Back in 2002 as a doctor

"Looking at it now, because Lyme disease is very rare in China, and Switzerland is a high-incidence place, the test results should be sent to 912."

This time the patient understood completely, and she nodded.

Although I don't really believe what Zhou Congwen said, especially for syncope and heart disease, it sounds a bit unreal to be treated with antibiotics.

But after all, the specimens had to be sent to 912 for examination, and the Swiss medicine was used, which gave the patient a little more trust.

"Xiao Zhou, what is snail powder?" Teng Fei asked after leaving the ward.

"Emmm." Zhou Congwen had a very strange experience and memory of snail powder, and he couldn't even look directly at the word snail powder.

"Director Teng, the patient will get better in about a week, but there is one thing you should pay attention to."

"Treatment with Rocephine is a symptomatic option, but when antibiotics are stopped, about 5.7% of patients will develop severe atrioventricular block. You must go to monitoring on the day of stopping the drug, but don't panic if there is a problem, that is For a transient reaction, generally speaking, it will get better within 12 hours."

"Okay, I've written it down." Teng Fei seriously took a pen and paper to write down what Zhou Congwen said, just like a little doctor.

"I'm going to call the boss. The blood sample is wrapped and sent to 912 for examination." Zhou Congwen waved his hand after speaking, and he was about to leave.

"Xiao Zhou, wait a moment!" Teng Fei remembered the purpose of looking for Zhou Congwen in a trance.

The call to Zhou Congwen today is definitely not for his consultation. Why is he leaving after seeing a patient with intractable third-degree atrioventricular block?

"Huh? What's the matter, Director Fuji."

"I saw a few elderly patients with three-vessel disease today. Take a look at the information. If they are suitable for surgery, I will communicate with the family members of the patients." Teng Fei said immediately.

"Oh, I thought you were looking for a consultation with me." Zhou Congwen smiled, "Director Harding Teng, let me take a look at the information. Wait a minute, I'd better call the boss first."

With that said, Zhou Congwen took out his mobile phone and went to the fire escape.

After dialing Huang Lao's mobile phone, Zhou Congwen said with a smile, "Boss, what are you up to?"

"I'll make you an instrument." Huang Lao's voice came slowly.

Zhou Congwen knew that the boss would definitely do a full set of things, but with the boss around, he was really relieved.

Let's talk about the serious business first, Zhou Congwen briefly reported the matter of the Lyme disease patient to the boss, and then explained that the specimens should be sent to 912 for examination.

"Deng Ming, there is a patient with Lyme disease from Zhou Congwen, please contact the laboratory department." Huang Lao said after listening.

"Good boss." Deng Ming's voice came.

"Boss, I'm going to take in patients here, and I'm going to pick up the equipment these few days?" Zhou Congwen asked.

"No, I'm also curious about the surgery, I'll go and see the first three surgeries."

"Ha, you are coming."

"Keep an eye on it, and for heart bypass surgery with small incisions, I have a little idea, let's discuss it together."

"Don't mind, boss, just tell me, and I will do whatever you want."

"Ideas are just ideas after all. What I want you to do is what the situation requires you to do."

"Okay boss, when are you coming?"

"When the time comes, you will contact Deng Ming." Huang Lao said, "I will be able to prepare the equipment tomorrow and the day after tomorrow, which will be convenient for your operation and make the incision smaller. If it can be smaller, it is what you say."

Chapter 0800 The Grandmaster

Deng Ming stood behind Mr. Huang holding a thermos cup, "Boss, you really have a preference for Zhou Congwen."

"No way." Elder Huang said with a smile on his back, bowing his hands behind his back, "Since he wants to do small incision coronary artery bypass surgery, I also have some experience over the years, so that he can do the surgery more smoothly."

"I don't think surgery is necessary. The life expectancy of elderly patients is too short, and there are another 20 to [-] years...Compared with the cost, it seems to be more difficult to promote." Deng Ming said.

"You have to look at the problem from the perspective of development." Huang Lao Youyou said, "The average life expectancy is constantly increasing. What is the responsibility of a doctor? At a young age, it is to treat diseases and save lives. Working together, the final result is that the average life expectancy of the whole country will increase. .”

With a smile on his face, Deng Ming listened to the values ​​that his boss forcibly instilled in him.

He has long been accustomed to this kind of indoctrination, so he can't say that what the boss said is wrong, but as an ordinary little doctor, who would think about the average life expectancy of the whole country.

Make sure nothing happens, make sure you're not in trouble, make sure you earn money to support your family, that's the most important thing.

Although the boss knows this, the words of curing diseases and saving lives have been integrated into the bone marrow and come from the heart.

"In the past, the average life expectancy was more than 60 years old. At that time, Zhou Congwen's techniques were really useless. If you can, you will always run to 80. Look back at his techniques." Huang Lao said, "It is expected that the average life expectancy in China will continue to increase. Therefore, as long as elderly patients are less than 80 years old, they need to consider the problem of coronary artery blockage 10-20 years after surgery."

"Boss, you are right." Deng Ming flattered me without nutrition.

"When the time comes to the stage, you must concentrate. The surgical field may not be enough, so don't be unable to help."

"It's hard to imagine that the incision in coronary artery bypass surgery is less than 10cm, and the operative field is indeed a problem." Deng Ming admitted frankly.

"Take your time, wait for the instruments to be ready and take them over for disinfection. I'll make two to see if there is anything to improve."

The boss started to tell me to go, but he changed his mind at some point. He is really a model of being honest when he says he doesn't want his body.

Deng Ming looked at the back of the boss, holding a thermos cup and smiling slightly.

……

……

Years later, the hospital began to get busy again.

Director Miao is not in the mood to start the new year's work. His original plan is to visit the academician workstation after the next year.

"Xiao Yang, the hospital and I applied to go to the academician workstation set up by Mr. Huang to see the situation. We said it at the dinner party years ago." Director Miao called a caring professor under his command into the office to arrange work. Just keep an eye on it, don't have any trouble, just call me if you have any questions."

"Director, are you going to study further? There's no need for that." Professor Yang said directly.

He was the first batch of graduate students led by Director Miao. After graduation, he stayed with Director Miao and spoke more casually.

"I always want to see it." Director Miao shook his head, "The last time Huang Lao organized the annual meeting, you saw a few operations performed by Zhou Congwen, didn't you want to learn it too?"

"I'm afraid I won't be able to learn...and I'm also worried that Professor Zhou won't have time to teach." Professor Yang said helplessly.

"I was also afraid at first." Director Miao said with a smile, "But I had dinner with Lao Deng a few years ago, and when I heard some news, I decided to go and have a look."

"Huh? Zhou Congwen wants to call back to 912?

Huang Lao is really amazing, he has cultivated such a young man silently.

I don't know what Director Deng thinks, once Zhou Congwen goes to 912, will the brothers fight against each other.This kind of thing, it's really hard to say. "

"What are you thinking? How old is old Deng? Zhou Congwen was just right when he retired, and he will definitely take over the position of director at that time. And there have been rumors recently that old Deng is going to move up half a step."

"Director Deng wants to become the vice president?!" Professor Yang was stunned.

Walking half a step up, the difficulty is completely different from that of prefecture-level hospitals, but that is 912...

"It's possible, don't talk about it." Director Miao said, "It has nothing to do with us, but I heard from Lao Deng at dinner a few years ago that Huang Lao accepted the invitation this year to become a judge of the World Cardiothoracic Surgery Competition and recommended Zhou Congwen."

"!!!" Professor Yang was stunned.

This news is even more explosive than the previous news that Deng Ming will take half a step up to become the vice president.

"Is it cardiothoracic surgery?!" Professor Yang was in a daze, and instantly grasped the point.

"Yes, cardiothoracic, this year's operation involves heart bypass. Guess what operation Zhou Congwen is going to do."

"Heart bypass, what's the use of playing flowers, at most it's a heart skipping bridge. A good operation means that the time is short and there is no difficulty." Professor Yang said, "But isn't Zhou Congwen concentrating on thoracoscopy? "

"Hey." Director Miao shook his head, "Director Xue wanted to impress Mr. Huang at the annual meeting of Circulatory Internal Medicine and invited Mr. Huang to attend. As a result, Mr. Huang made a move and changed the classic crush operation to DK-crush The operation method is called a slippery operation.”

"Uh……"

"Dr. Miyamoto from Juntendo Hospital in Japan is of a high level, but he didn't dare to perform the third operation. In the end, Zhou Congwen took him to perform the DK-crush operation! The guide wire at [-] penetrates the mesh of the double-layer stent, It was taught by Zhou Congwen."

Since the annual meeting of the Department of Circulatory Internal Medicine, Professor Yang has listened to Director Miao talking about it many times, but he still pretended to hear it for the first time and expressed his surprise very seriously.

A flattering self-cultivation, Professor Yang has achieved the ultimate.

"Director, you mean that Mr. Huang spent many years finally cultivating a comprehensive surgical beast?"

"Zhou Congwen is not a surgical beast, he has become a master of a generation." Director Miao sighed, a little envious, "Although I have never seen Zhou Congwen perform cardiothoracic surgery, I can figure out what he did with his heels. How nice."

"By the way, director, what kind of surgery is Zhou Congwen going to do?"

"Small-incision coronary artery bypass grafting, three-vessel disease, drug-eluting stent directly under vein grafting."

"!!!"

The complicated operation was a bit of a mouthful, but Professor Yang instantly understood the meaning of Zhou Congwen's operation.

"Hasn't small incision surgery been eliminated clinically?"

"What is eliminated, it is because the technical level required is too high, only some genius-level doctors can do it, and it is not suitable for large-scale clinical promotion, so it gradually disappears."

Director Miao said disdainfully.

"Oh oh oh."

"However, this type of surgery is most suitable for participating in competitions." Director Miao was a little yearning, "It is said that Huang will pass after he is old, and I will follow Zhou Congwen's level. If...if..."

"What if?"

Seeing that Director Miao hesitated, Professor Yang asked directly.

Director Miao didn't speak, but pondered, as if some decision was difficult to make.

Chapter 0801 Zhou Congwen's shamelessness

three days later.

Zhou Congwen came to the airport to meet his boss.

Among the crowd, from a distance, the boss could be seen walking out with his hands bowed, wearing a military overcoat and pulling cotton shoes like a little old man.

Zhou Congwen waved his hand and almost jumped up.

"Calm down, why are you still acting like a child." Huang Lao Youyou said.

"Boss, I miss you." Zhou Congwen bowed and said with a smile, and then greeted Deng Ming, "Director Deng, you have worked hard."

"What's the trouble? I rushed to check the specimen you sent. Is it a Lyme spirochete infection, stage one?"

"Well, for the first issue, just give me some Rochefen." Zhou Congwen said.

"The patient is very lucky." Huang Lao said.

At this time, the big manager of Olida China and Wang Xueteng who followed behind also came out pushing the trolley case like a hill.

Zhou Congwen didn't even look at them, and walked half a step behind his boss, "Boss, how many equipment have you brought?"

"Basically, you have everything you want." Huang Lao said, "I originally wanted to try this operation before I completely retired. Since we and I want to go together, we should hurry up and do it while our health is still good. "

"Look at what you said, you want to serve the people's health for 50 years. You said that." Zhou Congwen said with a smile, "Director Deng told me at the annual meeting. Doing surgery in the clinic for 30 years. At that time, the people in the room will not be as old as you."

"..." Deng Ming was speechless.

What is Zhou Congwen talking about, there is no one in his mouth.

But Mr. Huang was not angry, but said with a smile, "It's the best method, and I can do it until I'm 90 years old. What do you think about the one-stop minimally invasive coronary artery hybrid surgery?"

Before Zhou Congwen could speak, Deng Ming froze.

This is the first time the boss has given that long and awkward operation a name, and it seems that the boss is very concerned about this operation.

You should know that at the last annual meeting of Circulatory Medicine, the boss made an improved version of the classic crush surgery, and never named it DK-crush surgery.

But this one has a weird name - one-stop minimally invasive coronary artery hybrid surgery.

In fact, the name is also easy to understand. Coronary artery surgery is divided into two types: surgery and intervention. Hybridization means that both methods are used.

Clinically, hybrid surgery is not uncommon, but hybrid surgery involving coronary arteries is basically performed in a split-station manner, that is to say, surgery is performed first, and interventional surgery is performed 5-7 days later.

And one-stop, means that one operation completes both operations.

It seems that the boss is serious!

"I'm wondering whether it's better to have a one-stop service or a sub-station service." Zhou Congwen replied without hesitation.

"Regardless of others, we must do one-stop. Whether we should do it separately depends on the level of each person." Huang Lao stretched out his hand rarely, and made a decisive gesture.

"Yes, boss." Zhou Congwen nodded.

"Are you sure?"

"Of course." Zhou Congwen said with a smile, "The difficulty of the operation actually lies in the various equipment you brought. As long as you have the equipment, it will naturally be completed smoothly. There is nothing to doubt about this."

"Combining minimally invasive small-incision coronary artery bypass grafting and percutaneous coronary intervention to treat complex coronary heart disease, especially elderly patients with three-vessel disease, is of great significance. Zhou Congwen, I hope you will do your best."