Back in 2002 as a doctor

"can……"

"Then I will step down." Zhou Congwen turned around and stepped down without hesitation.

etc.

Just go.

A group of people in the operating room watched Zhou Congwen's back disappear, their hearts were blank, and they couldn't tell what it was like.

It wasn't until about a minute after Zhou Congwen left that the anesthesiologist sighed deeply.

"I just said that Professor Zhou is different from usual today, and I wonder if it's hypoglycemia due to hunger after surgery all morning. I didn't expect it, how did he know?"

The anesthesiologist spoke intermittently, changing directions three or four times in one sentence, a little confused.

But everyone in the operating room understood what he meant, because everyone else thought the same way.

Chapter 0783 Purple urine

Zhou Congwen left the operating room without hesitation after putting out the fire.

He knows Zhang You's technical level well. Although the full bow replacement is very difficult, Zhang You can definitely win it if he concentrates on the operation.

Unexpectedly, it was really a fire during the operation, and the task name was so simple and straightforward.And I have been entangled, I really think too much.

In the locker room, Zhou Congwen lit a cigarette and glanced at the system panel.

The system panel still looks lifeless, only a few words can be seen clearly, no matter how many tasks you do, it seems useless. The little guy is like a wild beast, who has swallowed countless system task rewards but has not changed.

Maybe we have to wait for the rewards of the World Cardiac Surgery Competition to make some changes, Zhou Congwen thought to himself.

In the previous life, he competed fiercely with Chu Yuntian and won by relying on almost full luck points. Zhou Congwen still remembers this vividly.

Is it number one in the world?

When Zhou Congwen thought of this name, he took a deep breath of cigarettes. He couldn't say how useful it was, but it was indeed useful.

The boss specially recommended himself to participate in the cardiothoracic surgery competition, Zhou Congwen was very clear about his intention.

After the next year, I will go to Tengfei to receive patients, and I am going to do a one-stop small incision coronary artery bypass surgery.And the strong opponent in the last life——Chu Yuntian, it's not worth wasting brain cells to think about him now.

Silently smoking a cigarette, Zhou Congwen put it out, changed his clothes and went back to the department.

Yuan Qingyao, Xiao Kai, and Peng Yiming are recording the patient's physical signs and data from ward to ward, rigorously and seriously.

This is a necessary step after surgery, and it is also required for writing a thesis.

Seeing Zhou Congwen coming back, Yuan Qingyao said hello, "Brother Zhou, wait a moment, I'll finish this side soon."

"Oh, I have something to do, let's talk about it after the house inspection."

Zhou Congwen went on ward rounds with them, and after looking at the condition of the postoperative patient, he knew it well.

Back in the office, Yuan Qingyao locked the data in the drawer, "Brother Zhou, the Department of Respiratory Medicine is consulting with Mr. Chen, the patient is a bit tricky."

"Where's Brother Chen?" Zhou Congwen asked.

"Still in the Department of Respiratory Medicine, I will come back to record the patient's postoperative data first, and wait for you to step down by the way."

"What happened to the patient?" Zhou Congwen asked.

"A patient with pneumonia, anti-inflammatory symptomatic treatment. The patient's inflammation is not serious, but the color of urination has changed recently, it is said to turn purple."

"Purple?" Zhou Congwen repeated Yuan Qingyao's words softly.

"Purple?" Shen Lang was surprised, "Did the patient see it wrong? Did the doctors and nurses see the urine?"

"The patient said that the catheter was placed after the urine was purple. I just took a look. It is indeed purple, which is very similar to the color of violet." Yuan Qingyao said softly.

"Oh, that's right." Zhou Congwen smiled, he knew how to do this question.

That was in the previous life. Once after a major rescue was completed in the Shuai Mansion, the leaders of the relevant departments invited them to dinner. The boss did not joke with everyone at the dinner table, but habitually started to do case questions and answers with the boss. Zhou Congwen.

At that time, everyone thought it was gossip, and Zhou Congwen had never encountered a similar patient in his previous life, so he did not expect to encounter it now.

"Brother Zhou, do you know what's going on?" Yuan Qingyao clearly saw the smile on the corner of Zhou Congwen's mouth, and he was startled for a moment.

"To take a look, you must first ask about the medical history." Zhou Congwen's answer was still as steady as an old dog, slippery and steadfast.

Yuan Qingyao sighed, he had read from Zhou Congwen's expression the patients that he and Mr. Chen couldn't understand, and Zhou Congwen already had a preliminary diagnosis in his mind.

The so-called medical history inquiry is to make a differential diagnosis, and then the preliminary diagnosis becomes a definitive diagnosis.

Brother Zhou, why does he have such rich clinical experience?Yuan Qingyao couldn't figure it out.

"Let's go, I'm going to ask two things." Zhou Congwen said.

Shen Lang followed along faithfully, he had never seen purple urine before, so he was really curious.

"Brother Zhou, have you seen similar patients?" Yuan Qingyao asked.

Zhou Congwen smiled slightly. After talking about this strange case at the boss's wine table, he also said that Director Deng Mingdeng had published an article in the "New England" magazine.

Purple urine is indeed rare in clinical practice.

Moreover, although Yuan Qingyao was young, he was very steady in his work.If Yuan Qingyao is right, things are probably as the boss said.

Seeing that Zhou Congwen didn't speak, Yuan Qingyao also shut up.

"Xiao Yuan, I'm going to develop a new technique in the next year, are you interested?"

"What technique?"

"One-stop small incision heart bypass." Zhou Congwen said, "The boss recommended me to participate in this year's cardiac surgery competition. If you are interested, I can bring you one."

"Coronary bypass?"

"you know?"

"You said something a while ago, and I inquired about it. It is said that Dr. Chu of Mayo has found a lot of good friends to help him find patients with three-vessel disease under the age of 50, and he is flying around for surgery."

"That's it." Zhou Congwen said lightly.

"Under the age of 50, with three lesions, what surgery is he going to do?" Yuan Qingyao asked.

"It is estimated that all the grafts in the bypass surgery are arterial grafts, and the operation is excellent." Zhou Congwen did not hesitate to praise himself, boasting.

Pure arterial grafting, this kind of surgery does not exist in medical universities.

Let alone 2003, even in 2030, hospitals at the level of medical universities will rarely perform bypass surgery on two arteries, let alone three arteries.

"It's really amazing!" Yuan Qingyao also praised.

"Congwen, is the technique you want to do better than his?" Shen Lang already had many associations in his mind.

In his imagination, the World Cardiothoracic Surgery Competition is like a group arena, with the competition going on one after another, and finally Zhou Congwen became the number one in the world.

Zhou Congwen laughed, and glanced at Shen Lang, he knew very well what was going on in Shen Lang's mind who had been influenced by martial arts novels since he was a child.

Rather than talking about a group arena, the format of the World Surgery Competition is a bit like the ancient imperial examinations.

After handing in the papers, a teacher will mark the papers, and sit together to discuss who should give the first place.

But there will never be a situation where it is given to the person with the most handsome appearance. After all, world-renowned experts still have to face.

"It can't be said who is more powerful, but who is more suitable." Zhou Congwen explained.

This sentence is a bit broad and ethereal, Shen Lang understands the first meaning, but he doesn't know if there is a deeper meaning in Zhou Congwen's words.

"Brother Zhou, do you have any relevant papers? I'll go back and study them." Yuan Qingyao went straight to the point.

"Scientists in the former Soviet Union promoted it for a period of time in the 60s, but it has not been widely promoted due to technical limitations at that time."

"why?"

"Because the operation is very difficult, quite difficult." Zhou Congwen smiled, "There are not many doctors who can perform this kind of operation, so there is no point in promoting it."

Chapter 0784 black sesame paste Oh

"Qingyao, Brother Chen has a good relationship with the Department of Respiratory Medicine." Zhou Congwen seemed to be asking, but also seemed to be stating a fact.

"Yes." Yuan Qingyao said, "Mr. Chen has a gentle temper and has a good relationship with other doctors in the hospital, unlike Director Zhang who likes to talk about some things."

"Director Zhang doesn't care about the consultation?"

"Ms. Chen and Director Zhang have fought, and Director Han is still more inclined to Mr. Chen. But the outpatient clinic is not so lucky. We can only go out to the clinic on Friday." Yuan Qingyao said, sighing.

There is also a saying on the day of outpatient visits. Generally speaking, Mondays receive the most patients. If there are no special circumstances, Mondays are the "statutory" outpatient days of the department director.

Zhou Congwen also knew that Chen Houkun only went out to the clinic on Fridays, but with the daily work of the academician workstation, the relationship between the leaders of the two medical groups was not bad, and there was no merger on the surface, but in fact they had become one group.

While chatting, I came to the Department of Respiratory Medicine.

Along the way, Yuan Qingyao inquired about Zhou Congwen's purple urine several times, but Zhou Congwen didn't answer at all until he saw the patient, and always changed the topic and chatted.

Yuan Qingyao was also very helpless about this, Zhou Congwen was cautious and serious to the bottom of his heart, and he refused to talk about it as a small talk.

In the Department of Respiratory Medicine, Chen Houkun was reading medical records in the doctor's office.

"Brother Chen, are you busy?" Zhou Congwen asked with a smile.

"Xiao Zhou is here, take a look at this patient." Chen Houkun frowned, as if he had encountered a difficult problem.

"Professor Zhou, you are here." Director Tang of the Department of Respiratory Medicine stood up to greet Zhou Congwen enthusiastically.

Zhou Congwen's status didn't need to rise. The academician workstation itself is a golden signboard. As long as the academician himself cares about it, no one will ignore it.

But Mr. Huang only set up one academician workstation, and some academicians in later generations blossomed all over the country. Setting up hundreds of workstations at once and performing one or two surgeries symbolically are two different concepts.

"I see patients." Zhou Congwen said directly.

"I've seen the patient, and there's nothing wrong with it." Chen Houkun and Director Tang said in unison.

"Hehe." Zhou Congwen smiled, "Have you done the patient's bacterial culture?"

"I've done it. It's almost time. It's probably coming out soon. Let me remind you." Director Tang said, "Professor Zhou, what you're talking about is urine bacterial culture."

"No, blood culture or sputum culture will do. Please ask Director Tang if you have cultured Klebsiella pneumoniae."

Zhou Congwen's words were very directional, unlike when he talked to Yuan Qingyao before, he directly mentioned Klebsiella pneumoniae.

Is there a relationship between Klebsiella pneumoniae and urine turning purple?When the doctors in the office heard what Zhou Congwen said, they all looked at him in a daze.

"Director Tang reminds me, I'll go see the patient."

"Xiao Zhou, I'll go with you." Chen Houkun closed the folder of the medical records and stopped looking at various test sheets.

I couldn't see anything after looking at it, and Zhou Congwen kept saying that he needed to see the patient, as if he had missed something important.

Chen Houkun and Zhou Congwen are already very familiar with each other and understand his way of doing things.

But I just can't figure out what important checks I can miss for a patient with pneumonia accompanied by purple urine.

Director Tang didn't call the laboratory department, but sent the hospital chief to urge him directly.

She followed Zhou Congwen, thinking about what she had missed.

When he came to the ward, Zhou Congwen asked about the medical history and physical examination.Everything was flat and completely different from what I imagined.

Chen Houkun watched Zhou Congwen's movements carefully, and there was no special move, his brows became more and more wrinkled.

But Zhou Congwen did not leave after the physical examination. Instead, he chatted with the patient and his family.

From daily life to what he would like to eat, and when it comes to hospital expenses, Zhou Congwen is more Shen Lang than Shen Lang at this time, and he is full of gossip.

After chatting for 10 minutes, Zhou Congwen said gently, "The urine problem is fine. Don't eat black sesame seeds from today. It will be fine in about a week."

Patients and their families were stunned.

They didn't care much when they saw Zhou Congwen walk in, but Director Tang followed him like a little doctor, and they always felt that there was something to say.

Waiting and waiting, I didn't expect to wait for such a sentence.

Patients and family members of patients do not understand medical treatment, but they know that black sesame is black, and if the urine changes color, it will also turn black. What does it have to do with purple urine?

Could it be that the black sesame paste in this little doctor's consciousness is purple?

What the hell is in his mind!What a pile of paste!

Not only the patients and their family members, but Director Tang, Chen Houkun, and Yuan Qingyao were also stunned when they heard Zhou Congwen's weird statement.

Shen Lang pulled Zhou Congwen's white clothes from behind, "Congwen..."

"It's okay, then I'll go, remember not to eat black sesame seeds." Zhou Congwen smiled lightly.