Back in 2002 as a doctor

The next day, Zhang You squatted in the Internet cafe and surfed the Internet, and began to study the classic crush technique.

The more I study Zhang You, the more frightened I become.

Cardiac intervention has found a direction for a technical problem that could not be solved by cardiac surgery, and this happened many years ago, and I didn't know it at all!

Although there are many problems in this direction, and the possibility of re-stenosis and thrombosis within one year after surgery is extremely high, it is a direction after all.

Moreover, there is no better way clinically.

Coupled with the emergence of drug-eluting stents to curb thrombosis, the classic crush procedure has become the only option for the treatment of coronary artery bifurcation lesions.

This is not counted, Huang Lao went a step further on the classic crush technique, and proposed an advanced version of the crush technique.

I am out of date, and after watching all this, Zhang You has a clearer understanding of himself.

He felt a little ashamed, but more confused.

In terms of academic matters, Zhang You has always believed that many years may not be able to change once, and what he has mastered is enough to survive until retirement.

He even thought about being able to give lectures with the support of manufacturers after retirement.

Now look at yourself as a joke.

Chapter 0669

Zhang You studied the classic crush technique for a whole day, and the "new" technique opened his eyes.

Although the provincial capital belongs to the border of technology in the whole province, there are really countless things Zhang You doesn't know about the whole world.

This is also the director of cardiothoracic surgery, who has done research on coronary bifurcation surgery and knows the specific anatomy.

Another little doctor would definitely be in the dark, even if he faced the detailed information, he would not be able to get in.

After Zhang You researched and "understood", his mind was buzzing.

He couldn't believe that the existing technology has been able to increase the chance of treating coronary bifurcation lesions to a height of 70%.

This simply overturned Zhang You's understanding of the disease.

In his mind, coronary artery bifurcation lesions are a forbidden area for surgery, whether it is surgery or interventional surgery.

70%, in Zhang You's view, is already an extremely high number, which cannot be surpassed. Then, is there any improvement in the DK-crush technology created by Mr. Huang?

For this point, the more research you do, the more curious Zhang You becomes.

He himself is also a person with a background in technology, and now there are only a handful of surgeries in the province.Although he is already old, the surgery is definitely not as good as when he was young, but his eyesight is still there.

With eyesight, curiosity, and benefits, Zhang You is scratching his head, and he is looking forward to the annual meeting of circulatory medicine that will start tomorrow.

After making an appointment with Director Miao, Zhang You was a little surprised that the director of the Department of Cardiothoracic Surgery would also attend the annual meeting of the Department of Cardiothoracic Medicine.

People make great strides forward, further, further, bravely and diligently, reaching the pinnacle, even at the age of eighty, they still continue to study.

I am really ashamed to compare myself with Huang Laoyi.

But Zhang You has a thick skin, and the thought of shame just flashed in his heart, and then disappeared without a trace.

After a sleepy night, Zhang You went to the restaurant early the next morning to have breakfast and stood at the door waiting for Director Miao's car.

Zhang You was surprised by the morning rush hour in the Imperial Capital. Director Miao found several small alleys, drove all the way to the Imperial Cardiovascular Hospital, and took Zhang You directly to the assembly hall.

"Director Zhang, ask Xiao Zhou, if possible, let's go to the operating room?" Director Miao said to Zhang You half seriously and half jokingly.

"..." Zhang You was silent and sighed.

Seeing that Zhang You was in trouble, Director Miao laughed, "I'm just kidding."

"To be honest, I'm not afraid that you will laugh at Director Miao. Xiao Zhou is a student of Mr. Huang, and the academician workstation of the Second Hospital of Medical University... belongs to providing a venue for Mr. Huang. My status in the department is really inferior to him." Zhang You said again Sighed, to tell the truth.

"I know, people who can use thoracoscopic double-sleeve resection or double-sleeve resection of the upper lobe of the right lung can't compare him with ordinary deputy directors and professors leading the group. If Xiao Zhou worked in my place, I wouldn't Know how to speak to him."

Director Miao let out a haha, and Zhang You was in a mess.

I don't know, I don't know at all.

The scene of Zhou Congwen squatting on the ground and drawing anatomical diagrams for himself comes to mind, and Zhang You always thinks of it inadvertently.

I used to think that Zhou Congwen was just talking nonsense, but now Zhang You gradually felt that what Zhou Congwen said seemed... seemed... reasonable.

Looking at the situation, I don't know what the improved crush technique looks like.

Zhang You hid beside Director Miao, pretended to be carrying a bag, and followed him all the way to the great hall of the Imperial Cardiovascular Hospital.

Director Miao was also quite knowledgeable, and instead of sitting in the front row on the basis of his familiarity with the doctor, he wisely chose a corner seat in the back row to sit down.

Zhang You let out a sigh of relief, and tried to hide in the corner as much as possible, like an alien sitting in the fanatic crowd of the opponent.

Try to hide yourself as much as possible, all Zhang You hears is full of expectant voices.

The classic Crush surgery is too difficult, and there are not many domestic operations.

But the participating doctors knew about this, and they were eager to see the surgeries performed by the world's top doctors, eager to communicate and improve with them; they were eager to learn the classic crush technique and apply it clinically.

Sometimes you only need to watch a surgery and know how to do it, and a lot of people will start thinking and researching it after returning home.

There were discussions about Crush surgery everywhere, and Zhang You's feelings of guilt were further ignited.

I didn't know what the Crush technique was before.

But listening to the discussions of the doctors around me, especially the doctors who are about 30 years old and who are obviously the chief resident, are very eloquent, and when they cite the difficulties they encountered during the operation and the conditions of the patients after the operation to explain , Zhang You felt old.

In the provincial capital, I always said that Lao Tzu's number one in the world is clearly watching the sky from a well.

There was once such an opportunity in front of me, but I didn't cherish it. If I could return to Zhou Congwen's hometown again...

Zhang You didn't want to finish, suddenly people around him stood up one after another, and immediately applauded.

"Dr. Miyamoto is here." Director Miao said to Zhang You in a low voice.

Dr. Miyamoto, a tenured professor at Juntendo Hospital and one of the strongest in interventional cardiac surgery, deserves the applause.

Just as Zhang Yougang was about to applaud, Director Miao's eyes swept over him.

His gaze was invisible, but Zhang You felt that he had been scratched by a knife, and it was burning and painful.

"Old Huang's subordinates are just defeated. Why are you so excited? It's boring." Director Miao said in a low voice.

Zhang You couldn't help laughing.

Is this all over?It seems that the competition between Cardiac Surgery and Circulatory Medicine in Imperial City is fierce.Or it can't be called competition, but just the last bit of reserve and struggle of the Cardiac Surgery Department.

Alas, Zhang You was full of sadness after laughing.

The surgery for coronary artery bifurcation has not made any progress for so many years, but if you look at circulatory medicine, it can be said that it is making rapid progress.

According to statistics, the success rate of classic Crush surgery has reached 70%, which is beyond the imagination of surgery.

And the most important point is that the people who dare to do similar surgeries in surgery are basically professors over 40 years old.What about recyclable medicine?Several young-looking doctors have experienced Crush surgery.

Zhang You has a sense of frustration of being abandoned by the times.

Hearing the thunderous applause around him, Zhang You felt uncomfortable, and peeked at Director Miao beside him.

Director Miao's face was also very ugly. He lowered his head, not knowing what he was thinking, and completely lost his former charm.

Dr. Miyamoto walked to the podium. He didn't wear a formal suit, but an isolation suit, a white suit, and a sterile cap. It was obvious from a glance that he was ready for the third operation.

"Hello everyone." Dr. Miyamoto greeted in non-standard Chinese.

The interpreter beside him smiled slightly, and followed the interpreter without much trouble.

Zhang You felt curious, could this be a China hand?

But then Dr. Miyamoto began to communicate in Japanese.

It turns out that only three words, Zhang You scratched his head. (Note)

……

……

Note: only three words - hello everyone, this stalk is the conclusion obtained after consulting a counselor in Japan, bared teeth~~~

Chapter 0670 the first step

Dr. Miyamoto did not talk nonsense, and began to talk about the relevant points of the classic Crush operation on the stage.

Simultaneous interpretation is still very qualified. During the intermission, the doctor's words are clearly translated sentence by sentence.

Surgical cases appeared on the projection screen. Dr. Miyamoto briefly explained the basic principles and precautions, and spent a lot of time explaining the few operations he had performed.

Zhang You shook his head.

This Dr. Miyamoto's habits are really similar to his own.

Zhang You also often does this.

Why do you have to tell so many people about your own technology?

Moreover, many small secrets are exchanged with blood and tears, and they also need constant comprehension of comprehension. All kinds of things are indispensable, but they are the necessary conditions for forging a qualified, excellent and powerful surgeon.

I didn't expect the Japanese to do the same, Zhang You understood.

What Dr. Miyamoto said was based on the script, and it was no different from what was described in the materials, and there was no dry substance at all.

Zhang You felt a little sleepy, so he let out a breath.

He knew that the next operation was the key point. Dr. Miyamoto must put all his attention on the operation and strive for perfection.

Ten minutes later, Dr. Miyamoto finished his narration, lights and shadows flickered, and the image of the operating room appeared on the projection screen.

Dr. Miyamoto returned to his seat, talking with the simultaneous interpreter and his assistant very easily.

The surgeon was wearing a mask and hat, but Director Miao could clearly see that he was Director Xue.

"Do you know the practitioner?" Director Miao asked Zhang You.

"do not know."

"He used to be in Fuwai, but later he switched to the director of the Imperial Cardiovascular Hospital. He studied in Japan last year and published two SCI papers with a lot of citations, which is amazing." Director Miao whispered in a low voice.

Zhang You laughed heartily.

There are fans of the enemy team all around, so as long as you don't want to be beaten, you must not speak loudly.

"Director Miao, how is his surgery going?" Zhang You asked in the same whispering voice.

"That's it." Director Miao was obviously not very interested in Zhang You's words, and felt a little disappointed.

However, it is useless to belittle technical matters. It is an objective fact. Simply belittling others can only lower one's own grade, and leave others with the impression that they do not understand surgery and do not know how to see a doctor.

Although Director Xue and Director Miao did not perform the same type of operation, they still had to give the most basic and impressive evaluation.

"No one in our hospital is proficient in the classic crush technique. I have done several surgical operations on blood vessel bifurcations, but the postoperative results are not good." Zhang You said in a low voice.

"Surgical treatment should be seldom used in this situation." When Director Miao talked about the surgical technique, his expression was a little lively, and he gave a pertinent evaluation, "The classic crush technique is currently the best treatment for coronary artery bifurcations. The method, the T-shaped tube and so on are too complicated and have to be customized."

"But Lao Xue is not good at it. If he has some skills, he will stick his tail. Some time ago, I had a patient who was going to be operated on. When I asked him to go to our hospital, he actually played tricks on me and asked me to transfer the patient to the Cardiovascular Hospital."

Only then did Zhang You understand why Director Miao was so hostile to Director Xue.

While speaking, the operation has already begun.

The right radial artery was punctured, and the guide wire was able to find the diseased blood vessel stably, confirmed by angiography, and then the stent was lowered into the occluded main trunk.

"Old Xue is not good at being a human being, but the operation is really good." Director Miao looked at the image on the projection and sighed.

Director Xue's operation was very stable, and he couldn't find any faults.

After placing the stent on the main branch vessel, Director Xue put the branch stent in place at the same time without haste, pulled the branch stent into the main branch 3-5mm and released it first, and released the main branch stent after withdrawing the branch stent balloon and guide wire .

"At this point in the operation, I can do it too." Director Miao said in a low voice.

"Oh?" Zhang You was taken aback, "Director Miao, do you still do interventional surgery?"

"A metaphor, a metaphor. This thing eats thread, and you can save two days of life by doing an operation. Who would want to do it except those poor and crazy people in the Circulatory Department." Director Miao said.

"Is the next step difficult? I read the materials for a day yesterday, and just now I heard Dr. Miyamoto also talk about the relevant surgical steps. The next step should be the balloon kissing after the guide wire enters the branch through the mesh of the stent."

"The guide wire is [-], so I don't believe that he can pass right away."

The so-called point 0.18 guide wire is the diameter of the guide wire is [-]mm, and it is customary to call it point [-] in clinical practice.

The thinner the guide wire, the more operations that can be performed; but at the same time, as the guide wire becomes thinner, the higher the technical requirements for the operator.