Back in 2002 as a doctor

"Hehe, don't think so much, if you are really insensitive to pain, you will have even bigger troubles." Chen Houkun comforted.

Zhou Congwen thought of the patient in the Third Hospital who had two thoracotomies due to multiple rib fractures.

But his thoughts were fleeting, "Professor Wen, why is the patient uncomfortable?"

Chapter 0639

"Patients are hypocritical," Wen Yuan said.

Zhou Congwen stretched out his hands to put Pan Xiaoping's hair on his head, and looked at Wen Yuan with a slight smile.He didn't agree with this, but he didn't directly refute it.

Wen Yuan was startled, he could feel the sharpness in Zhou Congwen's smile.

"Stomach hurts, it's not a pain from the incision, isn't this a joke?" Wen Yuan said shyly, with a hint of embarrassment.

Not because of anything else, but Zhou Congwen's attitude made Wen Yuan unacceptable.

I am a doctor of general surgery and hepatobiliary surgery. No matter how awesome Zhou Congwen is, and no matter how great Huang Lao is behind him, it has nothing to do with me.

Why did Zhou Congdi talk to himself with the tone and eyes of a senior doctor!

Outraged.

Wen Yuan was already slightly annoyed.

But he still tried his best to suppress his emotions, and the things Zhou Congwen asked were also very boring, Wen Yuan firmly believed that the patient was just hypocritical.

After a detailed physical examination, the patient's abdomen was soft when pressed, and there was no sign of peritonitis at all.

There will be absolutely nothing. If there is a problem, the physical examination will definitely reveal it.

Zhou Congwen is really young and vigorous this time!This makes you feel domineering and feel that you are a senior doctor?What kind of madness will become in the future.

Wen Yuan slandered in his heart.

"Professor Wen, take me to see the patient?" Zhou Congwen said with a smile, "There are some accidental complications, I hope there are no."

"..." Wen Yuan felt that Zhou Congwen was really pushing his nose and face.

Isn't it right that he performed the operation on Yin Yang himself? !

How can a cardiothoracic surgeon ridicule the operation of hepatobiliary surgery openly and secretly!

Chen Houkun also felt a little embarrassed. He took half a step forward, put his body between Zhou Congwen and Wen Yuan, and tried to smile, "Xiao Zhou, Professor Wen said there is nothing wrong, how about we..."

"Brother Chen, it may not be all right." Zhou Congwen shook his head, "Laparoscopy is sometimes troublesome. Of course, it's best if nothing happens."

Even Chen Houkun didn't know what to say this time.

Zhou Congwen wants to stand up?Is there any point in standing up with Professor Wen Yuanwen?

People hurried over to say hello and get close.Just casually mentioning that there might be a problem, Zhou Congwen would reach out and slap him.

Isn't this a joke.

Wen Yuan was ashamed, "Come on, I'll take you to see the patient. If there's something wrong, I'll admit it. If there's nothing wrong..."

"Professor Wen, I said go and take a look, don't let anything happen to you, what you said is wrong." Zhou Congwen smiled lightly, not caring about Wen Yuan's attitude.

Wen Yuan was momentarily at a loss for words.

Zhou Congwen was just Yin and Yang himself, and he never made it clear in a single sentence, and he really couldn't catch him.

Since he wanted to watch it, let him watch it. Wen Yuan got angry and walked away without looking at Zhou Congwen.

Chen Houkun sighed, he wanted to hold Zhou Congwen to say something, but he hesitated to speak.

Wen Yuan and him are old acquaintances. Chen Houkun was sent to the thoracoscopy team. When he was most lonely, Wen Yuan often came to him to discuss the practice of laparoscopic surgery.

The two shared weal and woe, and with Zhou Congwen's performance at the annual meeting of thoracic surgery, Wen Yuan was full of confidence in laparoscopic surgery, and his motivation greatly increased...

So Chen Houkun didn't want the two of them to get into a stalemate.

But Xiao Zhou... usually a kind person, why did he lose his temper all of a sudden?

Chen Houkun felt a little blocked.

When he came to the Department of Hepatobiliary Surgery, Zhou Congwen read the medical records first.

The patient was a 60-year-old male with acute epigastric cramps for 2 days, accompanied by radiating pain in the back, accompanied by moderate nausea, and intermittent fever. His body temperature was 37.8°C at the time of visit, without chills.

Similar symptoms had mild attacks in the past, and coronary CT in another hospital showed mild myocardial ischemia, and low-dose aspirin was administered orally.Chronic tobacco and alcohol history, quit two years ago.

The operation record clearly stated what happened yesterday, and it went smoothly without any trouble.And after cutting out the gallbladder, Professor Wen also carefully inspected the abdominal cavity, and found nothing wrong.

The postoperative ward rounds were also clearly written. The patient reported abdominal pain, physical examination, abdominal softness, and mild abdominal tenderness.

Auxiliary examination-blood routine: white blood cells 17.8x109/L, bilirubin, liver enzymes, and lipid levels were normal.Serum lactate dehydrogenase was 820U/L, and the remaining myocardial enzymes were normal.Preoperative abdominal B-ultrasound showed gallbladder stones, but the bile ducts were not visualized.

After scanning the medical records, Chen Houkun didn't think there was any problem.

It is estimated that Zhou Congwen thought too much, so that he offended Wen Yuan for no reason.

Xiao Zhou, young and energetic, is not good after all.

Zhou Congwen didn't say anything after reading the medical records, and went to the ward for a physical examination.

As Wen Yuan said, the patient had mild abdominal tenderness, but no rebound pain or muscle tension.Moreover, the patient said that the location of the pain is not clear, sometimes it is on the left, and sometimes it is on the right. It seems that it is indeed a hypochondriac manifestation of anxiety.

Leaving the ward, Wen Yuan was angrily silent.

"Professor Wen, please check another serum lactate dehydrogenase." Zhou Congwen said.

"Does it make sense?" Wen Yuan spoke a little choked up.

Isn't it normal to have a slight pain after the operation? Zhou Congwen is busy!

"If I'm not wrong, the patient's serum lactate dehydrogenase must be rising. If I guess wrong, that's the best."

Uh……

Wen Yuan was stunned for a moment.

Guess wrong is the best?What the hell is this.

He glanced at Zhou Congwen suspiciously.

"Professor Wen, please ask for bedside X-ray again, I will check the patient."

"You suspect..." Seeing that Zhou Congwen's expression was neither sad nor happy, as hard as a rock, Wen Yuan's thought that he was looking for trouble was gradually shaken.

"Intestinal necrosis." Zhou Congwen's answer made Wen Yuan's whole body icy cold.

Chen Houkun was also taken aback, but then he changed his mind and smiled, "Xiao Zhou, don't be kidding, it's impossible. Cut off the gallbladder, there is no continuous bleeding, how can there be intestinal necrosis."

"It's not just hemorrhagic necrosis, there are other possibilities. I guess it's still in the early stage. Check it now to confirm that the surgery will not have too serious consequences." Zhou Congwen said seriously.

Chen Houkun and Wen Yuan looked at each other, they didn't believe what Zhou Congwen said, but they didn't dare to question it.

If it is really intestinal necrosis, then fuck it!

If Zhou Congwen was still a young doctor, Professor Wen Yuanwen would treat him as farting.

However, Zhou Congwen has established his academic status through three thoracoscopic surgeries at the annual meeting of Thoracic Surgery, and there is Huang Lao's endorsement behind him...

When it comes to diagnosis, it should not scare people indiscriminately.

Wen Yuan's expression was ugly, "Xiao Zhou, is what you said true?"

"Yes." Zhou Congwen said seriously.

"Sigh." Wen Yuan sighed, "I didn't detect intestinal necrosis before the operation, so I should check carefully."

"It may be a complication from the surgery."

"..."

Wen Yuan's mind buzzed.

Zhou Congwen is a fucking fucker. I wanted to ease the relationship, but I didn't expect him to slap pots of shit on me!

Did you throw his child into the well by yourself?

Chapter 0640 intestinal necrosis!

"I..." Wen Yuan still wanted to explain.

"I hope my judgment is wrong." Zhou Congwen said, "Let's do the inspection first, that's all, we'll talk after the inspection."

Wen Yuan was speechless.

Zhou Congwen had already spoken to this extent, he hesitated for a while, his anger gradually subsided, and he was more worried.

If it is true that the mirror slipped and punctured the intestines during the laparoscopy, then you will be fucked!

Although Wen Yuan thought about it many times and denied this possibility, he couldn't ignore the suggestion of a doctor who easily broke the barrier of difficulty in thoracic surgery.

Even if the intestines were punctured, there would be no intestinal necrosis, Wen Yuan couldn't figure out why.

Check it out, what else can I do.

Anyway, the patient reported abdominal pain, and it was necessary to do several checks.

Asking the little doctor under him to push the X-ray machine beside the bed, and ordering blood collection, Wen Yuan quietly waited for the result.

He pondered over the operation process again and again, thinking of every detail to the extreme.

But Wenyuan still didn't find out where he made a mistake.

Impossible, absolutely impossible!

Less than half an hour later, the X-ray results came out, and Wen Yuan was dumbfounded when he saw it.

Abdominal X-ray showed multiple small bowel dilatation with air-fluid level.

Not to mention anything else, there must be something wrong with this plain film alone!

Called to remind, the result of serum lactate dehydrogenase was reported, and the value has been greatly improved on the basis of admission examination!

"Xiao Zhou, this is..." Wen Yuan almost cried.

I didn't touch my intestines, absolutely not!

But Professor Wen Yuanwen didn't dare to explain. He acted like a student, an intern, or an intern who made a big mistake, and didn't dare to say a word.

"Come on stage, open it and have a look. You and the patient's family will explain it to Professor Wen." Zhou Congwen said lightly, "By the way, we need a hybrid operating table. I'm not sure if it can improve blood circulation, and try to cut a little less intestine."

"..."

Wen Yuan was stunned when he saw Zhou Congwen talking to himself about going on stage with great confidence.

Do you really want to go on stage?

His first thought was to be conservative. It would be best if he could not have surgery.

Now that the operation involves the intestinal tract, it must be a medical malpractice.

Every doctor is unwilling to face medical accidents, and hopes that patients will come in lying down, walk out, and shake hands with smiles to express their gratitude.

It would be even better if you could receive a pennant. Although you can't spend it, it represents a kind of recognition.

If there is a medical accident, it must be as far away as possible!

As for walking in and going out lying down... I dare not even think about it.

Wen Yuan looked at Zhou Congwen in a daze.

"There is no problem with the operation." Zhou Congwen said, "The pneumoperitoneum has not been established for a long time, but considering all the circumstances, I still suspect that the pneumoperitoneum pressure causes intestinal ischemia and necrosis in the abdominal cavity."

Wen Yuan listened to Zhou Congwen explain the principle, recalled it carefully, his hands and feet were cold.

Indeed, the establishment of pneumoperitoneum will increase the intra-abdominal pressure of the patient.

However, the pressure of the pneumoperitoneum was okay, and it did not exceed the standard range written in the guideline. I confirmed it when I performed the operation myself.In addition, the operation time is not long, so it is said that there will be no side effects, so Wen Yuan didn't think about it at all when Zhou Congwen said it.

How did something go wrong!

At this moment, the last trace of shame and anger dissipated in Wen Yuan's heart, and he honestly explained to the patient's family according to what Zhou Congwen said.

At this time, the basic skills of a doctor are tested.

Officials have two mouths, and doctors are the same. If the same sentence is spoken by different people, the attitudes of the patient's family members may be completely opposite.

Wen Yuan cheered up and went to explain the condition to the patient's family, but Zhou Congwen ignored these matters.