Back in 2002 as a doctor

Huang Lao's first question in the exam, he lost the chain.

Even if this is a math problem, not a language problem, Xiao Kai can't do it even if he wants to fool around with a few words of nonsense.

"Boss, don't be like this." Zhou Congwen said suddenly, "You bring the issue of pump head to the national annual meeting. Not many people know this word. Dean Xiao, the boss is talking about some patients after cardiac arrest surgery. There will be mental symptoms."

Will there be mental symptoms after cardiac arrest surgery?

Xiao Kai stood beside Mr. Huang in a daze, and quickly recalled the dozens of patients he had done.

There does not seem to be any examples of patients with abnormal mental status after cardiac arrest.

Even though Zhou Congwen explained the situation, Xiao Kai understood every word, but he was still confused.

"In simple terms, pump head is when a patient wakes up disoriented after heart surgery, with emotional and memory problems.

During the operation, the patient's heart is soaked in cardioplegia and stops beating, while the blood circulation in the patient's body relies on extracorporeal circulation.

For some reason, our brains may not like this, but we don't know why. "

"The boss is collecting information, you can say whatever you can think of, not to test you." Zhou Congwen re-translated what his boss said.

Xiao Kai was still at a loss.

Pump head is when patients wake up disoriented after heart surgery, along with mood and memory problems.

He understood Zhou Congwen's explanation, but he was still at a loss.

Do patients with cardiac arrest have mood and memory problems after surgery?Xiao Kai had no impression at all.

"Boss, I'm done here, so I'll call Director Han." Seeing that Xiao Kai was silent, Zhou Congwen immediately rescued him.

The patient was sent away, Zhou Congwen took out his mobile phone and called Director Han.

After Mr. Huang asked Xiao Kai about the pump head, although Xiao Kai was silent, he didn't ask why.

As Zhou Congwen said, Mr. Huang is accumulating cases all the time, and his life is simple, even a bit boring.

But Huang Lao enjoyed it.

As soon as Xiao Kai slipped away, a strange idea suddenly appeared in his mind - Shen Lang!

Is Shen Lang more like Huang Lao than Professor Zhou Congwen Zhou to some extent?

Simple, but boring.

It's just that Huang Lao is doing serious things, and Shen Lang's hobby is gossip.

Thinking of this, Xiao Kai seemed to have some understanding of Zhou Congwen's approach.

"Boss, we can prescribe whatever condition Director Han said he would give to the patient's family. It doesn't matter. The hospital agrees." Zhou Congwen bent down and said to his boss.

"Free medical fees." Huang Lao said, "Let all the young doctors under you come to the stage in order, so you don't have to."

"Boss, I'm not going?" Zhou Congwen was taken aback, then frowned, seeing his displeased expression outside the mask.

"Yeah." Huang Lao nodded.

"I want to touch it too..." Zhou Congwen said distressedly, "Nowadays I have done a lot of laparoscopic surgery, and I haven't felt intestinal obstruction for a long time."

"What are you in a hurry for?" Huang Lao scolded, "You must have helped me in the first place, to solve the twisted and incarcerated places first. You too, why are you fighting with the children?"

Hearing what his boss said, Zhou Congwen smiled with satisfaction.

Xiao Kai followed Huang Lao and Zhou Congwen out of the endoscopy room in a daze, listened to Huang Lao's earnest communication with the patient's family, and finally decided to let the cardiothoracic surgery doctors go up and feel the adhesions.

This is how the clinical experience is accumulated. Otherwise, Shen Lang and Li Ran have done a lot of thoracoscopy, and there is always something missing.

Although the patient has intestinal adhesions and intestinal obstruction, the feeling of adhesions is similar to that of pleural adhesions.When there is no suitable patient, this method can only be used to let the thoracic surgeon feel it.

This feeling may be meaningless, but maybe at a certain time, a certain doctor will think of this feeling when he encounters it.

It may not be useful, but clinical experience is accumulated little by little.Mr. Huang has been doing it for decades, and he doesn't care if he keeps doing it.

As long as there is an opportunity, let these novices accumulate some clinical experience.

In this regard, Mr. Huang is not afraid of trouble.

What he was afraid of was that if he didn't bother him, if he encountered a situation in the future, the practitioner would be numb and didn't know what to do.It's okay if someone saves Taiwan, but if there is no one, we can only do switch surgery, and the patient is sent down to wait for death.

Accumulating an experience is still meaningful.

Chapter 1409 Not Now

Director Han thought for a few minutes after hanging up the phone.

Professor Zhou asked himself for "policies", and there must be Mr. Huang behind him.

The "policy" of a certain patient is a trivial matter for Director Han, and to resolve medical disputes requires cheap means, but what Director Han wonders is what will Mr. Huang do for a patient with intestinal obstruction?

Director Han didn't want to understand, but he knew that his time was limited, so he immediately packed up and went out to the operating room.

Originally Director Han planned to stay with Mr. Huang all the time, but Mr. Huang drove him away, saying that he could not delay the normal clinical work.

This time I must go to the operating room. It doesn't matter what Mr. Huang does or what policies he wants. The key is to show his face in front of Mr. Huang.

Although there is Zhou Congwen's relationship, Director Han misses Huang Lao very much.

I used to think that Mr. Huang was "only" an ordinary academician, not even an academician of the two academies, so what a big deal.Although Huang Lao's name is included in the textbook compilation list, it is nothing.

The most important thing is that the old man is dying.

But recently, Zhou Congwen had some contact with the First Hospital of Medical University. Director Han found other channels to find out about it, and learned about what Huang Lao did at the European Gastroenterology Conference held by Bordeaux Central Hospital.

Although the old man is old, his fangs and claws are still the same, and the Bodhisattva's heart is thunderbolt.

Fortunately, I never ignored it. Director Han felt very lucky, and Zhou Congwen was so strong that he didn't give himself any chance to ignore it.

Hurrying to the operating room, Chief Han smelled the smell of ganoderma lucidum coming from the locker room when he opened the door.

Few people smoke this cigarette, but with Zhou Congwen around, Director Han has long been used to it, and when he smells it, he knows that Zhou Congwen and Mr. Huang must have smoked it before the operation.

"Boss, please smoke less." Zhou Congwen's voice came out, "You don't go to the respiratory department to see how many people smoke and end up on a ventilator."

"Come out with a theoretical basis." Huang Lao said, "I know it's nonsense. If you don't smoke, you don't need a ventilator? Nonsense."

"Hey, I'm afraid that if you go home, my wife will put all the blame on my head." Zhou Congwen said, "I have a small head and can't handle such a big thunder."

"Who wants you to carry it." Huang Lao said contemptuously, "I will have surgery in a while, be smart. There is a hernia in the film, I will free it with my hands, you have to keep up."

"Boss, don't you worry about my work?" Zhou Congwen said with a smile. When he saw Director Han coming in, he greeted him, "Director Han, why do you still go to such a trivial matter yourself?"

"Aren't I here to see what's going on?" Director Han said with a smile, "I heard it's a gastrointestinal patient?"

"Well, this is an old patient who has undergone two surgeries and intestinal obstruction caused by swallowing." Zhou Congwen said, "The stomach is so sticky that I can't avoid a knife."

"Old Huang..." Director Han lengthened the ending, glanced at Elder Huang, and left the rest of the words blank.

"The boss wants to do it." Zhou Congwen said flatly, "Because the patient has severe abdominal adhesions, I heard Director Geng said that the last operation was almost impossible. When he freed the intestinal tube, he missed three or four places." Well, it won’t work in some places after sewing, because the intestinal infection is very serious after the operation.”

"That's why Director Geng didn't dare to do it this time, because he was afraid that he wouldn't be able to come down."

Director Han bowed his waist and ran to Mr. Huang, "Mr. Huang, I have heard from 912 that there is an old man in the family. If there is a treasure, it is said that 912 will look for you no matter what surgery you can't do. Today I need to open my eyes."

"Who said that?" Mr. Huang took a puff of a cigarette and said with a smile, "Neurosurgery is basically minimally invasive now, and I can't do many operations."

Director Han was slightly taken aback.

Huang Lao's words are modest, but they contain too much meaning.

Minimally invasive neurosurgery can't be done now, but what about before?Do you need to find Mr. Huang if you have something to do?

"Boss, let's go." Zhou Congwen glanced at the time, put out the cigarette, and reached out to take the cigarette from his boss.

Mr. Huang took a deep breath, Director Han saw that he had reached the position of the filter, and he was still reluctant to part with it, thinking it was a bit funny.

"Boss, anesthesia has already begun." Zhou Congwen used his trump card.

"Let's go!" Mr. Huang stood up, stubbed out the cigarette butt and handed it to Zhou Congwen, bowed his hands behind his back, and walked into the corridor of the operating room while pulling his slippers.

Director Han found that Huang Lao's posture of pinching cigarette butts was the same as Zhou Congwen's... No, it should be that Zhou Congwen's posture of pinching cigarette butts was very similar to Huang Lao's, as if they were carved out of the same mold.

When he came to the operating room, Director Han saw Director Geng standing aside, completely unintentional.

He pulled Director Geng back and asked, "Director Geng, are you not going?"

"Han Chu, I won't go if Mr. Huang is here." Director Geng replied very bluntly, "You can see clearly from below. I have wanted to see Mr. Huang doing blunt separation for a long time."

"Oh?" Director Han's expression changed.

"Some time ago, Imperial City 912 received a patient with cocooned abdomen, and wanted to do laparoscopy, but the pneumoperitoneum was torn and bleeding as soon as the pneumoperitoneum was established." Director Geng said.

"What is cocoon belly?"

"To put it simply, the small intestine in the stomach is wrapped by a pile of dense connective tissue, just like a cocoon spinning silk." Director Geng simply explained.

"The last one to find Huang Lao?"

"Later, they performed the knife themselves, and Director Wei from 912 personally performed it. After seven hours of stabbing, it didn't work. We had no choice but to ask Mr. Huang to clean up the mess."

"It's a mess? Is it a mess?" Director Han knew how difficult the operation was, and since he knew the result, he was not nervous and asked with a smile.

"There's blood in my stomach, bleeding wherever I move, there's nothing I can do about it." Director Geng said, "And guess what? Mr. Huang used his hands to free himself after he took the stage, and Director Wei was dumbfounded. Director Wei, that's the Chinese stomach and intestines." The head of the surgery department is a top expert in our circle."

"Mr. Huang did well?"

"I can't say it went well."

Director Han nodded, and it was right for Mr. Huang to be difficult to do. After all, the chief director of 912 had been working on the surgery for 7 hours, and an 80-year-old old man was replaced...

To be honest, Director Han felt a little cruel.

"It didn't go smoothly at all. Mr. Huang came down less than 30 minutes after he went up. The operation was not difficult for Mr. Huang. As he was doing it, Mr. Huang said that abdominal surgery is more flexible, but it is easier than pleural adhesions."

"..."

Director Han glared at Director Geng viciously, and gasped for breath. Next time, do this again and show him a good look.

"Can you take off today's surgery?" Director Han asked.

"I didn't dare to do it." Director Geng said truthfully, "I did the surgery more than a year ago. The adhesion was so serious that I did it for 8 hours before I got it off. It was three operations, you Tell me, this guy is amazing."

Chapter 1410 Know how to cherish

"Is Huang Lao so powerful?" Director Han said to himself.

He knew that Mr. Huang was very good, but this was an interdisciplinary operation. If it was done better than experts in gastrointestinal surgery, Director Han could still imagine it.

But according to Director Geng, this is no longer a good thing, but a big mess.

This is a little confusing. Huang Lao is a top boss in his major, but he is also a top boss in a cross-professional...

"Han Chu, you don't know." Director Geng said, "Didn't I just say that I performed surgery on patients last year?"

"What?" Director Han asked.

"It's all beautified." Director Geng didn't feel any embarrassment, he sighed, "When I think about that operation now, I will have nightmares."

"..."

"You see, I'm also considered a top expert in gastrointestinal surgery. I'm not bragging. My level is indeed slightly lower than the experts in the imperial capital and Shanghai, but there is no essential difference." Director Geng said seriously.

Director Han nodded, pretending to be true.

"I can do everything they know, and I can also perform combined pancreaticoduodenectomy, and the postoperative discharge rate is [-]%."

"If there is a difference, it's only in the operation time and the degree of delicacy. It's better than mine and it's done an hour or half an hour earlier, there's no essential difference."

"But you know..."

Director Geng rubbed his hands, as if he was thinking about what to say.

Director Han didn't urge him, but was thoughtful.

"Let's put it this way, the simpler the operation, the more it can reflect the awesomeness of a surgeon. For example, appendicitis is simple enough. If the interns care about it, they will put one in when they leave at the end, and let them Experience the feeling of the surgeon."

"Yes." Director Han nodded.

"But if you really encounter difficult appendicitis, the ones that are rotten in a mess and have gangrene are all simple, intracavitary appendix, just rub your intestines to find it. I once encountered an intracavitary appendix, and I was worried about it. The head was plunged into the patient's abdominal cavity and killed."

"and after?"

"You can't stroke the intestines too much. After the operation, intestinal adhesion and intestinal obstruction will be fatal. Just bite the bullet and touch it a little..."

Director Geng shuddered as he spoke.