Back in 2002 as a doctor

Huang Lao put his hands behind his back, looked up at Zhou Congwen's eyes, and said seriously.

"Hybrid surgery for the treatment of multi-vessel coronary artery disease combines the advantages of cardiology and surgery. With the close cooperation of surgeons and interventional physicians, it retains the good mid- and long-term curative effect of surgical bypass surgery on coronary heart disease, while reducing the The risk of surgery is reduced, the number of days in hospital is shorter, and the cost of hospitalization is lower.”

"I think what you said, boss, is right, just do one-stop surgery!"

Zhou Congwen then mentioned a lot of advantages and affirmed the boss's statement.

Deng Ming was speechless.

When it comes to flattering, Zhou Congwen is many times better than the average person.The level is also higher than his surgical level, almost monstrous.

The point is that Zhou Congwen is simply too shameless. One second he said to ponder the advantages and disadvantages of one-stop and sub-station, and the next second he affirmed one-stop surgery from the perspective of the boss.

The boss instills values, and most people will feel dizzy. If you can go in your left ear and out your right ear, you are already out of control.

However, Zhou Congwen was able to climb up smoothly, and the "speculation" he talked with his boss about values ​​is simply indescribable.

"This is just one of them." Huang Lao said lightly, "After the technique is perfected, accompany me to the Shuai Mansion for consultation."

"Oh? Is there a leader to do?"

"Yeah." Huang Lao nodded, "But it can still be maintained, don't worry. First participate in the World Surgery Competition, and we will talk about it after we get the ranking."

"Boss, what you said is not very nice. What do you mean by ranking! If I participate in the competition, if I don't take the first place, I will fail." Zhou Congwen said arrogantly.

It's rare for him to be arrogant, so he can get excited in front of the boss.

"I really hope that someone can teach you a lesson and let you know that the military pot is made of iron." Huang Lao said lightly, bowing his hands behind his back.

"Hey, you're not from the cooking class." Zhou Congwen said, "Boss, let's talk about you being a judge this time."

"I won't say much about your operation."

"I know, I know, avoid the principle." Zhou Congwen said, "It's okay, you can rest assured."

"What's the patient's condition?"

"Male, 72 years old, with diffuse lesions throughout the left main artery, 80% stenosis; 80% stenosis of the opening of the left anterior descending artery, 85% stenosis of the middle circumflex branch, and 70% stenosis of the middle right coronary artery (RCA)."

"What about the basic situation?"

"It's okay, I have diabetes, but the control is still ideal." Zhou Congwen said, "After all, it is the first operation, and the success rate is still very important. I don't have anything, the mood of the team needs to be taken care of."

"Be careful, this patient is really good." Huang Lao said, "The preoperative diagnosis is done."

"It's done, and all the hospitals in the province have also said hello. If there are similar patients, don't wait to die at home. Send them to me for a try."

"What to try, to ensure the success rate!"

"The boss taught me a lesson." Zhou Congwen opened the car door with a smile, put his hand on the roof, and let the boss get in the car.

"Xiao Zhou, how sure are you of the operation?" Deng Ming asked.

"It's a bit too much to say [-]%, but after all, the operation is just a small incision coronary artery bypass grafting, it's not difficult."

"I just like your inexplicable self-confidence." Deng Ming said with a smile.

"Director Deng, look at what you said. I'm just telling the truth. How I got here has become inexplicable."

Deng Ming didn't say anything more, opened the door on the other side, and sat in by himself.

Chapter 0802

Zhou Congwen didn't tell anyone about the news of Mr. Huang's arrival, because the boss likes to be quiet, and a bunch of people came to pick him up. It seemed quite popular, but the boss definitely wouldn't like it.

After getting in the car, Zhou Congwen couldn't wait to ask his boss about the surgical equipment.

In the previous life, Zhou Congwen was first exposed to one-stop minimally invasive coronary artery hybrid surgery in 912. At that time, the equipment in 912 was said to be designed by the boss himself, so Zhou Congwen was very curious about what the boss brought.

This life is several years earlier than before, and I don't know if the boss can bring all the equipment.

Judging from the system task rewards, the boss will make a hanging internal mammary artery suspension system. This alone... is actually similar. Zhou Congwen thinks this is the key to at least guaranteeing the success of his operation.

There are some contradictions between the two, Zhou Congwen is very curious.

However, the boss quickly dispelled all Zhou Congwen's curiosity. The boss brought all the equipment he was used to in his previous life, which made Zhou Congwen very happy.

I don't know if it's because the system has strengthened the task rewards or the boss...it must be the mighty boss, Zhou Congwen thinks so.

"Boss, let's eat." Zhou Congwen said with a heart, after confirming some guesses, "I specially ordered chicken feet that you are used to eating in Jianghai City."

"It's okay, eat first, and then go to see the patient." Mr. Huang followed suit.

"Xiao Zhou, do you know how to use these weird devices?" Deng Ming was a little surprised, "I thought you couldn't wait to open it and have a look."

"The principle is basically the same, nothing interesting." Zhou Congwen said with a smile, "Surgery is based on local anatomy and knowledge of anatomy.

As for whether it is good or not, it still depends on personal talent.The principles of the various instruments designed by the boss are relatively clear, and they are used to assist surgery. "

That being said, Deng Ming still felt that something was wrong.

"Is this job going well?" Elder Huang asked with his eyes closed.

"It's going well." Zhou Congwen replied, "We will try to complete 2004 surgeries by the middle of 3000, and publish a paper on the evaluation of large-scale surgeries in the Lancet."

Huang Lao nodded.

"Boss, I have one more thing to report to you."

"You said."

"I'm thinking of combining cardiology and circulatory medicine to set up a stroke...a chest pain center. As long as patients with chest pains are sent there, if they can do interventions, they can do interventions, and if they can't, they can do surgery. "

As soon as Zhou Congwen finished speaking, the air in the car seemed to freeze.

Deng Ming's hand holding the thermos cup tightened suddenly, and the creaking sound broke the silence.

Huang Lao's eyes were slightly opened, and there was no trace of cloudiness in the eyes of the octogenarian, as clear as a pool of spring water.

"Do you think it's okay?" Zhou Congwen asked knowingly.

"Appreciate~"

After a long time, Mr. Huang closed his eyes slightly and let out a long breath.

"This method is good. I am old, and I didn't expect this method for a while." Huang Lao said lightly, "You still have enough brains, but since it is a new thing, there are always various troubles. You first Try it in the Second Hospital of Medical University, if there is any problem to solve, if it is feasible, you will come to 912 next year."

Zhou Congwen nodded with a smile.

Deng Ming sighed a little, Zhou Congwen's brain is really easy to use.Since cardiothoracic doctors are not interested in interventional surgery, they can be combined into a department or an institution. There are many benefits in doing so.

"There must be some difficulties that cannot be solved, and they were not expected in advance. If you have any questions, you can contact Deng Ming at any time."

"Okay." Zhou Congwen nodded.

"Has it been pushed?"

"I just mentioned that the dean of the Second Hospital, the chief of medical affairs, and the directors of the chest department and circulation are all interested in the World Series." Zhou Congwen said, "Famous and profitable, I still do serious things. There is less resistance."

Mr. Huang closed his eyes and nodded, looking as if he had fallen asleep, but Zhou Congwen knew that the boss's brain must be running at high speed, and he was thinking about related matters.

Deng Ming sighed, "Xiao Zhou, the World Series was originally intended for the boss to accumulate experience for you, but I didn't expect it to be of great use to you."

"Anyway, I am a magician, and no one can take it away. Everyone is happy to share the rest of my reputation. People in bridal sedan chairs carry people, and I give them the title of number one in the world. Who would be ashamed to share with me?" Fried hair."

Deng Ming looked at Zhou Congwen with a smile.

This guy really knows what the boss is thinking, and his methods are extremely clever.

If the chest pain center is established and can combine circulatory intervention and cardiac surgery, then there will be no dispute between extracardiac and circulatory, and there will be no coquettish operation of cardiac surgeons squatting at the door of the circulatory catheterization room waiting to wipe their buttocks.

Combining the two into one and establishing a new department, there are still many details in it, but the idea is correct, let's talk about the specific operation.

When he came to the hotel, Zhou Congwen got out of the car as soon as it stopped, and opened the door respectfully and quickly, as if he were a doorman.

"You don't need to do superficial work." Huang Lao bowed his hands and said softly after getting out of the car, "The most important thing is to finish a few tasks well."

"Yes, boss." Zhou Congwen smiled and followed Huang Lao's side.

Deng Ming couldn't laugh or cry.

Ordinarily, Zhou Congwen has done a little too much, the flattery is too obvious, not advanced enough.But seeing it in my own eyes, I feel that all this is extremely harmonious, as if things should be like this in the first place.

After entering the restaurant, instead of going to the private room, I sat in the lobby.

Zhou Congwen went to whisper to the waiter, and soon an insulated lunch box was delivered.

"Boss, taste it first." Zhou Congwen said, "I asked Shen Lang to buy it."

"Where's Shen Lang?"

"I'm practicing surgery." Zhou Congwen said, "No one in the surgery department does interventional surgery, and there is always something missing. The energy is not equal, and things are always a little troublesome. It just so happens that Shen Lang also wants to do it, so let him think about it first."

As he said that, Zhou Congwen told the boss about the little embolism in the heart of the girl with congenital heart disease who fell off during the excitement and strenuous exercise, causing cerebral infarction.

Similar cases have become the norm in Zhou Congwen's chat with Mr. Huang, but they are not thinking about it from the perspective of novelty, but more of doing some kind of research.

Although the various angles and directions are not fixed, Deng Ming who is sitting on the side can clearly feel the spark of the collision of thoughts.

There is no telling which spark will cause a revolution.

"Zhou Congwen, I met a patient recently." After talking with Zhou Congwen about the cerebral infarction caused by the thrombus falling off, he suddenly changed his direction, "Listen and see if you can diagnose it immediately."

Zhou Congwen sat upright, his ears were pricked up, and he was rarely engrossed.

Chapter 0803 small signs of taking antihypertensive drugs

"Actually, it's not too late, it's about summer." Huang Laodao, "At that time, I went for a walk after dinner at night. You know, take a walk, my home is closer to the hospital, so I went to the emergency department to have a look. "

"Mistress didn't scold you? Go to the hospital if you have nothing to do, it's a mess." Zhou Congwen smiled.

"Walking around, what do you have to say." Huang Lao muttered, "Listen to me carefully, don't keep interrupting."

"Yes, yes." Zhou Congwen responded quickly.

"At that time, I met a patient who said he had difficulty urinating. There was no frequent urination, urgency and painful urination, but oliguria. There was no history of renal failure before, and no abnormal renal function was found in the examination."

Zhou Congwen frowned slightly.

What I am most afraid of is this kind of patients who are negative in all tests. They may have some kind of serious disease, especially when this case is brought up by the boss.

"The patient's blood pressure was normal, and there was no self-reported pain or other discomfort except for a little fatigue."

"Zhou Congwen, what would you think about it?"

Huang Lao finished his chat with Zhou Congwen.

Deng Ming sighed in his heart. With such a small condition, it is impossible to give a correct diagnosis.

Sure enough, just as Deng Ming expected, Zhou Congwen immediately complained, "Boss, you have given too few conditions."

"Is it less? A lot."

"Low urine, normal kidney function... If I were to ask a few more questions about when it started. I guess the time is relatively short, which proves that the patient is extremely concerned about his body, and he will come to the hospital for treatment if something is wrong."

Zhou Congwen began to speak according to his own logic.

Mr. Huang held the chicken feet, as if immersed in the delicacy, and didn't listen to what Zhou Congwen was saying.

"If the kidney function is normal, I will first suspect ischemia and have to do B-ultrasound and CT. As for the cause of ischemia...there may be a problem with the renal artery caused by abdominal aortic dissection, which leads to renal ischemia. Because of the short time, The kidney function has not changed, but the urine has decreased." Zhou Congwen's eyes lit up.

"I checked, the outer diameter of the aorta is not wide." Mr. Huang said vaguely, "There is no chest pain, the blood pressure is not high, and the outer diameter of the aorta is not wide."

In a trance, Deng Ming saw Zhou Congwen's waist straighter, as if a lion met an opponent.

"If this is the case, first rule out Marfan syndrome." Zhou Congwen said.

"There is no Marfan, we have checked."

"Then ask if there is any history of trauma."

"No, I asked too."

Zhou Congwen said the same, Huang Lao denied the same.

After a few words, Zhou Congwen, who was always sharp, lost his sharpness.

He frowned and stared at Huang Lao with straight eyes, but he had no idea how the boss made the diagnosis at that time.

"Boss, I can't figure it out." Zhou Congwen quickly gave up.

"In summer, we installed a lot of mosquito killers in the emergency department of 912, and the crackling sounds are uncomfortable." Huang Lao smiled lightly, "I noticed that there were no mosquitoes around the patient, so I asked him if he had a history of high blood pressure."

"Mosquito?!" Zhou Congwen frowned.