Back in 2002 as a doctor

What if it works?It also saves my lover from having to be hospitalized every once in a while.

Although Wang Chengfa was unhappy, his lover's illness was protracted, and he was always worried.Even if he offends Wang Chengfa... Dr. Liao still wants to see a doctor from a higher-level hospital.

Dr. Liao knew which was more important, Wang Chengfa's face or his lover's body.

"Professor Chen said he will arrive in the afternoon, just wait." Wang Chengfa said in a deep voice, "How did you contact Professor Chen?"

Dr. Liao immediately bowed his waist and said with a smile, "It's not that Director Wang, you and Professor Chen have a good relationship. My relatives went to register and happened to meet Professor Chen on a visit. It's because of your face that Professor Chen said that he would come to see me in person. spouse."

What Wang Chengfa said was very useful.

"How many years have I been with Professor Chen? A while ago, he came to Feidao to perform an extremely difficult operation." Wang Chengfa said proudly.

"That is, that is. We went to mention your name, and Professor Chen was very enthusiastic. My relatives also said that it was lucky to mention you, otherwise it would be too difficult to see a doctor at the medical university." Dr. Liao also lied and said Come on, anyway, Wang Chengfa can say whatever he wants to hear.

"That's it!" Wang Chengfa's mouth had already reached the base of his ears.

"Director Wang, thanks to having you." Dr. Liao said something insincere, but as long as Wang Chengfa was happy, he couldn't care about other things for the time being.

As a result, the conversation became much smoother. Wang Chengfa happily talked about a few past events with Professor Chen, all of which were about making a phone call and taking the train directly to help Professor Chen.

As for more, Wang Chengfa's imagination is limited, and he dare not think too much.

A doctor in Jianghai City can have contact with a professor in the provincial capital, and the relationship is not bad, which is worth showing off.

After a while, Wang Chengfa left the ward full of satisfaction, and Dr. Liao let out a sigh of relief.

"Husband, why do I feel that Director Wang doesn't know about this? Congwen contacted him privately?" Dr. Liao's lover asked doubtfully.

"It may be that Director Wang invited the professor to perform the operation, so we made contact." Dr. Liao was also full of suspicion.

Ordinarily, with Wang Chengfa's status in the world, it is impossible to invite professors from the provincial capital to consult and perform operations as he pleases, let alone a small doctor under him.

"This is too weird. A professor from the provincial capital can be called over with just a phone call from Congwen? Can you do it instead?" Dr. Liao's lover still felt that the matter could not be explained.

"Whatever, as long as Professor Chen can come and see. Your pneumothorax is too annoying, it's always bad."

"Will it be like what Cong Wen said?"

"No." Dr. Liao said with certainty, "How can there be any connection between menstruation and pneumothorax? I think Zhou Congwen is just willing to mess around. When you are well, let's blackmail him for a meal and make him cry."

"People also help."

Dr. Liao nodded, and when he thought of his lover's illness, sadness appeared on his face.

……

……

In the afternoon, Wang Chengfa drove his Jetta to pick up Professor Chen.

Zhou Congwen silently helped Shen Lang prepare materials, including some previous videos, time, treatment and so on.

"Congwen, do you really think it's a menstrual pneumothorax? I went home for lunch and checked the information on the Internet. There is really such a theory." Shen Lang asked curiously.

"Originally." Zhou Congwen said it as it should be.

"The more I thought about it, the more I thought about it. In the past...hahaha, the menstrual history in our medical records was all nonsense. But I remember that when Dr. Liao's lover was hospitalized for the first time, Director Wang wanted to have an operation, but it happened to be in time for menstruation. Period, hesitated for a while and didn’t do it.”

"This time too, just in time for menstruation."

Zhou Congwen sorted out the previous information in the medical records in chronological order, and listened to Shen Lang's nagging, but he didn't think Shen Lang was funny.

In the previous life, I didn't understand, what's so funny about Shen Lang.Menstrual history, isn't that a random item?

This guy said that he felt hopeless in the future, but he was not ambiguous at all when looking for information.

By dialing up the Internet, I was able to understand menstrual spontaneous pneumothorax in one afternoon, and my perception of Shen Lang seemed to be about to change.

"Congwen, do you think it will be operated directly?"

"Surgery, of course."

"Is there any problem with menstruation?" Shen Lang was a little puzzled.

"Spontaneous menstrual pneumothorax can only be done during the menstrual period." Zhou Congwen didn't bother to explain, and continued to organize the materials after speaking casually.

Without a computer system, everything is done manually, wasting a lot of time. Zhou Congwen is looking forward to electronic medical records.

But even when the first-generation electronic medical record system was launched, it was different from Zhou Congwen's memory, and the speed was terribly slow, which he knew well.

It's 2002 now.

After a while, Wang Chengfa came in with Chen Houkun.

Chen Houkun didn't exchange anything with Zhou Congwen, but just took over the medical records and read them carefully.

The medical records are neat and tidy, especially the previous materials, which are very neatly organized. Some materials have the writer's menstrual period, and some do not.

Chen Houkun knew that these dates were probably written by Zhou Congwen.And it is impossible for the patient himself to remember so clearly, he is reminding himself that the patient's diagnosis is relatively clear, and he tries to give the diagnosis basis as much as possible.

After reading the medical records and looking at the patient again, and returning to the office, Chen Houkun said, "Old Wang, I think it's a menstrual spontaneous pneumothorax."

"..." Wang Chengfa's face suddenly darkened.

Why is what Professor Chen said the same as what Zhou Congwen said?

Impossible, absolutely impossible!Wang Chengfa immediately had a physiological reaction and directly denied this idea.

"However, it's just speculation. I suggest to use a thoracoscope to have a look. It's not the same thing if you always have seizures." Professor Chen continued.

"Professor Chen, it can't be menstrual type spontaneous pneumothorax, there is no such type in our textbooks.

I am not questioning your diagnosis, even if there is, it is a small probability event, and the diagnosis based on the existing data is a bit abrupt. "Wang Chengfa frowned and said in a deep voice.

After all, it was a diagnosis given by a professor at a higher-level hospital. Wang Chengfa's words were still polite, and he didn't directly say that he was ignorant and incompetent like scolding Zhou Congwen.

"Let's take a look, it's not a problem if it goes on like this. Have you communicated with the patient's family?" Professor Chen asked.

"Have you communicated?" Wang Chengfa glanced at Shen Lang.

Chapter 0125 Xiao Zhou, come to the society

"I've said it, Dr. Liao also thinks it's better to have thoracoscopic surgery, otherwise he'll always get sick, and he's worried about accidents." Shen Lang's voice became softer as he lowered his head gradually.

"Professor Chen, look..."

Chen Houkun looked up at Zhou Congwen, and smiled slightly, "Go to the emergency department, there are indications for surgery, and surgery should be performed, but it should be written before the operation."

Zhou Congwen did not respond to Professor Chen's words, because the patient was taken by Shen Lang, and he was not a bed doctor.If he talked too much, Shen Lang might have other ideas. Zhou Congwen just wanted to do surgery to cure the menstrual spontaneous pneumothorax.

After looking around at the patients, Wang Chengfa frowned and left the ward first with Professor Chen.

"Professor Chen, it's just an ordinary spontaneous pneumothorax. You just said it was menstrual type. This diagnosis doesn't seem to exist." Wang Chengfa questioned in a low voice.

When he talked to Professor Chen, his tone was a bit humble, trying not to make Professor Chen feel unhappy.

If Zhou Congwen hadn't mentioned what menstrual pneumothorax was, Wang Chengfa wouldn't be so unhappy at this moment.It was not his turn to comment on what the superior doctor in the superior hospital said.

"Old Wang, this disease is not very common." Professor Chen walked to the doctor's office with a smile.

Wang Chengfa followed behind, tasting what Professor Chen had just said.

"Old Wang, doctors, I have a question for you." Professor Chen sat down and said with great interest, "What is the most common type of spontaneous pneumothorax?"

Shen Lang lowered his head and gave the doctor's order. Liu Di thought for a while, "Professor Chen, he is a young man, usually a junior high school student, followed by a middle-aged man."

"En." Chen Houkun nodded. This is the most basic knowledge of thoracic surgery. As long as thoracic surgery exists, it will definitely be known.Even if you haven't seen it in a book, as long as you collect patients for a period of time and summarize it, you will come to the correct conclusion.

"There are fewer female patients, and there are even fewer female patients with repeated recurrences, so clinicians have conducted research on similar cases." Chen Houkun said with a smile, "However, it is basically a hypothesis now, and there are several theories."

"Professor Chen, this hypothesis..." Wang Chengfa glanced at Zhou Congwen, a little unhappy, since Zhou Congwen said this first, even if Professor Chen endorsed it, he couldn't help raising objections.

"Tell me, Old Wang."

"I know what you mean should be caused by endometriosis, but the uterus is in the abdominal cavity, and endometriosis has traveled thousands of miles to the chest cavity? This is impossible." Wang Chengfa raised his objection.

In his view, this is simply impossible.Zhou Congwen was fooling around, and Professor Chen Houkun also fooled around with him.

"Hehe, nothing is impossible. The first hypothesis is the migration hypothesis: the exfoliated endometrial tissue reaches the subdiaphragm along with the flow of intraperitoneal fluid, and causes lesions in the diaphragm along with the periodic changes in hormone levels in the body."

"Because the clockwise fluid flow direction in the abdominal cavity makes the shed endometrium preferentially reach the right side, so the vast majority of endometrium migration and planting are on the right side."

"At the same time the movement of the liver can cause a 'piston action' that attracts more endometrial implants to the right subdiaphragm.

When the endometrial tissue sheds periodically with hormonal changes, a hole appears in the diaphragm, and the endometrial tissue during menstruation can also reach the visceral pleura through this hole and cause pneumothorax. "

Wang Chengfa's eyes widened.

Still moving along the fluid in the abdominal cavity, ocean current?The whole is really mysterious.

"Then there is the hypothesis of metastasis or lymphatic microemboli, so I won't go into details here." Chen Houkun said, "But no matter what kind of hypothesis it is, spontaneous pneumothorax on the right side is the dominant position, and it is the most common occurrence."

"I took a look at the patient's condition, and it basically complied with various diagnostic criteria. The possibility of spontaneous pneumothorax caused by menstruation is very high." Chen Houkun finally said with certainty.

"What if it's not?" Wang Chengfa was unconvinced and asked.

"Recurrent pneumothorax... I just observed that the patient is under a lot of psychological pressure. It is best to use laparoscopic surgery to cure it completely. If not, then simply remove the bullae. The treatment method is fixed. It’s also a therapeutic diagnosis.”

Wang Chengfa fell silent.

Pneumothorax surgery is said to be easy to do, especially easy to do. When you go in, you will see one or two bullae, and you can take two shots to fix the bullae with a staple cartridge.

But it's hard to say...Wang Chengfa once encountered a patient who saw bullae all over the mountains and plains after entering.There are at least 50 bullae, each of which is the size of a small grain of rice. It is not clear which bullae is leaking air.

In such a situation, if it were not for the inability to explain it to the patient and the patient's family, Wang Chengfa would have wished to have a pneumonectomy directly!

It's easy to cut off with a single knife, otherwise what should I do if I continue to vent my anger?

Why did Dr. Liao's lover refuse to undergo surgery?Wang Chengfa is more worried about this happening.

He was particularly worried that when he went in, he could see that there were bullae all over the lungs. He couldn't cut it, so he had to wash it with iodophor, and rely on pleural adhesions to solve the pneumothorax.

But this time Professor Chen was invited by the patient's family, and it has nothing to do with him. Wang Chengfa did not deny Professor Chen's request.

Shen Lang hurriedly prepared for the operation and submitted the operation notice.Ten minutes later, he ran back, "Master, Professor Chen, there is a caesarean section patient on the emergency desk above. The baby has been taken out and will be off immediately. I will send the patient up."

Wang Cheng waved his hand and asked Professor Chen to come to his office to rest for a while, while Shen Lang continued to be busy.

Sending the patient to the stage, Zhou Congwen also helped Shen Lang.

Except for Wang Qiang, the junior doctors in the Department of Thoracic Surgery have a good relationship with others.After all, it's not the time for you to fight for the director, and they are all young, they can't think so far, there is no need to look up and down.

It's easier to work with more people, the patient was sent to the operating room, Shen Lang left Dr. Liao outside and did not let him in.

Performing surgery on others is completely different from performing surgery on your lover. Dr. Liao was asked to stay outside because he was afraid that his mood would fluctuate and interfere with the operation.

After completing the preoperative preparations, Shen Lang brushed his hands and disinfected, "Liu Di, call Master."

"Okay."

Zhou Congwen didn't brush his hands, just stood quietly in a corner and watched.

The operation must be done by Chen Houkun, with Wang Chengfa as the assistant, and Shen Lang's task is only disinfection and general sterile sheets.Once on stage, he will turn his back to the TV and see nothing.

Soon, Professor Chen and Wang Chengfa came up to brush their hands.

The patient was lying on the left side. Chen Houkun first made an incision of 5 cm in the fifth intercostal space on the right midaxillary line, and made an incision of about 1 cm in the third intercostal space between the anterior axillary line and the midaxillary line. A protective cover was placed and the chest cavity was observed with a 3° mirror.

Chen Houkun inspected the chest cavity and found a little adhesion between the right lower lung and the diaphragm, but no obvious pleural fluid.

A scar area can be seen at the left upper lung apex, but no obvious bullae are seen.Several dark brown nodules, the size of mung beans, can be seen on the surface of the diaphragm. Defects can be seen on the surface of the diaphragm, and the surface of the liver can be seen from the chest cavity.

Seeing the condition of the diaphragm, Wang Chengfa was stunned.

He never expected that there would be so many damage points in the diaphragm.

Although each point is not too big, it is blocked by the liver, otherwise the hernia would have been long ago.

I didn't expect it to be a problem with the diaphragm.

Never thought menstrual pneumothorax that sounded like crap could be real,

Unexpectedly, Zhou Congwen was talking nonsense...

Wang Chengfa's face was gloomy, and he glanced at Zhou Congwen from the corner of his eyes.

What the hell, you can be confused by talking nonsense.

Zhou Congwen didn't go on stage, nor did he watch TV, and stood quietly aside, his expression was flat, and there was no complacency visible between his brows and eyes.

The more this happened, the more unhappy Wang Chengfa became. In his imagination, Zhou Congwen would definitely record it "truthfully" in the medical records, but it was actually all kinds of arrangements.Finally, let yourself sign!I also asked myself to discuss it in front of the doctors and nurses in the department.

What the hell, Wang Chengfa cursed again in his heart.

Chen Houkun made a clear exploration, sutured the scar area at the apex of the lung continuously with 4-0 prolene suture, and cut off the nodules on the diaphragm.