Back in 2002 as a doctor

"This theory has attracted the attention of many experts, saying that it has something to do with the frontal lobe, but I don't think so. Don't talk about it, don't expand it, just talk about it." Zhou Congwen said with a smile, "The structure of the human brain, body, The operating mechanism is like this, so the behavior of the patient's family members is also reasonable, Director Fuji need not be angry."

"Ugh."

That being said, Teng Fei still sighed deeply.

"Is there any expectation at home? They all think that the patient will be released properly and will be discharged in a few days. But you suddenly go out and tell the patient's family that the operation is complicated. Barbara, the patient's family can accept it and cooperate to sign. , good temper. Unacceptable, that is also a normal state.” (Note)

"Professor Zhou, you are too professional." Teng Fei smiled wryly.

"It's okay, isn't this persuading you, lest you get angry."

"That's not the case. We clinical practitioners also know that even if there is no theoretical support, we will get used to it after seeing it too much." Teng Fei said, "I also know that the family members of patients usually dare not turn against me, just face It's just ugly."

"After all, the patient is in your hands. Although we all know that you will do your best, as long as you care about the patient's family members, they are afraid that if you offend you, you will be detrimental to the patient."

"Also." The equipment nurse said, "I have a friend in the ward, and she said that the patient's family members have different attitudes towards the doctor and the nurse. When they see the doctor, they praise it, and when they see the nurse's face, it looks like something."

Zhou Congwen couldn't answer these words, he smiled.

But the nurse told the truth.

"Professor Zhou, how did you deal with similar problems." Teng Fei asked.

"Me." Zhou Congwen looked up at Yuan Qingyao, "I leave it to them to do it, Qingyao, how did you deal with it?"

"I will tell the family members of the patients that 90.00% of them will die with surgery, and [-]% will die without surgery."

"..."

"I also think it's a bit too much to explain the illness like this, but I think Shen Lang always said that, and the effect is not bad."

Zhou Congwen glanced at Shen Lang beside him.

"I learned it all from Director Wang."

Zhou Congwen was noncommittal.

He doesn't like to communicate with patients and their families in this way, but he can't deny that the effect of this communication is not bad.

Because the family members of the patients will basically hold the idea of ​​a dead horse as a living horse doctor after hearing the 90.00% mortality rate. There is no expectation, and all the results are good.

……

……

Note: In 2015, my father underwent interventional surgery for arterial occlusion of the lower extremities. After the operation, a small embolus fell off, causing rapid ischemic necrosis of the right foot.

Oh, the feeling at that time is still unforgettable.

Think about it, I was a family member of the patient at that time, and I knew all the complications, but it was really difficult to accept.

In the middle of the night, the director of the vascular department dragged me to the office to smoke with me... Sigh, it's not easy for everyone.

Chapter 0915 what kind of fairy idea is this

"Professor Zhou, you are really knowledgeable." In order not to "eat" the sternum saw, the equipment nurse's attitude improved significantly.

"It's okay." Zhou Congwen said with a smile, "I just flipped through it when I was reading the paper, and then remembered it."

"It's really hard to be a family member of a patient." The equipment nurse sighed, "My grandma got sick one after another a while ago, and now she looks old."

"What's the final diagnosis of your old man?" Zhou Congwen asked casually after the cardiopulmonary bypass was withdrawn, the heart resumed beating, and he observed the coronary anastomosis.

"I have old problems like high blood pressure and diabetes, and recently I have Alzheimer's disease, which is senile dementia." The equipment nurse said with a sigh.

"That can't be helped." Zhou Congwen did not have any emotional fluctuations, and was doing the operation seriously.

But his reaction was so blunt that it gave off a feeling of indifference and indifference.

When encountering such a thing, although everyone knows that there is no way to do it, they should sigh and express regret anyway.

This is the emotion of a normal person, but Zhou Congwen stared at the anastomotic coronary artery in the operation area, and stated a fact very coldly.

Like a rock.

The equipment nurse glanced at Zhou Congwen and said, "And there are more and more other minor problems, such as kidney stones and gallbladder stones. I think it's not easy for people to live forever. The parts of the whole body..."

"Huh?" Zhou Congwen suddenly paused.

He looked up at the equipment nurse, "A diagnosis of Alzheimer's, gallbladder stones, kidney stones?"

"Yes."

"Is the stone new? Have you had surgery?" Zhou Congwen asked.

"No." The equipment nurse said, "My grandma is going to commit suicide all day long, and no hospital dares to admit her. Fortunately, the stone is not serious, otherwise I don't know what to do."

"Do the surgery first." Zhou Congwen lowered his head again, "Then you send your grandma over for me to have a look."

"..." The equipment nurse was puzzled, "Professor Zhou, can you treat Alzheimer's disease? It is said that this disease is incurable, and treatment is not called treatment, it is called conquering."

"It may be that the diagnosis is wrong." Zhou Congwen said, "Prepare for warm saline flushing, the operation is coming to an end."

"Wrong diagnosis? Impossible! The directors of the psychiatric departments of several large hospitals in the provincial capital have seen it, and everyone's diagnosis is the same." The equipment nurse argued.

"Heh." Zhou Congwen smiled, "I haven't watched it yet."

Facing Zhou Congwen's inexplicable confidence, the equipment nurse was stunned, as was the anesthesiologist and Teng Fei behind him.

Yuan Qingyao felt strange, "Brother Zhou, dementia should rarely be misdiagnosed."

"Look at it, it's hard to say now." Zhou Congwen tapped the suction device in Yuan Qingyao's hand with the big tweezers in his hand, "Be careful, don't delay the operation, I will step down immediately."

"Okay." Yuan Qingyao suppressed the doubts in his heart and concentrated on the operation.

Shen Lang didn't speak during the whole operation, he kept observing Zhou Congwen.

He is a little interested in Alzheimer's disease, but he is more interested in a weird idea - Zhou Congwen seems to have predicted in advance that there is a patient with a ruptured heart on the side of Director Teng!

Once this thought arises, it cannot be contained, the fire of gossip burns in Shen Lang's heart, making him unbearably hungry and thirsty.

During the operation, Shen Lang did not participate in various gossip, but kept thinking about Zhou Congwen's weird behavior.

After Zhou Congwen came back, without saying a word, he threw his backpack and went straight to the circulation catheterization room. After he went, he happened to meet a patient with a ruptured heart.

How about such a coincidence!

Everyone on the operating table had their own thoughts, but for some reason, no one spoke, and they were quiet.

Zhou Congwen didn't notice it, and even if he did, he wouldn't care.

After the last stitch, there was a crisp sound of "ding dong~" in my ears.

mission completed!

Now Zhou Congwen's sense of expectation for completing the task is completely different from his previous life.

The system is so stingy that it doesn't even give any rewards, and it is not alive, no matter how many task rewards it swallows, it looks the same. It is not alive, as if it has never changed a bit.

"Step down." Zhou Congwen turned around, "Director Teng, please take a look after the surgery."

"Hmm." Tengfei knew that Zhou Congwen was worried that he would have opinions on the patient because of the attitude of the patient's family, so she nodded cautiously to herself.

She didn't explain, she just responded.

"Qingyao, remember to write the operation record."

After arranging all the work, Zhou Congwen became the shopkeeper, very relaxed.

"Liu Na." Zhou Congwen then greeted the equipment nurse.

"Huh? What happened to Professor Zhou?"

"When will your grandma come?" Zhou Congwen asked.

"..." The equipment nurse was startled.

She didn't expect what Zhou Congwen said was true.

It is clear that several veteran neurologists in the provincial capital gave the same diagnosis, how could Zhou Congwen think it was a misdiagnosis.

"Professor Zhou, are you kidding me?" the equipment nurse asked dumbfounded.

"Of course not." Zhou Congwen said, "There is something wrong with the medical history you mentioned. Maybe everyone has not noticed other possibilities."

"What I was looking for was..."

"Didn't you tell me everything? In the provincial capital, I didn't make a diagnosis before seeing it." Zhou Congwen said with certainty.

The domineering words made the equipment nurse speechless.

Zhou Congwen was also stimulated by the boss, he didn't restrain himself at all, and flaunted it wantonly.

The boss still wants to rush to the front line at an octogenarian age, and at the same time, he still leaves his own spark... Although Zhou Congwen, who knows the ending, doesn't think the boss will be in any danger, the boss doesn't know.

He went to the front line with the mentality of wind rustling and Yi Shuihan.

Even when Zhou Congwen was beating up Dr. Miyamoto, his mentality was very stable, even his heart rate did not change.

But now thinking of the scene where his boss chased and beat him with a broom, Zhou Congwen felt inexplicably sad, and his heart rate jumped to 120 as if he had received an emergency.

"Professor Zhou, domineering!" The anesthesiologist laughed, "I heard from my friends in the imperial capital that Mr. Huang's diagnosis is first-class. He was invited to compile "Diagnostics", but Mr. Huang only agreed to write the part of cardiothoracic surgery." .”

"Well, the boss sees patients and diseases a lot." Zhou Congwen tried his best to overcome the strange emotions in his heart and smiled.

Because it was covered by a sterile mask, others could only see his eyes squinting.

"Professor Zhou, what disease do you suspect?" the equipment nurse asked, "My grandma is disobedient now, I'll tell my family... there must be a reason."

"Ask in your home if kidney stones, gallbladder stones and confusion occur almost at the same time."

"..." The equipment nurse was startled.

Are stones related to dementia?Is the brain stone blocking the blood vessels and nerves?

She is also a practitioner in the medical industry and has attended a junior college for three years, but she can't understand the reason no matter how she thinks about it.

One is nervous system and the other is organ stones. What kind of fairy thinking can link these two diseases.

Chapter 0916 Small Remedies

"Professor Zhou, stones have nothing to do with Alzheimer's disease."

The equipment nurse didn't speak, but the anesthesiologist couldn't help asking.

"It's still related." Yuan Qingyao was obviously much more relaxed after the operation. He said while asking for a dressing to cover the incision, "There may be some correlations with some rare and special diseases."

Hearing what Yuan Qingyao said, Zhou Congwen suddenly became interested.

"Qingyao, talk about it."

Yuan Qingyao shook his head, "Brother Zhou, I know the general idea. It's not a disease of our heart. I don't have much research, so I won't make a fool of myself."

"What the hell is it? When everyone is chatting, why are you so cautious? It's not a school exam, and Professor Zhou is not your tutor." The anesthesiologist persuaded curiously.

"Talk as much as you know." Zhou Congwen asked like a big boss.

"There are actually many diseases with mental symptoms, but when Xiao Liu mentioned stones just now, Brother Zhou looked up at Xiao Liu. I guess this is the key to the problem."

Zhou Congwen smiled. Although Yuan Qingyao seldom talked, his observation ability was not weak.

This is one of the key qualities of being a good doctor.

"Continue." Zhou Congwen said.

"The typical 4S manifestations of hyperparathyroidism include kidney stones, osteitis cystic fibrosis, gastrointestinal symptoms, and psychiatric symptoms."

"Hyperparathyroidism?" The equipment nurse was startled, the diagnosis of hyperparathyroidism was quite unfamiliar to her.

After a while of reaction, the equipment nurse realized that what Yuan Qingyao was talking about was "hyperparathyroidism".

"Well, but according to the mental symptom book, it is mainly depression, and it rarely happens. It is basically a gastrointestinal reaction."

Zhou Congwen was very satisfied that Yuan Qingyao could answer to this level.

"No matter how rare it is, it does happen." Zhou Congwen said with a smile, "I can't guarantee whether it is a misdiagnosis. I also know that it is troublesome to toss the old man over here. If it doesn't require a lot of examinations and machines, I can go."

"Professor Zhou, how should I tell my family?" the equipment nurse asked dubiously.

"Let's just take a look. There may be other diagnoses. By the way, the most powerful doctor in 912 has something to do with us. He is the one who consulted." Zhou Congwen carried the boss out.

Not to mention, mentioning the boss at this time is quite useful.

912 is famous, and this name alone is enough to generate enough trust in the family members of the patients.