Back in 2002 as a doctor

The key is that what Zhou Congwen said is reasonable, the esophagus belongs to the cardiothoracic surgery department, and it is normal for Huang Lao to conduct research on related treatments.

"Professor Zhou." Director Wen hurriedly diverted his attention. He was really afraid that he would be ashamed if he entered the moment of a sage on stage. , he eats the tumor."

"Hahaha." Zhou Congwen laughed loudly, "Do you want to save some for pathology and give the rest to Director Geng? Do you want braised in soy sauce or clear stew? Or stir-fried?"

"..." Director Wen concluded.

Zhou Congwen's heart is really big, and he is full of confidence, as if the diagnosis he just made is absolutely infallible.

"fine."

A few minutes later, Zhou Congwen took out the colonoscope and said to Director Wen, "Drink less alcohol in the future. After all, I am getting older. I only have a slight ulcer. Everything else is normal. Take good care of your body."

Chapter 1221 When a doctor gets sick

After checking the other directors, Zhou Congwen and Academician Chu went to find Director Geng together.

After entering the office door, Zhou Congwen saw Director Geng lying on the bed in the duty room, staring straight at the yellowed ceiling in a daze.

"Director Geng, what are you doing?" Zhou Congwen asked with a smile.

Director Geng was like a wooden man, not saying a word, not even moving his eyes.

Zhou Congwen and Academician Chu looked at each other and smiled wryly.

This person is only afraid when it comes to life and death.

According to the estimates of clinicians, at least half of the patients were scared to death by malignant tumors, their mental breakdown, immunity dropped, and some even starved to death without eating or drinking.

Judging by Director Geng's appearance, it is estimated that he is not far away from a psychological breakdown. If there is no drastic method, he may not be able to do so soon.

Academician Chu came to Director Geng and patted him, "Director Geng, it's me."

Director Geng rolled his eyelids, and seeing that it was Academician Chu, his eyes lit up a little.

Academician Chu sighed inwardly, but patiently told Director Geng about the Peutz-Jeghers syndrome and the hamartomatous polyp he saw in his intestine.

Moreover, Academician Chu specifically said that hamartomatous polyps are basically not malignant, at least none of the hundreds of patients he met had malignant transformation.

"Academician Chu, don't comfort me." Director Geng sat on the bed with his back leaning against the wall, tears streaming down his face, "I don't think the color of that thing is right."

"The color is normal. It's a typical Peutz-Jeghers syndrome. I've explained it to you many times."

No matter how good-tempered Academician Chu is, he can't handle Director Geng's depression and questioning mood.

It is estimated that Director Geng has been thinking in his heart that he is comforting him instead of telling him the truth.

I really don't know what Director Geng has experienced, why he directly thinks of the worst situation.

Zhou Congwen sighed, "Director Geng, no matter what we see, we have to treat the problem, whether it's Peutz-Jeghers syndrome or malignant tumors, it's not okay to put those things there."

"..." Director Geng looked at Zhou Congwen blankly.

"You are also a doctor and an old expert, so I won't say much, let's face it correctly." Zhou Congwen said, "We have convenient conditions, and we don't have to run around here and there. We can invite all the experts we need."

"I need to cut the intestines..." Director Geng murmured.

"Who said that?" Zhou Congwen said contemptuously, "My boss..."

Hearing him repeat what Mr. Huang did many years ago, Academician Chu was still a little confused.

Huang Lao really dared to be the first in the world.

Director Geng was taken aback by Zhou Congwen's words.

"Professor Zhou, really?"

"Of course." Zhou Congwen said with certainty, "The status of the first patient my boss made couldn't be higher, and he belongs to the behind-the-scenes of a world-class consortium."

"..."

"It's the first case that people dare to do it. What are you afraid of?" Zhou Congwen said.

Hearing what Zhou Congwen said, Director Geng felt a little hopeful in addition to being puzzled.

"I may lie to you, boss... it is also possible, but surgery is absolutely impossible, you believe it." Zhou Congwen said.

Director Geng nodded.

Don't listen to what the doctor says. Out of comfort and humanistic care for the patient, the doctor's mouth can talk nonsense as long as it is needed.

But when it came time for treatment, the doctor would never dare to act recklessly.

Some things can be said to the patient's family members, but not to the patient, but no matter what is said, it is cautious and cautious when it comes to treatment in the end.

Zhou Congwen has been talking about performing surgery on himself, and peeling off the mucous membrane. It's hard to tell whether it's true or not. At least Director Geng doesn't think it's really possible...

"If you agree, I'll tell the boss." Zhou Congwen said, "The boss flew over and performed a minor operation on you. If you can do postoperative pathology, you can do it yourself. If you can't, just watch the pathology director."

"That's all right."

"In China, you can't find experts with a higher level than the boss, especially this one."

Zhou Congwen kept talking.

"If Mr. Huang comes, he sees that the tumor is malignant." Director Geng asked in a murmur.

Zhou Congwen really wanted to grab Director Geng by his collar and pull him up, and slap him a few times.

Subconsciously, he already thought that it was not a polyp but a tumor, and no matter what he said, he felt it was comforting her.

But because Director Geng is now a patient, Zhou Congwen is not easy to lose his temper.

Resisting his temper, Zhou Congwen said softly, "If it's vicious, the boss will come forward and find you academician Luo from your gastrointestinal tract."

"Academician Luo is old." Director Geng said in a low voice.

"..." Zhou Congwen and Academician Chu were speechless.

A few seconds later, Zhou Congwen sighed, "Academician Luo can bring his apprentices, he is one of the top three in the country, and he is in his prime."

Director Geng was weeping, as if he didn't listen to Zhou Congwen's words at all.

Zhou Congwen also knew that this matter should not be rushed, so he left with Academician Chu after he explained.

After finding Director Geng's deputy director, Zhou Congwen contacted Director Geng's lover and made another explanation.

These things are really troublesome.

Especially in the face of an old director who has experienced many battles, he is obsessed with thinking that he has cancer, and there is no special solution.

Moreover, Director Geng knew all the doctor-patient communication methods he used. Zhou Congwen had no good way to defeat magic with magic, so he could only force it.

Fortunately, Director Geng's lover knew a little bit about medical treatment, especially when he heard Zhou Congwen said that it was not a malignant tumor, so he readily agreed and asked Zhou Congwen to contact Mr. Huang.

After leaving, it was getting late, and Academician Chu asked curiously, "Xiao Zhou, Mr. Huang is undergoing mucosal peeling operation...have you seen it?"

"The boss told me." Zhou Congwen said vaguely, "Many patients can use this method. The boss has always advocated early detection, early diagnosis, and early treatment. The difficulty of mucosal peeling is still relatively large. Now Abroad, it is basically mucous membrane resection.”

"It seems that there are some objections to mucosal resection." Academician Chu said, "In 1992, mucosal resection was used for duodenal lesions. It seems that the patient died after the first operation."

"No." Zhou Congwen said, "The owner of the first operating room did it himself in 1986, but because of the special status of the patient, there was no way to write a case report."

"..." Academician Chu looked at Zhou Congwen in a daze, his heart burning with curiosity.

Mucosal dissection, or ESD surgery, is a more advanced procedure than EMR (mucosa resection), which is still controversial now. Has Huang already completed it?As an academician of Gastroenterology, this news made Academician Chu feel mixed feelings.

"I'll contact the boss to perform surgery on Director Geng as soon as possible." Zhou Congwen didn't hesitate, waved goodbye to Academician Chu, and started to contact his boss.

Chapter 1222 Declaration of Helsinki

Zhou Congwen knew his boss's temper. Although he was tired after flying to the provincial capital, but this time the "flying knife" involved ESD surgery, the boss must be very happy.

In his memory, Zhou Congwen knew that this technique had been developed on a small scale since 912, and that he was working with the Air Force Federation on scientific research.

But if we really want to do it on a large scale, the current old directors must retire.

The boss is covered in iron, and he can't drive a few nails.Faced with layers of resistance to the development of new technologies, the boss is nothing more than man-made, and definitely not an invincible existence.

The so-called treasured sword slaying the dragon, commanding the world, no one dares not to obey, it has always been just a joke.

On the third day, Zhou Congwen went to the airport to pick up his boss.

Seeing the familiar figure of the boss hunched over and pulling the shoes, Zhou Congwen had a smile on his face that he didn't notice.

"Boss!" Zhou Congwen ran to Mr. Huang, bowed his waist and said, "Thanks for your hard work."

"Are you ready?" Elder Huang asked.

"Get ready, you can do it now, and you can do it tomorrow."

"A mucous membrane peeling may not be able to be done, so don't use tomorrow." Huang Lao said, "Tell them to send the patient, and go up now to have a look, if it works."

After finishing speaking, Mr. Huang paused for a moment, glanced at Zhou Congwen, and said slowly, "Zhou Congwen, you have gone through the preoperative examination."

"Boss, read what you said." Zhou Congwen said with a smile, "I'm doing things, don't worry, there must be no mistakes."

"Don't send the patient away, I'll take a look after I go." Huang Lao said.

Zhou Congwen chuckled, but didn't say "no".

The boss is still cautious and conscientious, and this time can be regarded as a "mini-test" to test the school's usual work attitude.

After carefully recalling Director Geng's laboratory test report, Zhou Congwen made up his mind that there was nothing missing.

Zhou Congwen has always been very serious about the preoperative procedures. This is a good habit, and it was also passed down from the previous boss.

I don't believe that the boss can pick out any faults, Zhou Congwen thought to himself.

When he came to the hospital, Mr. Huang read all kinds of examination reports first, then went to see Director Geng, comforted him a few words, and then sent him to the endoscopy room.

Academician Chu followed closely beside Mr. Huang, changing clothes all the way.

He asked a lot about ESD surgery, and Mr. Huang didn't hide anything, and began to explain his thoughts to Academician Chu.

As Zhou Congwen said, since the 70s, when there was no gastroenteroscopy in China, Mr. Huang has been focusing on the advancement of technology, thinking about using newer methods for early diagnosis and early treatment.

Academician Chu came from that era, and he knew exactly what the rigid gastroscopes used at that time were like.

Unless it is absolutely necessary, the rigid gastroscope is rarely used, because as the name suggests, the rigid gastroscope is too hard, and there are many patients who just puncture the esophagus after being inserted.

It was not until the fiber optic gastroscope became available that things took a turn for the better.

Mr. Huang's vision surpassed the times by at least 20-30 years, and Academician Chu finally came to such a conclusion that made him sigh.

Looking at the figures of Huang Lao and Zhou Congwen, he was in a daze.

If Chu Yuntian hadn't rejected Mr. Huang a few years ago, wouldn't it be his son who is busy with Mr. Huang now?

When Mr. Huang came to the endoscopy room, he first checked the things Zhou Congwen had prepared.

With all the items complete, Huang Lao didn't speak.

Although he didn't take Zhou Congwen for ESD surgery, Mr. Huang didn't seem to think that Zhou Congwen didn't understand or understand, and everything was logical.

After Director Geng lay down, no one comforted him anymore. At this time, everything he said was false, and whether the operation could be performed was still in doubt, and it was useless to talk more.

"Old Huang, how many similar operations have you performed?" Academician Chu asked.

"The air manager is more interested, and they are cooperating with them, and they are preparing to publish an article." Mr. Huang said slowly, "The ESD surgery of 71 patients has been synthesized, followed for several years, and the data is relatively complete."

Air total, 71 cases!

Academician Chu felt a little stuck.

Ordinarily, this should be done by myself, but my knowledge of academics is far behind Huang Lao, and it is not at the same level at all.

"Patients diagnosed with PJS combined with duodenal polyps and treated by EMR were the subjects of the study. According to the maximum diameter of endoscopically resected polyps, this group of patients was divided into two groups."

Huang Lao looked at Zhou Congwen preparing surgical supplies in Maliu, and said slowly with his hands behind his back.

"Among them, 71 patients were divided into two groups. Those with polyps with the largest diameter > 3 cm were the common polyps group, and those with the largest polyps diameter ≥ 3 cm were the giant polyps group."

"Old Huang, what are your exclusion criteria?" Academician Chu asked.

"First, patients with severe coagulation dysfunction or heart, lung, liver, kidney and other important organ damage, who cannot tolerate endoscopic examination and treatment; second, anesthesia contraindications; third, J polyp cancer or highly suspicious cancer.”

"By the way, Academician Chu." Huang Lao turned his head and glanced at Academician Chu, "Did you study the Declaration of Helsinki before doing scientific research, and did all patients sign an informed consent form before the operation?"

The Declaration of Helsinki mainly refers to the ethical standards that promote and ensure respect for human subjects and the protection of their health and rights in medical research.

In June 1964, the 6th World Medical Association Congress, Finland, Helsinki adopted and continued to improve, so far it has been relatively comprehensive, and it is a criterion for doctors to do scientific research.

"Mr. Huang, don't worry, all the patients in my research knew about it before and signed the agreement." Academician Chu said solemnly.