Back in 2002 as a doctor

"!!!" Wen Yuan was startled, and looked back at the screen, the gastroscope had entered the duodenum through the deformed pylorus.

How did he send the gastroscope in!

Wen Yuan's body was numb, what Professor Chen Houkun said was true!

Judging from Zhou Congwen's level, academician Chu should have come to learn technology from him, absolutely right!

"It was caused by scar stretching in previous cholecystectomy operations. By adjusting the direction of the lens and rotating the lens body, we can pass through the pyloric duct smoothly." Zhou Congwen explained gently while performing the operation.

"Oh oh oh." Wen Yuan could only respond blankly.

"The patient had undergone cholecystectomy for gallstones and was combined with duodenal diverticulum. The incidence of complications of ERCP was 5% to 10%, and the incidence of pancreatitis was as high as 16.1% due to papillary ERCP stone removal in diverticulum. Diverticulum caused Intubation is difficult, and the endoscope needs to be lifted so that the lens is above or at the same level as the diverticulum before the incision knife can be inserted for imaging."

"Pay attention here. The incision direction should be parallel to the edge of the diverticulum to avoid perforation. If you are not careful, there may be major problems after surgery."

Zhou Congwen cut the sphincter while explaining to Wen Yuan. The operation went smoothly. Wen Yuan did not see any troubles caused by the abnormal anatomy to Zhou Congwen.

Under the mirror, it can be seen that the patient's bile duct stones are multiple, ranging in size, arranged in a string of beads, from bottom to top, reaching the first-level bile duct in the liver.

Zhou Congwen then went from bottom to top, taking out the stones with the net little by little.

When encountering a large stone, he did not rush forward due to the time limit of the operation, but crushed the stone first and then removed it.

A time-limited and difficult ERCP operation was performed calmly by Zhou Congwen, one, two, three...

A total of 25 stones were taken out by Zhou Congwen.

Angiography showed that the patient's common bile duct was unobstructed and there were no remaining stones, so Zhou Congwen took out the mirror.

Wen Yuan was like dreaming, when the operation was over, he looked back at the time.

In less than 15 minutes, 25 stones were removed!

If it weren't for the gloves on his hands, Wen Yuan really wanted to pinch his thigh hard to see if he was dreaming.

But the muscle memory of aseptic operation accumulated over the years restrained Wen Yuan from this action.

Just a few hours ago, the patient who I thought was absolutely ineligible for surgery was done in only ten minutes.

I didn't see any difficulty in Zhou Congwen's operation, everything was logical, simple and refreshing.

Is this new technology?Wen Yuan felt that his hair was about to stand on end, and he pushed up the sterile cap.

"Professor Zhou..." Wen Yuan stammered.

Zhou Congwen smiled, asked the patient to change his position, and turned down the oxygen flow a little. Instead of sending the patient out in a hurry, he continued to observe the patient's blood oxygen saturation.

"What, Professor Wen?"

"You...you...I..."

"Brother Chen told me." Zhou Congwen smiled, "If you want to learn, or you don't want to have surgery in the future, I will ask you to come with ERCP here."

"En!" Wen Yuan nodded vigorously.

"It's actually not that difficult." Zhou Congwen said, "Although there may not be many operations in a year, after all, there is one more way to solve the problem. What do you think?"

Wen Yuan burst into tears after being taught by Zhou Congwen.

What Zhou Congwen said was too light, is it just to solve the problem?

One month ago, the Second Hospital did not have an ERCP room, and the only thing the patient could do was percutaneous biliary puncture and drainage to resolve the jaundice.But bile duct stones are difficult to solve, not to mention the high-risk status of the patient.

And it was such a high-risk patient who was treated within ten minutes under Zhou Congwen's hands!

An old man who is going to be sent away to wait for death can live for many more years with such a "miracle". Wen Yuan feels that ERCP technology is more useful than what he understands.

"Okay." Zhou Congwen saw that the patient's blood oxygen saturation had risen to 92%, and it could still be maintained. After a few words with the patient, he called the flat car and sent the patient back.

"Professor Zhou, I want to learn." Wen Yuan looked at Zhou Congwen urgently.

"Okay, I have surgery these days, I'm calling you. Professor Wen, you know how to perform the most basic duodenoscope."

"meeting."

"That's good, I'll teach you when I have time." Zhou Congwen smiled slightly, "You can send the patient back. He will be discharged after 2-3 days after the jaundice subsides, so I won't follow."

For 2-3 days, Wen Yuan was in a trance after hearing this number, and a wild fire burned in his heart.

Chapter 1218 Physical Exam

Wen Yuan put down his airs, and kept wandering around in the endoscope room. If there is an operation, he will rub it for a while, if he can, he will go up, and if he can't, it's also good.

Academician Chu knew that it was Zhou Congwen's relationship, so he didn't stop him. He just watched it if he wanted to, because there are so many people, it's easy to work.

Zhou Congwen continued his work.

Early in the morning, Zhou Congwen came to the department and was about to open the door to enter his office to change clothes when Zhang You rushed over with his teeth bared.

"Professor Zhou, this is yours." Zhang You greeted Zhou Congwen, waving a stack of papers with a smile.

"Oh? What?"

"This year's physical examination list." Zhang Youdao, "I have a special application with the hospital. You follow the same line as employees over 45 years old. The physical examination items are very complete."

"..." Zhou Congwen paused.

"Every year, there are people who want to take advantage of the public, and don't piss to look like themselves." Zhang You said to Zhou Congwen as if offering a treasure.

Zhou Congwen can vaguely understand some special hobbies of Zhang You's generation.

For example, it is clear that there is no shortage of money and no illness, but the old people are comparing who can eat more and occupy more.

It's like a chronic disease card, mainly high blood pressure and diabetes. With a card in your hand, you can show off to other old friends for a long time.

Even if the other old people are not sick, they know that the chronic disease card does not have much money, but they are so envious that they can't add it.

It may have something to do with the age these old people lived in. The imprint deep in their souls when they were young was so deep that they thought it was normal.

Zhang You helped himself to take advantage of the public, which in Zhang You's view was a big deal.

Zhou Congwen smiled helplessly, "Thank you, Director Zhang."

After receiving the medical examination form, Zhou Congwen flipped through it casually, "There is a gastroenteroscopy."

"Yes!" Zhang You's big teeth were shining brightly, "Professor Zhou, can you do a gastroenteroscopy for me?"

"Normal or painless?" Zhou Congwen asked.

"No..." Zhang You hesitated, "Let's do it normally."

"Well, my suggestion is to do it normally." Zhou Congwen said with a smile, "There is a doctor in our third hospital to perform the operation, and he hired an expert from the imperial capital. Director Zhang, guess what the first thing he said after waking up from anesthesia?"

Hearing Zhou Congwen say this, Zhang You was slightly embarrassed.

When awake from anesthesia, patients made many jokes.

For example, in a well-known joke, the anesthesiologist shouted, is there anyone outside!I want to find someone to help move patients.

However, when the patient just woke up from the anesthesia and was in a dim state of consciousness, he said——Sorry, there are people outside me.

Another example, a few years ago, a certain old director of the hospital was doing a painless gastroenteroscopy. After waking up, he pulled a nurse in the department and said nothing, and murmured the name of another nurse.

All in all, an embarrassing push.

It is said that the first hospital gave the provincial and municipal leaders physical examinations, and the leaders had to be close to the secretary for painless gastroenteroscopy under general anesthesia.

However, their personal secretary never did a painless examination and refused general anesthesia, for fear of saying something that should not be said in a dim state of consciousness.

Zhang You didn't dare to do it. What happened in the operating room before was still a sickness in his heart, and whenever he thought about it, he felt a dull pain.

If he really said something that shouldn't be said in a hazy state... Zhang You felt that Zhou Congwen was mocking him, and felt a little unhappy.

"After our doctor woke up, did he say that he paid the money for the outside experts?" Zhou Congwen laughed, "Director Zhang, tell me, what is he thinking about in his heart?"

Seeing that Zhou Congwen didn't mention himself, Zhang You smiled.

"The physical examination needs to be completed in a few days." Zhou Congwen did not refuse the physical examination, and asked while changing clothes with a smile.

"Three days." Zhang You said, "Our head of the department has a special channel, and it is convenient for everyone to come with me."

"Okay." Zhou Congwen was even more rude.

Why wait in line to save trouble, there are so many things in the department, saving a little time is a little time.

"Professor Xiao Zhou, I see that the academician workstation you chair is getting more and more prosperous recently." Zhang You said with a smile, "When will we open the surgery next year?"

"Waiting for the equipment." Zhou Congwen said, "Generally speaking, the interventional surgery of the aortic valve is relatively simple, but the mitral valve is much more difficult. I can do it if I force it, but it is better to have a sheath. "

Zhang You knows such things as turning over mountain sheaths.

On the dirt road of Zhou Congwen's hometown, Zhou Congwen squatted down and drew a similar schematic diagram for him.

Zhang You didn't want to believe it at the time, but after getting in touch with Zhou Congwen more and more deeply, Zhang You hardly doubts what Zhou Congwen said now.

Turning over the mountain sheath, Zhang You clicked his tongue.

"Director Zhang, I won't eat at noon today, and I have checked all the fasting water in the afternoon. I will take blood and do a gastroenteroscopy tomorrow morning. Do you think it's okay?"

"Go, go, go."

In fact, it doesn't matter what you do, Zhang You just seized every opportunity to show his face in front of Zhou Congwen, and reminded Zhou Congwen not to forget the surgery competition.

No. [-] in the world, Zhang You is already salivating for it.

While chatting, the two went to shifts, rounded the ward, and prepared for surgery.

After the morning operation was over, Zhou Congwen went for B-ultrasound, CT, ECG and other examinations in the afternoon.

Director Zhang Luo kept asking Zhou Congwen to help with gastrointestinal endoscopy, and Zhou Congwen responded one by one.

It's okay to ask Academician Chu to do it, but everyone doesn't have such a big face.

Zhou Congwen is young and has a high level. If you don't look for him, you can look for someone.

So Zhou Congwen simply changed his gastrointestinal endoscopy to the next day, and he planned to do it for himself.

It was the same in the previous life, Zhou Congwen would not let others do a colonoscopy on himself.It's not like you can't do it yourself, right?

The operation on the second day was postponed. Zhou Congwen changed his clothes early in the morning and rushed to the endoscopy room.After saying hello to Academician Chu, he began to check the department directors and even the dean and vice dean.

The small polyp Zhou Congwen got rid of directly, and the whole examination went smoothly.Gradually, academician Chu also came behind Zhou Congwen to watch him do the examination.

Regular gastrointestinal endoscopy is academician Chu's strong point, but he was quite embarrassed when he saw Zhou Congwen's skillful technique.

This young man should have been his student, and he took over his banner and went forward.

It's a pity, who made him a chest doctor.

"Professor Zhou, thank you for your hard work." Director Geng from the Department of Gastrointestinal Surgery walked in with a smile.

"Director Geng, have you done this before?" Zhou Congwen asked.

This is a habit, and it is mainly to say hello to the directors, so as not to be too stiff.

"No." Director Geng scratched his head, a little embarrassed.

"Normal, the key is that Director Geng is too familiar with it." Zhou Congwen laughed, "After seeing the gastrointestinal endoscopy, I always think about a lot of things that I shouldn't think about, which is not good for my health."

Director Geng nodded repeatedly.

"Aren't I old? I heard that you were the one doing the examination, and made up my mind all night."

Chapter 1219

"Are you allergic to anesthetics?" Zhou Congwen asked.

On the other side Liu Wei was already preparing to administer the medicine, which startled Director Geng, he didn't expect it to be so fast.

"I do it normally." Director Geng said immediately.

Zhou Congwen smiled, he knew exactly what Director Geng meant.

After all, it is a dry stomach, and there are many things on my mind.

Similar to discovering a tumor but hiding it from him, Director Geng has encountered and done it countless times in his life, and he doesn't want this to happen to him.

There is one more point that must not be stated clearly—Director Geng is afraid of missing a diagnosis.

The essence of every high-level doctor is that he absolutely does not trust other people.

Without this kind of self-confidence, it is difficult to improve the level and technology.

But as long as you know this, you must not tell Zhou Congwen that I don't believe you.