Back in 2002 as a doctor

"It's really not easy."

"Fortunately, it's getting better every day now." Huang Lao said with a smile, "Dean Xiao, do you have the habit of working here?"

"I'm very used to it, mainly because of my knowledge. Mr. Huang, look at how long I've been with Professor Zhou and how many great techniques I've seen. This is something I never dared to think about before."

Zhou Congwen smiled and strode in.

His boss was smoking a cigarette leisurely. After smelling the familiar smell, Zhou Congwen smiled and said, "Boss, I'm back."

"Director Geng woke up from general anesthesia, or are you worried about malignant tumors? I just heard him crying." Mr. Huang's heart was like a mirror, and he asked Zhou Congwen when he saw Zhou Congwen coming in.

"Well, it's okay." Zhou Congwen said, "The operation was done smoothly, and the possibility of malignant transformation of hamartomatous polyps is very small, so there is no need to worry at all. Wait for the pathology, later... Dean Xiao, go and take a look, really If not, let Director Geng see the pathology with his own eyes."

"Okay." Xiao Kai smiled, "I'll go right away."

Xiao Kai was talking, but he didn't move. He seized all the time to brush his face in front of Mr. Huang.

As for the pathology, it cannot be done in an hour or two hours, so there is no rush at all.

"Zhou Congwen, when will the clip you ordered arrive?" Elder Huang asked.

"It is said that the clip for the tricuspid valve is very difficult to design, but the clip for the aortic valve and mitral valve is very fast." Zhou Congwen took out a cigarette and took a puff happily, "Boss, I will take the clip to 912."

"No, you can come here whenever it's convenient." Huang Lao said, "I'm not to the point where I can't fly."

"Okay." Zhou Congwen smiled, "Boss, your sword is not old, and today's operation is really good!"

Xiao Kai was ashamed.

This kind of statement is too straightforward and simple, and generally no one would say it clinically.

There is also skill in flattering, the best kind of wind and water without a trace.But Zhou's flattery from Professor Wen Zhou is called direct, and that is called unscrupulous.

Mr. Huang smiled slightly, but ignored Zhou Congwen.

Only the two of them knew how much exquisite cooperation there was in the operation just now.

Just like Huang Lao said, hemostasis is the most important thing.

Watching the two cooperate to perform an ESD operation, the blood loss was less than 3ml, as simple as if anyone could do it, but only an expert knows that this is the effect that can only be achieved by the cooperation of the peak level of surgery.

If it were someone else, as long as a small blood vessel was broken, the surgical field would be blurred, let alone 15 minutes, even five or ten minutes might not be able to do it.

It’s good to be able to come down. If you really can’t find the bleeding blood vessel, you’re afraid of surgical intervention and laparotomy.

Zhou Congwen said that his boss's sword is not old, but he is just telling the truth.

……

……

In the single room of the hepatobiliary surgery department, Director Geng's mood gradually stabilized.

After all, anesthesia has a limit. As time went by, the anesthesia drugs were metabolized in the body at random, and he gradually remembered what Congwen said to himself on the operating table last week.

Chapter 1225 Uprooted

"Old Geng, you said that you are not shameful enough." Director Wen sat on the side chatting with Director Geng.

Although there were gallbladders and some doctors from the hospital who came to visit Director Geng, Director Wen still told the truth with a look of contempt on his face.

"Old Wen, have you seen my operation?" Director Geng asked after he had no time to retort and engage in an emotional dispute.

"Look." Director Wen said, "You don't even know that Huang Lao and Zhou Congwen's surgery cooperation is a good one. Let's put it this way, the best cooperation you can think of can't keep up with his surgery. One is good. Otherwise, the operation will be fast, and the polyp has been stripped off before I can see it clearly."

As Director Wen said, he picked up a pinch of teeth.He really felt a little regretful, and wanted to see Huang Lao's level, but he looked at it, but he didn't see anything from the beginning to the end.

"Huh?" Director Geng was taken aback.

"Let me tell you, after entering the colonoscopy, Huang Lao and Zhou Congwen took less than 5 minutes to peel off the mucous membrane, and there was basically no bleeding. I'm serious, if you were to do this operation, let alone colonoscopy. , Even if you do it directly, you may not be able to do it like Huang Laohao and Huang Laokuai."

Director Geng was dubious.

Although Director Wen was questioning his ability, the patient was himself, and he certainly hoped that the operation would be simple and clean.

"No bleeding? Old Wen, don't talk nonsense. We are in surgery, how can it be possible without bleeding." Director Geng asked a flaw.

"Hi, I'm just a description. The bleeding volume of a polyp so large is only 3 milliliters. Is that called bleeding?"

"..." Director Geng concluded.

A bleeding volume of 3 ml is really not called bleeding.

And 3ml is just an estimate. According to Director Geng's experience, it basically falls within the category of seeing a little red and then the operation is over.

It's just that what Director Wen described is beyond the scope of Director Geng's understanding.

"Old Geng, do you still remember that Academician Chu just came to establish an academician workstation, and I told you that you should be careful about being robbed of your business?" Director Wen brought up the old story again with a smile.

He has seen the "tumor", and Director Wen thinks it is likely to be benign.But even Huang Lao directly admitted that it must be benign, so what else is there to think about.

It's also good to take this opportunity to joke around.

Director Wen holds grudges, and always remembers Director Geng's dismissive remarks, saying that gastrointestinal endoscopy can only be used for inspection, and there is no way to do related treatment.

Director Geng didn't pay attention to Director Wen's teasing, he frowned, "Old Wen, if it's really benign... no, I have to go to the pathology department."

"Hello!" Seeing that he was about to get off the bed, Director Wen hurriedly stopped him, "You just finished the operation, and you still have to fast for water, don't suffer from hypoglycemia."

"It's okay, I'll go take a look." Director Geng said hastily.

"I think it's better to go to the endoscopy room and watch the operation process." Director Wen said with a smile, "Are you in a hurry?"

"!!!"

Director Geng was really flustered, and he realized the order in which he was doing things only after being reminded by Director Wen.

He first called the pathology department and said that Director Duan had pushed the technician aside and was cutting specimens to make wax blocks by himself.

It will take 12-24 hours at the earliest to get a preliminary diagnosis in this area. It is useless to go there. Director Duan will definitely not stay here for three days and three nights.

To see the operation process, Director Geng wants to go down.

As soon as his feet touched the ground, his legs softened and he almost fell to the ground.

"Be careful." Director Wen hurriedly supported Director Geng, and beckoned someone to push the wheelchair in, "You said that your body is weak, and you can't handle basic anesthesia, and you still yell about this and that every day."

While despising his old friend, Director Wen pushed him to the endoscopy room to look at the video data left by Mr. Huang with the endoscope.

Unlike the interventional catheter operation, the images of the general gastrointestinal endoscopy are not preserved.

But this is a new operation, and Director Geng thought he was a malignant tumor, so he specially asked to keep the imaging data before the operation.

When I came to the endoscopy room, I didn't expect Academician Chu and the whole team in the endoscopy room to be there.

"Director Geng didn't take a break?" The director of the endoscopy department was stunned when he saw Director Wen pushing the wheelchair in.

"Come and see Mr. Huang's operation, and learn." Director Geng became more polite at this time.

The director of the endoscopy room immediately recalled how this man was crying in the operating room just now.

He is a professional doctor, and he usually doesn't laugh unless he can't help it.

The appearance of Old Geng just now remained in the mind of the director of the endoscopy room like a brand, and he felt that he could laugh forever.

Director Geng didn't have time to bother, he moved the wheelchair forward by himself, and leaned over to watch the operation process.

Academician Chu thoughtfully adjusted the video to the first position, Director Geng stared at the video on the screen intently.

He has worked in general surgery and gastrointestinal surgery all his life. Although the surgery is not outstanding, it is no problem to be ranked in the top [-] in the country.

The operations that appeared on the screen shattered Director Geng's old cognition.

In the past, for such a large thing, even if it was a polyp, the intestines had to be cut to prevent malignant transformation.

But Huang Lao and Zhou Congwen's subordinates peeled off the intestinal mucosa bit by bit, the two cooperated tacitly, and the movements were skillful.And the damage is minimal, just fasting for a few days and drinking porridge for a few days.

The impact on patients is almost "zero".

Bleeding is unavoidable in surgery, but it can be avoided as much as possible with the improvement of technical level.

In the video, Director Geng was surprised to find that the bleeding was astonishingly small as what Wen described.

Clamping and blood coagulation, although I don't know which forceps are operated by Huang Lao and which are operated by Zhou Congwen, Director Geng really recognizes a reality - ESD is a new surgical method for him, but for Huang Lao and Zhou Congwen Speaking of which, I don’t know how many sets have been made, and I’m proficient.

The incision margins were clear, and the polyps were "uprooted" without residue.

No need to look at the pathology, Director Geng is sure that this thing will definitely not leave any future troubles.

"The operation is really well done." Academician Chu sighed again after watching it.

Everyone was speechless, especially Director Geng, who thought so in his heart.

Even though Mr. Huang, Academician Chu, and Zhou Congwen were all mistaken, the operation was extremely thorough. While preserving the intestinal tract, it was completely stripped off, leaving no future troubles.

Director Geng let out a sigh of relief.

"Old Geng, it seems that you said that if you can cut the tumor with a colonoscope, you will eat all the tumor." The director of the endoscopy room joked.

"..." Director Geng looked at the tumor that had been taken out, speechless.

Did you say it yourself?It seems not.

Really?

Before that, Director Geng never expected that endoscopy could cut tumors, and it was so simple and crisp.

The intestines were preserved, the "polyps" were pulled out by the roots, and Director Geng's world view was shattered to the ground.

Is this a new technology?

Chapter 1226 Specimen Becomes a Problem

"Boss, these are your favorite chicken feet." Zhou Congwen asked the driver to go to Jianghai City to pack the chicken feet and bring them here just in time for dinner.

Mr. Huang was not polite, grabbed one and gnawed on it.

"Boss, how hungry are you at home? Pay attention to your image, you are a big player in the industry." Zhou Congwen couldn't bear it when he looked at it.

"Hey, it's about keeping in good health, and you can clearly calculate how many calories you take in every day. After so many years of struggle, you have to worry about even eating a meal of meat. Tell me, is the struggle meaningful?" Huang Lao gnawed on the chicken Claw, said vaguely.

Xiao Kai and Director Han sat beside him. Seeing that Mr. Huang was so anxious, they all turned their eyes away by coincidence.

Zhou Congwen was not in a hurry, and waited for the boss to eat two chicken feet before he smiled and said, "It's almost enough. If I eat too much, I will explain to my wife. You have nothing to do with eating meat. Who said that you want to serve the people of the whole country?" Work for another 50 years."

"What do you need to explain?" Elder Huang said contemptuously.

That's what he said, but he also had a sense of proportion, he looked at the bones of the table reluctantly, and sighed.

"Zhou Congwen, I have something to tell you." Huang Lao used all his strength to move his eyes away from the chicken bone, and looked at Zhou Congwen and said seriously.

Zhou Congwen sat up straight subconsciously, and looked at his boss, "Boss, tell me."

"In the future, if you encounter a patient with parasites, think about keeping a specimen." Huang Lao said.

"Oh?" Zhou Congwen paused, looking at the boss.

"There are fewer and fewer specimens in the school." Huang Lao said, "I moved a while ago, and they accidentally smashed a specimen of schistosomiasis, which made my heart hurt."

"Who is so stupid!" Zhou Congwen said angrily.

"Oh." Huang Lao waved his hand, "It wasn't intentional either."

"Old Huang, there are not many specimens in the military medical university on your side? How about I take a look at our medical university?" Director Han asked.

"No need." Mr. Huang shook his head, "Which family's students are not students, and now they are different from before."

As he said that, Huang Lao's tone was low, and the white clouds and the vicissitudes of life were fleeting.

"The current public health conditions are getting better and better, and there are fewer and fewer parasite specimens. This has already been seen, and I just want to tell you in advance." Huang Lao said.

Director Han didn't expect Mr. Huang to mean this, and was taken aback for a moment.

"Indeed." Zhou Congwen said, "Schistosomiasis, the boss you went to the countryside to treat this disease."

"That happened many years ago." Huang Lao Youyou said, "At that time, there were more than 1000 million patients with schistosomiasis in the whole country, which is still an incomplete statistics. Now there are only a few hundred thousand in the whole country, and they can get treatment soon. It will be life-threatening, and it is estimated to be less and less in the future.”

"It is said that the reduction of parasitic diseases is a good thing. After that, the children will have to look at the specimens. If you don't look at the specimens, who knows what schistosomes look like."

"Yes, yes, Mr. Huang, you are right!" Chief Han learned from Zhou Congwen's straightforward flattery to Mr. Huang.

"There are still a lot of schistosomiasis, and fewer malaria parasites." Mr. Huang smiled at Director Han and continued, "When the Republic was first established, there were 3000 million malaria patients. Last year, there were only 3821 malaria patients nationwide."

Speaking of this, Zhou Congwen said with a smile, "Boss, malaria parasites are not uncommon in Southeast Asia."