Back in 2002 as a doctor
Page 696
Is this the old revolutionary base area?Dr. Laurent Fabius should really be thrown to the guillotine.
But no amount of slander was useless, and Dr. Laurent Fabius was not in a hurry, and it took him half an hour to come out slowly.
And Dr. Laurent Fabius didn't ask about the patient's condition at the first time. He offered a price, and then he and the others left Hilton and went straight to the First Hospital of the Medical University until Dean Lin nodded while pinching his nose.
……
……
In the operating room, the duodenum has been found.
Director Sun was a little nervous. He calmed down and looked ahead to soothe his exhausted nerves so that he could go all out to complete the next operation.
"Is the standard of foreign hospitals like this? It looks really bad." The equipment nurse was still chattering.
"The average level of top hospitals must be higher than that of domestic hospitals." Zhou Congwen does not shy away from this point, "But if you say that there are no accidents in foreign hospitals, it is nonsense."
"Oh?"
"I have a brother who was sent by the government to study in Japan. He was late for surgery at night, and he stumbled when he went out. This is considered a work-related injury."
"Hahaha, work-related injury, don't be joking." The equipment nurse laughed, as if hearing some joke.
Zhou Congwen sighed.
Unlike the 48-hour hard work in China, which is something everyone understands, and it is inconvenient to talk about it if he doesn’t understand it, in Japan, this is indeed a work-related injury.
Chapter 1186 It really is it
"What happened later? Don't talk about work-related injuries, just get down to business."
"Later, it was diagnosed as a fracture. No surgery was needed. I went to Gunma General Hospital."
"Is it the Gunma where the police star of Gunma County is in Detective Conan?" the equipment nurse asked.
"En." Zhou Congwen nodded.
"It's not a good hospital either."
"Who said that the Affiliated Hospital of Gunma University School of Medicine in Japan is one of the top ten hospitals in Japan, and the world ranking is at least within [-]. And they are researching cancer treatment, and it is said that they have made a breakthrough." Zhou Congwen said seriously.
"Cut, don't believe me."
The equipment nurse didn't believe it, so Zhou Congwen couldn't say anything more.
In March 2010, Gunma Prefectural Hospital officially started heavy ion therapy starting with the treatment of prostate cancer.
The initial research began in 2001.
As for the later construction of heavy ion colliders in Shanghai and the machines that bombard tumor cells with particles, that's a later story.
This technology first started in Gunma Prefecture.
Seeing Zhou Congwen stopped talking, the equipment nurse asked with a smile, "Little guy, don't be so stingy, what happened next?"
brat……
Zhou Congwen was really speechless.
He really wanted to hold the nurse's ear and tell her that he was an old monster, an old hooligan in the operating room, not a little guy.
"Later, the immobilization effect was not good because of the atrophy of the calf muscles, so he planned to change to a plaster cast. After opening it, my brother saw that the calf had begun to rot, and the rot had reached the fascia layer."
"I'll go! It's all right!"
"Of course, anything can happen."
"What happened later? There are no sequelae, right?" the equipment nurse asked.
"There are no serious sequelae, but there are many scars on the skin of the calf. I went to a medical appraisal place to measure it, and I lost hundreds of thousands of dollars." Zhou Congwen said.
"so many!"
"Yen, not much." Zhou Congwen stopped chatting with the little nurse when he saw Director Sun resting and was about to incision and remove the thrombus, and focused on looking at the operation area.
Two tweezers carefully picked up the surface of the duodenum and cut it across.
Director Sun's level is still very high, the cut was just right, and then the duodenum was bluntly dissected.
Moving upward along the Audi sphincter, a dark red thrombus appeared in the operative field.
The thrombus was so tightly blocked that bile could not flow through the duodenal papilla at all, and all of it was regurgitated, leading to acute severe cholangitis.
Sure enough, the ERCP operation caused bleeding, which coagulated into a thrombus and blocked the bile outflow tract, resulting in pentalogy. Director Sun let out a long sigh.
The thrombus can then be removed.
He was about to move when Zhou Congwen's tweezers suddenly hit Director Sun's hemostat.
"I'll come." Zhou Congwen said in a very low voice.
"If it's crushed, use the suction device to suck it out," Director Sun said.
Zhou Congwen shook his head slightly, and reached out for another pair of tweezers.
When the equipment nurse saw Director Sun and Zhou Congwen communicating, the relationship between the two seemed to be a bit misplaced. It was supposed to be a surgery that Director Sun had the final say on, but she had a vague feeling that this intern doctor took the leading position in the operation.
It was a very weird feeling, but before the equipment nurse could say anything, Zhou Congwen held tweezers in both hands, and with the help of Director Sun to expose the duodenum, the tweezers held a thrombus about 5cm long like his hands , Unclog the blocked pipes.
"Bent plate." Zhou Congwen said in a deep voice.
"Here." The equipment nurse handed over the curved plate, and the thrombus fell into the curved plate, trembling like jelly.
"Is the thrombus so strong?" The equipment nurse asked the other people's thoughts suspiciously.
There is no such way to remove the thrombus.
Watching Zhou Congwen's movements didn't seem to be difficult, but no matter how young the equipment nurse was, she was also a person who spent every day on the operating table, so she knew the depth.
Zhou Congwen was very relieved that the equipment nurse did not try to move the thrombus.
"Rinse and sew." Zhou Congwen smiled.
"See if there is any bleeding?"
"Probably not, it's just bleeding." Zhou Congwen said, "The lumen is relatively narrow, and the pressure is high after the thrombus appears. The bleeding at the time of ERCP surgery had already coagulated."
Director Sun didn't believe it, so he checked it carefully.
Sure enough, as Zhou Congwen said, there was no bleeding or oozing.
Director Sun was silent. After an operation, he knew that the person next to him must have done no worse than himself.
Just as he was about to be sutured, a series of footsteps came from the corridor of the operating room, as well as...strange language.
It's Dr. Laurent Fabius, here he is at last!
Thinking of the arrogance of the French doctor, Director Sun felt very complicated.
I don't know what Dr. Laurent Fabius will think when he sees the thrombus and his own mistakes in ERCP.
Would he be ashamed?Director Sun pondered.
"Dr. Laurent said that surgery should not be performed. The patient has no problems, but the postoperative fever is caused by poor physical fitness."
"You are too nervous. Some patients will have similar problems after ERCP surgery."
"This is basically a normal postoperative reaction. It's hard to understand why you are so nervous."
The simultaneous interpreter translated Dr. Laurent Fabius' words sentence by sentence. Director Sun glanced at the thrombus in the pan, paused deliberately, and did not suture immediately.
I have evidence that the naked eye is indeed blocked by a thrombus, which leads to bile reflux, acute severe cholangitis, and five syndromes.
If Zhou Congwen hadn't told himself the seriousness of the matter, he probably wouldn't dare to open it now.
Director Sun felt angry when he thought about this matter, and Dr. Laurent Fabius even plausibly said something like making a fuss out of a molehill.
See what he says when he sees a blood clot.
A group of people walked into the operating room, and the director of the hospital office quickly came to the operating table, glanced at the operating area, and asked in a low voice, "Director Sun, did you operate it yourself?"
"Well, it is judged that the Audi sphincter bleeds during the ERCP, and a thrombus formed on the inside." Director Sun didn't save face at all, and told the truth, he took the bending plate by hand, "here, this is the thrombus that was taken out."
Seeing the thrombus in the pan, the director of the hospital was startled.
He turned around and whispered to Dean Lin.
Doctor Laurent Fabius was tall and burly, he pushed Academician Chu aside, frowned and looked at the thrombus in the pan, and said doubtfully, "Thrombus? How could it be completely removed?"
The simultaneous interpreter subconsciously translated his words.
Zhou Congwen smiled slightly, but didn't speak.
Director Sun felt disdainful, and said angrily, "What you can't do may not be impossible for others."
The simultaneous interpreter was taken aback, he didn't expect such a stubborn director in the First Hospital of Medical University.
With a thought, he didn't translate Director Sun's words into French, but hid aside and shivered.
Chapter 1187 Zhou Congwen's Counterattack
Dr. Laurent Fabius could feel the gunfire in the tone of the person who just spoke. He stared at the simultaneous interpreter and asked, "What is he talking about?"
Simultaneous interpretation had no choice but to translate Director Sun's words to Dr. Laurent Fabius.
Dean Lin silently looked at the thrombus in the bend, and then glanced at the position where Director Sun made the incision. Even if he didn't know much about surgery, he could understand that it was blocked here, which caused the patient's fever, jaundice, and even mental symptoms.
He was so bored with the French expert that he did not stop the translation, nor did he try to appease Dr. Laurent Fabius.
Cooperation, only this time, Dean Lin does not think there is any benefit in having such an arrogant Frenchman come to inspect the leaders.
Although it was just a simple gastrointestinal endoscopy, with his attitude, he didn't know when he would offend others.
Besides, although Dean Lin wanted to find a world-renowned expert to overwhelm the hospital next door, he did not approve of Dr. Laurent Fabius' temper at all.
That sentence - add money, directly shattered Dean Lin's good knowledge of Dr. Laurent.
Not only is his temper bad, but his technical level is so bad. The first time he performed an operation, he made a mistake.
Dean Lin's dislike for Dr. Laurent Fabius has reached the extreme.
"mince!" Dr. Laurent Fabius made an ethereal voice, as if he was surprised why Director Sun dared to say that.
The simultaneous interpreter was silent. There is no need to translate such curse words.
"It must be fake, it must be fake!" Doctor Laurent Fabius said angrily after habitually cursing, "It's less than 18 hours, even if there is a thrombus, it won't be so complete take out."
"I want to see, sterile gloves!"
These few words were translated by a simultaneous interpreter, but the operating room was quiet, only the sound of the ventilator and the monitor sounded, as if telling Dr. Laurent Fabius to keep quiet.
But Dr. Laurent saw the silence of the people around him, especially Dean Lin who kept smiling flatteringly at him, and became even angrier. He shouted angrily, "I want sterile gloves, and I want to see the thrombus!"
"Keep quiet in the operating room. This is the code of conduct that every doctor knows." Zhou Congwen said lightly, "Please translate this sentence to Dr. Laurent."
The simultaneous interpreter didn't know who was the biggest in the operating room, so he subconsciously translated Zhou Congwen's words.
Dean Lin was taken aback.
This voice sounds a little familiar.
But before he could react, Dr. Laurent Fabius looked like a wounded lion, looking like he was about to fight.
Dean Lin quickly said, "Gloves, gloves!"
The traveling nurse handed the gloves to Dr. Laurent Fabius, and the instrumental nurse handed over the disc, handing him the disc containing the thrombus.
The thrombus in the disc trembled, and Dr. Laurent Fabius was sure that this was definitely not a joke.
it,
It is indeed a thrombus!
The thrombus appeared in the medial side of Audi's sphincter, blocking the outflow tract of the common hepatic duct and common bile duct. No wonder the patient developed pentalogy.
The patient's condition was not relieved after the ERCP operation, but worsened, all of which had a reasonable explanation in front of the removed thrombus.
However, Dr. Laurent Fabius could not accept this.
He knew very well that the thrombus was caused by his own operation, and the young doctor also explained this during the day.
But now facing the blood clot, Dr. Laurent Fabius is still unwilling to believe his eyes.
Wearing sterile gloves, he gently touched the clot with his finger.
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