Back in 2002 as a doctor
Page 685
"Yeah." Academician Chu looked calm, and gave a casual grace, but there was already a huge wave in his heart.
When Dean Chen said this, he didn't know how to answer.
The roundworm seemed to be crawling inside his heart.
Similar gastroenterological diseases are academician Chu's job, and he can be said to be well-informed.Specific to bile duct roundworm, Academician Chu also has statistical data.As for how to treat it and what complications will arise, he is clear about it.
But Zhou Congwen simply used RECP surgery to remove the roundworms, and the whole process took only 10 minutes, which was a simple push.
Thinking of those struggling patients in the past, and the doctors who were anxiously waiting for the deworming medicine to kill the bugs, the deworming process in front of me was like a dream.
A fat roundworm was taken out with all its whiskers and tails. It only took 10 minutes, and the nightmare was over.
Although Academician Chu remained calm and calm, his hands behind his back were tightly clenched together, and his nail bed was pale.
He didn't expect Zhou Congwen's ERCP to be so high.
Although what Zhou Congwen said was simple, academician Chu could see that Zhou Congwen's technique was extremely high.
"Professor Zhou, what if the bugs can't be caught?" Academician Chu asked.
"Look at where the head is." Zhou Congwen said lightly, "pass the catheter along, and then use electric cauterization to stimulate the tail end of the roundworm. They have the nature of drilling the top, and they will drill directly into the catheter."
"Do this..."
Academician Chu was interrupted by Zhou Congwen before he finished speaking.
"It's very difficult. Electric burning stimulates the bile ducts, and there will be some side effects, so I won't use it unless it's a last resort."
Academician Chu understood Zhou Congwen's meaning and nodded.
"This is the roundworm? How did it get into the bile duct?" Dean Chen walked in for a while before seeing the still alive worm.
Zhou Congwen gave a brief explanation, and then said, "In the past, only anti-inflammatory and symptomatic treatment, followed by anthelmintics. The ERCP surgery studied by Academician Chu can completely remove the roundworms, and all complications disappeared after that."
Facts speak louder than words.
No matter how much you don't believe Zhou Congwen's words, that living bug can testify.
"Wake up, prepare to send the patient back." Zhou Congwen said, "Director Wen, the next treatment is okay."
"No...no problem!" Director Wen was in a mess.
Originally, I wanted to see how the ERCP operation took out the worms, but I didn't expect Zhou Congwen to conjure the roundworms out like magic when I put on a dress.
Compared with the previous treatment, this is simply not a matter of the same plane.
Oh shit!
Since Wen Yuan wants to learn, let him learn.
Director Wen showed a smiling face while thinking about Wen Yuan's attitude towards him and what kind of threat he would pose to him after learning.
Weighing the pros and cons, he felt that instead of letting the Department of Gastroenterology do it himself, it would be better to give it to Wen Yuan, if he can learn it well.
Director Wen disapproved of the idea of Ning and outside thieves rather than domestic slaves.
One is that the technology is really good, and it solves problems that could not be solved before like magic.The second one is Wen Yuan who is young and belongs to the latest group professor.
By the time his wings hardened, he would have retired a long time ago, so there's nothing serious about it.
While making small calculations, Director Wen looked Zhou Congwen up and down.
This young man is like a magician, and he solved almost unsolvable clinical problems in the past.
interesting!
"Academician Chu, what else can ERCP do?" Director Wen couldn't help asking as soon as his mind moved.
Optimal solution
Academician Chu glanced at Zhou Congwen, seeing that he blinked at him and went to help the nurse pack up his things. He felt a little strange in his heart, but his expression did not change.
Zhou Congwen is really sensible, Academician Chu thought to himself.No wonder Mr. Huang likes him so much. Maybe Mr. Huang...can't do the operation anymore, Zhou Congwen did it all?
A strange idea appeared in Academician Chu's mind, and he dismissed it immediately.
"There are many operations that can be performed." Academician Chu explained lightly, "For example, jaundice caused by biliary obstruction, clinical laboratory or imaging examinations, support for pancreatic or biliary diseases, including stones, tumors, and sclerosing cholangitis wait."
Academician Chu began to talk about the indications of ERCP with an air of superiority.
He has been immersed in gastroenterology for decades, has a solid foundation, has his own opinions in many aspects, and even has enough data accumulation on many rare diseases. He is not an academician of the Chinese Academy of Engineering.
ERCP surgery is a new technology that emerged in the twilight years of his career. Academician Chu just wanted to make a breakthrough in technology, which does not mean that he is weaker than Zhou Congwen in terms of fundamentals.
Aiming at various indications, Academician Chu spoke clearly and logically, and everyone nodded frequently.
For the establishment of the Academician Workstation, everyone present had different ideas, but at this moment, almost all of them were immersed in Academician Chu's lecture.
Although there are many indications, academician Chu explained it in detail.
The application of the pancreas is relatively rough, but for parasitic diseases, he talks very carefully.
"12 years ago, I received a patient with high echo in the biliary tract. At that time, I performed 8 B-ultrasounds in a row for the patient, and each B-ultrasound had new problems." Academician Chu began to give examples as he talked .
"Academician Chu, shall we go to the office?" Dean Chen asked with a respectful expression, bowing slightly.
Establishing the academician workstation, Dean Chen didn't care about obtaining new technologies, what he wanted was a name, and he was mad at the old opponent on the opposite side; what he wanted was to use the academician workstation to give Academician Chu some money that he could get on the stage , and can occupy the top medical resources in the future.
But as soon as an expert stretches out his hand, he will know if it is there.
Although Dean Chen didn't know the severity of biliary roundworm, he came from a clinical background. After the explanations of several directors and Academician Chu, Dean Chen immediately understood that this was a new breakthrough.
Seeing that Academician Chu wanted to teach and help, the clinician's energy that had been dusty for many years came up, full of reverence and admiration, and the worldly interests were temporarily gone.
"Let's go, I'm just chatting casually." Academician Chu glanced at Zhou Congwen with a smile, and came to the office surrounded by everyone.
"At that time, I performed a B-ultrasound by myself every hour, and every time the B-ultrasound patient's condition had new changes." Academician Chu continued, "Although the changes are very subtle, but because I did it myself, So I know."
"There are no stones in the patients' bile ducts, but parasites."
"It's not the 20cm long roundworm we saw today, it's the kind of small bug about one centimeter."
"!!!" Everyone was surprised.
What academician Chu said is simple, but the size of the worm can be judged by clinical auxiliary examination. How deep is his B-ultrasound skills? !
Deep invisible!
But no one flattered, no one interrupted Academician Chu's words.
"After I was sure of this, I became worried." Academician Chu sighed, "The patient hit his head against the wall in pain, just wanting to die. Think about it, and I know that the small bugs are burrowing around in the bile duct, which is worse than flesh and blood." It hurts even more."
"I had no choice but to ask other people for help. Even..." Academician Chu shook his head and smiled as he said.
"Academician Chu, have you found the highest institute in the world?" Dean Chen asked.
"At first, I searched upwards. I have friends at Mayo Clinic, MIT, several hospitals in the UK, and the Bordeaux Medical Center in France."
"..." Everyone was envious and solemn.
This is the bottom line, people call friends and relatives all over the world for help just because of a patient.
"At that time, many doctors said that they could try ERCP technology, but...everyone has experienced the end of the last century, and we know all the clinical conditions."
"There is no such technology in China, and patients can't be sent out, so I remembered the name and started to look for it."
"Next?" Director Wen was taken aback.
"When I was supporting the frontier, I met a local barefoot doctor. My ancestors were Chinese medicine practitioners. He gave me a prescription for deworming, which I used together with the deworming medicine."
"The effect is good, but..." Academician Chu sighed softly as he said.
No one spoke, and the office was quiet.
Deworming, what could be the problem?
"I'm not a Chinese medicine doctor, but I just know a little bit about it. I'm still not sure about the medicine. In addition to the anthelmintic medicine, the medicine may be too strong, causing the insects to start crawling around."
"I had no choice but to give the patient sedation and analgesia. I performed B-ultrasound to monitor the situation in the bile duct. After 6 hours, the high-density shadow in the bile duct gradually dissipated. I thought everything was fine."
"At that time, I didn't close my eyes for 36 hours, so I asked for an extra bed to sleep next to the patient's bed."
When everyone heard what Academician Chu said, they immediately stood in awe.
Ten years ago, although Academician Chu was not an academician of the Academy of Engineering, he was the director of a top public hospital in the country.Being able to curl up next to a patient and take a nap is awe-inspiring.
"In less than half an hour, I was awakened by a scream." Academician Chu didn't exaggerate his behavior, he just wanted to talk about the last scene he saw.
"The nurse came to change the drip, and saw small bugs crawling out of the patient's nose and mouth, and was frightened out of her wits."
"..."
"It may be that the insect repellent is too strong, and the vitality of the insects is too tenacious, and they drilled out of the body." Academician Chu recalled the situation at that time, and he still had lingering fears.
"!!!"
"Looking back now, if there was ERCP technology at that time, I could try to take out the bugs one by one slowly, without the patient having to suffer so much pain."
"For the disease of bile duct parasites, ERCP is indeed effective, and it is more effective than all previous methods."
Listening to academician Chu recalling a patient in the past, Chu Yuntian lowered his head, thinking about Zhou Congwen's surgery to remove roundworms.
Clean and neat, without blinking my own eyes, I have to watch Zhou Congwen's movements.
But when someone went retrograde through the duodenoscope, he saw a tail, and he caught the bug with a stab, and "pulled" it out of the biliary tract little by little.
I was stunned because I didn't see how Zhou Congwen's operation was performed.
This operation was not difficult for Zhou Congwen.
What my father said is that ERCP is definitely the best solution for bile duct parasites, but there are so many small bugs, it is really difficult to take them out one by one.
Chapter 1169 Brothers Hospital
"Linyuan, it's done, it's done!"
As soon as the director of the hospital's office was picked up, an excited voice rushed out, causing Dean Lin's eardrums to hurt.
But Dean Lin was not angry, but slapped his thigh.
"Agreed?!" Dean Lin asked almost yelling.
"Bordeaux Hospital agreed in principle to establish a medical cooperation relationship with our hospital, and Dr. Laurent Fabius also agreed to come to our hospital to give lectures and perform demonstration operations in the near future."
Dean Lin's blood pressure rose instantly, and he almost missed his five sense organs.
"it is good!"
"Lin Institute, we don't have the corresponding equipment..." the director of the office reminded.
"It's okay, I'll apply tomorrow. I'm going through the procedures and building first."
This is a side-ball, in order to save time, Dean Lin's meaning, and the director of the hospital office understands.
In 2003, things like this were common and no one thought anything was wrong.
For the energy of Dean Lin, who is always in the first hospital of the medical university, this small matter is nothing.
Besides, the establishment of the ERCP room is a serious matter, and Dean Lin is not for himself, but for the public, and no one else can pick anything out of it.
It is just a cover to say that Dean Lin is dedicated to the public, and it only objectively promotes the development of medical care in the provincial capital.
The director of the hospital office knew Dean Lin very well, he was doing it for the arm wrestling with the hospital next door, for the breath in his chest.
After hanging up the phone, the director of the hospital office looked excited. He took out a cigarette with trembling hands and lit it tremblingly.
"Director, why are you so happy." The staff member who had been following along with the work asked jokingly.
The director of the hospital office took two deep puffs of cigarettes, exhaled, calmed down, and then said, "Let me ask you, how is our Forestry Institute."
"Excellent business, long-term vision, leading the First Hospital of Medical University to ride the wind and waves, and serve the provincial capital..."
"Just the two of us, I'll ask you what you really think." The director of the hospital office shook his head.
Excitement followed by fatigue, and the director of the school office instantly entered the sage moment.
During this period of time, he has been traveling between the provincial capital and Bordeaux, and the flight mileage is more than the sum of his entire life.
At this time, the excitement faded like a tide, leaving only endless fatigue.
The staff members were brought up by the director of the hospital office, and the two of them had a distant relationship.He carefully sized up his immediate superior, and tentatively said, "Lin Yuan is pretty good."
"Tell the truth." The director of the hospital closed his eyes slightly.
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