Back in 2002 as a doctor

Dean Lin was annoyed, if there is a problem...that's what I said.

Moreover, Zhou Congwen moved the time back by 3 days. Did he know that Dr. Laurent Fabius would leave in 3 days?

This man is too cunning.

Zhou Congwen shook his head, stood up, took a serious look at Dr. Laurent Fabius, turned and left without saying anything.

As several people from the Second Hospital of the Medical University left, the atmosphere in the venue gradually relaxed.

Dean Lin went to communicate, persuade, and comfort Dr. Laurent Fabius, just to belittle the old enemy next door.

……

Leaving the endoscopy room of the First Hospital of Medical University, Zhou Congwen sighed.

"Professor Zhou, is there really something going on?" Xiao Kai and Director Han looked at each other, and finally asked under the "instigation" of Director Han.

"It is possible, the probability is not small." Zhou Congwen said, "The surface of the stone is irregular, and it is pulled out of the duodenal nipple abruptly, which may cause friction and bleeding."

"It seems...Professor Zhou, the surgeon took a look at the stone at the time, but he didn't seem to see any blood."

Zhou Congwen didn't speak, went downstairs silently, and returned to the car.

The other three were a little surprised. Professor Zhou Congwen Zhou did not seem to be provoking, nor did he seem to be messing with the situation, but just thought that something might happen to the patient.

Director Han called Director Wen after getting in the car.

"Director Wen, the first side of the Medical University asked a French professor to perform an operation. You are familiar with the director here, so keep an eye on it."

"Of course it's the patient's postoperative situation."

"What are you doing with so much nonsense, let you keep an eye on it! Report to me twice a day."

"Director Han, let me do it." Xiao Kai said cautiously, "Director Wen, if he asks directly, I'm afraid it won't be good. I have a trainee doctor here."

Director Han glanced at Xiao Kai and smiled.

Xiao Kai really maximized the role of his deputy dean, this person is simply too easy to use, no wonder Professor Zhou will use him as a big housekeeper.

"Professor Zhou, what kind of situation are you talking about?" Director Han asked.

Zhou Congwen hesitated for a moment, but smiled, "It's best if nothing happens."

"..." Director Han despised Zhou Congwen deep in his heart.

The other party made gestures at him with the most insulting gestures, yet Zhou Congwen still said that it was best if nothing happened, did he really think so?

"It's too early to say anything now. Dean Xiao is watching. The patient may have a fever on the first day after the operation, and then the temperature will continue to rise. After that...you go back and see what the five syndromes are. If there are similar things Tell me right away."

Zhou Congwen said slowly.

Chapter 1177 Waiting for news from spies

"Doctors with flying knives often have accidents." Xiao Kai felt that the atmosphere was a bit awkward, and changed the topic after calling the doctor under him for further study.

"Three years ago, there was a patient in our hospital who underwent scar removal on the side of the cheek, which was considered a minor operation."

"I'm worried at home, so I asked a professor from the Medical University to do it."

"Which medical university is it?" Director Han asked.

Xiao Kai chuckled, answered Director Han with his eyes and continued, "Actually, it has nothing to do with the surgeon, it's a problem with the anesthesiology department of our hospital."

"The patient said that her arm hurt, and then she was pressed on the mask. She felt difficult to breathe, and there was a tearing pain in her arm. So, she struggled in a state of fear, but the more she struggled, the more the mask on her face became worse. The tighter the buckle."

"Oh, there is something wrong with the indwelling needle, the milk didn't enter the vein." Zhou Congwen said suddenly.

"Professor Zhou, amazing!" Xiao Kai said without losing the opportunity, "It is true, but the people in the anesthesiology department didn't notice it at the time. They thought it was the patient's struggle before losing consciousness, so they pressed the patient to prevent her from moving."

"This shouldn't be the case." Zhou Congwen said, "I don't know how long it takes for the milk to take effect."

"Clinically, any patient can be encountered, and any doctor can be encountered." Xiao Kai said helplessly, "Afterwards, the patient suffered from hypoxia, hazy consciousness, and retching. One."

Zhou Congwen frowned, "Didn't you see the subcutaneous swelling of the patient when the drug was administered?"

Xiao Kai knew that Zhou Congwen was in a bad temper today, so he coaxed him with a smile and said, "Idiot, I called the director of the anesthesiology department and scolded him for an hour. What the hell, I don't even know if the indwelling needle was inserted. "

"If it were me, I would ask them to copy the drug instructions of propofol a hundred times." Director Han Sensen said.

"Hahaha, Director Han, you have a good idea." Xiao Kai laughed.

"What happened later?" Zhou Congwen asked.

"The patient was still struggling after being given the second dose of propofol. Fortunately, their consciousness was online. After searching again, they found the problem. At that time, the patient was a little emotionally broken. The nurse took the time to leave a needle on the other side of the elbow vein, and then anesthetized the patient. In the past, the surgery was done."

Zhou Congwen shook his head.

This is not considered a medical malpractice, but the short circuit of the doctors and nurses in the anesthesiology department made Zhou Congwen a little speechless.

"Fortunately, I found it, otherwise I would cut it directly... Although it is impossible to cut it directly, I am really afraid that their brains are not enough."

"The nervous time is too long, and the brain is blank." Zhou Congwen said, "Not only is the emotional tension, but also the staff tension. The anesthesiology department is actually more serious than the pediatric department."

Having said that, there is no way to continue the topic.

No matter how many words you say, you can't solve the problem, and it turns into whining.

After coming out of the First Hospital of the Medical University, Director Han treated the guests to dinner, and the car drove directly to a restaurant.

After taking his seat, Academician Chu saw that Zhou Congwen's expression was still very serious, and he wondered what Zhou Congwen was thinking.

He sat down and said with a smile, "Actually, surgery is ever-changing. Not all the surgeons think is right. Sometimes the surgeon has a problem with his brain."

His words were obviously biased towards Zhou Congwen, which was considered comforting.

Zhou Congwen smiled slightly.

"The year before last, a patient was admitted to my ward with liver cirrhosis and varicose veins in the stomach fundus, and he vomited blood constantly. My conditions... Everyone knows that it would be nice to have an extra bed."

The crowd nodded.

Indeed, not to mention the extra bed, academician Chu's admission of emergency patients is really good.

"At that time, the professor leading the team here was going to bandage the patient, because the platelets were extremely low, so he asked me to see him, and then went to the operation. In case they couldn't take it off in a short time, I was still there after all."

"When the bandage was decided, the patient's family members suddenly said that they would be transferred to another hospital. She contacted a hospital that could reserve a bed for the patient."

Zhou Congwen smiled and said nothing.

"Hey, is the hospital bed more important than the treatment?" Xiao Kai also asked helplessly.

But in the eyes of many patients and their families, hospital beds are still very important.

Academician Chu didn't answer, and continued, "I just transferred to another hospital. I knew there was no need for surgery and didn't think much about it. Later... I didn't know what happened until about a month later. The patient's family is suing the director of the general surgery department of the next hospital."

"I reserved a hospital bed, how can I still sue?"

"The patient's family members asked for ligation, but they couldn't do it on that side, so they performed splenectomy + cardia vessel division according to the old operation."

Zhou Congwen frowned.

Gastric varices bleeding, ligation is a better solution.In the past, it was only possible to block the bleeding point with a three-lumen two-capsule catheter, and then give the patient kidney ice saline, plus several groups of hemostatic drugs.

Whether the bleeding can be stopped depends on the life of the patient.

And this business was first started by Academician Chu more than ten years ago.

Ligation of the gastric fundus vein can be regarded as a life-saving operation, and Academician Chu has done a lot of good deeds in this regard.

But the patient's family members don't understand, and the hospital next door is really daring to accept and do it.

Zhou Congwen reckoned that Academician Chu was the first to perform ligation surgery, and the surgeon was always unwilling to accept it, so he still followed the old surgical method.

If the portal azygos shunt... Zhou Congwen didn't think it was a good choice.

"At that time, I was asked to do a medical appraisal." Academician Chu sighed, "I was shocked when I saw the medical records."

"What's wrong?" Zhou Congwen asked.

"There is no preoperative signature of the patient's family members, only the signature of the patient himself."

"Did the surgeon come back from abroad?" Zhou Congwen asked.

"Well, after studying in the United States, I just came back to take up the position of director, and I haven't gotten used to some habits."

No wonder.

"The objection of the patient's family is that the patient's platelets are low, and there is no supplement, and the patient is asked to sign and go directly to the stage."

"In the United States, this is a routine, and it will definitely be given during the operation. After all, he is vomiting blood, which is an emergency operation. But in China, it can't be said." Zhou Congwen made a more pertinent comment.

But the point of this matter is not here, but rather a surgical operation with greater trauma, regardless of whether ligation can be done.

It seems that the director didn't do well in the United States, he probably went to gilt, and came back with a bad habit of technology that I learned in the United States.

Academician Chu was about to say something when Xiao Kai's phone rang.

"Dean Xiao." Xiao Kai put the phone on the table, pressed the release button, and a voice came out in a hurry.

"Slow down, how is the patient?" Xiao Kai asked calmly, his heart trembling.

"The patient had abdominal tenderness after the operation, which was relieved a little compared to before, but the pain was still there. He didn't have a fever yet, and the director here is in contact with the specialist."

"I see." Xiao Kai said, "There are other matters, no matter what time it is, just call me."

Chapter 1178

"Professor Zhou, this is..."

"It's hard to say." Zhou Congwen said, "Wait and see, I guess Dr. Laurent Fabius's opinion is also to wait a little longer."

"Isn't the pain relieved directly after ERCP?" Xiao Kai asked.

But his question was not answered, Zhou Congwen was deep in thought, he seemed to be pondering something.

The meal was tasteless, no matter how active Director Han and Xiao Kai were, and no matter what they said, Zhou Congwen and Academician Chu were absent-minded, probably thinking about the patient in the first hospital.

……

……

"Feng Ming, what are you doing?" Asked Feng Ming, the doctor of the Hepatobiliary Surgery Department of No. [-] Hospital, who was a little sneaky.

Feng Ming's face turned pale from fright, he didn't know if this kind of thing belonged to the second-five boy, anyway, he couldn't tell the truth.

"I'm homesick, call home. It's not easy for a middle-aged man to come out, and his wife and children are at home." Feng Ming forced a smile.

"Oh." The boss sighed, "Go, go smoke a cigarette."

When the two came to the fire escape, Feng Ming scattered the smoke diligently, and lit it for the hospital chief.

"Doctor Feng, you said that this new technology seems to be nothing." The hospital chief said.

"Yes." Feng Ming continued to use his words, not to be too obvious in order to please, "The stone was also taken out, but the patient's abdominal pain did not improve. It's all the same. I thought the patient was alive and kicking after the operation." , I’m rushing home.”

"Strange, then what you said a while ago that the roundworms were taken out of the workstation of Academician Erchu of the Medical University is true or not?" asked the boss.

"Blow it." Feng Ming said flatteringly, "I have had an operation at home, and even if there is an effect, I will say it is very good. Even if it is not done well, they dare not say it. Isn't that a slap in the face of Academician Chu?"

The hospital always frowned and smoked, and didn't believe Feng Ming's words.

"President Bao, the patient...how do you feel?" Feng Ming asked tentatively.

"I always feel that the situation is wrong. The pain of the patient seems to be worse than before the operation." The chief resident said, "But Dr. Laurent Fabius just came to see him, and he said it's all right."

"Just wait and see, I think internationally renowned experts are more tempered than the professors in the imperial capital and the devil's capital. During the operation, that... so-and-so made an opinion, and he gave people the middle finger."

"Foreigners are like that. I heard Professor Cai say... He came back from studying in the UK and said that it is a doctor's paradise."

"How to say?"

"After half a year or a year after the outpatient appointment, there are countless patients who see each day. Rest on weekends and work overtime? Don't say that we don't pay overtime pay, people don't bring in several times the overtime pay."

Feng Ming was startled, and drooled enviously.

"Go abroad if you have the ability. He is a doctor, and we are just a horse. But we don't want to, you are older than me." The hospital chief laughed.

"I definitely don't want to. Come to study, and when I go back, I can... My ideal is not to be on duty, and don't call me if there is an emergency. As for going out to see a hundred or eighty patients a day, it's okay, I'm used to it."

"Look at how great Dr. Laurent Fabius is." The chief resident said, "The patient's condition is not right. I called the first time, and the other side told me that it was all right. Didn't the patient start to have a fever just now? I called On the second phone call, I heard the chattering voice start to speak birdsong."

"What about cursing? Damn it!" Feng Ming helped Mr. Bao and scolded. He is studying, so he doesn't need to care about some things.

"Who knows, anyway, the director gave me a scolding, and said if I can do it, if I can't do it, I will get out." The hospital manager said contemptuously, "It seems that hospitalization is always a good job, if I don't have a qualification Promotion...By the way, it is said that promotion to the deputy chief physician in Xiehe and Huaxi seems to be particularly difficult."