Back in 2002 as a doctor

"No." Huang Lao said, "The situation on that side is quite special. The more you explain, the more you want to cover up. Just don't talk or ask, and you will be fine after a while. After the autopsy, I gave a few popular sciences to the police at the police station. Hours, it’s almost enough with them.”

Chapter 1414

"Many years later, a little bailiff came to me to consult about a similar situation. I summed up a total of 29 cases and gave them all to him." Huang Lao said.

"Who is it?" Zhou Congwen asked.

"Everyone calls him Xiao Li, but his full name seems to be Li Dexiang." Huang Laoyou said, "I don't have much dealings with that side, so I'm not very familiar with it."

"He first reported X's suffocation death in 1980, and there have been occasional reports of such cases in recent years.

Because X-asphyxia patients often dress up abnormally, the death scene is quite special, and it is easy to be mistaken for homicide or suicide. At the same time, it may also cause legal disputes in insurance and inheritance. "

As he spoke, Mr. Huang glared at Zhou Congwen.

"Boss, why are you staring at me?" Zhou Congwen understood what his boss meant, and he must have heard what Shen Lang said about the hard drive just now.The next sentence must be something like a hooligan.

So Zhou Congwen changed the subject immediately, not giving his boss the chance to ramble and instill his worldview.

"Boss, I cooperated well with the blunt dissection in today's operation, right?"

The topic was changed so bluntly that Director Han felt a little embarrassed.But Zhou Congwen didn't care. He came to the locker room and handed his boss a piece of white ganoderma respectfully.

Seeing Bai Lingzhi, Mr. Huang took off his mask and smiled.

He was not in a hurry to smoke, but put the cigarette across his nose and sniffed vigorously.

"When I was young, I had an operation for three to four hours, and after smoking a cigarette, I felt drunk."

"It's not a fault that the operation is done quickly, it's a good thing." Zhou Congwen smiled and lit a cigarette for his boss, "Boss, the sword is not old. Your technique in blunt separation is really good, and I almost missed it twice."

"Cooperation is more difficult, you did a good job." Huang Lao glanced at Zhou Congwen, but did not continue to "praise" him, but said to Shen Lang, "Shen Lang, tell me about your experience."

"Old Huang, to be honest, I really don't have much experience." Shen Lang said honestly, "It's hard for me to use today's experience when I encounter it occasionally."

Director Han took a deep look at Shen Lang, this guy is really telling the truth.

Huang Lao tried his best to engage in a study, shouldn't it be flattering at this time?

But Shen Lang was lucky, he didn't learn anything from Huang Lao directly.

"Hehe." Elder Huang didn't feel annoyed, he happily smoked a cigarette, and said with a smile, "If there is some kind of qualitative leap, I'll see the hell."

"Just by the way, let you take a look at the situation." Zhou Congwen said, "Experience has to be accumulated, and there is no difference if there is no one. Let me ask you, are you panicking on your first day on duty?"

"Panic." Shen Lang said truthfully, "Originally, I experienced a lot of things with the tutor, and I began to think that I could do it, but when I was on duty alone, I was a little confused."

"After all, are you responsible? Not responsible and responsible are two different concepts." Zhou Congwen laughed.

"Well, a patient has a fever, and I...can't deal with it. I asked the nurse what to do."

"Hahaha."

Zhou Congwen laughed.

Huang Lao didn't seem to hear the embarrassing things Shen Lang said, and he was smoking a cigarette happily.

"The nurse said to use Antongding, so use it. I'll be in charge of giving the doctor's orders." Shen Lang continued to recall, "It wasn't until the next few shifts that I gradually got better."

"There is another embarrassing incident." Shen Lang didn't really care about his embarrassing incident when he talked about it, as if he was goingssip.

"During my internship, I rotated in the general surgery department. A patient came, and the patient's family members said it was intestinal ventilation."

"Dialect." Seeing Zhou Congwen startled, Mr. Huang explained leisurely.

Zhou Congwen frowned, he had never heard of this dialect.

"About the dialect of the border area between Jilin Province and HLJ Province, they are used to calling small intestinal hernia ventilation." Huang Lao said.

"Yeah!" Shen Lang nodded vigorously, "I told the teacher that it was the small intestine for ventilation..."

"Didn't you have a physical examination?" Zhou Congwen asked.

"I've checked." Shen Lang replied, "But when I reported the condition to the teaching teacher, I always had no idea. Unknowingly, I called the hernia as small intestine ventilation according to the patient's family."

"It's good if you have experience." Mr. Huang was smoking a cigarette happily, but his finger holding the cigarette did not show a burnt yellow color.After years of brushing hands, no amount of smoke oil can be left.

"Like this time, you touched the patient's intestines." Zhou Congwen instantly became his own boss, and said earnestly, "Next time you have chest surgery, go in with a laparoscopic examination, and the lungs are not deflated at all. Open the chest. Open it and separate it with your hands. No matter how you move it, it will bleed if you touch it a little.

"..." When Shen Lang thought of that situation, he scratched his head, feeling really uncomfortable.

This is the most fearful thing about surgery. After opening it, it will bleed wherever it moves, and the surgeon's anger will explode instantly, so that the operating room is quiet and no one dares to drive.

"The surgery is going to take four or five hours, and it's all short." Zhou Congwen continued, "But you will definitely remember related things when you go home, and you will have some impressions of today's hand feeling and confirm it with the surgery that day. .”

"There is a multiplier relationship between the two at the beginning. The more initial accumulation, the faster the growth."

"Want to compete with talent? You are far from that time yet."

Not only Shen Lang, but even Director Han was overwhelmed by Zhou Congwen's words.So that's what Mr. Huang meant!

Although what Zhou Congwen said was not very detailed, both of them understood Huang Lao's intentions.

Teaching students is really a tricky job. Director Han suddenly looked at Zhou Congwen.

Zhou Congwen Professor Zhou seems to be sincerely not made by water dripping through the stone, he is like a monkey who jumped out of the crack of the stone with a "bang".

Seeing Director Han looking at him, Zhou Congwen smiled and said, "Chu Han, you don't understand my talent even if I tell you."

"..."

Director Han was dumbfounded.

"Don't talk about this." Huang Lao said, "Patients need to see a psychiatrist after surgery. You must remember that. If you don't have a better psychiatrist here, you can contact Deng Ming."

"Okay, boss." Zhou Congwen replied seriously.

"Old Huang, when the patient recovers, I'll let him go to the Imperial Capital." Director Han said, "Our excellent psychiatrists... are still worse than those in the Imperial Capital. The patient's situation is quite special. He has already undergone three surgeries. I'm afraid I can't bear it, I understand."

"That's it." Mr. Huang finished his cigarette, and Zhou Congwen took the stubbed cigarette butt, and then began to change his clothes, "Zhou Congwen, I think the operation method still requires surgical intervention and hybrid surgery, and I will send you the idea later. "

Chapter 1415 Sometimes something happens, sometimes nothing happens

Huang Lao lived in the provincial capital for another three days, and returned to the imperial capital after basically finalizing the operation plan.

This time Huang Lao and Zhou Congwen have found a way that Zhou Congwen had never found in his previous life. The hybrid method of intervention + surgery lowered the threshold of minimally invasive valve replacement surgery as much as possible.

Zhou Congwen was also very satisfied with this.Sometimes Zhou Congwen even thought of the many self-satisfied operations he performed in his previous life, and felt that he was really stupid at that time.

Self-denial is a kind of progress, but for a top doctor and surgeon like Zhou Congwen, it is extremely difficult to achieve new results after self-denial.

Next, Zhou Congwen and his boss have to simulate the operation, find out the shortcomings when it is actually implemented, and try to avoid problems during the operation.

Sending Huang Lao to the plane, Zhou Congwen didn't leave in a hurry, but watched from outside the airport.

In this era, the airports in the provincial capital had limited flights, and the sky was relatively lonely.

Zhou Congwen watched his boss's plane go straight into the sky before boarding the car and returning to the hospital.

After getting off the elevator, Zhou Congwen heard a noise.

The hospital is like this, greeted and sent, and there are so many family members of patients that it is a headache.Habits vary from person to person. Many patients and their family members just like to have more people visiting the patients, so they are more imposing.

Zhou Congwen couldn't agree with this, but he didn't want to stop it either.

If there is a big fight because of these things, or even order the patient to be discharged from the hospital automatically, the small things will become big, and it will be very troublesome.

Turning the corner, the noise got a little louder.

Zhou Congwen suddenly saw a young boy who was emotional, and Zhang You was talking to him impatiently.

The young man clenched his fists, as if he wanted to beat Zhang You, and he was also suppressing his irritable emotions.

"Your father has done all the examinations, and it's not esophageal cancer. Really, isn't cancer bad? Do you have to get cancer?"

Zhang You bared his teeth and said disdainfully.

"Director Zhang, there must be a diagnosis." The young man asked angrily, "I did a checkup costing more than 1000 yuan, but I didn't even have a diagnosis. Whether it's eating or not, why are you so irresponsible! "

"Mental symptoms." Zhang You bared his big teeth and said contemptuously, and then he muttered in a voice that only he could hear, "It's just a mental illness."

Seeing Zhang You's mouth shape from a long distance, Zhou Congwen frowned slightly.

"Why are you so irresponsible!" The family members of the patient were enraged by Zhang You's words, and rushed forward with fists clenched, but they were pulled away.

"Fuck off, there are people who are expecting their father to get cancer. You are crazy to want to inherit the family property." Zhang You waved his hand, and he became more and more impatient, so his words became more and more ugly.

The young man angrily took a step forward to grab Zhang You, his sanity was almost exhausted.

Mr. Chai hurriedly stopped him and continued to comfort him.

Seeing Shen Lang was there, Zhou Congwen waved for Shen Lang to come over.

"What's going on?" Zhou Congwen asked.

"A patient with intermittent dysphagia was seen by Director Zhang at the outpatient clinic." Shen Lang told Zhou Congwen about the situation, "The chest X-ray and electrocardiogram were normal, and no abnormalities were found in the throat examination. It's the upper gastrointestinal barium examination..."

Said, Shen Lang hesitated for a moment.

"What, is there a problem?" Zhou Congwen asked.

"Sometimes there is a problem, sometimes there is no problem." Shen Lang said something that even he himself did not quite believe.

Zhou Congwen raised his hand and rolled his flat head, rustling.

Sometimes there is a problem, sometimes there is no problem, what the hell can a doctor say?

"Don't believe me, Congwen." Shen Lang quickly explained, "I made one at first, and there was something wrong with ordering a film. I could see a not-so-obvious depression on the posterior side of the upper esophagus."

"Because Director Zhang didn't see it clearly, the patient was asked to do another one. This time Director Zhang accompanied me to see it clearly."

"But the second film is fine." Shen Lang was also scratching his head, and subconsciously imitated Zhou Congwen's movement and raised his hand to turn his small crew cut head. "The patient said that he didn't have difficulty swallowing at that time, so he couldn't count it. I think Director Zhang... It may be that the patient is considered mentally ill."

"Don't talk nonsense." Zhou Congwen reprimanded, "What kind of mental illness is not mental illness? You are not qualified to make a diagnosis, and neither is Zhang You."

"..." Shen Lang glanced at Zhou Congwen with the eyes of an idiot, "Congwen, you said that you can't see anything through the barium in the digestive tract, and the patient is still not reconciled. If you don't find out that you are sick, what is the matter. "

Although Shen Lang did not agree with Zhou Congwen's point of view, he did not continue to say the word mental illness.

"What happened later?" Zhou Congwen asked.

"Director Zhang was tortured by the patient and the patient's family. He didn't do the upper gastrointestinal barium X-ray for the third time and had a gastroscopy. The gastroscopy showed that the patient's esophagus was very smooth, and there was no problem at all."

"Oh." Zhou Congwen nodded thoughtfully.

"The outpatient examination was all right, and the patient went home. But after a few days, the symptoms of eating discomfort appeared again, so I came here to find an explanation." Shen Lang pouted.

"The patient's family members ran over to look for Director Zhang."

"The same goes for Zhang You, who has no patience at all, please explain carefully."

Shen Lang basically had no respect for Zhang You, and subconsciously did not call him Director Zhang at the end, but called him by his first name.

Zhou Congwen knew that it was Shen Lang who witnessed him killing Wang Chengfa and contacting Lu Tiancheng. After knowing what Zhu Jun did, he became somewhat bored with the old directors.

Moreover, Shen Lang has a relatively good relationship with Chen Houkun and Yuan Qingyao, so they are naturally on the opposite side of Zhang You.

This product is simple and straightforward, and Zhang You is extremely displeasing to the eye.

"What about the gastroscopy list, let me take a look." Zhou Congwen said.

"No need, let them quarrel, it has nothing to do with us." Shen Lang waved his hand.

"Pa~" Zhou Congwen patted Shen Lang's head with his big hand, "Go and appease the patient's family members, don't let him go."

"Ah?" Shen Lang was startled.

"I'll ask Director Zhang, and then I'll ask the patient's family." Zhou Congwen said, "It may be a misdiagnosis."

"Congwen, don't make trouble." Shen Lang said with a smile, "The barium examination of the upper gastrointestinal tract and the gastroscopy didn't show anything. You said it was a misdiagnosis? Where did the tumor grow?"

"Not all dysphagia is esophageal cancer, and the manifestation of esophageal cancer is not only dysphagia." Zhou Congwen said seriously.

Shen Lang thought about it.

"Go quickly."

Zhou Congwen made a gesture to kick Shen Lang, but Shen Lang had no choice but to take off his white clothes and throw it to Zhou Congwen, and ran over to pretend that he was the patient's family member, which would be easier to persuade the fight.

After tossing for nearly 5 minutes, Shen Lang dragged the patient's family members away.

"Director Zhang, I'm busy." Zhou Congwen walked over to greet Zhang You with a smile when he saw the patient's family members leave.