Back in 2002 as a doctor
Page 658
Standing up suddenly with a look of surprise, Director Han said, "Yuan Chen, really? You are so good that this can work."
"Hehe, I didn't operate it." Dean Chen said with a smile, "Academician Chu personally called me."
Zhou Congwen!
Something must have happened to Zhou Congwen. A thought flashed in Director Han's mind, but the expression on his face did not change. He continued, "That's because you have been operating before, and Academician Chu chose our hospital."
Dean Chen laughed, "Academician Chu is here to start a new business."
"new business?"
"ERCP."
"what is that?"
"I don't know either. It is said that it is a new business in the gastrointestinal endoscopy room. Academician Chu urged me urgently, saying that if the academician workstation is to be built, a new machine must be purchased."
"Okay, I will definitely cooperate with all my strength, Yuan Chen, don't worry." Director Han said.
He is a powerful medical director, and he has a great say in the purchase of clinical equipment.
"No." Dean Chen shook his head, smiled, and said softly, "Academician Chu brought the manufacturer with him. He only has one request. Zhou Congwen can choose whatever machine he wants."
"..."
Director Han finally knew why the first question Dean Chen asked after he came in was what he thought of Zhou Congwen.
How else can I see it, how can I see it myself!
Academician Chu came to the Second Hospital of Medical University to set up an academician workstation, not run by Dean Chen, but academician Chu who rushed to Zhou Congwen!
Although this conclusion is hard to imagine, no matter how you look at it, it looks like false information, but this is the true answer.
"Then, I..." Director Han hesitated, and the expression on his face finally became serious.
Zhou Congwen, I really don't pay enough attention to it.
The olive branches extended by Academician Chu were really generous, and Han Chu was a little envious.
Chapter 1122 It is very difficult to flatter this young master
Xiao Kai put down the phone and sighed.
"Professor Zhou, six patients complained in our central hospital this month because the neurologist prescribed head CT and MRI."
"Oh, explain it carefully to the patient." Zhou Congwen didn't think it was a big deal, and was busy with his own work.
"Professor Zhou..." Xiao Kai said, sighing, "I'll go back and organize some training."
"Training?"
"Many doctors themselves don't know the basic principles of CT and MRI. If they want to explain to others, they need to know more."
Zhou Congwen smiled, it is true.
"However, there is one patient among them who came to the hospital just to find trouble." Xiao Kai put the unhappy things aside and began to gossip.
Sure enough, Shen Lang's ears perked up even though he was writing the medical records immediately.
"One day a man was lying on the road begging to be hit and killed. Someone called the police. The police found out that his daughter did the math after asking. 800 minus 700 equals 900. His spirit collapsed immediately."
"Teach me well, children, this is not normal." Shen Lang felt that Xiao Kai was too boring.
"In the end, the police comrades persuaded him, and the parent rushed to the school and beat up the Chinese teacher."
"..."
"..."
This time, not only Shen Lang, but even Zhou Congwen were stunned.
It was indeed an emotional breakdown, otherwise he wouldn't have rushed into the school.
But it would be reasonable for him to ask the math teacher to settle accounts, so why beat up the Chinese teacher.
"This kind of thing." Xiao Kai smiled, "I knew that the parent had some problems, so I will let..."
"Dean Xiao, is this child's parent going to complain?"
"Yeah." Xiao Kai said, "He thinks there are too many checkups. He paid the Chinese teacher hundreds of dollars and did a lot of checkups in the hospital, feeling aggrieved. So it's human nature to ask for trouble, just deal with it properly. .”
"Your hospital is not bad, you have already entered the MRI." Shen Lang said.
Zhou Congwen suddenly had a thought, "Speaking of NMR, I still think it's best to ask clearly about some things."
"What do you mean, Congwen?" Shen Lang didn't understand.
"I met... I heard about a case from Director Deng." Zhou Congwen said, "A carpenter suddenly became dizzy while working, and his eyes became black. thing."
"Carpenter?" Xiao Kai immediately started thinking about the relationship between carpenter and NMR.
Professor Zhou is indeed powerful, has a bright future, and has a serious business, these are some things.But what Xiao Kai worries about is that to flatter others, all he needs to do is give gifts and money, tell some nasty jokes, and drink a few bottles of wine.
But everything he was used to didn't work well in front of Zhou Congwen.
If you want to flatter this young master, you must be able to follow his words.But what Zhou Congwen said were all clinical cases, which made Xiao Kai extremely distressed.
"At that time, the doctor judged that it might be because iron filings stuck to his body while working." Zhou Congwen explained.
"There are nails in the body!" After all, Xiao Kai is an old clinician, and he has heard a lot of strange things, so he immediately followed Zhou Congwen's words to find the problem.
"Yes." Zhou Congwen nodded, "After a CT scan, it was found that there was a long nail embedded in the patient's cervical spine."
"I go!"
"Nail, on the neck?"
"Don't be surprised." Zhou Congwen smiled slightly. "Later, Director Deng read the film and found that an iron nail crossed the carotid artery, but there was no sign of bleeding around it."
"!!!"
"!!!"
All the doctors in the office were amazed.
No matter how the iron nail got in, if it hit the carotid artery, it would be an emergency rescue.
If the patient was far away from the hospital at that time, or the level of the hospital was not enough, he would either die or die of cerebral ischemia.
But in any case, there should not be a situation where the iron nail runs through the carotid artery, but there is no local bleeding.
"The foreign body is about 3 cm long and about 1 mm in diameter. It should be injected quickly from the skin of the neck. After crossing the carotid artery, the tip touches the left side of the cervical spine, and the other end just stops on the outer wall of the carotid artery."
"That's unlikely." Shen Lang gestured and murmured.
"Nothing is impossible." Zhou Congwen said, "The foreign body wrapped a thrombus in the area of the blood vessel, with a diameter of six to seven millimeters. The diameter of the blood vessel was originally only 8 millimeters, probably because the blood passage here narrowed. The walls of the blood vessels were blown out and bulged out."
"At that time, Director Deng judged that it was a nail based on the patient's condition, and then sent him for surgery."
"How could the patient not know!" Shen Lang was surprised.
"It's possible." Xiao Kai stood by Zhou Congwen's side and explained, "The nail gun has strong pressure and fast speed, so there is no obvious pain or bleeding when the nail enters the neck.
In addition, the patient was concentrating at work, and usually had a high tolerance for slight stinging pain, so he did not notice the abnormality of the neck. "
"This explains..." Shen Lang scratched his head.
"It doesn't matter if it's a nail or not. The key is to take out the foreign body quickly, otherwise the thrombus will fall off, or the carotid artery will be blocked when the foreign body grows bigger, and the patient will be in great trouble." Xiao Kai said, "Professor Zhou, what next? "
"Congwen, what does this matter have to do with Director Deng?" Shen Lang said contemptuously, "Did you make it up?"
Zhou Congwen sighed, this matter is really not Director Deng's matter, but a patient he met when he was out of the emergency room in about 2006 in his previous life.
Shen Lang's sense of smell is too sensitive, like a dog, seeing how sensible Dean Xiao is, he never questioned himself.
But even though he thought so, Zhou Congwen said contemptuously, "The foreign body is located at a relatively low position, and it may require sawing off the collarbone to remove it, and it will involve the scope of orthopedics and thoracic surgery.
Before the operation, experts from several departments repeatedly discussed the operation plan and prepared various contingencies that might arise.
You said, does it have anything to do with the chest department and Director Deng? "
"Emmm..." Shen Lang was dumbfounded.
"Take it out." Although Xiao Kai knew the ending, he still asked.
"Well, during the operation, it was found that after the nail penetrated the carotid artery, the tip reached the cervical vertebral body, and the nail cap got stuck on the outer wall of the carotid artery.
Due to the long time of injury, the nail and carotid artery have been completely fixed, and there is no bleeding around it, just a thrombus around the nail, which almost blocked the aorta.
If it weren't for the small emboli that fell off and blocked the cerebral blood vessels, it is estimated that the patient would always carry this nail, and it might explode at any time. "
"Dong Dong Dong~~~"
When Zhou Congwen was gossiping about a nail embedded in the carotid artery, Director Han had already arrived at the Department of Thoracic Surgery. Seeing Zhou Congwen there, he raised his hand and knocked on the door with a smile on his face.
"Han Chu, honored guest, honored guest."
Chapter 1123
"Professor Zhou, you're welcome." Director Han glanced at the office, then looked at Zhou Congwen.
"Go to my office." Zhou Congwen understood, stood up and walked out of the doctor's office with Han Chu.
"I didn't expect that you still have time to chat." Director Han said.
"Oh, I'm not busy at work, it's normal to talk about the mountains."
work, not busy...
This sentence brought infinite psychological shadow to Director Han.
Judging from Zhou Congwen's surgery volume, although it is only in the middle of the year, if we don't talk about quality and quantity, it is already more than what Zhang You and several professors under him did for a year.
And it can't be finished in a year, and there is a very long and thick tail.
Just like this, more than half of the workload has been reduced. Changing to others has long been complaining, but Zhou Congwen said that he is not busy with work.
"Director Han, what do you want from me?" Zhou Congwen asked.
"Do you know about Academician Chu?" Director Han asked.
"Academician Chu called me." Zhou Congwen said, "Ask me if I will do ERCP. We chatted for about 10 minutes and didn't say anything else. What's wrong with him?"
Sure enough, Director Han immediately straightened out the general process of the matter from Zhou Congwen's words.
"Academician Chu said that we want the Second Hospital of Medical University to establish an academician workstation." Director Han said, "This is a big deal, but President Chen said that Academician Chu is in a hurry, as if it has to be implemented within a month. "
"In such a hurry? I'm afraid the equipment won't come in." Zhou Congwen said.
When he came to Zhou Congwen's office, Director Han didn't see him, and sat on the bed directly.
"It's okay, let's run. Urge a little more urgently, there are many things to be done urgently, it doesn't matter."
Zhou Congwen smiled.
Now it is 2003, many things are irregular, and they are in the process of barbaric growth, which is happening everywhere in the country.
If it really follows the rules, it will be more than ten years later.
Is this considered to be doing as Romans do?Although Zhou Congwen was a little unaccustomed to it, he didn't care about these little things.
On the contrary, Academician Chu is coming to set up an academician workstation, and Zhou Congwen is more interested in this.
"Professor Zhou, Yuan Chen said that Academician Chu means that you can buy whatever type of machine you like." Director Han asked tentatively.
"Where's the manufacturer?"
"It's the manufacturer introduced by Academician Chu himself."
"Oh, let's talk about Han Chu." Zhou Congwen said casually.
"..."
Director Han heard many meanings from Zhou Congwen's words, and one of the explanations made Han Chu's heart skip a beat.
"I can use any machine, but it is best to import it." Zhou Congwen said, "No one in China has developed the technology on a large scale, and the imitation is too rough."
As he spoke, Zhou Congwen had a playful smile on his face.
"Professor Zhou, are you... are you telling the truth?" Director Han sat up cautiously, glanced at the door, then stood up and opened the door, looked around, closed the door and locked it.
Seeing Director Han's cautious look, Zhou Congwen found it funny.
"Really." Zhou Congwen simply followed through on human feelings, "As long as it can be used, don't be too rough. It's just such a request, nothing else."
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