a miraculous case.
"Congwen, how do you think the awl got in?" Shen Lang asked suspiciously.
"Shen Lang, I think you're looking at the problem from the wrong angle." Zhou Congwen said, "Shouldn't you think about how to make this thing come out?"
"..." Shen Lang was startled, and then tapped the message on the upper left corner of the screen with his hand.
Patient age 90 years old...
An elderly patient, and a very elderly patient, coupled with the huge heart image shown on the plain film, it is almost impossible for this patient to undergo surgery.
Zhou Congwen stretched out his hands to curl his flat hair, making rustling noises, trying to figure out what to do.
It's just that his eyes narrowed tighter and tighter, even Zhou Congwen wasn't sure enough to get the screwdriver out.
The operation is easy to do - open it, cut a small incision in the stomach, and slide the screwdriver out little by little.Just be careful to avoid side damage during the operation.
But the patient's own condition is not good, and the anesthesiology department dare not give anesthesia.
"Surgery is definitely not possible, and the anesthesiology department won't accept it." Shen Lang said directly what Zhou Congwen was thinking, "It's impossible to expel it, and the esophagus is relatively straight. By chance, this thing can enter the stomach, but the intestines There are nine bends and eighteen bends, and the liver and spleen can't get through. And I guess the stomach has been poked out a big... small hole."
Zhou Congwen nodded.
Patients have only one way to die.
"Sigh." Zhou Congwen sighed, "There is no way, unless the patient's family agrees to take the risk of dying on the operating table for surgery."
"What about the endoscopy? No, the endoscopy also requires general anesthesia, the patient's physical condition must not be able to bear it." Shen Lang said.
There was nothing to see, Zhou Congwen took out his phone and prepared to take pictures.
A few seconds later, Zhou Congwen smiled helplessly.
Taking pictures with a 2002 Nokia?This thing can be used as a brick when thrown out, but the function of taking pictures does not exist at all.
"Let's go." Zhou Congwen patted Shen Lang on the shoulder.
"Congwen, do you have any good solutions?" Shen Lang was still reluctant to let go, he seemed to have switched directly from the state of curiosity to the state of a doctor, and began to seek a solution.
But as long as a person with a little medical knowledge knows it is not good, the screwdriver can't expel it by itself.
"No." Zhou Congwen answered with certainty.
Shen Lang was not as energetic as when he came down, he lowered his head and frowned, and returned to the ward with Zhou Congwen.
When entering the doctor's office, Zhou Congwen almost bumped into Li Ran who hurried out.
"What are you doing? You're in such a panic." Zhou Congwen asked.
"My old neighbor had an accident. The old man suffered from Alzheimer's disease. He said he swallowed a foreign object today."
Li Ran said with a serious face, and the person quickly flashed past Zhou Congwen, causing a gust of wind.
Zhou Congwen was startled, and quickly shouted, "Li Ran, is the patient swallowing screwdrivers?"
"Uh, how do you know?" Li Ran was expressionless, but his eyes flashed with surprise.
"I just watched the patient's film." Zhou Congwen glanced at Shen Lang helplessly, "Let's go and see together, what do the patient's family members want?"
Li Ran didn't know the specific situation yet. He also just received a call from his mother who heard about it and asked him to take a look.
After listening to Shen Lang's gesticulation, Li Ran's face was full of frost.
Even if it's not a doctor, but just an ordinary person, anyone who has a slightly normal brain circuit knows it all. I'm afraid this ninety-year-old man has no chance.
"Let's take a look." Zhou Congwen said.
A strange color flashed in Shen Lang's eyes, and he knew Zhou Congwenxing!
I didn't say it just now, maybe because I don't know much about it, and I'm afraid of medical disputes.
Regarding this point, Shen Lang has always been unable to figure it out. He thinks that Zhou Congwen has delusions of being persecuted.
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