Back in 2002 as a doctor

Thinking about it, Zhang You was a little envious of Director Jiang.Being able to stand on the sidelines and watch the excitement must be very relaxed, unlike myself, who would have to take away all the heart and chest surgeries.

"Boss Director Gou and I can't compare to others, let alone ten times the difference, there are always three or five times."

"But retroperitoneal hematoma, renal artery was punctured, can this be conservative?" Zhang You tried to do something again.

"Let's wait and see." Director Jiang said, "There are some patients who can be cured by blood transfusion and hemostasis. If not, we will go to surgery. As long as the position is good, Zhou Congwen and I will install a stent together and solve the problem in half an hour."

Zhang You really wanted to hold Director Jiang by the neck and ask him, this is a disease of your vascular department, why did you let Zhou Congwen intervene!Where is the energy of robbing me of thoracic aortic dissection back then!

In fact, Zhang You also understands that persimmons are of course picky, and his skills are not as good as others, so he can't blame Director Jiang or Zhou Congwen.

It's just that I don't accept it in my heart, and there are many obstacles.

"Take a conservative look at it first, I don't believe that a definite diagnosis of Teng Fei can cause serious accidents to patients." Director Jiang blocked all Zhang You wanted to say.

The meal was tasteless, listening to the other directors chatting and laughing, Zhang You was in a mess.

I really envy them. It would be great if Zhou Congwen was from another department. I can also watch the fire from the other side, and boast with a smile that Xiao Zhou's technical level is really high, and I can rest assured.

It's a pity that Zhang You's job will be taken away by Zhou Congwen, so he doesn't have the heart to talk about it.

Zhang You has been closely observing the patient's condition.

Two days later, under the symptomatic treatment, the patient's hemoglobin had returned to normal. Zhou Congwen carefully performed an angiography to confirm that the renal artery was unobstructed and there was no bleeding. Then he went to the airport with Teng Fei.

Looking at the radiography film, Zhang You's mentality collapsed a bit.

……

After getting off the plane, Deng Ming stood at the reception gate holding a thermos cup in his hand.

Zhou Congwen opened his arms and gave Deng Ming a big hug, but Deng Ming was a little flustered, for fear that Zhou Congwen would touch his thermos with his hands and feet.

Chapter 0661 The Strongest Brain

"Xiao Zhou, I know you did a good job in interventional surgery, but do you know what the boss does?"

After getting into the car, Deng Ming asked.

Zhou Congwen looked at the cup held in the elder brother's hand, "Director Deng, there are geckos in my hometown, what do you want?"

"Gecko? There are also in the north?" Deng Ming was startled.

"That's what we call it. The gecko in the true sense is a national second-class protected animal. There is also a gecko in our hometown. The old Chinese doctor dried it for Chinese medicine. It nourishes the lungs and kidneys, relieves qi and relieves asthma, and helps block and benefit essence. The traditional Chinese medicine under the category of tonic medicine has a good effect."

After hearing Zhou Congwen finished speaking, Deng Ming was a little moved.

But he glanced at the cup in his hand and knew that this guy was joking with himself.

"Don't talk nonsense." Deng Ming was not angry, but asked flatly, "Zhou Congwen, is the operation sure?"

"Director Deng, you also saw it when rescuing amniotic fluid embolism. While performing chest compressions, embolize pelvic fractures at the same time. There are really not many people who can do this." Zhou Congwen said seriously.

"The boss's operation requires a [-]-point guide wire to penetrate through the mesh of the double-layer bracket at the end." Deng Ming said after pondering slightly, "The boss can definitely do it, but you also know that the boss is old. Don't shake your hands..."

Having said this, Deng Ming drew the end of his voice, and looked sideways at Zhou Congwen.

"I can, don't worry." Zhou Congwen said, "The operation is indeed difficult, but it's just a little difficult, it's okay."

Deng Ming did not expect Zhou Congwen to answer so readily, and was slightly surprised.

"Don't worry." Zhou Congwen patted Deng Ming's shoulder with a smile, "Director Deng, did the boss tell you?"

"Let's talk about it." Deng Ming said, "It can work in theory, but it depends on the actual operation. The boss said that he is here..."

With that said, Deng Ming nodded his head.

"Thousands of units have been made, and I think it should be no problem."

"It's definitely not a problem." Zhou Congwen said with certainty.

Deng Ming couldn't figure it out, and he couldn't be sure that the boss's new technique would be successful, but Zhou Congwen trusted the boss without hesitation.

The two chatted briefly, and Deng Ming didn't say much about the boss' modification of the classic crush technique. This kind of thing still needs to be seen with his own eyes.

Asked about the details of Zhou Congwen's workstation, Deng Ming was very moved.

He didn't care about Zhou Congwen's operation volume. The operation volume of 912 was much higher than that, so there was nothing surprising.But Zhou Congwen presided over the work, but he didn't make the mistakes that many young people would definitely make.

The work is meticulous and serious. From the time the patient is admitted to the hospital, all kinds of details are only cared about by experienced clinicians.It seems like trivial and unnecessary work, but Deng Ming knows that once the machine is started, more than ten surgeries a day are hidden dangers.

But Zhou Congwen did a good job, neither arrogant nor impetuous, as stable as an old dog.

It's one thing to do a good operation. I didn't expect Zhou Congwen to do such a good job in management. Deng Ming couldn't help but look at him with admiration.

Arriving at 912 and entering Mr. Huang's office, Zhou Congwen bowed slightly and approached Mr. Huang in small steps.

"Boss, how are you going to do the surgery?" Zhou Congwen asked.

In the previous life, the boss improved the crush technique and made great strides forward, advancing the narrowing treatment of coronary artery bifurcations to almost a perfect level.

But when Zhou Congwen came to 912 for a short stay, he didn't hear from the boss when he learned the technique.

So Zhou Congwen was very curious about how his boss's scientific research journey went.

In the past, Zhou Congwen didn't care about these at all. The system seemed to be waving a whip in his hand, and he kept whipping Zhou Congwen to move forward. He didn't care about the scenery along the way at all.

And at that time, Zhou Congwen crushed the doctors he met all the way, pushing him happily and aggressively, so he didn't care about these details.

To Zhou Congwen, the boss is a white-bearded grandfather with treasures in his body. As long as he needs it, the boss has everything.

But Zhou Congwen's form has changed inexplicably in this life. He has already mastered the new technique, and now he is more interested in when the boss will understand it.

In the previous life, the system would not give rewards for knowing such "gossip".

But for mastering the advanced version of the crush technique - DK-crush technique, the system gave him an incomparably rich reward, and issued a long-term main task, which made Zhou Congwen reap a lot.

It wasn't until after the boss passed away that Zhou Congwen regretted it.

People don't know how to cherish when they are around, and the nostalgia after people leave makes Zhou Congwen's heart ache every day.

Look at the boss's work more, even if you have to listen to a lot of force-feeding values ​​education, it doesn't matter.

Zhou Congwen looked at his boss curiously.

Listening to Zhou Congwen's question, Huang Lao's back was straightened, and his deformed fingers paused slightly.

He was not proud, and his expression was a little weird.

"boss?"

Zhou Congwen asked suspiciously.

"Do you know the classic crush technique, Zhou Congwen." Huang Lao didn't answer Zhou Congwen's question, but asked instead.

"This operation is equivalent to side-to-side anastomosis in surgery. Part of the stent of the bifurcated vessel will remain in the main blood vessel. The key to the operation is to flatten the stump of the bifurcated vessel with a balloon."

Zhou Congwen talked eloquently.

Huang Lao was a little relieved, put his hands in front of his body, and listened to the young man's opinion on the classic crush technique.

"No matter how high the level is, you can only try to make the stent in the bifurcation part as smooth as possible, and there is a high possibility of reocclusion and closure within 1-3 years after surgery."

"Because there are branches of blood vessels in the main trunk..." Zhou Congwen was startled suddenly, and then felt ashamed, "It's not correct."

"Zhi Leng Ba Qiao is your Northeast dialect, but it is quite appropriate and vivid." Huang Lao smiled slightly, "Yes, it is Zhi Leng Ba Qiao, it doesn't look beautiful."

Zhou Congwen smiled, and continued, "Because the stent is twisted and the hemodynamics have changed, that position is particularly prone to calcification deposits again. I even read some data, and doctors with average skills have patients with thrombosis after crush surgery." The possibility of increasing by about 54.2%.”

Deng Ming was taken aback.

Is Zhou Congwen slandering the classic crush technique?

Plaque stenosis at the bifurcation of coronary arteries is one of the clinical forbidden areas, and even without interventional treatment, surgeons are rarely willing to touch it.

There are reasons why the operation is too difficult and few can be done, and there are also reasons why the postoperative effect is extremely poor.

The boss studied hard and found countless ways because of the poor results of the operation.

But Zhou Congwen stood there and talked eloquently, which looked like a "joke".

Teng Fei was inexplicably confused when she heard this.

Even though the classic Crush technique has existed for many years, I still can't master it.

The difficulty of the operation is quite high. After two surgeries, Teng Fei never dared to touch this cutting-edge surgery again.

But Huang Lao and Zhou Congwen have already started to find faults, are they going to improve the crush technique? !

The gap is really so big, Teng Fei can't think of it.

"I heard that foreign doctors and manufacturers are working together to study drug-eluting stents to deal with local complications after successful crush surgery."

"What is a drug-eluting stent?" Teng Fei asked subconsciously, confused.

This term is absolutely unfamiliar to Teng Fei, but Zhou Congwen said it very simply and casually, as if it can be seen everywhere in the treatment.

The strong psychological gap left Teng Fei at a loss.

"The drug-eluting stent is a stent that uses the bare metal stent platform to carry anti-vascular intimal hyperplasia drugs, which are eluted and released locally in the blood vessel, effectively inhibiting stent intimal hyperplasia, and preventing in-stent restenosis."

Zhou Congwen simply explained, "Don't talk about this, just continue to talk about the classic crush technique."

"Suntendo Hospital seems to be working with Abbott on a drug-eluting stent. I think Dr. Miyamoto came to China to perform a demonstration operation. One of the points is to show the new stent to domestic doctors."

Huang Lao nodded slightly.

After the re-opening, Mr. Huang and his generation were the first doctors to contact with large foreign manufacturers.

Huang Lao knew the twists and turns inside.

"Using drug-eluting stents can indeed reduce the possibility of complications, but the crush operation is like a child with a congenital deficiency. No matter how you make up for it, there will be shortcomings. It cannot be changed by one or two new products."

It was quiet in Mr. Huang's office.

Zhou Congwen talked eloquently.

How dare Zhou Congwen say that the classic crush technique is worthless!Teng Fei had mixed feelings in her heart.

How come the high-end techniques that I haven't had the chance to master are outdated and worthless!

He even said that there are new types of drug-eluting stents, which are not enough.

Is Zhou Congwen so crazy? !

Yes, he is really that crazy.

"Zhou Congwen, how are you going to solve it?" Huang Lao saw that Zhou Congwen understood the crush technique, so he interrupted him and asked.

"Boss, I don't have time to study the solution." Zhou Congwen said with a smile, "You must have a solution, tell me?"

"Then I'll say it out, let's discuss it together." Mr. Huang looked into Zhou Congwen's eyes with deep meaning, but he didn't ask, but said leisurely, "I only simulated more than 1000 sets of this technique in my mind. Imitation, my talent is limited, and I can't be as accurate as Mr. Yu Min."

Zhou Congwen didn't change his face, but he sighed inwardly.

There are really geniuses in this world, such as Mr. Yu Min, whom the boss keeps talking about, or the boss himself.

Simulate the operation in your mind, an ordinary person can do it once or twice, but the boss definitely doesn't mean that.

Simulating surgery, figuring out what's wrong, and then fixing it, that's what the boss means.

Not limited by one's own mindset, every simulated operation is like a real operation in reality, and mistakes can be found and improved continuously.

Similar to the function of the operating room of the system.

It's just that the system is inexplicable, and Zhou Congwen doesn't know its principle, so he can only guess.

But his own boss can do this with his brain, and Zhou Congwen admires him no matter what.

What is the strongest brain?

This is the strongest brain!

Chapter 0662 World No. [-]

Only Zhou Congwen understood Huang Lao's words and knew how powerful they were.

The others, even Director Deng Mingdeng, were all confused and didn't know what Huang Lao's words meant.

After all, Zhou Congwen had experience in the operating room of the system.

"But simulated surgery, no matter how much you do, it will be just a simulation, and one day it will fall into reality." Huang Lao said frankly, "I will talk about my thoughts first, and then everyone will brainstorm to see if there are any loopholes. "

"Have a small meeting first, and then make a fool of yourself at the academy."