Back in 2002 as a doctor

"Come to the conference room of the Medical Affairs Department and listen to Professor Zhou's lecture." Director Han said with a cold face, his face changed instantly, and the spring breeze was full of spring, "You have time, Professor Zhou."

"Have."

"Well, Director Xu will give you 30 minutes. Now go and explain to the patient's family members, and then gather in the conference room."

Zhang You sighed silently while closing his chest.

Zhou Congwen and Han Chu didn't know what to think, they raised it high and lowered it gently, wouldn't they?It's all public affairs, why offend people so much.

Forget it, it's none of your business.

Thinking about it, Zhang You suddenly felt a move in his heart.

After a while, I will go to listen in on my own, one is to brush my face in front of Zhou Congwen; the other is to watch the excitement, learn and refer to it.

Although it is difficult for Zhang You to solve the 9cm toothpick in his heart alone, he is still very skilled in closing his chest.He seized the time to finish the operation, sent the patient to the ICU, changed his clothes and rushed to the meeting room of the medical office.

The room was full of people, and the air was a little stale. Zhang You greeted Zhou Congwen and Director Han with his big teeth bared, and tiptoed to the innermost place.

The surrounding orthopedic doctors, professors, and directors were very nervous, but only Zhang You was the calmest. He suddenly felt that it would be good if it was like this.

Looking at the people around with a smile on his face, Zhang You saw Zhou Congwen and Director Han talking in a low voice, talking and laughing like old friends for many years.

Being able to get along so well with a person like Director Han, Zhou Congwen is really not simple. Zhang You seems to have a clearer understanding of Zhou Congwen, but when he observes Zhou Congwen carefully, he feels that his young face is becoming more and more blurred .

Is this something young people can do?Zhang You doesn't think so.

Putting myself in Zhou Congwen's position, it seems that I can't communicate with Director Han in such a relaxed tone.

After a while, Director Xu walked in with a look of frustration.

Zhang You felt sorry for him.

No one would be happy when something so big happened.Not to mention being happy, it is a big heart to be able to squeeze out a smile with grinning teeth.

Moreover, facing Han Chu's thunderous wrath, Zhang You even had a more or less sad feeling.

"Sit down." Seeing Director Xu coming in, Zhou Congwen smiled slightly, "Let's first talk about how to avoid such things from happening today."

"Professor Zhou, many people haven't heard you explain why it happened, why don't you say it again?" Director Han reminded.

Zhou Congwen nodded, and repeated what he said on the operating table.

Although there is no real thing, it looks a bit boring, but what Zhou Congwen said is simple and simple, which is much more description than the few words on the operating table, and the doctors below are gradually fascinated.

"The principle is like this. I have encountered... According to the description in the literature, there are more patients with pulmonary embolism."

"However, there is no need to give up eating because of choking." Zhou Congwen said lightly, "Let me talk about how to avoid similar situations from happening again."

"First, the incidence rate of postoperative cardiac cement embolism is 3.9%. Excessive vertebroplasty at one time is an important risk factor for intracardiac cement embolism."

"It's true to say that you can't chew too much. So it's best to keep the number below two vertebrae when you don't have enough at the beginning. If there are too many, accidents will happen."

"Secondly, the leakage of bone cement paravertebral vessels may be related to the early perfusion time of bone cement, the bone cement has not yet entered the toothpaste period, excessive injection pressure, and the position of the puncture needle, which make the bone cement return to the right heart through the vertebral vein. "

"Director Xu, I have a question for you - what is the toothpaste period?"

Zhou Congwen asked suddenly.

Director Xu was stunned, not knowing how to answer.

Zhou Congwen smiled slightly, "Perhaps it's hard to say a simple theory, so let me give you an example."

Director Xu's eyes were darkened. He had only seen toothpaste before, but Zhou Congwen's understanding of bone cement was obviously much deeper than his own.If you say something specious at this time, you will definitely not be able to get away with it.

If it's just nonsense, Zhou Congwen may not be used to pretending he didn't hear it.

It's embarrassing, Director Xu's face is ashen and ugly.

"No?"

"Well, I won't lift it." Director Xu said.

Zhou Congwen smiled slightly, but the smile became stronger, as if he had picked up a joke.

Director Han shook his head, and the doctors below were stunned.

Alas, Zhang You sighed, how can he act like a child, Zhou Congwen can really do it.

"Let me tell the story. If there is something I don't understand, go back and look for information." Zhou Congwen quickly became serious, "Take today's patient as an example."

"The reason for the leakage of cement blood vessels is that the pressure in the vertebral body is higher than the venous pressure in the vertebral body and the rupture of the wall of the vertebral vein causes the bone cement to infiltrate into the vertebrobasilar vein in the vertebral body.

Leaked cement then entered the lumbar segmental veins through the paravertebral venous plexus and eventually entered the inferior vena cava and right atrium, causing cardiac perforation and cardiac tamponade. "

"Preoperative image examination evaluates the condition of the diseased vertebra. During the operation, the needle tip reaches the anterior 1/3 of the center of the vertebral body, which can effectively avoid the venous plexus in the vertebral body, and can also make the bone cement diffuse more evenly in the vertebral body, thereby reducing bone loss. The occurrence of cement leakage."

"third……"

"sixth……"

"No. 18..."

Zhou Congwen broke up the PVP operation, taking into account many complications, combined with surgery, what should be done even Zhang You, the director of the Xiong Department, heard it clearly.

Zhang You even had a bold idea - the operation is so simple that he can do it himself.

This thought became more and more real, and Zhang You even felt a little itchy in his palms.

Chapter 0740

Zhou Congwen broke apart a surgical procedure, and tirelessly explained it to the orthopedic surgeons present.

These words are a bit boring, but they are all "fished" by Zhou Congwen. The cooperation is a problem that Zhou Congwen personally experienced in his previous life or encountered when receiving training in the operating room of the system.

It can be said that this class is worth ten thousand gold in the eyes of those who know the goods.

No matter how much they can understand, as long as they explain it themselves, they will be less likely to make mistakes in the future.

Even if it is only a percentage point, Zhou Congwen thinks so.

The orthopedic surgeons didn't expect that Zhou Congwen had genuine products, and more than a few genuine ones, and the two hours were full of dry goods.

Some people have begun to regret not bringing a pen and paper to write down everything Zhou Congwen said.

But the vast majority of people were dumbfounded, unable to understand what Zhou Congwen meant by many points.

After all, there are not many experienced doctors who can get started.

"Probably so." After Zhou Congwen finished speaking, he glanced at the orthopedic surgeons sitting below, "The reason why you can't do it well is mainly because your local anatomy is not familiar enough."

The orthopedic surgeons were still immersed in the joy of being a teacher, preaching, receiving karma and solving doubts. They didn't expect Zhou Congwen to come when he said something ugly.

To say that a specialist is unfamiliar with the anatomy of his specialty is pointing his nose, and it's hard to think of anything worse.

"Bone cementing is easy to operate, patients benefit, and the number of operations increases. This is a win-win situation. I didn't expect it to be turned into what it is now. It's really hard to understand."

"..."

"Don't mind if I said a few ugly words." Zhou Congwen said with a smile, "You know what Han Chu meant."

The orthopedic surgeons looked at each other, even Zhang You was stunned.

"This time I have explained it in great detail. There are 76 points in total, and a total of [-] items in total, which basically include all kinds of situations that can be encountered in clinical practice. It is not surprising for those who did not know it before, but starting today, I will perform bone cement surgery. , if there is still a problem..."

Saying that, Zhou Congwen smiled slightly.

Director Han tapped the table with his ball-like fingers, and the sound of thumping successfully changed the topic of Zhou Congwen.

"Since Professor Zhou said it, those who don't know are not to be blamed, so I can't say anything more." Director Han said quietly, "However, if something similar happens next time, even if you find the dean to solve the problem, you will be able to solve the problem in the future. You have to think clearly whether to step left foot first or right foot first when entering the door."

"I don't know how to cure diseases. But who can't find faults, and I'm an expert in this regard."

"It may be a little bit too much to say that you have a good foot in the door, but I can definitely take care of whether you use carbon ink or blue-black ink to write medical records. Doctors who don't even understand professional local anatomy, don't blame me too much."

Director Han was threatening very bluntly, his words were like knives.

Thinking of that situation, the orthopedic surgeon's complexion is particularly ugly, colorful, there are all kinds of things.

Not to mention, Han Chu may not be able to control which leg to use when entering the office, but what kind of pen to use to write medical records... He can really do this kind of thing.

"One more thing, let me add one more point." Han Chu continued, "In the future, people from the manufacturer are not allowed to enter the operating room. This is a matter of principle."

"If you let me see it again, or hear that something similar happened to block people in the operating room, don't blame me for turning my face and denying people."

The meeting room was quiet and no one spoke.

Especially the three directors were even more embarrassed.

It doesn't matter whether the roll call is done or not. The little doctor can let the manufacturer's technicians enter the operating room?It's not like they did this shit.

"The manufacturer of bone cement will no longer purchase the bone cement this time, and the procurement process is absolutely impossible for me." Director Han said.

"Han Chu..." Director Gu Yi still wanted to struggle.

"There have already been major medical accidents in patients, and the technicians of the bone cement manufacturer entered the operating room and operated in violation of regulations. It should not be too much to drive them out of the Second Hospital of Medical University.

This is settled.

It's not easy for the dean to speak.

I said! "

I said!

These three words echoed in the small meeting room, making everyone's hearts tremble.

Han Chu is indeed Han Chu, he is domineering enough.

"Which manufacturer?" Zhou Congwen asked in a low voice.

Director Han whispered something in a low voice.

"Call me if the pressure is too great." Zhou Congwen said with a smile, "The boss needs to sign the professional opinion when entering the country. Even if it has nothing to do with my chest department, the boss can just make a phone call, don't worry."

The three directors of the Department of Orthopedics have black lines all over their heads.

But thinking about it carefully, what Zhou Congwen said was true.

Mr. Huang should... No, he must be a member of the professional approval team. Whether he can enter the country is not a matter of a word.

Even if the manufacturer has the ability to change the result, but that kind of investment...

The product is dead!

Zhang You's eyes were red with envy, like a little white rabbit.

This is the level he has pursued and dreamed of all his life.

Why Pursue Academic Standing?Flying around to give lectures can earn very little money.

Entering the expert group, whether it is medicine or consumables, has the right to speak for itself. Isn't it easy to make money?

what is this?

This is the status of the world!

Looking at the figures of Zhou Congwen and Director Han, seeing the two of them cooperate perfectly, announcing the death of a consumable product in the Second Hospital of Medical University in a few words, Zhang You sighed from the inside out.

That's right.

Why do manufacturers need technicians?Isn't it just to sell more consumables?As a result, in a word, it got stuck directly.

And this is just one of them. More importantly, a similar promotion model will not work in the Second Hospital of Medical University in the future. I am afraid that this is what Director Han really wants to do.

If it is an ordinary medical director, he does not have such a great power at all. How can a coolie department like the medical office have a say in purchasing.

But Director Han is not an ordinary medical director. In the Second Hospital of Medical University, there is a step of clinical procurement that requires his signature. (Note, the truth is, some medical offices do have this right.)

Cutting the grass and rooting out the roots, Director Han said, behind Zhou Congwen's endorsement, Huang Lao stood vaguely.

What the hell, with this combination, who dares to say no?

"Then that's it?" Zhou Congwen and Director Han said.

"I'll see you off." Director Han rolled slowly like a ball, but no one dared to underestimate the ball.

After leaving the door, Director Han said with a smile, "Professor Zhou, thank you."

"You're welcome, I don't like their fooling around." Zhou Congwen said, "Director Han is the one who really works hard, otherwise he wouldn't bother to implement these standardized procedures."

Director Han was slightly taken aback, and then smiled and said, "It's not because I want to be lazy. The standardized process seems cumbersome, but once you figure it out, everyone will follow it, so you can save worry and effort in the future. I just want to mess around." Eating and waiting to die, it would be perfect to be able to eat and wait to die on that day."

Chapter 0741