Back in 2002 as a doctor

"Of course it's fine." Mr. Chai said, "Professor Zhou agreed with my diagnosis."

Lu Tiancheng scratched his head, there are many self-righteous people in this world who are sincere.

However, Lu Tiancheng was very envious of Boss Chai's self-righteousness. If he had half his knowledge, he wouldn't be so nervous.

Chai is always not good enough, and he still thinks he is good; as for himself, he is good enough, but always thinks that he is not good enough.

These are two concepts, and it is impossible to say which one is better.

"Out!"

With another refresh, Mr. Chai finally saw the pathology report.

He clicked on the interface, scrolled down the mouse wheel, and said proudly, "The pathological characteristics of pulmonary Langerhans cell histiocytosis, our hospital's pathology department really doesn't necessarily..."

As he spoke, his neck seemed to be grasped by an invisible big hand, and a puff of breath came out of his throat, with a "sizzling" sound.

Lu Tiancheng took a closer look.

The descriptive text on the pathology report is meaningless, and the final conclusion is the key point.

The diagnosis at the bottom is very short, only five words - mucinous adenocarcinoma of the lung.

Sure enough, it's cancer!

Lu Tiancheng remembered the patient he met before.

Because the tumor markers were negative and the film still looked like pneumonia, we treated it according to inflammation.

As a result, patients are delayed.

After that, the patient suddenly disappeared. It is estimated that mucinous adenocarcinoma broke out and took people away.

After all, it has been delayed for nearly a year, and the patient has long been used to it. In a short period of time, the transfer of various organs in the whole body to multiple organ failure, and then to death, in fact, it only took one to three months.

"Impossible." Mr. Chai's eyes were almost glued to the screen, repeatedly looking at the five words - lung mucinous adenocarcinoma.

"Hehe, Mr. Chai." Xiao Kai walked over and glanced at the patient's pathological results. "Professor Zhou didn't agree with your diagnosis at the time, but he couldn't let the lower-level doctors lose prestige in front of the patient's family."

"..." Mr. Chai was taken aback for a moment.

"Otherwise, why would he insist on performing puncture on the patient." Xiao Kai said with a smile, "However, Professor Zhou's puncture is really good, it didn't cause pneumothorax, and it can accurately penetrate the tumor tissue."

Puncture biopsy sounds easy, but in fact, it requires a solid foundation to remove tumor tissue in a pinch.

Even, a little luck is required.

Obviously, Zhou Congwen seems to be good in terms of skill level and luck.

"Mr. Chai, transfer the patient to the oncology department for chemotherapy. Fortunately, Professor Zhou took a look and it didn't take too long." Xiao Kai said with a smile, "You are busy, we have surgery."

After finishing speaking, he winked at Lu Tiancheng, turned around and went to the operation.

"Dean Xiao, does Professor Zhou really think so?"

After leaving the office, Lu Tiancheng asked in a low voice.

It seems simple to save face for junior doctors and not reprimand in front of the patient's family members, but in fact it is more difficult than the technique itself of needle biopsy.

According to Lu Tiancheng's observation, once a person reaches a certain position, what he thinks and does is completely different from before.

The ass decides the head, no kidding.

Xiao Kai smiled, "Yes, I really appreciate Professor Zhou's way of doing things. If you have a problem, you say behind your back, even if you scold the little doctor for being a bloody sprayer, it's okay, after all, you did something wrong.

But if you say it face to face, the patient will doubt the bed doctor, and many medical disputes start from here. "

"Yeah." Lu Tiancheng nodded uneasy.

Although a rare film of the wheat circle sign confirmed his guess, he was not complacent, but was obsessed with the operation that was about to start.

Xiao Kai saw that Lu Tiancheng was nervous, so he continued, "Many years ago, when I was not in charge, a patient with pleural effusion was sent to the hospital. Let's put the tube on, and then see how to treat it."

"It was also busy that day, and our department received twelve emergency calls." Xiao Kai was also quite sad when talking about the unbearable past.

"Closed drainage, I didn't care. The nurse assisted in the next step. But after the operation, only a small amount of light yellow liquid was drained."

"A small amount?" Lu Tiancheng was a caring doctor after all, and was instantly attracted by the case Xiao Kai mentioned.

"Well, I think there is also a problem with the fluctuation of the water column." Xiao Kai said, "But I didn't think about it, I was already busy and confused, and the nurse who assisted me was an old nurse with rich experience, not the kind of young melon egg. So, I simply thought about it more.”

"and after?"

"5 minutes, just 5 minutes, the patient had shortness of breath. I immediately became nervous and lost all sleepiness." Xiao Kai continued, "After all, it was just a closed drainage. After checking the tube, I found that the drainage tube and the drainage bottle were connected backwards. !"

There are two ports on the closed chest drainage bottle, one is for air, and the pressure is one atmosphere.The other is connected to the chest tube, the lower one is under the surface of the water.

If it is reversed, it means that the artificial pneumothorax channel is established.

"At that time, I was frightened. I quickly clipped a chest tube and corrected the mistake. I was young at that time and had a bad temper. In addition, the nurse who assisted me with drainage made such a stupid mistake. I did it in front of the patient. Swear at her."

"..."

"Later, the patient's attitude... well, it's really hard to describe. Half a month later, the nurse was beaten up when she got off work, and then transferred away."

"I just had some regrets before, but since I came to the Academician Workstation and worked under Professor Zhou, I feel more and more that what I did was wrong." Xiao Kai said with complicated emotions.

Chapter 1199

Lu Tiancheng is very clear about all the clinical details.

As far as Mr. Chai's matter is concerned, there is no doubt that what Zhou Congwen did was right.

Reminiscent of Mr. Chai's pride before, and his astonishment after seeing the pathological diagnosis just now, Lu Tiancheng smiled.

But with the smile still on his face, he remembered the surgery.

Sudekiri, that is Sudekiri!

Xiao Kai didn't continue to persuade Lu Tiancheng, he was going to have an operation soon. This operation is equivalent to a big exam. If Lu Tiancheng can pass it smoothly, the future will be brighter.

If you can't make it through... who knows, one person, one life, I have tried my best, Xiao Kai thought to himself.

He has never been a kind man and believer, and Lu Tiancheng is not his illegitimate son, so there is no reason to help Lu Tiancheng desperately.

Being able to help Lu Tiancheng say a few words in front of Professor Zhou, and to accompany him with a sip of wine to say a few words from his heart, Xiao Kai thinks that he has done enough, and there is no way to do more.

"You go first, I'll go find Professor Zhou."

After speaking, Xiao Kai and Lu Tian parted ways and went straight to the office of the academician workstation.

The door was ajar, and Zhou Congwen was on the phone.

Xiao Kai was not polite, he knocked on the door and opened the door to enter.

"If you don't believe me, just count it, right now." Zhou Congwen said vaguely with a cigarette in his mouth, "The corn kernels in the cross-section of the corn you gnawed must be an even number."

"..." Xiao Kai was startled, what was Zhou Congwen talking about?

"Yes, let's count it up, since we've made a bet." Zhou Congwen signaled Xiao Kai to sit down, "Don't play tricks on me, you've lost, and the things I want are not complicated, hurry up and deliver them. "

"Oh, why are you like this? Using the way doctors and family members of patients explain their illnesses, to be more precise - in most cases, a piece of corn, except for the head and tail, has the number of rows of regularly arranged corn kernels in the middle. It's an even number."

Xiao Kai was overjoyed, it really is the way clinicians use when explaining their illness.

In most cases, possible, almost, high probability.

There is nothing wrong with what Zhou Congwen said, but is there an even number of corn kernels in a circle of corn?Xiao Kai really didn't know.

"Why, let me tell you, corn is monoecious, but cross-pollinated."

"In MOLECULAR MECHANISMS OF FLOWER DEVELOPMENT, the author pointed out that one of the important models of flower development in plants is the ABC model.

This model is an ancient network regulation system, relatively conservative in evolution, applicable to most angiosperms. "

"Hey, why am I telling you this, you don't understand if you talk too much..."

When Zhou Congwen saw Xiao Kai coming in, he was thinking about having an operation, so he just talked nonsense with Liu Xiaobie, and ended with something you don't understand.

On the other side of the phone, Hedong Lion roared angrily, "You yell at me! Is that how you treat me!!"

"..." Zhou Congwen froze, and then a smile appeared on his face, as if Liu Xiaobie was sitting opposite him, "Don't be like this, it's my fault, okay? I still have surgery on my side, be obedient, bet If you lose, hurry up and bring the things back to me."

Xiao Kai was even happier.

When young couples quarrel, they call it fun.

It seems that Professor Zhou is not just a piece of wood, he is cowardly very fast, without any persistence.

Facing his girlfriend's Hedong lion's roar, Zhou Congwen's attitude was so good that he couldn't say the next sentence with a bad attitude.

Zhou Congwen apologized for 3 minutes before hanging up the phone.

He shrugged helplessly.

"Professor Zhou, are you getting married?" Xiao Kai asked with a smile.

"No." Zhou Congwen sighed, "Isn't this asking Xiaobie to help me make something, so I made a bet."

"Is it really an even number?"

"Yeah." Zhou Congwen said absently, "You'll know when you go back and count."

"What are you doing?" Xiao Kai asked without thinking.

"Academician Chu may be returning to Shanghai in the near future. I'm thinking that after he leaves, someone here will learn to do ERCP surgery. I can take it with me. Find a small factory to help make some equipment, similar to... a trainer?"

"Olympus?"

"That's right, academician Chu is not used to other equipment." Zhou Congwen stood up, "Let's go, go for surgery."

"Is it really an even number?" Xiao Kai was still thinking about that.

"There are also odd numbers, but most of them are made by genetic modification of the Academy of Agricultural Sciences." Zhou Congwen said with certainty, "There is a similar experiment being done in Yunnan. Doesn't Dean Xiao know about it?"

Xiao Kai shook his head, he had no idea what the relationship between corn and doctors was, why did he want to know.

"Professor Zhou, I think you must be interested in the fact that Academician Chu can bring a group of people after he goes back." Xiao Kai picked up the topic Zhou Congwen wanted to talk about and continued to chat.

"It's a pity that the sophomore of the medical university didn't bring anyone with me. Professor Wen seems to be a little bit behind, and he didn't fully realize the importance of ERCP." Zhou Congwen said.

"Take your time, it's only less than two months."

Zhou Congwen put on his flat head.

Xiao Kai is right. After all, there are only less than 2 months left. Do you expect Professor Wen Yuanwen to be as brave and assiduous as you are?

That's almost impossible.

The only one who is really brave and diligent, comparable to cheating, is his own boss.

Thinking of the boss, Zhou Congwen's heart became hot, and he would return to the imperial capital in about half a year, and return to 912 to work beside the boss.

For Zhou Congwen, this is definitely a goal after rebirth.

Came to the operating room, changed clothes and walked into the operating room.

Today there is only one surgery room, Zhou Congwen has his own purpose - to see Lu Tiancheng's level.

Based on Zhou Congwen's observation, he was sure that Lu Tiancheng could complete the sleeve surgery.

Just do it slowly, it doesn't matter.

Besides, with myself here, it is equivalent to reducing the difficulty of the operation by two geometric orders, and there is nothing that can't be done with the hands-on teaching.

Entering the operating room, Zhou Congwen saw that Lu Tiancheng was busy, so he didn't bother him, but watched the film by himself, and quickly simulated the operation before the operation for the last time.

"Old Liu, your food has been pretty good recently." The itinerant nurse joked with the anesthesiologist Liu Wei while preparing things, "Eat less, you look fat like a pig."

"No way, I'm still very thin." Liu Wei laughed.

"The body fat rate of growing pigs is about 14%, that of fattening pigs is about 17%-19%, and that of the leanest pigs is only 9.3%." Zhou Congwen said casually while watching the film.

"..."

"Generally, a man with eight-pack abs has a body fat rate of around 10%, and those who are fatter...for example, Han Chu's body fat rate is around 40%."

"So, it is very inappropriate to compare it to a pig."

"Hahaha." The itinerant nurse was amused. She touched the fat on her stomach, and suddenly realized that Zhou Congwen was swearing.

Chapter 1200 Rat poison in the hospital

The itinerant nurse was a little annoyed, "Professor Zhou, are you bored? Hurry up and get on stage. There are five surgeries in one operating room today, and they are all sleeve cuts. I don't know when I will go."