Back in 2002 as a doctor

Chapter 0607

"Then what should we do?" Zhang You said with a complaining tone after confirming.

Teng Fei glared at Zhang You.

The two did not cooperate tacitly, and there were constant bumps and bumps between them.

Zhang You is not as honest and honest as Chen Houkun, but Chen Houkun was "thrown out" to the thoracoscopy department, and Teng Fei had no choice but to bite the bullet and deal with Zhang You.

"Stop the anticoagulant first." Zhou Congwen completely ignored the sparks between Zhang You and Teng Fei, and said with Xiaoping's head crossed, "Go see the eye patient. If the heart failure is serious and the blood coagulation function recovers, emergency surgery should be performed immediately."

"I've been taking anticoagulants all the time. This operation is too difficult." Zhang You habitually babbled.

This is his typical way of speaking. No matter what it is difficult to say first, he will raise the difficulty as soon as he opens his mouth.

But he forgot about Zhou Congwen's appearance, and Zhang You felt something was wrong as soon as the words came out of his mouth.

"It's okay. If Director Zhang thinks it's not easy to do, he can transfer to our group, and I will be the chief surgeon." Zhou Congwen said lightly, not caring.

Hearing Zhou Congwen's words, Zhang You staggered, his legs gave way, and he almost didn't fall.

This is so...

He instantly understood the meaning of the Academician Workstation, and he understood the "threat" to himself better.

Before the establishment of the Academician Workstation and Zhou Lailai, Chen Houkun had already been kicked into the thoracoscopic group, and all doctors who could perform cardiothoracic surgery were under Zhang You's command.

With the example of Chen Houkun, as long as anyone with a wink knows what Zhang You means, they will never disobey easily.

This is a bayonet fight, if you can hide, you can hide, otherwise you will bleed all over your body.

So Zhang You can complain to upstream departments and do many things.

Especially for patients who encountered complications such as heart rupture after coronary stent surgery, Zhang You even dropped the instrument to express his anger during the rescue.

The cooperation was stumbling, and Teng Fei had no choice but to hold her nose and bear it.

But with the establishment of the Academician Workstation, and with Zhou Congwen coming to the Second Hospital of Medical University to preside over the work, everything changed inadvertently.

If Zhang You doesn't do it, Zhou Congwen can do it, and he is not Zhang You's subordinate in an absolute sense.

Mr. Huang, that is Taishan Beidou of cardiothoracic surgery, the established academician workstation will not be qualified to perform cardiac surgery?

Zhang You staggered a bit, almost crying.

Master, aren't you here for thoracoscopy?Why are you still involved in heart surgery?

"Xiao Zhou, are you sure?" Teng Fei was overjoyed, her voice trembling slightly.

Zhou Congwen just said bluntly that it was caused by her operation error, which made Teng Fei a little unhappy.

But in a flash, Zhou Congwen decided to wipe her buttocks, and his emotions were just right.

"I'm not sure." Zhou Congwen said seriously, "No one is sure about similar operations. Director Teng should do a good job with the patient's family members before the operation. Don't push the responsibility, and get things done in advance."

Teng Fei nodded with a bitter face.

Although Zhou Congwen didn't take it all in, his words were true.

"Let's see the patient first." Zhou Congwen said lightly.

The patient's condition is not good, with obvious symptoms of heart failure, even difficult to lie down, and orthopnea has appeared.

Zhou Congwen did a detailed physical examination and did not say anything in front of the patient or the patient's family.

After several people left the ward, Zhou Congwen went straight to the office of the academician workstation set up in the ward, which is equivalent to setting up another office of the director of cardiothoracic surgery.

Zhang You gradually realized what was wrong with him. It is hard to guard against family thieves by day and night.

Unexpectedly, Mr. Huang set up an academician workstation and indirectly made himself empty.

Where to go to reason!Zhang You followed Zhou Congwen in a depressed mood, he wanted to see what was going on.

As for whether Zhou Congwen can complete the operation, Zhang You has no doubts at all.

During bypass surgery at the No. [-] Hospital of Jianghai City, he accidentally split his heart while splitting his sternum. It was Zhou Congwen who wiped his own ass. Then he demonstrated the technique of bypassing the heart without any equipment at hand. .

Thinking about it now, Zhang You still feels that the operation was performed like a dream, unbelievable.

If it was true that Teng Fei made a mistake in the operation and punctured the aortic sinus, it is estimated that Zhou Congwen can do it too.

But... the more capable Zhou Congwen was, the more uncomfortable Zhang You felt.

"Xiao Zhou, if there is a problem with the right atrium, why is there no cardiac tamponade?"

As soon as he entered the room, Teng Fei couldn't wait to ask.

"There are several reasons. The first is the anatomical location of the aortic sinus—the aortic sinus is surrounded by the right atrium, right ventricle and their surrounding tissues. When it ruptures, the catheter easily enters the right atrium and right ventricle, but rarely enters the pericardium."

"What's more... Director Teng, you used a 5f catheter during the angiography, right?"

Teng Fei nodded.

"The 5F catheter is relatively thin, and the breach will close automatically after the catheter is pulled out. It may be related to the fact that the catheter head is pressed against the aortic sinus during the operation and the ultra-smooth guide wire is sent out."

"third……"

"fifth……"

Zhou Congwen, like a graduate student, did not dwell on responsibility, but began to explain to Director Tengfeiteng why the coronary angiography catheter was mistakenly inserted into the right atrium, but there was no cardiac tamponade.

Teng Fei was dumbfounded, and so was Zhang You.

What Zhou Congwen said were all the most professional terms. Although he was not sure, each item was so clear that the two knew that the reason why the patient did not have cardiac tamponade must be caused by one of the reasons.

"Generally speaking, the pericardial effusion will disappear after suspending anticoagulant drugs. I am nursing that the symptoms of heart failure are obvious. When the blood coagulation function recovers a little, emergency surgery will be performed."

After Zhou Congwen finished speaking, he glanced at Teng Fei and then at Zhang You.

"Both directors, do you have any objections?"

"..."

Zhou Congwen's words were full of coercion. Zhang You and Teng Fei felt that it was Mr. Huang standing in front of them, bowing their hands behind their backs, asking if they had any objections.

Isn't this nonsense, what objection can I have!

"No." The two subconsciously said in unison.

After finishing speaking, Zhang You was depressed.

I am the chief director of cardiothoracic surgery at the Second Hospital of Medical University!You are yourself! !

The little monster in Zhang You's heart roared wildly.

"Xiao Zhou, what do you need me for?" Although Teng Fei was a little dubious, she still felt that what Zhou Congwen said was right. She asked in a low voice like a child who made a mistake, trying to make up for the mistake as much as she could.

Zhou Congwen smiled slightly, "Director Teng, as I said just now, there will always be various mistakes at the beginning of a new technique, as long as you know what went wrong, and try not to make similar mistakes in the future."

After less than 48 hours of observation, on the morning of the third day, echocardiography found that the pericardial effusion disappeared, but the patient's symptoms of cardiac insufficiency did not ease, so Zhou Congwen decided to prepare for emergency surgery.

Chapter 0608 two slaps first

"Director Zhang, are you coming?" Zhou Congwen asked.

Zhang You felt awkward, and really wanted to say something inappropriate to drive Zhou Congwen into a corner.But when the words came to his lips, Zhang You swallowed them back.

"I'll go up and help." Zhang You smiled with his big teeth bared, and said politely, "Xiao Zhou, I'm afraid the two young men you brought with you may not be able to do it."

"Well, they mainly do thoracoscopic surgery." Zhou Congwen said, "Fortunately, Director Zhang helped."

Zhang You frowned and asked in a low voice, "What if I'm not at home?"

"Then I have to ask Brother Chen for help."

"..."

Zhang You wants to cry but has no tears.

I really want to stop Zhou Congwen's surgery!Otherwise, the bad breath in my heart will not come out.

But although Zhou Congwen has no taboos in doing things, he is backed by Mr. Huang, and the academician workstation was personally supervised and established by the provincial office director, and he would not dare to stop Zhou Congwen's surgery even if he had a hundred courage.

Bite the bullet, Zhang You is actually more curious about the patient's diagnosis.

He approached Teng Fei at that time, just out of subconscious awareness of throwing the blame away, thinking that since Teng Fei had operated it, it must be her problem.

But it wasn't that the right atrium was penetrated by the guide wire, so Zhang You didn't dare to bite to death.

Zhou Congwen mentioned so many diagnostic basis more than 30 hours ago, Zhang You went home and pondered carefully, feeling uncertain.

"Xiao Zhou, what are you going to do?" Zhang You asked.

"Repair the right atrium, and then directly jump and build a bridge to solve the problem."

Isn't this stealing your own job!Zhang You felt angry, but suppressed it immediately.

He wasn't stupid, he didn't want to touch Zhou Congwen like an egg hitting a rock.

I can still vividly remember the meeting a few days ago, how about the legendary Mayo boy?It's not like he just rolled away in despair, and he didn't even have a scene to say in the end.

What about Academician Chu?His own son was slapped in the face, but he couldn't hold back and kept silent.

Zhou Congwen's technology is top-notch, and there is Huang Lao's endorsement behind him. As long as he has no problem with his brain, he will not go head-to-head.

But he was too unruly, and put his hand into his own pot... Zhang You was a little sad.

The key is that Zhou Congwen didn't hide it, and his expression should have been like this, which made people feel uncomfortable.

If it was someone else, Zhang You would definitely put on a deadly posture, who is afraid of whom!

But this trick is useless for Zhou Congwen.

It is said that it is not to bully young people who are poor. The key is that the Zhou Congwen in front of me is indeed a young man, but he is not poor. If I want to bully him, I don't know how to start.

Zhang You still remembered that when Zhou Congwen was just a medical doctor at the Third Hospital of Jianghai City, he persuaded Wang Chengfa to completely press him to death like a lion fighting a rabbit.

But I went to Jianghai City once by myself, ate scrambled eggs at Zhou Congwen's house, and came back disheartened.

At that time, he couldn't be pressed to death, let alone now.

Zhang You looked at Zhou Congwen with a sad face.

"Director Zhang, don't worry." Zhou Congwen smiled slightly, "I'm pretty good at heart bypass surgery. Didn't you see it once when Director Wang was still there some time ago?"

Director Wang is still there...he doesn't seem to be dead now, Zhang You cursed.

"The operation is not a big one, and the patient's blood coagulation is still a bit problematic, but it can be done barely, don't worry."

"Xiao Zhou, you are really..."

"Ha ha."

Zhou Congwen smiled lightly and glanced at Zhang You.

Zhou Congwen knew what Zhang You was thinking.

Face was given to Zhang You in Jianghai City when he was about to fight with Wang Chengfa. If it was really shameless to give face, Zhou Congwen didn't mind completely crushing Zhang You into ashes.

After explaining before the operation and dealing with a series of things, the emergency department pushed the patient to the operating room.

Teng Fei followed all the way because she was a little scared.

According to Zhou Congwen, it was his own radiography that made things happen.It's just a radiograph, and there is no treatment. How could something happen? !

Teng Fei knew the anatomical structure of the aortic sinus and right atrium, but how hard would it be to pierce it and cause pericardial effusion?

She was full of doubts, and was going to see with her own eyes whether Zhou Congwen's operation was really her own medical accident as he said.

The patient was sent to the stage, and Zhang You led a group of professors to perform surgery together.

This kind of surgical configuration is considered luxurious in the Second Hospital of Medical University.

But Zhou Congwen was the performer, which made Zhang You feel a bit nondescript.

Zhou Congwen prepared the [-]x mirror and handed it to Li Ran, who will put it on himself when the anastomosis is done later.

Swipe your hands on the stage, and the operation begins.

This operation is not a big deal for Zhou Congwen, and it is a routine operation.

Although the Second Hospital of Medical University still didn't have an octopus to fix the heart, it only made it a little more difficult for Zhou Congwen.

The boss has a good temper and won't swear easily, and the boss doesn't know many things.

But Zhou Congwen didn't mind wading through the muddy water, and used the surgery to silently tell Zhang You one thing - Director Teng will do the interventional surgery you don't want to do.If there is a problem with the operation, I don't need your escort at all. I'm here.