Back in 2002 as a doctor

"Many things in reality are weirder than when you write novels." Zhou Congwen sighed, "For example, one thing that I remember deeply."

"One night, four patients were sent to the emergency room, saying they had eaten rat poison."

"Is it warfarin?" Shen Lang still remembered what Zhou Congwen said, so he asked with a smile.

Zhou Congwen ignored him, and continued, "When it was delivered, he was already cold, and the first aid was useless. I don't know how long it took. The deceased were four women and two children. At that time, I thought...cough cough, but later to know what happened.”

"A middle-aged woman played mahjong. She was lucky that day and won some money. She should go back to cook after the children are out of school, but the other three stopped her from leaving."

"My daughter was in her first year of high school. After school, she told her to stew rice first, and then she cooked vegetables when she got home. As a result, her daughter was electrocuted and died. When the youngest son came home, he saw his sister lying on the ground and tried to help him up, but he also died of electrocution."

"..." Shen Lang was speechless.

This...is too miserable.

"When the woman saw this scene after returning home, she didn't say a word. She made a table of dishes and invited the poker players who played mahjong in the afternoon to come to the house for dinner. Rat poison was put in the meals, and the four of them were poisoned together."

"She unplugged the phone line at home first. At that time, few people had mobile phones, and there was no way to ask for help. As a result, when the family members of other families found it, everyone was terribly cold. There were six dead people in one room."

Xiao Kai sighed, "Professor Zhou is talking about relatively rare things, things between men and women are more common, and have also caused many major vicious cases."

Zhou Congwen nodded.

"This person is no different from an animal. As long as he is on top, he can do anything. I guess Dr. Lu has seen many of them, so I picked some of them and mainly described the serious consequences."

"First feel empathy, get closer, kick off the isolation belt between you and the patient, and finally talk about your own misery to arouse the patient's sympathy."

"But the patient has cancer." Shen Lang said.

"There are at least five years to live." Zhou Congwen said, "The older a person is, the more afraid of death. When I was young, many old people said that I don't need you to take care of me when I am old, and I can just find a place to commit suicide."

"What's the result? When you really get old, it's good to live one more day. In an idiom, it's called lingering."

Shen Lang sighed, this was beyond his comprehension.

Several people waited in the fire escape. After 10 minutes, Lu Tiancheng called the nurse to go in and change himself. He came to the fire escape with a tired face.

"Finished?" Zhou Congwen asked.

"Yeah." Lu Tiancheng nodded, "It's done, I guess there will be nothing wrong during the hospitalization, as long as he is not allowed to go back to the ward."

"Go back to the ward? What's the matter?" Shen Lang asked.

"Men, most of them save face. Many things are done impulsively because they can't get off the ground." Lu Tiancheng said softly, "The patient still wants to live in his heart. After all, if he is deeply affectionate, he won't Married five times.

So I gave him a step, and he took advantage of the situation. As long as he is not allowed to return to the ward, he will 'forget' about it and be discharged from the hospital. "

Zhou Congwen let out a sigh of relief, walked up to Lu Tiancheng and patted him on the shoulder as a sign of encouragement.

"Professor Zhou, Director Han, everyone go back first." Lu Tiancheng said, "I'll stay here today. Although the patient looks better, you should be careful, don't be careless and have an accident."

"It's hard work." Zhou Congwen was not polite.

Lu Tiancheng will suffer some bad crimes in the past few days. When encountering such a thing, it is a blessing to be able to take care of the old man and leave the hospital, so he doesn't think about anything else.

Leaving the hospital, several people went home to rest separately.

Early the next morning, Zhou Congwen went to the senior cadre ward to take a look at Lu Tiancheng and the patient.

He took the patient for an examination, and it was confirmed that there was nothing wrong. Lu Tiancheng was a little tired. Zhou Congwen wanted to replace him, but Lu Tiancheng refused.

He has to take care of the patients until the discharge procedures are completed, and the recent surgeries have also been suspended and will not be available for the time being.

A little trouble now will save a lot of trouble in the future, even if it is just a possibility, Zhou Congwen knows this deeply.

After making an appointment with Academician Chu, Zhou Congwen went back for surgery.

Sleeve cutting one day, wedge cutting one day, large and small surgeries are performed in rotation, the medical team ran smoothly even though they encountered some problems.

After the operation, Zhou Congwen rushed directly to the ERCP room without eating.

"Xiao Zhou, what happened to your side last night?" Academician Chu asked after meeting him.

Zhou Congwen briefly told Academician Chu what happened.

After hearing this, Academician Chu nodded and said, "That Doctor Lu is good."

"It's pretty good." Zhou Congwen gave an affirmative answer, and he immediately remembered Lu Tiancheng's psychological dilemma during the operation.

"Xiao Zhou's subordinates are all treasures." Academician Chu said with a smile, this is a pertinent evaluation.

The job of a doctor is to treat diseases, and Lu Tian is ready to see and discharge patients without taking off his armor. This is a kind of "morbid" thinking, but for a superior doctor, this kind of subordinate is simply perfect.

Knowing what Academician Chu meant, Zhou Congwen smiled and began to help prepare for the colonoscopy.

ERCP is indeed very powerful. Many difficult problems in hepatobiliary surgery become extremely simple with a mirror.

Academician Chu watched the little doctor prepare things, and asked seriously, "Professor Zhou, what do you mean by the patient's ileocele?"

"I don't know, I have to take a look." Zhou Congwen replied truthfully.

"I have seen many similar cases, all of which were taken by laparotomy. The most impressive one is that a roundworm in the ileocecal area was absorbed mechanically by the package. There was local inflammation and repeated irritation."

"That was a long time ago." Zhou Congwen smiled.

"Well, the liver and gallbladder have not been separated from the stomach and intestines, so they are called general surgery." Academician Chu said with a smile, "When we separated, I saw many general surgery doctors hugging the director's thigh and crying, and they were unwilling to keep the come down."

"Don't want to dig out shit?" Zhou Congwen laughed.

"Gastrointestinal surgery is very difficult." Academician Chu said, "I have more contact with them, and I have seen a case where a doctor was fainted by smoke."

"It's different. There is basically no emergency department for gastrointestinal endoscopy. If you don't have a clean bowel movement, you can't see anything when you enter the endoscope. You can't even do surgery." Zhou Congwen comforted Academician Chu.

When he was ready, Zhou Congwen stepped back to watch Academician Chu and his assistants do a colonoscopy.

Normally, the image of the patient's lower right abdomen must be considered to be roundworm, but Zhou Congwen had to be sure to see it.In addition to roundworms, there are several small-probability diseases that cannot be ruled out for now.

Chapter 1212 Feelings

"Xiao Zhou, what are you thinking about?" Academician Chu asked you the same question as Wen Yuan while undergoing a colonoscopy.

This time Zhou Congwen was very serious and replied, "Among adults, non-traumatic intestinal foreign bodies can be roughly divided into three categories. The first type is solid foreign bodies swallowed through the esophagus, and the second type is solid foreign bodies inserted through the anus. , The third is the hairy fecal stones formed in the gastrointestinal tract.”

"If it is a solid foreign body through the anal plug, it will not be so small, and it is difficult to travel retrogradely to the ileocecal depending on the size."

"It doesn't look like hairy bezoar, the shape is too regular."

"If it's not roundworms, I guess the first guess is possible - I accidentally ate some foreign body while eating, and it ended up stuck in the intestine."

"Generally speaking, they are fish bones, which are relatively thick, but there are accidents." Zhou Congwen continued to add.

"Well, I think so too." Academician Chu said, "The foreign bodies that enter the lower digestive tract are relatively sharp and slender foreign bodies such as toothpicks, needles, and blades, and bifurcated foreign bodies such as forks and fish bones, etc., with sharp edges and large diameters. Foreign bodies such as bone fragments are difficult to expel on their own."

Zhou Congwen suddenly remembered something and said with a smile, "Academician Chu, have you seen a towel?"

Everyone else in the operating room was startled.

Do you eat towels?They had never seen anything like this, so they thought Zhou Congwen was joking.

"I've seen more than a dozen cases." Academician Chu said lightly, "I saw what it was, so I switched to surgery. At that time, the equipment on my side was not good enough, and I couldn't get it out."

"If you have another chance, you can try it." Zhou Congwen suggested.

"If you want to try it, you can do it anytime." Academician Chu suddenly turned around and glanced at Zhou Congwen.

Zhou Congwen narrowed his eyes, then smiled, "Yes, pet hospital!"

"A few years ago, an acquaintance's golden retriever swallowed a towel and couldn't pass it out. At that time, he asked me to have a colonoscopy."

"Academician Chu, the demons are so powerful." The assistant interjected while assisting Academician Chu, "Do all pet hospitals have gastroenteroscopy?"

"Well, there is also MRI. If you want to do gastroscope for pets, you can earn a lot of money." Academician Chu sighed, "I asked, and it was 8000 for a colonoscopy."

"!!!" Others in the operating room had exclamation marks on their foreheads, shining like bullets.

"Although it is expensive, there is no discount, and in addition to the normal physical examination, emergency gastroenteroscopy will cost more."

"How much did you add?" the head nurse asked confidently.

"I went to take a look as a friend, and I didn't ask for money." Academician Chu smiled, "I'm an academician, so I have to show some face. If I go to the pet hospital to get a towel, I have to pay more. Where can I put my old face. "

"How can it be so expensive!"

What Academician Chu said was beyond the comprehension of the head nurse and others.

The leading professor of the Second Hospital of Medical University can earn more than 2000 yuan a month after the increase in recent years, and the bonus varies from time to time, but it is around 3000 every month. This is brought up in the last 1-2 years.

Of course, the leading professors in the Second Hospital of Medical University cannot live on salary and bonuses.

But the price of a gastrointestinal endoscopy for a pet is so much higher than that of a human being, almost ten or twenty times, which is too confusing.

"Gastroenteroscopy is a relatively remote and rare item, and the MRI queue appointment has been scheduled for a month. The owner of the pet hospital is thinking about where to find an outdated second-hand MRI, and then open a few chain stores."

"Academician Chu." Zhou Congwen said, "It has to be said that all the demons are rich, and we in Jianghai City are the top three... The MRI in the public hospital has only been in for a year, and it is still a chronic treatment project, and the MRI is not open at night."

"Hehe." Academician Chu just smiled, noncommittal.

The head nurse was very excited. Although it had nothing to do with her, she still asked confidently, "Academician Chu, how much is an MRI?"

"Around 5000, I didn't ask in detail, I just listened to it."

The head nurse and other people in the operating room burst into tears. They were so envious of the doctors in the pet hospital.Rarely does anything messy and earns so much money, it's heaven for a doctor.

"Doing clinical work is the same as doing scientific research, more or less need some feelings. Otherwise, in this materialistic society, it will be difficult to persevere." Academician Chu said.

"Well, academician Chu, you are right, the word "feeling" is very appropriate to describe it."

After entering the colonoscope, it took a long way to go to the ileocecal area, about a distance of nearly one meter.While speaking, the colonoscopy saw the foreign body on the B-ultrasound that was 61mm long and 1.9mm wide.

"It looks... like a toothpick, not a roundworm." Zhou Congwen said.

Below the ileocecal part, about 100cm away from the anus, a toothpick was seen transversely incarcerated in the intestinal cavity, and both ends were inserted into the intestinal mucosa.

Academician Chu showed strong techniques and skills when dealing with foreign objects seen in the colonoscopy.

Foreign body forceps and snare skillfully freed the incarcerated part to avoid damage to the intestinal wall and complete the operation smoothly.

Academician Chu's level is extremely high, which Zhou Congwen has never denied.It's just that academician Chu of ERCP is new to him and needs to "point out" for a few months.

Taking out the foreign object, Zhou Congwen approached, and saw Academician Chu peeling off the package and mechanical layer outside the foreign object with pliers, and a toothpick appeared in front of his eyes.

"It really is a toothpick, Professor Xiao Zhou, you guessed it right." Academician Chu said lightly.

"Go and talk to the patient's family." Zhou Congwen smiled.

"Xiao Zhou, come here." Academician Chu took off his gloves and said to Zhou Congwen.

"?" Zhou Congwen could see some solemnity from the eyebrows of Academician Chu.

He left the ERCP room with Academician Chu, "I received an email this morning."

"Oh?"

"It's a mail from France," Academician Chu said.

"France? It can't be Bordeaux Central Hospital." Zhou Congwen immediately thought of Dr. Laurent.

Academician Chu received the email and called himself again, probably related to Dr. Laurent who left in anger that day.

"It's an invitation letter from Bordeaux Hospital." Academician Chu said solemnly, "I'm invited to attend the society in a month's time."

"About ERCP?" Zhou Congwen asked.

Academician Chu sighed, "I guess Dr. Laurent was upset after he went back and wanted to do something."

"Oh, let's go." Zhou Congwen said, "Academician Chu, are you going to do a new technique?"

"New technique?"

"If there is an opportunity to demonstrate a new technique, let's do it by the way." Zhou Congwen didn't care, and smiled slightly, "Dr. Laurent's level is just that, I really don't know who gave him confidence."

"What new technique?" Seeing that there was something in Zhou Congwen's words, Academician Chu asked.

"Academician Chu, what will you do if you see early cancer when you have a gastroenteroscopy, mainly?" Zhou Congwen asked.

Chapter 1213 The Origin of Cigarette Diameter

"Yes..." Academician Chu has complete experience in treating this kind of patients.

But he was very clear that what Zhou Congwen was talking about was not his own treatment plan, but another "new surgical method".

"Xiao Zhou, what are you going to do?"

"For early cancer, according to my experience, combined with other endoscopic examination methods such as staining, magnification and ultrasound, to confirm that the tumor is limited to the mucosal layer and the submucosa without lymphatic metastasis, ESD can achieve the same therapeutic effect as surgery. "