Back in 2002 as a doctor
Page 398
He asked himself the same question thousands of times, and there was only one answer—it was always the result that Zhang You didn't want to see the most.
The stent went in, and the stent of the side branch was crushed. Then Zhou Congwen twisted the guide wire in his hand, preparing to take the most difficult step.
Suddenly, Dr. Miyamoto in the screen seemed to say something to Zhou Congwen. Zhou Congwen paused and handed over the guide wire to Dr. Miyamoto.
I go!This is a huge bargain!
Zhang You waved away the picture of Zhou Congwen squatting on the ground and drawing a simple operation diagram for himself with a branch, full of envy for Dr. Miyamoto.
Where is the most difficult part of the operation?
The guide wire at [-] points penetrates the mesh of the two-layer stent!
If other details are not known, it may stop the operation research and lead to the failure of the operation, but as Zhou Congwen just said, then these are not a problem.
However, the guide wire control of Dian [-] is a hard technology, and it is definitely not something that can be done by "opportunity".
Dr. Miyamoto was obviously aware of this, and made a request on the operating table in front of hundreds of doctors who were involved in the circulation.
Like a student, he asked Zhou Congwen honestly, politely, and humbly to help him manipulate the guide wire to penetrate the mesh of the two-layer superimposed vascular stent.
"The Japanese are really not simple." Director Miao sighed and said softly.
Zhang Youxin felt sorry for him.
indeed.
If it were me, I am afraid that I will not be able to reverse my psychology in a short period of time, and I will completely let go of everything and ask for advice.
In the picture, the guide wire is handed over to Dr. Miyamoto, who skillfully twists the guide wire to enter. During the first penetration process, Zhou Congwen didn't speak, just looked at the screen.
Unsurprisingly, Dr. Miyamoto's point [-] guidewire failed to penetrate.
He pierced through the first layer of mesh, but was hit by the blood flow and hit the second layer of mesh head-on.
The operation was suspended, and Zhou Congwen immediately stopped stepping on the line.
The angiographic image disappeared on the screen, leaving only Zhou Congwen and Dr. Miyamoto.
Zhou Congwen stretched out his hand to correct Dr. Miyamoto's hand shape.
There was no sound, but Zhou Congwen should take the trouble to tell Dr. Miyamoto what to do at this time.
This step did not appear in the "teaching" just now.
Zhang You knows that everyone has different techniques and different levels, and it is not something that can be solved with just a few words.
To do this, such as "teaching students in accordance with their aptitude".
It's just...it's a pity that Zhou Congwen, the biggest threshold for DK-crush surgery, didn't even care about it, and told the whole story without reservation.
Ugh.
Zhang You was a little confused.
If it's me, there are some things that I won't say even if I rot in my stomach.And this kind of technical barrier and moat will make one's status in the world continue to rise.
I can do what others can't do, and every time I show off my skills, there will be exclamations and applause, and I feel happy just thinking about it.
It's a pity that what I have mastered are some "superficial" technologies.
How good it would be if I could penetrate the two-layer superimposed stent mesh technology with the guide wire at point [-] in the DK-crush technique without hindrance.
Why didn't Zhou Congwen know how to cherish it!
Zhang You was angry and wanted to curse.
It's as if this untold secret was researched by himself, but Zhou Congwen proclaimed it to be known all over the world.
It's a pity, it's obviously possible... Zhang You has ten thousand thoughts in his mind, if he knows it, he can do it, but Zhou Congwen just doesn't know how to cherish it.
After a few minutes, Dr. Miyamoto seemed to have the hang of it.
Stepping on the line again, he manipulated the guide wire of point [-] to walk in, step by step, cautiously, as if facing an enemy.
But this time the effect seems to be not as good as last time, the guide wire at [-] hit directly next to the mesh of the first stent.
"Ah~"
"Ah~"
"..."
In the great hall, various voices sounded, regretful, and more puzzled.
But then the sound disappeared.
This is expected, not surprising at all.
How easy it is to master a skill in the blink of an eye!
The operation of the guide wire penetrating the mesh of the two-layer vascular stent at point [-] is a sky-level difficult operation, and it is considered good to master it after a year of grinding.
However, Zhou Congwen did not stop stepping on the line after the failure of this operation, and Professor Miyamoto's mood did not seem to be disturbed, and he immediately started the next operation.
Contrary to everyone's expectations, this operation was completed overnight. Although the guide wire at [-] was a bit bumpy, it still penetrated two layers of mesh and entered the branch blood vessel.
Countless pairs of eyes stared like copper bells, shining brightly.
So simple?
No way!
Or is Dr. Miyamoto's luck better, blinded?
"Xiao Zhou is amazing." Director Miao said softly.
"Ah?" Zhang You still didn't understand.
"Hey, his level is even better than I imagined." Director Miao said, "I was lucky to have an operation with Mr. Huang when I was the hospital chief."
"Mr. Huang saw half of my surgery and gave me some advice, which benefited a lot. To be honest, I have been relying on what Mr. Huang taught me back then."
"..." Zhang You's eyes were red with envy, like a rabbit.
"Advising others is more difficult than performing surgery yourself."
Chapter 0683
Everyone sighed that Huang Lao's closed disciple was like a fairy who turned a stone into gold, turning a stubborn stone into gold with a few words.
After completing the operation, Dr. Miyamoto seemed extremely satisfied, and exchanged a few words with Zhou Congwen.But Zhou Congwen didn't speak anymore, but put his hands flat in front of his chest, and started to turn around and change places with Dr. Miyamoto.
In the next operation, Zhou Congwen took over again, and the DK-crush operation followed the steps just described, and presented it in front of everyone's eyes.
Without making a fuss, Zhou Congwen made the DK-crush technique simple and easy to understand.
Until the operation was completed, no one felt that there was any difficulty in this operation other than using a [-]-point guide wire to penetrate the mesh of the double-layer stent.
Really that simple? !
A thought lingers in people's minds.
In the end, the normal steps of the annual meeting are over, and Director Xue from the organizer should take the stage to deliver a speech.
Everyone waited, whispering about the operation just now.
Originally, I had the idea of learning the crush technique, but I didn't expect to witness the birth of the DK-crush technique.
A brand-new operation, the effect is much better than the previous operation, and the hearts of the doctors present were all ignited.
Many people can't wait to go home immediately, gearing up to watch the operation video, and operate immediately after learning and understanding.
They don't want to delay for a minute or a second.
Deng Ming looked at his boss's side face from the corner of his eye, which was full of old Huai's comforting emotions.
Zhou Congwen is really... Deng Ming sighed more than once that this is really his boss's natural disciple, but never once did he sigh from the bottom of his heart like now.
The owner of the DK-crush surgery has been studying it for many years, and he has done very little surgery. After all, it is difficult for him to perform surgery in a lead suit at the age of nearly [-].
I have been by the boss's side all the time, and I don't know the DK-crush technique, but Zhou Congwen has mastered it after a few operations.
I made two sets with the boss, and after a while of cooperation, I can go to surgery directly after coming to the annual meeting of circulatory medicine.
This is not counted, and then he can take the world-class surgeon Dr. Miyamoto to do the surgery with instruction.
Are you really taking someone as an intern?
But the iron-clad facts were in front of him, Dr. Miyamoto was an assistant by Zhou Congwen's side, just like an intern.
Great, really great.
No wonder the boss was so happy. Holding the thermos cup in his hand, Deng Ming slowly opened the lid and took a sip of warm water.
The door of the great hall was pushed open, and Professor Miyamoto... as well-behaved as an intern, opened the door and bowed deeply to welcome Zhou Congwen in.
"Boom~"
It was as if a depth bomb had been thrown into the Great Hall. There were countless waves and undercurrents surging.
Dr. Miyamoto was overwhelmed by an operation, which everyone can see.
The important thing is that he is not convinced by Huang Lao, but by Huang Lao's apprentices.
Director Xue followed behind with a confused look on his face.He didn't understand many things, so that when he walked in, his posture was a little stiff, like a puppet.
"Boss, is the operation okay?" Zhou Congwen walked briskly to Elder Huang like a child, and asked a little proudly.
"Not bad." Huang Lao smiled slightly, patted the seat beside him, "Sit."
Zhou Congwen smiled and sat beside his boss, completely ignoring Dr. Miyamoto and Director Xue behind him.
It is rare to have a young heart, Zhou Congwen is a little wanton.
He calmed down instantly, smiled and asked his boss, "Boss, I still have some ideas for a few positions."
"Oh?"
"I'll report back to you."
"What is it about?" Huang Lao asked.
"The DK-crush technique can be slightly improved, but I'm not sure. Find time to do a few more surgeries and try."
Deng Ming was dumbfounded.
The DK-crush technique just came out, and Zhou Congwen wants to improve it?
"Indeed, there are many disadvantages. For example, more consumables such as balloons are required, and the cost issue must always be considered."
Zhou Congwen nodded, the boss really had thought of this.
A surgical technique is not intended to show off skills, but to be as simple as possible, simple, cost-effective, and practical.
It is too complicated and the consumables used are too expensive, which is not conducive to promotion.
"The other thing is that the amount of contrast agent required is too large, which is barely a deficiency."
"Boss, you are wise." Zhou Congwen said with a smile, "That's all I have considered for the time being. I'll go back and think about it carefully."
"I leave it to you." Huang Lao closed his eyes slightly, "I tried to think about it further, but I couldn't find a better way."
"In fact, if you don't care about economic conditions, drug-eluting stents are very good."
"Of course, but you know the situation in our country. How much does a bracket cost? How many people can afford it?" Mr. Huang shook his head lightly.
"The times are developing, there are not many now, and there will be more in the future." Seeing the boss opened his eyes, Zhou Congwen immediately changed the topic, "But the boss is right, I will continue to think about this direction. Even if it is economic progress, our country's more than one billion As for the population, it cannot be used by everyone.”
"It's good to know." Huang Lao closed his eyes again, "No matter how high-end the surgical technique is, no matter how good the consumables are, it doesn't make much sense if ordinary people don't use them."
"Boss, you taught me the right thing."
"Who taught you a lesson, I'm telling you the truth."
"Then I'll go back and think about the pre-balloon technique, but the DK-crush technique has basically come to an end, and any improvements will be tinkering, and the changes will not be significant."
Zhou Congwen said honestly.
"It is already a great thing to make progress. You are still young, so you have to work hard." Huang Lao said.
"Boss, are you tired?" Zhou Congwen asked with concern.
"The lead coat is too heavy, and I was too concentrated during the operation. After all, it is an open operation, especially the [-] guide wire operation... If you didn't help me well, it would be basically impossible to go in at once."
"Boss, it doesn't sound like you said this kind of rascal's words." Zhou Congwen chuckled and said in a low voice.
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