Back in 2002 as a doctor

Zhou Congwen caught a glimpse of Shen Lang and Xiao Kai, smiled, and beckoned, "I'll go to the gastroscopy room later. The boss and I will check the situation. It's best if we can get it out. If we can't get it out, we'll go on stage."

"Can I go?" Shen Lang asked.

"Pa~" Zhou Congwen slapped Shen Lang on the head, "Aren't you stupid? You can see clearly from below, why do you have to go up?"

"Isn't this a match with Huang Lao?" Shen Lang was not angry, and explained with a smile.

"Don't worry, there are plenty of opportunities to go to 912 next year." Zhou Congwen said.

Then Zhou Congwen began to prepare for gastroscopy for the patient.

Zhou Congwen called his boss to the endoscopy room, and when everyone saw Mr. Huang, they all stood with their hands tied, as if welcoming some kind of leader.

"You don't need to be so restrained." Huang Lao looked at Director Geng and asked with great interest, "You are the Director Geng who kept saying that my absence must be cancer after the ESD operation."

Director Geng was ashamed and bowed repeatedly.

What happened last time made Director Geng lose a lot of people. The key is that he himself has been unwilling to believe that ESD surgery is really so miraculous.

But it turns out that Huang Lao's level is so strong that he can't understand it.

"Old Huang, I've checked twice and everything is fine." Director Geng said respectfully.

"You must have an open and tolerant heart." Mr. Huang watched Zhou Congwen and Liu Wei giving basic anesthesia to the patient, and said to Director Geng, "With the advancement of technology, clinical treatment is also improving. It’s not okay to be old-fashioned.”

Although Director Geng was a little disgusted with Huang Lao's preaching, what Huang Lao said was the truth.If there is no ESD operation, I am afraid that I will have to cut off some parts.

Standing here with all beard and tail now, it is really thanks to the new technique researched by Huang Lao.

"In fact, after the new technology has been clinically screened, the rest are quite practical." Huang Laoyou said, "You know the urine pregnancy test."

"I know, Mr. Huang."

"Before the urine pregnancy test appeared, what do you think was used to judge whether a woman was pregnant?" Huang Lao asked a question.

Director Geng was stunned, and went straight into a state of bewilderment.

"I know, Mr. Huang." Shen Lang raised his hand.

"Oh? Shen Lang, tell me."

"Rabbits were used at first, and then Xenopus laevis were used later." Shen Lang said.

"Yeah." Huang Lao nodded and looked at Shen Lang with great interest, "How do you know?"

Director Geng was dumbfounded, rabbit, Xenopus, what the hell are these?

"I'm just curious and willing to look at these messy things." Shen Lang said shyly.

Mr. Huang didn't go on with Shen Lang's words, but simply explained, "Human chorionic gonadotropin, or HCG for short, you all know this. Before the early pregnancy test with urine, scientists injected the urine of pregnant women into mice and into the blood vessels of rabbits, and then observe the changes in their ovaries."

"Later, in 1930, British scientist Lancenot Hogburn discovered an animal called Xenopus laevis, which is characterized by the ability to ovulate outside the body."

"If you inject the urine of a person who needs to be tested for pregnancy into the hind legs of Xenopus, you can directly observe the effects of the hormone from the outside.

If this person is pregnant, the HCG secreted in her body will simulate the ovulation signal in the Xenopus, and the Xenopus can lay eggs the next day. "

"That was an early model for the urine pregnancy test."

Director Geng was dumbfounded when he heard this, and there was such a thing!

"Is it troublesome to use Xenopus laevis to judge pregnancy? But after the research is clear, it will be easier to have a urine early pregnancy test." Huang Lao said with a smile, "ESD surgery is still in its original state, and it will be easier in the future. "

Chapter 1407

"Boss, it's ready." Zhou Congwen greeted his boss wearing sterile gloves after getting ready.

Mr. Huang put on his gloves, stood in the position of the surgeon, and began to insert the gastric tube.

Director Geng was engrossed in watching Huang Lao's operation.

This kind of god-level, legendary figure appeared, and he performed a "surgery" on himself not long ago, saving his own parts. Director Geng had long wanted to see Huang Lao's technology.

He is a doctor in cardiothoracic surgery, but he is really proficient in gastroscopy, Director Geng sighed in his heart.

He watched Mr. Huang's gestures, gradually put the gastroscope in, and focused on the screen.

Generally speaking, the picture seen by the gastroscope after entering the stomach from the esophagus will be very empty. If you are not careful, you will not be able to distinguish the gastric fundus from the gastric body.

However, Director Geng was concentrating on the screen, and in the next second he felt his vestibular nerve being punched hard.

After the gastroscope entered the stomach, the screen rotated rapidly. Director Geng didn't see where it was at all, and the screen changed from one position to another.

Director Geng had symptoms of motion sickness because of the fast transition of the screen - the sky was dark and the sky was dark, and he was about to vomit.

This is too fast, can patients bear it?Director Geng didn't dare to look any further, and immediately lowered his head to look at Huang Lao's hand.

The strange thing is that Huang Lao's hand didn't move violently, but moved slowly and bit by bit.

If there is anything special, it is that Huang Lao's wrist changes angles very quickly.He was so proficient that Director Geng was a little dazed.

Could it be Huang Lao's misoperation just now?Director Geng thought to himself.

He looked up again, but what he saw was exactly the same picture as before.Before he could see clearly, the position changed.

For a moment, Director Geng felt dizzy, as if he was on a roller coaster and was about to vomit out the overnight meal.

Oh shit!

Director Geng cursed in his heart.

I want to see Mr. Huang do a gastroscopy, but who knows that he is so skilled that he looks like a non-human being. I also looked at it myself, but I didn't see anything at all, but I was dizzy.

Soon, Huang Lao's movements stopped.

On the screen, several Sailor Moon dolls appeared, Shen Lang lowered his voice and exclaimed.

It wasn't Transformers, nor Ultraman, but Sailor Moon, Shen Lang expressed his incomprehension.

What is there to like about Sailor Moon, is Transformers not good for him!How come Ultraman with light is not as good as Sailor Moon!

"Shen Lang, record." Huang Lao quickly scanned around with the gastroscope, and he had finished observing when the others were dazed, Yoyo and Shen Lang said.

"Hey!" Shen Lang broke free from the fight between Sailor Moon and Transformers, and was about to find a pen and paper when he handed him a small notebook and a carbon pen.

Xiao Kai reacted very quickly, Shen Lang narrowed his eyes to express his gratitude, and then began to prepare to record.

Huang Lao didn't look back, but pointed the gastroscope in one direction.

"There is about 1000ml of dirty gastric juice in the stomach, and there is a 6mm ulcer with a clean bottom at the corner of the stomach."

He spoke neither fast nor slow, leaving enough time for Shen Lang to record.

"There are 5 doll heads in the stomach body and fundus, one of which is wrapped in a green plastic bag."

"cardia……"

"pylorus……"

Huang Lao looked around and said everything that should be recorded, and then took the trap from Zhou Congwen.

"It may not be possible to take it out." Mr. Huang sighed softly, "Director Geng, let me try. You are going to explain to the patient's family members that there is a high probability that you will need to have a laparotomy."

Director Geng was taken aback for a moment, Huang Lao was already synonymous with omnipotence in his cognition.But I didn't expect Mr. Huang to take a look and say no, why don't you give it a try?

Although Mr. Huang said he wanted to try it, Mr. Huang turned the gastroscope so fast just now that Director Geng's vestibular nerve was affected, and he felt nauseated and wanted to vomit.

He was not feeling well, so Huang Lao didn't hear clearly what he said to give it a try.

"Director Geng?" Seeing that Director Geng was in a daze, Zhou Congwen immediately asked with a frown.

"what?!"

"Communicate with the patient's family and prepare for laparotomy." Zhou Congwen took a deep look at Director Geng and said in a deep voice.

"Oh." Director Geng replied, but his mind was still confused.

"Zhou Congwen, look here." Mr. Huang turned the gastroscope. Although the speed of his hand was not fast, the scene under the lens changed drastically, and then he "suddenly braked", and the lens froze at a certain position.

Director Geng fainted again.

He didn't dare to look at Huang Lao's operation anymore, but Professor Zhou Congwen Zhou was young, in good health, with a strong vestibular nerve, and there was no problem at all.

"Boss, I don't think I can get it out." Zhou Congwen said in a positive tone, "It's better to open the abdomen. It happens that the patient still has intestinal adhesions and intestinal obstruction, so we can relieve it by the way."

"Try it, it's a knife if you can save yourself a knife." Huang Lao said.

The snare was wrapped around the neck of a Sailor Moon doll, and Huang Lao's wrist was slightly turned to one side, pulling Sailor Moon to go out.

Unfortunately, just as Huang Lao and Zhou Congwen predicted, Sailor Moon reached the cardia and couldn't be pulled into the esophagus at all.

Swallowing may swallow it, but it is impossible to take it out without damage. This kind of thing can be encountered every day.

Huang Lao tried twice, but he didn't dare to use force.

In similar situations, the most afraid of using brute force, Mr. Huang has a wealth of clinical experience, so naturally he would not make such a mistake.

After failing to take out the gastroscope, Huang Lao said, "Let me go and explain to the patient's family."

"Boss." Zhou Congwen was taken aback.

"Shen Lang, have you ever had a patient with pleural adhesions?" Elder Huang didn't answer Zhou Congwen, but asked Shen Lang.

"No, Mr. Huang." Shen Lang replied.

"I'll talk to the patient's family to see if it can be used as a teaching operation." Huang Lao said, "Thoracoscopic and laparoscopy are all used now. It's good, but the basic skills have been delayed. Patients who really encounter adhesions are all dumbfounded. "

Zhou Congwen smiled, so the boss meant that.

"A few days ago, 912 Gastroenterology encountered a patient with abdominal cocoon, and they still wanted to use laparoscopy. When it comes to choosing the surgical method, we still have to adapt to local conditions and analyze the specific situation." Huang Lao said a little unhappy .

"Abdominal cocoon, you can encounter it!" Zhou Congwen was surprised.

"I had an on-and-off operation in the local area, which aggravated the adhesion." Huang Lao said, "The stomach and intestines are messing around. I wanted to use laparoscopy to solve it, but I didn't do the laparotomy in the end."

"Isn't it because you are here?" Zhou Congwen said.

Huang Lao turned and stepped off the stage, took off the sterile gloves, and threw them into the red trash can.

"Boss, wait for me a moment." Zhou Congwen said, "I'll contact Director Han first to see if I can provide a better policy for the patient's family."

"Well, the hospitalization fee must be exempted for teaching surgery, you can discuss it." Boss Huang waved his hand and handed over the task to Zhou Congwen.

Chapter 1408 The Accumulation of Clinical Experience

"No hurry." Huang Lao was not in a hurry, Xiao Kai's ears were trembling at a low frequency all the time, and he immediately moved a stool to the corner after hearing the conversation between Huang Lao and Professor Zhou Congwen Zhou.

Huang Lao habitually walked over and sat down, and gave Xiao Kai a smile.

The bones of Xiao Kai's whole body were a few taels lighter, and he walked lightly, as if he didn't touch the ground.

"Xiao Kai, what kind of surgery did you do in Baishui City?" Mr. Huang chatted with Xiao Kai slowly.

The operation was still early. Although it was an emergency, the patient woke up quickly. Before the operation, a gastric tube and an indwelling catheter had to be placed, and then sent to the operating room.

Huang Lao is familiar with these processes, so don't be more familiar with them, so he is not in a hurry.

"Old Huang, I..." Xiao Kai was a little embarrassed.

"Tell me, I heard from Zhou Congwen that you graduated from Xiehe." Huang Lao said, "It's a good school, the pride of heaven, and the talent of a pillar."

"Mr. Huang, I am ashamed of the school." Xiao Kai lowered his head, like a student who made a mistake, "I did a sleeve cut in Baishui City for lung surgery, but I never did a double sleeve cut. Heart surgery stopped beating. There are valve replacements and bypasses, but the amount of surgery is relatively small. I have never performed a non-stop beating heart, so I can’t do it.”

"Not bad." Mr. Huang nodded approvingly, "It's pretty good to be able to develop to this level in the local area."

"I used to think so too." Xiao Kai sighed, "But I didn't know until I came to Professor Zhou..."

"Hehe, I'll test you with a question." Huang Lao looked at Xiao Kai with a smile.

Xiao Kai was stunned for a moment, and secretly looked at Zhou Congwen out of the corner of his eye.

Zhou Congwen didn't seem to have heard the conversation between the boss and Xiao Kai, and was concentrating on waiting for the patient to wake up.

"Old Huang, my basic knowledge is average, so don't take the exam too hard." Xiao Kai had a thick skin and begged for mercy before he even started.

"It's something we often encounter in cardiothoracic surgery." Huang Lao smiled lightly, raised his eyes to look at Xiao Kai, and asked, "I went to a meeting once, and a world-renowned expert said such a passage."

"A third of patients after heart surgery wake up with 'pump head', but no one knows why 'pump head' happens."

"You've had a few cases of pump head."

Xiao Kai was confused, what is the pump head?Not to mention meeting, this is the first time Xiao Kai heard this word.

For a moment, Xiao Kai's mind went blank, and his ears were buzzing.Then there was a gust of wind howling, and my heart felt cold.