Back in 2002 as a doctor

"Professor Zhou!" Zhang You bared his teeth and greeted enthusiastically.

"Director Zhang." Zhou Congwen respected Zhang You in front of others, and greeted him with a smile.

"Director Hao from the next door called me just now, saying that he had a consultation and wanted to see you. It's really unreliable to talk about the hospital next door." Zhang You babbled.

Zhou Congwen paused slightly, "What patient?"

"It's hemoptysis. When I was in the medical university, I had to go to the emergency department for a big rescue, and then the patient went to the imperial capital for another examination, and nothing happened. Professor Xiao Zhou, tell me what's going on. I guess Director Hao over there is out of his mind. It's flooded."

Xiao Kai couldn't laugh or cry when he heard Zhang You's description.

If you have hemoptysis in the provincial capital, you need to be rescued. Just go to the imperial capital. What kind of patient is this?It's impossible.

But Zhou Congwen frowned slightly, and asked seriously, "Where's the film?"

Zhang You was taken aback, then smiled, "Director Hao said he would come here, Professor Xiao Zhou, how many operations did you perform today?"

"21 units."

"..."

Zhang You was slightly dizzy when he heard this number.

One day, one medical team, 21 operations...

Although he was used to Zhou Congwen being capable and explaining everything silently to a patient with an extra bed in the corridor, Zhang You was still a little confused.

"Then I'll go tonight." Zhou Congwen said.

"I'm going to hurry up, there is a traffic jam early in the morning." Zhang You said.

……

……

Director Hao got off the elevator with the heavy film in his hand.

He was also anxious, knowing that early in the morning was the busiest time for surgeons.Zhang You called several times to urge him, saying that Professor Zhou Congwen Zhou had 21 operations today.

Come on, 21 operations, can you do it?It's not superhuman.

However, Director Hao is not stupid, so how could he question Zhang You.

He could still think of Zhang You's smug face with his big teeth bared.

He is really an annoying person. If he hadn't been able to do anything about it, the director of the hospital office Tan asked Zhou Congwen to have a look, but he would not come to ask Zhang You for anything.

After getting off the elevator, Director Hao wiped off his sweat and carefully coiled up a strand of hair that had fallen out, pretending that he was not bald yet.

Middle-aged men are most willing to do this kind of thing that can't be fooled whether it is deceiving others or deceiving themselves.

Walking in with the film, Director Hao heard a young voice coming from the doctor's office when passing by.

"What is the stalk of pooping and peeing all day long? Let me tell you, boy urine is a Chinese medicine term. Do you think there are no medicines made of urine in Western medicine?"

"..." Director Hao was taken aback, wondering what all these things were.

Then, a familiar voice came.

Zhang You said, "Professor Xiao Zhou, don't be joking, why don't I know."

Chapter 1314 Urine Components in Drugs

Director Hao frowned, is Zhou Congwen talking?How could he say such unreliable things.

The jokes were made regardless of the occasion or severity. In Director Hao's mind, his impression of Zhou Congwen was discounted.

After all, he is the number one surgeon in the world, but he actually said that there is urine in western medicine. Isn't this a big joke in the world.

No matter what kind of western medicine, it is a chemical agent, how could it have anything to do with urine.

Young people, you don't know the severity of the joke, what if the patient takes it seriously.

"In the past, the operation of acute pancreatitis was a relatively difficult operation in general surgery. The pancreas digested itself, which was quite difficult to handle. Emergency laparotomy was performed to remove all the tissue of the pancreas, leaving only the pancreatic duct."

Director Hao took the film to the gate and took a look inside.

A young doctor was sitting by the window and facing the door, "spouting nonsense".

"Postoperative surgery is also very troublesome, and the drainage tube is inserted all over the body. But now the operation for acute pancreatitis is becoming more and more common, because of the new drug. Ulinastatin, the drug for pancreatitis, learn about it."

"Congwen, I've heard about ulinastatin, don't change the subject, talk about pancreatitis surgery and change the subject." Shen Lang grabbed Zhou Congwen's words and started to ask, "You just said urine. "

"Yes, who changed the subject." Zhou Congwen said disdainfully, "The main component of ulinastatin is a glycoprotein isolated and purified from the fresh urine of healthy adult males. It consists of 143 amino acids and has a relative molecular mass of about 67000."

"..." Director Hao was taken aback.

"..." Zhang You was also taken aback.

Shen Lang's eyeballs were about to fall out in surprise.

Drugs extracted from healthy, adult, male, fresh, urine for the treatment of pancreatitis?

No matter how unreliable it sounds.

"Don't have the surgery, I'll go find the instructions for the medicine, and I'll be back right away." Shen Lang came up with an inquisitive spirit.

He turned and ran, repeating, "I'll be back soon, don't go!"

Zhou Congwen saw Director Hao carrying the film, and asked with a smile, "Who are you looking for?"

"Director Hao!" Zhang You hurried forward, "Come on, let me introduce you, this is Professor Zhou Congwen Zhou."

"Professor Zhou, this is Director Hao from the First Hospital."

"Director Hao, hello." Zhou Congwen reached out and shook Director Hao.

"Professor Xiao Zhou, you... you said ulinastatin, you were joking." Director Hao asked in a daze, his head was full of water.

"No." Zhou Congwen laughed, "I never joke about medical matters, it's true."

"..."

Zhang You and Director Hao were startled when they heard what Zhou Congwen said.

"Ulinastatin is a protease inhibitor, which has inhibitory effects on serine proteases such as trypsin and α-chymotrypsin, granulocyte elastase, hyaluronidase, sulfhydrylase, plasmin and other enzymes."

"It's just that the purified raw materials are a bit weird, and the specific principle..."

As he said that, Zhou Congwen's expression changed.

"A professor on 912 encountered a problem and wanted to find a cure from traditional Chinese medicine."

"It is said in "Materia Medica Cong Xin Tong Bian": For those who are injured by bruises and who are dying of blood, pour hot urine and wake up immediately after swallowing. It is suitable to use it for all golden sores."

"So he wondered whether ulinastatin would work, and was later trained by my boss."

"..." Zhang You and Director Hao looked at each other.

When Zhou Congwen talked about acute pancreatitis, Compendium of Materia Medica, and Huang Lao of 912, the two directors were stunned.

"The professor said that ulinastatin is a urine extract, but first of all, it is not a child's urine. Secondly, ulinastatin is to enter the blood. The urine components have been purified, but not every bottle. It's full of urine."

Director Hao was very curious. What this little Professor Zhou said seemed to be true.But if you think about it carefully, it's so bizarre.

"Ulinastatin has many uses in our thoracic surgery department. For example, in the treatment of severe pneumonia, it acts as a broad-spectrum protease inhibitor, which can control the activity of proteolytic enzymes, inhibit the release of inflammatory mediators, and scavenge oxygen free radicals. Good results have been obtained in the treatment of various infectious diseases."

"Congwen!"

Shen Lang's voice came.

"What you said turned out to be true!"

Shen Lang held the drug instruction sheet in his hand, and ran in breathlessly.

"Did you really go to the pharmacy?"

"Yes, I always feel that you are lying to me." Shen Lang said, "Just talking nonsense, just like when you were digging out excrement in the operating room next to the operating room, you said that the human body has taste receptors..."

Zhou Congwen sighed, Shen Lang's memory for these things is really good.

Can't he remember something useful?

Director Hao quickly looked over, and at the top of the instruction manual for ulinastatin, there was a paragraph written impressively.

Ulinastatin, a glycoprotein extracted from fresh human urine that can inhibit the activity of various proteolytic enzymes, belongs to protease inhibitors.Clinically, it can be used to treat acute pancreatitis, chronic recurrent pancreatitis, and can also be used as an adjuvant drug for rescue of acute circulatory failure.

It really is……

"Director Hao, is this the patient's film?" Zhou Congwen stopped talking about ulinastatin, but stretched out his hand to take the film bag from Director Hao with a smile.

"Hehe, it's heavy enough."

"I lived in the hospital 6 times, and rescued 6 times." Director Hao tried his best to extract his thoughts from the urine of adult men...cough cough cough, pulled it out, and said to Zhou Congwen, "There are still people who go to the imperial capital. Check, it’s weird, Professor Xiao Zhou, give me a look.”

"I heard from Director Zhang that if you are hospitalized here for emergency treatment, you will be fine if you go to the imperial capital a bit better, right?"

"Yes, yes, yes!" Director Hao nodded repeatedly.

Shen Lang's ears immediately pricked up.

And this thing?

Zhou Congwen glanced at the time on the film bag, not in a hurry, but sorted out the order.

"Professor Zhou, this is the earliest." Xiao Kai immediately found the first inspection document in chronological order and handed it to Zhou Congwen, and then he began to sort out the documents.

Zhou Congwen had already gotten used to Xiao Kai's presence, so he took out the film inside and inserted the lung window into the film reader.

The patient had a space-occupying lesion with a diameter of about 2 cm in the left upper lobe, which was very conspicuous.

Director Hao held his breath. He knew that Zhou Congwen was the world's number one surgeon, but he didn't believe that Zhou Congwen could solve this problem.

"That's it, the second film." Zhou Congwen said.

Then Xiao Kai handed Zhou Congwen the second film shot in the imperial capital.

Comparing the two pictures, there is a problem with the space-occupying lesion in the left upper lobe.Only about 15 days later, there is no clear placeholder on the film shot by the emperor.

Zhang You frowned, Director Hao didn't have dementia, what he said turned out to be true!

Chapter 1315 The old director's gaze

"Director Hao." Zhou Congwen asked softly while twisting his crew cut hair.

"Ok?"

"Is the patient menstruating now?"

Accompanied by the rustling of Zhou Congwen's flat head, he asked a digression.

"..." Director Hao was taken aback.

He did ask this kind of physiological question about the menstrual period, because it involves surgery and must be asked.

But what is the relationship between menstruation and hemoptysis?

"Director Hao?" Zhou Congwen didn't hear Director Hao answering his question, so he turned his head and frowned at him.

Zhou Congwen's eyes were awe-inspiring, as if the director was staring at a junior doctor and expressing dissatisfaction with his silence.

Director Hao shuddered subconsciously, as if he had returned to his youth and encountered the "gaze of the old director".

"The patient is menstruating, so after communicating with the patient's family, the operation was postponed and rescued first." Director Hao blurted out his answer.

"Oh." Zhou Congwen nodded, and did not criticize him, "How about the hemoptysis a few times ago?"

"..." Director Hao recalled Zhou Congwen's words, and immediately realized a pattern.

Every time the patient coughed up blood, he was menstruating, and he hadn't noticed it before. He just thought it was a coincidence, so he had to think about it before surgery.

What's the matter here?

It shouldn't matter.

The old director's stare fell again, his eyes were like knives and torches, Director Hao quickly replied, "It's also menstruation."

"That's most likely endometriosis." Zhou Congwen said lightly, "Let's prepare for surgery, cut it out for pathological examination."

"Ah?" Director Hao was surprised, "Endometriosis? In the lungs?"

"You don't know?" Zhou Congwen looked at Director Hao with reproachful eyes, and the staring taste of the old director in his eyes was even stronger.

"..."