Back in 2002 as a doctor

"How to do it?"

"If there is no suitable blood vessel, the great saphenous vein will be used. After surgery, it will be combined with coronary intervention and bypass surgery, and a new drug-eluting stent will be placed in the bypassed blood vessel."

"Miyamoto and Abbott of Shuntian Hospital have jointly developed a drug-eluting stent. We should not underestimate this new consumable just because it cannot be used in classic crush surgery. Although it is not used in coronary artery bifurcation lesions, it can be used in this noodle."

Bridge + bracket?

Bridge + bracket!

Deng Ming knew that this was the advantage of heart surgeons learning to do interventional surgery that the boss had always said.

Since the vein bridge has various shortcomings, it is not difficult to install a stent inside. Anyway, it is not difficult to carry the feet.

The mind pulse of the boss and Zhou Congwen is always surprisingly the same.

Chapter 0750 abdominal epilepsy

Zhou Congwen also fell into deep thought after hanging up the phone.

The real minimally invasive coronary artery bypass surgery began after the appearance of the da Vinci robot. Although the start-up cost is high, the da Vinci robot has various advantages, such as the ability to rotate the viewing angle and enlarge the field of view.

The minimally invasive surgery that can be done under the existing technology is indeed relatively limited, but what Zhou Congwen wants to do is a one-stop surgery.

This kind of technique, which was developed in 2003, should be enough, and it is also the limit of current technical capabilities.

Although a lot of equipment is missing, Zhou Congwen thought of how his boss in his previous life took the equipment he researched and involved to bring him to perform this operation.

Done!Zhou Congwen smiled slightly.

"Ring Ling Ling ~"

The Nokia rang, Zhou Congwen swipe the screen subconsciously.Nokia's poor little screen was almost broken by Zhou Congwen.

Still not used to it, when will we reach the era of smartphones? Zhou Congwen looked at Nokia helplessly, and missed the touch screen of smartphones very much.

"Professor Zhou?" Boss Chunxiao's voice came.

"Haha, you're being polite, just call me Congwen." Zhou Congwen laughed, "Are you here?"

"Here we are, where can I find you?" Boss Chun Xiao asked.

"Let's meet in the emergency department."

Zhou Congwen hung up the phone and hurried to the emergency department.

He had a particularly good impression of Boss Chunxiao, especially the fallacies he told himself about playing Monopoly.

Although it was created by the times, but people have this fate.

In 2002, he went to the imperial capital to buy a courtyard house. This kind of person... Although Zhou Congwen is relatively indifferent, he has an indescribable affection for Boss Chunxiao.

When he came to the emergency department, Boss Chunxiao was not wearing a vest, shorts, flip-flops like Xia Tian, ​​but a suit and leather shoes, looking like a dog.

This was also a reunion of old friends, Zhou Congwen walked over quickly, and patted Boss Chunxiao on the shoulder vigorously to express his intimacy.

"Doctor Zhou... Let's call it that, it's more familiar." Boss Chunxiao said with a smile.

"It doesn't matter what you call it." Zhou Congwen said, "What's going on?"

Boss Chunxiao gave a brief account of what happened, and he said mysteriously, "The family has no hope of being sent to the medical university for medical treatment, and has already contacted a famous doctor in the provincial capital, saying that it is a single heir for eight generations."

"Cut." Zhou Congwen cut contemptuously, "What was our Northeast called in the past? A barren land. What is the Ninggu Pagoda for? How can there be a miracle doctor here who has been passed down for eight generations?"

"Actually, Chinese medicine is still very powerful." Boss Chunxiao said.

"There are all emperors, I know them all." Zhou Congwen said, "I mean we don't have them here. If it's the kind that cures illnesses and rejuvenates, let me tell you, Boss Chunxiao, it costs thousands of dollars to meet him. of."

"Tsk tsk tsk, amazing."

Zhou Congwen had a physical examination first, and the patient was in a quiet period. The physical examination only showed a weak positive reaction in the abdomen, which proved nothing.

The examinations at the Third Hospital of Jianghai City and the People's Hospital were also normal, and everything that should be done was done. No abnormalities were seen in the gastroenteroscopy, the liver function was not good, and the transaminases were all high.

It is clearly recorded in the medical records that the patient had recurrent abdominal cramps without circadian rhythm, each attack lasting from several minutes to several hours, accompanied by severe vomiting.

At the time of attack, 654-2, phenergan, diazepam, tramadol, lacqueridine, VitB6, etc. can relieve the symptoms to varying degrees, or sometimes they are ineffective.

The situation is quite typical, and Zhou Congwen has already figured it out after his physical examination and medical records.

In 2003, EEG was still an unfamiliar field in Jianghai City. Similar patients had EEG, and then they could basically be diagnosed—Zhou Congwen thought it was abdominal epilepsy.

This is a generational difference in technical equipment, and has little to do with doctors.

20 years earlier, it is estimated that there is no place to see this disease in the whole country. It is the same as diagnosing cerebral hemorrhage and cerebral infarction before the advent of CT, mainly relying on guesswork.

"Do an examination." Zhou Congwen did not explain to the patient's family, but spoke to Boss Chunxiao.

The patient's family obviously did not believe that the hospital could solve the problem, which Zhou Congwen had already seen through his observations.Since he was brought by Boss Chunxiao, of course he did the ideological work.

Zhou Congwen saves trouble if he can save trouble, and puts all troubles aside.

Boss Chunxiao spoke forcefully. After a few words, some people went to follow the doctor to write a bill and pay the money, while others were going to push the patient for a checkup.

This is also normal, as expected by Zhou Congwen.

If Boss Chunxiao couldn't do it all the time, it would be impossible to persuade patients and their families to travel long distances to the provincial capital.

"Doctor Zhou, what do you think?" Boss Chunxiao asked on the way to the EEG.

"Abdominal epilepsy." Zhou Congwen said.

"What the hell?" Boss Chunxiao was taken aback, epileptic, what kind of freak.

In the consciousness of ordinary people, epilepsy is epilepsy, lying on the ground with twitching limbs and foaming at the mouth.

But not all epilepsy is like this. The patient in front of me is another type-abdominal type.

This is a type of epilepsy with episodic transient abdominal pain as the main clinical manifestation.

The patient's abdominal pain recurs periodically, lasting from several minutes to several hours, with sudden onset and termination. The pain is mostly around the umbilicus, and may also involve the upper abdomen. It is often accompanied by nausea, vomiting, and diarrhea.

All the symptoms can be matched. Zhou Congwen still needs the support of EEG results to make a diagnosis. Let the patient go to the treatment in peace, and don't go to any magic doctor.

In fact, Zhou Congwen did not deny the existence of a miracle doctor, but then again, if there is a miracle doctor, must he not be sent to the imperial capital?Can you still live among the people?

To put it bluntly, this is all a fluke mentality.

The hospital is at a loss what to do, they can't just wait for death.

So it gave the liar a little gap to deceive people.

Walking on the road, the patient suddenly yelled and had a seizure.

Zhou Congwen glanced at the patient, and suddenly stopped when he was about to run over.

wrong!

The patient did have epilepsy, although the seizure time was not long, it could also be explained.just something is wrong...

Zhou Congwen looked at the patient suspiciously, unable to tell what was wrong with him for a while.

The patient's epilepsy symptoms were typical, as perfect as written in a textbook, and similar to the patients Zhou Congwen had seen before.

But Zhou Congwen just felt that something was wrong.

The bad thing is that the system didn't issue any tasks this time. Zhou Congwen glanced at the system panel, but it was all blank.

Is it because I am a little excited to participate in the World Surgery Competition?I can't, I participated in many competitions in my previous life, can this thing still make me an old driver hallucinate?

What's wrong with that?

Zhou Congwen frowned, staring fixedly at the patient.

"What kind of doctor, he knows to stand there and watch as soon as something happens, without even stretching out his hand."

"That's right, I guess he was scared out of his wits."

"Who knows, anyway, give Brother Chunxiao a face, come and see him, and send it if there is nothing wrong. I heard people say that genius doctors don't need to take a pulse, and the secret recipe passed down from one's ancestors, just eat it. No matter what hospital you go to, it will take you a long time. Can't tell what's the problem."

Chapter 0751 Superposition

After 3 minutes, the patient stopped convulsing, and the symptoms of abdominal epilepsy improved.He lay down on the flat car and began to retch, vomiting violently but couldn't vomit anything.

Boss Chunxiao asked beside Zhou Congwen, "Doctor Zhou, this is how it usually happens."

Zhou Congwen didn't say anything, just looked at the patient silently.

Boss Chunxiao was a little surprised, "Doctor Zhou, why do I feel that something is wrong?"

"Well, something is wrong. The patient's symptoms are more typical abdominal epilepsy, but I still think something is wrong." Zhou Congwen said softly.

His voice was a bit ethereal, as if he was talking to himself, asking and answering himself.

After struggling for about 10 minutes, the patient got better. He was lying on the flat car like a fish thrown on the shore, struggling to breathe, but the air he breathed was not enough for him.

"Let's go." Zhou Congwen said.

Boss Chunxiao wanted to ask something, but seeing Zhou Congwen's expression, he held back and led the patient straight to the EEG room.

Because of the seizure just now, the changes in the brain waves are obvious-the EEG shows moderately abnormal EEG and EEG topography, suggesting that the EEG slow waves increase, which is obvious in the right frontal lobe.

"It is basically confirmed that it is abdominal epilepsy." Zhou Congwen and other patients said to the patient's family members after the examination.

"What epilepsy?" A family member of a patient asked suspiciously.

"Abdominal type, the main symptom is abdominal pain, not like ordinary type of epilepsy like epileptic seizures."

Explaining to the patient's family, Zhou Congwen still prefers to use the term epilepsy.

"Impossible." The patient said while lying on the flat car, "How could I go mad with epilepsy?"

Zhou Congwen suppressed the faint discomfort in his heart, turned around and said to the patient, "There is indeed a change in the EEG. This kind of examination is not available in our Jianghai City. If you doubt it, you can go to a higher-level hospital in the Imperial City for treatment."

"You're the only one with epilepsy!" The patient suddenly sat up, grabbed Zhou Congwen's collar and yelled angrily.

In Jianghai City, the word epilepsy is actually a curse word, so it's no wonder the patients are very angry.

Zhou Congwen took a step back and wanted to take a half step back. Having experienced doctor-patient disputes in the 2.0 and 3.0 eras, he was already prepared.

But the moment the patient sat up and cursed, Zhou Congwen suddenly smelled a strange smell.

He frowned and stopped, instead of backing away, he looked at the patient intently.

"What are you doing!" Boss Chunxiao reacted a little slower, but still rushed up to fight immediately.

"Don't move!" Zhou Congwen said loudly, startling Chunxiao and the patient.

"What's wrong with you, kid!" A family member of the patient behind him thought there was going to be a fight, and a sense of social gangster arose spontaneously.

"Want to fight?! What the hell are you..."

"Shut up!" Zhou Congwen reprimanded in a deep voice.

There are many family members of the patient, so they are not afraid, but they were taken aback by Zhou Congwen's reprimand, and then they were eager to come up and give Zhou Congwen a blow.

"Have you eaten anything special recently?" Zhou Congwen grabbed the patient's wrist, his fingers slid across the wrist, and the reactions of the 24 passing tendons were clearly transmitted to Zhou Congwen's mind.

I still made progress. When I was just reborn, my feeling was not as obvious as it is now. Zhou Congwen was a little distracted.

The tendon in the patient's wrist twitched, and he let go of his hand and looked at Zhou Congwen in a daze.

"I'm asking you something, three to six months before this stomachache, including now, have you eaten anything?" Zhou Congwen continued to ask, "The kind you haven't eaten before."

"what?"

"I'm asking you something, hurry up and say it." Boss Chunxiao raised his hand to slap the patient on the head, but Zhou Congwen said he had epilepsy, so Boss Chunxiao turned around temporarily and slapped him on the shoulder.

"Uh……"

The patient was a little confused and hesitated.

"You have a strange smell in your mouth. I highly suspect it's another disease." Zhou Congwen said seriously, "Have you eaten anything you haven't eaten before? Let me ask again."

After a few seconds, the patient said angrily, "It's none of your business what I eat!"

"You may already be poisoned." Zhou Congwen said calmly.

"..."

"..."

"..."

The patient, the patient's family, and Boss Chunxiao were all stunned when they heard what Zhou Congwen said.