Back in 2002 as a doctor

Before he could feel the elasticity of the thrombus, the place he touched collapsed and then shattered.

This……

Doctor Laurent Fabius froze.

The thrombus was obviously very fresh, just formed, more delicate and smooth than Dr. Laurent Fabius's little lover's hand, and it was already broken when touched lightly.

It's unbelievable how they got it out if it shatters with the slightest touch!

Dr. Laurent Fabius was stunned for a few seconds, thinking about the "reason" and said viciously, "You are making a joke that is not funny, you should..."

Just as he was speaking, Zhou Congwen turned slightly sideways, and made a gesture - clenched a fist with his right hand, then raised his index and middle fingers, and pointed the fist at himself.

Dr. Laurent Fabius seemed to see a ghost, his pupils narrowed rapidly until they were like needlepoints.

Then his face flushed and he was trembling and speechless.

The curved plate containing the thrombus was shaking in the hands of Dr. Laurent Fabius, and the thrombus seemed to be dancing.

Zhou Congwen just made a casual gesture, then turned his head and continued the operation.

And this scene, because it was done in the sterile area, Dean Lin and others did not see it. Except for Dr. Laurent Fabius, only the people on the operating table, the equipment nurse, and the anesthesiologist saw it.

Although Dr. Laurent Fabius was angry, he still maintained the most basic concept of sterility. He forcefully placed the curved plate on the car in the polluted area.

The metal collided with a crisp sound.

Then Dr. Laurent turned around and left, leaving the operating room without hesitation.

Dean Lin didn't understand what happened, but he could feel the emotional changes of Dr. Laurent Fabius.

Seeing this man turn and leave, Dean Lin thought about it, and finally bit the bullet and chased after him.

Following the departure of Dr. Laurent Fabius, the operating room became quiet again.

Director Sun raised his eyebrows, "Foreign devils are hypocritical, and they still make excuses after the surgery."

At this time, the patient's thrombus had been taken out, and the stone in his heart fell to the ground. He happily washed and sutured, and was ready to end the operation.

If the problem is solved, I believe that the patient will be sent to the ICU after stepping down, and the pentalogy will be completely relieved within 24-48 hours.

"Little doctor." The equipment nurse looked at Zhou Congwen with a smile and asked, "What gesture did you make just now?"

"That's a gesture of victory." The anesthetist knew the allusion, and he said with a smile.

"No." Zhou Congwen said with narrowed eyes.

"Huh? What is that?"

Zhou Congwen stretched out his right hand, raised his index finger and middle finger, palm facing outward, "This is a gesture of victory."

"During the Second World War, Western Europe fell and many people fled to Britain.

At that time, there was a Belgian named Victor Delavelli, who used the radio to broadcast short-wave broadcasts from the UK to Belgium every day, calling on his compatriots to rise up against the German occupation forces.

One night in late 1940, he called on people to write "V" everywhere on the radio to express their firm confidence in the final victory. "

"The palm is outward, it is victory. Should it be inward..."

The anesthetist was taken aback, he didn't expect to put up a victory gesture, and there was a difference between the palm facing inward and outward.

Chapter 1188 Level

"During the Hundred Years' War between Britain and France, the British longbowmen and the French knights were both famous, and they won each other." Zhou Congwen explained while assisting Director Sun in the operation, "One time France dispatched [-] knights. , with a victorious determination to take down the British longbowman, they clamored to cut off the longbowman's fingers."

As he spoke, Zhou Congwen narrowed his eyes, "It's the index finger and middle finger of the right hand."

"Oh, there's another thing? It seems to be the thumb." The anesthesiologist asked puzzled.

"Maybe it was the habit of the longbowmen at that time, I also heard people say it." Zhou Congwen said, "In the end, France lost a lot in that battle.

The British flaunted their power in front of the captive knights, raised the index finger and middle finger of their right hand, and turned their palms inward, which meant that you were going to cut off my fingers?Come on come on come on.Britons are cheap enough that every time I think about this gesture I feel like it's too late. "

"It's really insulting. It turned out to be like this. No wonder that person who saw this gesture seemed to have a hypertensive cerebral hemorrhage."

Zhou Congwen smiled, "It's just like that, it's not an insult. If it's a curse, this gesture was invented by the British.

To be honest, I don’t even know if the Belgian invented the victory gesture while encouraging his own people while insinuating that the French surrendered too early in World War II. "

"Belgium……"

"Belgium is Britain's eternal ally on the European continent, and that crap stick is constantly stirring things up based on Belgium."

Zhou Congwen told everyone about the relationship between Britain and Belgium with a smile, as well as some anecdotes about wild history.

The difficulty of the operation was over, the patient seemed to be fine, and everyone was very relaxed after being rescued from the gate of hell, talking and laughing.

Time passed quickly, the suture was finished, the abdomen was washed, the abdomen was closed, and the operation was over.

The speed at which this operation was completed far exceeded Director Sun's imagination.

After the operation, Mr. Bao and Dr. Feng took the patient down. Zhou Congwen and Director Sun said, "If there is nothing wrong, I will leave first."

"Okay, okay." Director Sun sent Zhou Congwen, Academician Chu, and Xiao Kai to the locker room, and shook hands to say goodbye.

Director Sun felt like he was in a dream.

Academician Chu and Zhou Congwen came and left quietly, acting as trainee doctors, in order to help themselves complete a surgery that they had no confidence in.

It seemed that they could do it themselves if they didn't come. Looking back, it was indeed the case, but Director Sun was still full of gratitude.

After surgery, it is postoperative, but not necessarily before surgery.Moreover, with Zhou Congwen's assistance, the operation seemed to be many times easier, and Director Sun still feels refreshed all over his body.

Director Sun didn't accompany a few people to change clothes, and the patient hadn't been sent down yet, so he wanted to keep an eye on the patient's condition.

After returning home, Mr. Bao and Mr. Bao sent the patient to the ICU. Seeing that the patient was awake from anesthesia and his vital signs were barely passable, but the jaundice had disappeared immediately, Director Sun was delighted.

Back in the locker room, the roving nurse heard someone coming in, stood in the corridor and shouted loudly, "Director Sun?"

"what happened?"

"Do you want any more blood clots?" The roving nurse was cleaning up the operating room, and she had to get the operator's consent before discarding the things she took out.

Because the thrombus does not need to be sent to pathology, it is prudent to ask Director Sun personally.

"Is it a thrombus?" Director Sun suddenly remembered that the French expert had a weird expression when he was looking at the thrombus just now, so he went straight to the operating room without changing his clothes.

In the curved plate, the thrombus lay there quietly.With prolonged exposure to air, it looks like a dark stone.

"Director Sun, why are there so many trainee doctors on your side?" The roving nurse asked with a smile while cleaning the operating room. That person, I thought it was the leader when I saw it suddenly."

Director Sun smiled wryly, that's academician Chu, isn't he full of style.

Like a master of martial arts, academician Chu stood there, like Yuan Ting and Yue Zhi, awe-inspiring.

"The little guy who is operating with you is quite interesting. He knows everything. The typhoon performing the operation is much stronger than your own doctor." The itinerant nurse talked, talking about Zhou Congwen.

Director Sun turned around to look for gloves, and the itinerant nurse continued, "I think he's done a good job matching you up. He's the hopeful star of some hospital. I look good, why don't you bring him here."

"Alas." Director Sun sighed deeply after hearing what the itinerant nurse said.

People are not the stars of hope, but stars that have already risen.

No. [-] in the world, it's easy to equip yourself with a station.However, it is estimated that his general surgery is the same, and he basically didn't do much.

But Zhou Congwen's level is indeed online, even if the operation is not his specialty.

After the whole operation, I did it very comfortably, and the whole body was comfortable.

"Why are you sighing?" the itinerant nurse asked, "Baishui City is very promising, so many doctors come to you to study. By the way, what is the name of the young doctor who accompanied you? Is he married?"

"You want to be a matchmaker again?" Director Sun put on sterile gloves and smiled, "Don't even think about it."

"What's the matter? My little Hui'er is not good enough for him?"

"No, it has nothing to do with that." Director Sun stood in front of the tray, thought for a while, and then went to get a pair of tweezers.

"Old devil, just move my equipment! Believe it or not, I will teach you how to be a human with a hemostatic forceps!" The roving nurse said unhappily.

The instrument kit should be cleaned and disinfected, and the number should be checked repeatedly.

It's easy to take away, but if you really forget it, it will be a big trouble in the future.

"Let me try it, the thrombus...he was clipped out." Director Sun said vaguely.

The itinerant nurse didn't pay attention to what Director Sun said, and all her attention was on the tweezers in Director Sun's hand.

This thing can't be lost.

Director Sun tried to hold the thrombus gently with tweezers, and lifted it slightly, the thrombus shattered instantly, without giving Director Sun a chance to adjust his strength.

"What are you doing? It's so dirty, I have to brush it." The roving nurse thought Director Sun did it on purpose, and said unhappily.

Director Sun was shocked.

Now the thrombus has almost coagulated, and in terms of strength, it is at least ten times stronger than when Zhou took it out from Professor Wen Zhou.

But I couldn't clamp and remove the thrombus by myself.

Ten times harder!

Director Sun suddenly understood what Zhou Congwen meant before the operation when he said that he only had to watch, and that he was using his hands when the thrombus was removed at the end.

he……

Thinking of Zhou Congwen's young face, Director Sun was stunned for a moment.

Chapter 1189 Simple and Complex

"Academician Chu, you understand the operation, right?"

In the car, Zhou Congwen asked.

"Almost." After academician Chu got acquainted with Zhou Congwen, he was not as cautious as before. "I have never dared to cut the Audi sphincter before, including the time I asked you for advice when I had surgery in Shanghai."

"Cut it directly. If you want to take out the stone, if you don't fully open the outflow channel, similar problems will occur." Zhou Congwen said.

"Indeed." Academician Chu saw a negative example this time, and even thinking about his operation in Shanghai, he felt a little scared.

Fortunately, Chu Yuntian suggested that he find Zhou Congwen, otherwise, if he reluctantly took out the stone, the irregular shape of the stone would leave marks on the Audi sphincter, which would lead to bleeding in severe cases.

After the operation, the patient's condition not only did not ease, but became serious... Academician Chu understood the mood of Dr. Laurent of Bordeaux Hospital very well.

No one can stand it.

It's just that Dr. Laurent's mood has changed too much, and it seems that instead of accepting it, he is trying to make excuses.

"Xiao Zhou, do you think Dr. Laurent's practice is common?" Academician Chu asked.

"Not often." Zhou Congwen replied, "And I highly suspect that this is done by Dr. Laurent himself. The sphincter of Ceaudi is not completely cut. In fact, there are still many problems, so I won't talk about them one by one."

"The trauma would not be as big as imagined if it is completely cut. Based on the analysis of the pros and cons, I think it is better to take the stone after a complete cut." Zhou Congwen said with certainty.

"Xiao Zhou, please say more." Academician Chu said softly.

Zhou Congwen smiled, he understood what Academician Chu meant.

This is an example similar to the operation performed by Academician Chu in Shanghai before. Academician Chu escaped last time, but he could not escape the fifteenth day of the first day of the junior high school. If no one with deep knowledge knows the problem, sooner or later Will step on thunder again.

"First of all, this is a relatively rare case, and it is more likely to be cholangitis caused by residual stone blockage."

Academician Chu nodded, closed his eyes, and listened carefully.

Xiao Kai's mood is a bit complicated. If Academician Chu and Zhou Congwen's positions are changed, he thinks it is very natural.

But now Zhou Congwen is standing as a teacher teaching Academician Chu. Although he has watched this scene more times and gradually got used to it, he is still in a daze at this moment.

"After ERCP operation, it is not common mild cholangitis, but acute severe cholangitis, which is relatively rare, but once it occurs, it can be life-threatening.

As I just said, the cause of acute severe cholangitis is generally papilledema, residual stones, etc., rather than biliary thrombus. "

"If the jaundice is deep and the blood coagulation function is poor, it is easy to correct it first and then undergo surgery. You can't treat it hard just because the patient's pain is more obvious."

"It's definitely not possible to do it hard." Academician Chu nodded in affirmation of Zhou Congwen's statement.

When treating a disease, it is better to loosen it than to block it, no matter whether it is internal medicine or surgery.

Today's ERCP procedure falls somewhere in the blur between surgery and surgery, but the principles are the same.

Want to be the overlord?That is absolutely not acceptable.

"Anticoagulant drugs should be stopped and blood sugar should be controlled before the operation. We have repeatedly said this during practice, just pay attention."

"Mixed currents can be used during surgery. The cutting speed should not be too fast, and the incision should not be too large or too small."