Back in 2002 as a doctor

"It's [-]D. Have you ever used it?" Seeing that Zhou Congwen was younger than himself, and the director of the B-ultrasound room was kicked out, a young doctor said in a blunt tone against the sharp eyes of Director Tan of the hospital.

Zhou Congwen nodded, "I understand."

After applying the gel, Zhou Congwen adjusted the B-ultrasound machine and began to examine the patient.

I just had a brief chat with Director Tan of the hospital office. Zhou Congwen knew that two years ago, the First Hospital of Medical University had just learned to do deep vein puncture and PICC. At that time, the operator was probably nervous and forgot to pull out the guide wire.

Zhou Congwen was quite speechless about this kind of thing.

However, when any new technology is developed, there will be problems of one kind or another.Zhou Congwen doesn't care about wiping people's ass, but the premise is the development of new technologies.

If the appendicitis was cut to the left side, Zhou Congwen would definitely go up and kick the surgeon to the wall.

B-ultrasound shows that the guide wire can be seen in the superior vena cava, and the guide wire runs from the superior vena cava-right atrium-tricuspid valve-right ventricle. The guide wire turns back in the right ventricle and passes through the accommodation bundle.

Scanning under three-dimensional ultrasound: the guide wire and the regulating bundle move simultaneously with the cardiac cycle, and the boundaries are not clear, and then return to the right atrium through the tricuspid valve, and then enter the inferior vena cava.

A guidewire echo can be seen in the inferior vena cava.The anterior leaflet of the tricuspid valve was slightly detached to the right atrium during systole, with a depth of 4.0mm.

CDFI showed: regurgitation was seen at the tricuspid valve mouth, the regurgitation area was 7.3cm2, the maximum regurgitation velocity was 212cm/s, and the PG was 17mmHg.

"Record." Zhou Congwen said while concentrating on the B-ultrasound.

The doctor who was originally sitting on the side and responsible for recording was stunned, and reluctantly began to record the various values ​​Zhou Congwen said under the gaze of director Tan of the hospital office.

"Abnormal echoes can be seen in the right atrium, right ventricle, and superior and inferior vena cava, with mild prolapse of the anterior leaflet of the tricuspid valve, and moderate regurgitation of the tricuspid valve."

Zhou Congwen was talking when suddenly there was a loud noise at the door.

"Xiao Tan, what's going on." A voice said, "Why did Director Wu get kicked out?"

Dean Lin walked in angrily, glaring at Director Tan of the hospital office.

"Getting checked, get out." Zhou Congwen reprimanded coldly.

"..." Dean Lin was stunned.

In my own hospital, someone actually told me to get out!

He has been in the First Hospital of Medical University for many years, and this is the first time he heard this, and he was stunned.

Director Tan of the hospital office almost knelt down.

Zhou Congwen, little ancestor, why can't you be more polite.

However, Director Tan of the hospital office made a quick decision, and the domineering old Huang of Bordeaux Central Hospital appeared in front of him, as if telling him what to do next.

Without hesitation, Director Tan of the hospital office immediately grabbed Dean Lin's sleeve, leaned into his ear and whispered, "Dean, come out, come out and say."

"Who is he!" Dean Lin didn't realize it. When Director Tan of the hospital office pulled him back, the volcano in his heart erupted with a "boom", and countless anger filled the sky like magma.

"Yuan Lin, I will report to you alone, and report separately." Director Tan of the hospital office pulled Dean Lin while winking at him.

For a moment, Director Tan's eyes flew wildly, almost flying out of their sockets and hitting Dean Lin's face.

Chapter 1323 Take Out Without Damage

Being pulled out desperately by Director Tan of the hospital, Dean Lin was furious.

His eyes were about to bulge out with anger, as if he had been stinging like a toad.In his own hospital, it was the first time that Dean Lin suffered from this kind of anger.

How was Dean Chen?It's domineering enough, but it's not like letting yourself be squeezed away abruptly.There are really no rules, I have to teach B-ultrasound a lesson...

"Linyuan, Linyuan, listen to me." Director Tan whispered in a low voice.

"Say it!" Dean Lin roared angrily.

"Keep your voice down, don't make yourself angry." Director Tan of the hospital office dragged Dean Lin to find a secluded place.

"What's going on!" Dean Lin said viciously, full of anger.

"Yuan Lin, this is not that... Cough cough cough, he was hospitalized here two years ago because of pregnancy-induced hypertension, do you still remember?"

How could Dean Lin remember these things, he hesitated for a moment.

"At that time, our hospital had just learned to administer PICC, and his daughter-in-law was hypocritical. Every time the needle was inserted, she said it was painful or purple, so she inserted a deep vein. Then... alas, the guide wire was stuck in the blood vessel, and now it has drifted into the blood vessel. heart."

"..."

Dean Lin was stunned for a moment.

The guide wire remained in the blood vessel and drifted into the heart... Although he is not a medical practitioner, his words were easy to understand, and all the pores of Dean Lin's body opened in an instant.

Countless cold air poured in, and he shivered.

"I saw it too!" Director Wu said angrily, "Director Tan, where did you find the young man, he can be a fart!"

Although angry, Director Wu of the B-ultrasound room kept his voice extremely low.

This matter is too big, Director Wu dare not speak up.Although the voice was small, it was full of anger.

"What's going on?" Dean Lin said tightly.

Because of too much tension, his vocal cords contracted and he became hoarse.

Director Tan of the hospital office quickly told what happened. When he said that he met Zhou Congwen and asked him to come and see him "by the way", Dean Lin had a weird expression.

"Institute Lin, what Professor Zhou said, I feel that he can take out things without anyone noticing." Director Tan of the school office wiped the sweat from his head, and finally expressed his guess.

"What are you talking about?" Director Wu of the B-ultrasound room said contemptuously, "At least the blood vessels should be cut open, this thing can't be hidden. Do you know how big the surgical incision is!"

As he spoke, he gestured.

Seeing Director Wu gesture a 30cm incision, Dean Lin's eyelids twitched.

Indeed, at least general anesthesia is required for the incision, and the patient... the patient... thought of the steel wire in the blood vessel and heart, and Dean Lin's head turned into two big ones.

"Then what to do!" Dean Lin angrily reprimanded in a low voice while thinking about how to shirk responsibility.

"What are you talking about?" Director Tan of the hospital said in a low voice, "That's Zhou Congwen, the world's number one cardiothoracic surgery, he said it's possible!"

"Cut." Director Wu of the B-ultrasound room sneered, but did not refute.

In his opinion, does this still need to be refuted?

Not to mention that the steel wire has been in the blood vessel for two years, it is impossible to take it out even if it has just been pushed in.

Steel wire, that's steel wire, slippery.

Without anyone noticing, how could it be possible.

Director Tan of the hospital office is dreaming. It's really troublesome for people who don't know clinical skills. Director Wu is disdainful, but how can he say such words in front of Dean Lin.

He looked down at the marble floor, the newly renovated marble in the inpatient department was shining brightly, pretending to be in a daze.

"Is that what Zhou Congwen said? Can it be taken out without damage?" Dean Lin asked.

"He said that he would do a B-ultrasound 'in person' to see if it can be operated on. If it is possible...I think what Professor Zhou means is that it can be taken out without anyone noticing."

Director Tan of the hospital office repeated this sentence again, as if to cheer himself up and reassure Dean Lin.

"What the hell is going on here?" Dean Lin scolded in a low voice, "Who did it at the time!"

"School Lin, let's see if Professor Zhou can solve it first?" Director Tan reminded.

Dean Lin let out a deep breath and nodded.

Being scolded by Zhou Congwen...he knew that he could only bear it now.

After all, talking about money is a big trouble. Although Director Wu disagrees, Dean Lin subconsciously believes in Zhou Congwen.

What else can I do if I don't believe it?

Thinking of the consequences, Dean Lin has a lawsuit on his mind.

"what's next?"

"I'll ask Professor Zhou." Director Tan of the hospital office has already considered everything, "If it can be done, I'll go and talk to the patient's family, and I'll say to do an examination and angiography, and treat it as a physical examination."

"Can you?"

"Try it, let's talk if it doesn't work." Director Tan of the hospital office said.

Dean Lin was noncommittal.

At this time he can't say anything.

When encountering major events, the leader must not give clear instructions, so that he will have room to move around in the next step.

Let director Tan handle the matter, and everyone will be happy if it is done well; if it is not done well, let him take the blame.

Director Tan of the hospital office had this awareness, so Dean Lin just kept silent with a gloomy face.

After explaining everything, Director Tan of the hospital office saw that Dean Lin had stopped talking, and knew it was time to come forward, so he went back to check the results of the B-ultrasound.

Just when Zhou Congwen came out, Director Tan of the hospital office gave him a quick wink.

"Enroll in the hospital." Zhou Congwen came to Director Tan of the hospital office and whispered, "It can be done."

can do it!

These two words reached Director Tan's ears, and they were as sweet as heaven's voice.

"I don't care how I explain to the patient's family." Zhou Congwen said, "I will try my best to get the surgery done."

"Ah? Try your best?" Director Tan of the hospital office was startled.

Zhou Congwen glanced at director Tan of the hospital office with a look like an idiot, "Who can say [-]% about clinical matters."

"I'm afraid I'm not even [-]% sure." Director Wu said coldly.

Zhou Congwen looked Director Wu up and down, and smiled slightly.

"Professor Zhou, don't be as knowledgeable as him." Director Tan said quickly.

He was really afraid that Zhou Congwen would let him go.

"I……"

"Shut up!" Director Tan of the hospital office scolded anxiously.

Zhou Congwen smiled, "Director Wu, isn't it?"

"how."

"No, just asking."

After finishing speaking, Zhou Congwen waved his hand, "Director Tan, let's go to the emergency department and submit the bill. Look at the patient's family and ask Director Gou to come on stage and help me."

"Okay!" Director Tan of the hospital office replied without hesitation.

Zhou Congwen didn't look at Director Wu again, and strode away with Director Tan of the hospital office.

Director Wu sneered, he didn't follow, but went back to look for the image on the B-ultrasound.

When he saw that the steel guide wire was adhered to the opening of the superior vena cava, pierced through the heart, and the tail end was in the inferior vena cava, his sneer became more intense.

That's it?

Zhou Congwen wants to take it out without damage?

This is asking for shame!

Chapter 1324 It's impossible to do it

Director Wu looked at the B-ultrasound image and sneered. Zhou Congwen actually said that it can be taken out without damage. Isn't this a joke!

The young man is indeed very arrogant. Although he won the first place in the world once this year, Director Wu doesn't really believe it.

It is estimated that Huang Lao painted the face.

How about the promising young people who are well-known and well-educated, and it is easy and easy for the older generation to get all kinds of honors, and he can get things that others can't get in a lifetime of hard work in a year or two.

Really envious, Director Wu looked at the position where the guide wire and the tricuspid valve cable were entangled in a daze.

That's it?

It is impossible to take it out without damage!

It was probably some young man who went crazy to the extreme after he got his grades, and he didn't even know how many catties he weighed all over his body.

"Director Wu, what are you doing?" Director Gou of the Vascular Surgery Department hurried in.

"Old Gou, what's the matter?" Director Wu retracted his thoughts of slandering Zhou Congwen, and asked Director Gou who was out of breath.