Back in 2002 as a doctor
Page 747
Endoscopic mucosal stripping, what the hell is this?
Instinctively, Dr. Laurent Fabius knew that this operation was feasible, but now he has been dazzled by resentment, and what he can't forget is the gesture that Zhou Congwen made to himself.
Dr. Laurent Fabius must be able to think of things that director Tan of the hospital office can think of, and he thinks more.
He watched the operation process carefully, and immediately started contacting other people.
"Invite" Academician Chu to come to the academy, I must knock him to the ground in front of doctors from all over the world, and then step on it a few times!
Yes, definitely do it!
Doctor Laurent Fabius thought viciously in his heart.
Especially the young man who dared to gesture to himself!Dr. Laurent Fabius already knew Zhou Congwen's identity, knew that he was a thoracic surgery doctor, and won No.1 in this year's cardiothoracic surgery competition.
But so what?
This is not his home field!
Young man, arrogant and domineering, must let his reputation be ruined in the medical circle.
Dr. Laurent Fabius began to get busy with preparations.
The papers including objections were written in a short period of time, and a PPT was specially made to refute Academician Chu's article almost word for word.
Then he contacted the top scientific research journals for review, and planned to publish it after the meeting, nailing Academician Chu and that ignorant young man to the pillar of shame in history!
Chapter 1273 The esophagus is also the digestive tract
Zhou Congwen received a call from the pathology department of the People's Hospital, and was not surprised to know the pathology results.
But Lu Tiancheng was very excited. He clenched his fists and waved them vigorously.
This incident was enough to establish Lu Tiancheng's status in Jianghai City. Even if he was squeezed out after following Academician Chu to Shanghai, he would have another way to go.
"Professor Zhou, ESD technology is really good." Lu Tiancheng said after calming down.
Just now, his mind was full of ellipses because of Zhou Congwen's instilled values, but now Lu Tiancheng is so excited that he has already forgotten all about those things.
Zhou Congwen smiled slightly, "Hehe."
Seeing that Zhou Congwen was not very excited, Lu Tiancheng smiled. Compared with Zhou Congwen, he was like a child who had never seen the world.
"Tian Cheng, do you know who first studied ESD surgery?" Zhou Congwen asked.
Lu Tiancheng shook his head.
Before Zhou Congwen mentioned this technology, he had never heard of it.Not only myself, but even Academician Chu had never heard of it.
With logical analysis, the operation is indeed good, very good.But if you want to ask Lu Tiancheng who studied it in the first place, he definitely doesn't know.
"Many, many years ago, my boss started this research." Zhou Congwen said lightly.
"..." Lu Tiancheng froze for a moment.
He didn't expect Zhou Congwen's words at all.
In Lu Tiancheng's mind, Zhou Congwen might name a world-renowned doctor, or he might not know it at all. In fact, he is a master in the academic world and has devoted himself to research for countless years.
But never expected Zhou Congwen to say that Mr. Huang started researching it many years ago!
how can that be!
ESD is an internal medicine technique, what does it have to do with Mr. Huang!
Zhou Congwen looked sideways at Lu Tiancheng's expression, and laughed, "Do you think it's incredible?"
Lu Tiancheng felt that Zhou Congwen was joking with him, so he nodded.
"You know the trick of swallowing swords in Jianghu, right?" Zhou Congwen asked.
"I know." Lu Tiancheng was completely confused, he said in a daze.
"The earliest gastroscope was the Kussmore tube invented by the German Kusmer in 1868, which was actually a long metal tube with a mirror at the end. But because this kind of gastroscope is easy to puncture the patient's esophagus , so it was soon discarded.”
"At that time, the level of technology was not enough, and the gastroscope designed by Kusmore was so advanced that it seemed impractical."
"Professor Zhou, you told me this means..."
"Oh, I can see it intuitively. Do you think the doctor doesn't want to see it? My boss is a cardiothoracic surgeon, and he has been eager to try it for many years." Zhou Congwen said very flatly, "I still remember what the boss said."
"What?" Lu Tiancheng was curious.
"Hehe." Zhou Congwen smiled.
"Professor Zhou, what the hell is it?" Lu Tiancheng was very curious.
"The boss really wants all kinds of new equipment to enter the clinic." Zhou Congwen didn't say anything about Mr. Huang, but said with emotion.
He paused, and continued, "When I was in school, the Chinese medicine teacher once said this sentence, just because there was no such equipment before, it doesn't mean that the former national players don't want it! If Ye Tianshi has a gastroscope in his hand, when he doesn't want to see his stomach color?"
"Who is Ye Tianshi?"
"The Imperial Physician of the Qing Dynasty, a master of traditional Chinese medicine, a famous master." Zhou Congwen said.
"Chinese medicine, hehe." Lu Tiancheng didn't say anything else, just smiled.
"Our Northeast used to be a barren land. It is normal that there is no inheritance from famous Chinese medicine masters, but you should not underestimate Chinese medicine." Zhou Congwen said with a smile, "Now that we have a gastroscope, Chinese medicine has also done a lot of research based on the gastroscope."
"what?"
"In fact, there are already such studies, and there are many papers. The color of endoscopy is white for patients with stomach qi deficiency, and red for patients with stomach yin deficiency.
Orthodox TCM physicians have been working hard to use modern equipment to lower the threshold for corresponding certificates. They will all look at blood routine, liver and kidney function, and electrocardiogram! "(Note: Chapter 1183, Master Ziyue Yugong's chapter said, here is an excerpt, as an interaction.)
"Can……"
"I've said it all, keep pace with the times, hold on to the old things and refuse to accept new things, sooner or later you will be eliminated by history." Zhou Congwen said.
Lu Tiancheng concluded.
What he didn't expect was that traditional Chinese medicine would also use gastroscopy to differentiate. In Lu Tiancheng's mind, gastroscope was only for western medicine.
Zhou Congwen didn't think about this matter. It doesn't matter whether the cat is black or white, as long as it catches mice, it is a good cat.
Regardless of Chinese medicine or Western medicine, as long as it can cure the disease, it is fine.
"Having said that, my boss has been paying attention to gastroscopy a long time ago, and he thinks it is a good thing."
"But he's...a chest doctor."
"Doctor Lu." Zhou Congwen said very seriously.
He didn't call Lu Tian Tian Cheng, but formally called him Doctor Lu.
Lu Tiancheng was startled, the hairs on his back stood up.
"Professor Zhou." Lu Tiancheng said shyly.
"Our thoracic department performs esophageal surgery."
"!!!" Lu Tiancheng woke up like a dream in an instant, feeling ashamed.
All he thought about was the stripping operation of the gastric mucosa, and for a moment his brain short-circuited and he forgot about the esophagus.
The esophagus is a part of the upper digestive tract, but Lu Tiancheng has just dabbled in ESD surgery, coupled with the particularity of the esophagus, he did not expect that Huang Lao would study here.
"In 1950, Dr. Tatsuro Uji of Japan successfully invented the prototype of flexible gastroscope - intragastric camera.
At that time, Western technology was blocked from our Republic, and the boss had nothing to do.There is a lot of waste in the country waiting to be done, and the industrialization that goes all out is not enough, and doctors can only stand aside. "
Zhou Congwen said while coiling his flat hair.
"In 1958, the American gastroenterologist Basil Hirschowitz made the first fiberoptic endoscope, and the endoscope entered the stage of fiber optics. It was later changed. In 1983, the American WeIoh Allyn Company first developed the world's first fiberoptic endoscope. The first electronic gastroscope, which is what we use now."
"The boss took a lot of trouble to make the gastroscope a home in 912, but that was in 1985."
Lu Tiancheng was silent, he didn't quite understand why Zhou Congwen told himself these histories.
Although he had his own guesses, they were just guesses, unbelievable like myths and legends.
Mr. Huang actually has something to do with gastroscopy, and he is not many years behind the world.The most important thing is that the conditions at that time should be said to be very difficult, which is completely incomparable with the present.
The old man's eyes are really bright, Lu Tiancheng sighed with emotion.
"After the boss won the second world number one, he met a patient." Zhou Congwen continued, "Due to years of drinking, the patient developed reflux esophagitis due to stimulation of gastric acid in the mucous membrane of the esophagus. And the inflammation was severe, and some of them were cancerous. tendency."
When Lu Tiancheng heard what Zhou Congwen said, his mouth opened unconsciously.
Chapter 1274 Ancestral Craftsmanship
Zhou Congwen is saying that Mr. Huang has already started doing ESD-related surgeries and research many years ago!
Thinking of this, Lu Tiancheng felt as if he was directly hit by a bolt of lightning, the hairs all over his body stood on end, static reaction +1.
"At that time, the patient's situation was a bit special. It happened that the operation of the competition that year was radical resection of esophageal cancer, so I found the boss." Zhou Congwen said, "The boss explained his idea, and many people expressed their clear understanding. be opposed to."
"What happened next?" Lu Tiancheng asked subconsciously.
"Of course it succeeded." Zhou Congwen said with a smile, "The boss will definitely succeed immediately!"
Lu Tiancheng could tell from Zhou Congwen's words that this guy's admiration for his boss had already been marinated, and whatever he said was sincere, without any flattering elements.
This is the most awesome flattery, Lu Tiancheng thought to himself, even though Mr. Huang is not around.
"At that time, the biopsy found precancerous lesions, and the patient's physical condition could not accept surgical treatment, so the boss suggested mucosal peeling."
"How about after surgery?"
After Lu Tiancheng finished asking, he realized that what he asked was really stupid, but anyone with a little brain would not ask such a stupid question.
"Very well, the patient is still alive, and the boss is asked to check him every year." Zhou Congwen said happily with a smile.
"Awesome!" Lu Tiancheng had some doubts in his heart, but after Zhou Congwen's explanation, all doubts disappeared.
Why Zhou Congwen performed ESD surgery is a family tradition.
To put it bluntly, a doctor like Zhou Congwen who has a master's lineage is ten thousand times more promising than a wild doctor like himself.
Zhou Congwen can take out the ancestral magic weapon to subdue demons and demons if he disagrees with him. Even if there are some difficulties, it doesn't matter, he can ask the boss to help.
Moreover, Zhou Congwen didn't need it at all. Whether it was surgery, interventional surgery or endoscopic surgery, he was all first-class.
In terms of level and inheritance, Zhou Congwen was a leader for a while, and he was absolutely incomparable.
Lu Tiancheng knew about this a long time ago, but he just confirmed it again.
"Professor Zhou, why didn't Mr. Huang develop it on a large scale after that?" Lu Tiancheng asked.
"There is only one boss." Zhou Congwen sighed, "Let's not talk about such trivial operations, so what if it's an interventional heart operation? The boss wants to carry out it, but the heart-hearted doctors are obsessed with others, and there are a few who are willing to do it." Woolen cloth."
"..."
Minutiae, Lu Tiancheng burst into tears when he heard Zhou Congwen's description of the ESD operation.
"So, keep looking forward, there are many new techniques. From the perspective of curing diseases and saving lives, there are countless new methods ahead; from the perspective of supporting the family, there are patches of blue ocean ahead, where you can earn money and support your family while lying down. .”
Zhou Congwen's voice gradually softened.
"It's a bit too much to say that Director Li is a dog-slayer boy who turned into a vicious dog, forget it." Zhou Congwen laughed, "Tian Cheng, I guess after you learn the ESD operation, you won't want to move forward."
Lu Tiancheng was silent.
He can follow Zhou Congwen's words and show his loyalty or something.
But Lu Tiancheng knew that what Zhou Congwen said was the truth, he followed Academician Chu to do ERCP and ESD surgery, these two alone are enough to make him famous and have a place in the world.
go further?As Zhou Congwen said, the earliest gastroscopy appeared in the 19th century, and how many esophagus were pierced.
Piercing an esophagus means death.I would like to say that this is all for the good of future people, but what about the dead patients?
Lu Tiancheng didn't want to think about this philosophical dilemma.
I am an ordinary person, without the talents of Huang Lao and Zhou Congwen, let alone their sentiments, so I don't care about technological progress, just do my own surgery in peace.
"Let's go." Zhou Congwen seemed no longer depressed.
The two returned to the hotel, washed and went to bed.
Early the next morning, Zhou Congwen and Academician Chu returned to the provincial capital after having breakfast.
The pathological results were satisfactory, and Academician Chu was also quite happy.
This kind of flying knife is not comparable to ordinary flying knives. A new surgical method, in the past, either radical resection of esophageal cancer, or observation and other self-healing or more serious diseases, can be cured in a minimally invasive way!
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