Back in 2002 as a doctor

Wang Qiang, an emergency doctor, saw that the patient had "turned the crisis into safety", he let out a sigh of relief, and immediately communicated with the patient's family members to do CT, MRI and other examination items.

The patient's family refused, but the emergency doctor Wang Qiang did not give up, and kept nagging the patient's family.

"From the text, do you see the problem?" Shen Lang asked.

"No." Zhou Congwen shook his head, telling the truth.

He immediately turned around and walked slowly towards the fire escape.

This is the weirdest patient Zhou Congwen has encountered since his rebirth.

The same medicine, batch number... Zhou Congwen shook his head.The little nurse casually took out a Valium from the drawer. She probably didn't even know the batch number.

Generally speaking, the head nurse of the spare medicine in the department should check it regularly and use it up before it expires.And here is the emergency department, emergency medicine is like running water, it is difficult to have medicine piled up in the corner and dust.

But where is the problem?

Shen Lang was about to say something to Zhou Congwen, but he saw Zhou Congwen's waist slowly bent down, his hands were behind his back, and his feet seemed not to leave the ground, as if he was wearing slippers from the operating room instead of leather shoes.

In an instant, imitating Zhou Congwen from young to old, it's like Huang Lao's upper body.

"Hey, Congwen is serious!" Shen Lang excitedly said to Wang Xueteng.

Wang Xueteng was speechless when he saw Zhou Congwen walking towards the fire escape with his arms behind his back.But no matter what the story is, it is not as good as Shen Lang's words.

As a young and beautiful woman, Wang Xueteng has seen countless dog licks or salty pig hands.

Avoiding those coveting eyes is also a compulsory part of Wang Xueteng's life.

But Shen Lang was obviously talking to himself just now, but Wang Xueteng had a weird feeling.

Shen Lang was just talking to himself, no matter who was around him, as long as he knew someone, Shen Lang would say that.

All he cared about was Zhou Congwen's transformation, but he had never looked at himself, a beautiful woman.

This guy didn't see himself at all!Wang Xueteng had a hard idea to accept.

Zhou Congwen walked into the fire escape, took out Bai Ganoderma lucidum's cigarette case, waved a cigarette and flew out, landing directly on his lips.

His movements were extremely proficient, and then a ball of fire burst out from between his fingers. Wang Xueteng didn't even see when Zhou Congwen touched the lighter.

Just this speed!Wang Xueteng praised him heartily, he deserves to be the number one performer in the world.

Zhou Congwen frowned, concentrating on the scene after scene he had just seen.It takes a specific person to push the drug... so what does this person do?

Except that she had her own operating habits, and that she had drawn liquid to dilute the diazepam injection, there seemed to be nothing worth noting.

Zhou Congwen went through the matter three times in a short period of time, but he still didn't find any problems.

"Shen Lang."

"Hey, do you understand Congwen?" Shen Lang had been waiting for Zhou Congwen to call him.

"Go and see if the two Valiums you took before and after are the same batch number." Zhou Congwen helplessly told Shen Lang to check the batch number of the drug.

Soon, Shen Lang ran back and told Zhou Congwen the bad news - the batch numbers of the two diazepam injections were the same.

The only thought was gone, and Zhou Congwen had no other choice.

A white Ganoderma lucidum only takes one puff, and it turns into wisps of green smoke as time goes by.

Zhou Congwen sat on the steps like a sculpture, turning a blind eye to Shen Lang and Wang Xueteng in front of him.

Time passed by every minute and every second, and Zhou Congwen didn't wake up until eight minutes later when the fire on the cigarette butt reached Zhou Congwen's fingers.

"Congwen, what do you think?" Shen Lang asked.

"I didn't think much about it. Has the patient gone for an examination?" Zhou Congwen asked.

"I did it." Shen Lang said with a smile, "Originally the patient's family members refused to do it, but Brother Qiang dragged the little nurse to reason, and the patient's family members still held their noses and admitted."

"If it's not in the hospital, I think it's a lie." Zhou Congwen shook his head and said.

"Ha, see if you admit it too." Shen Lang slapped his thigh and said.

"No." Zhou Congwen shook his head, "There must be a problem. The liquid the little nurse pumps is 10% glucose, but it's only 10ml, which is useless."

"What do you suspect?"

"Hypoglycemia may also cause convulsions and convulsions." Zhou Congwen said, "It's just relatively rare. Besides, such a small amount of sugar is useless."

As he spoke, Zhou Congwen suddenly stopped.

"Waiting for the result?"

"No!" Zhou Congwen seemed to have thought of something, "Shen Lang, go ask Dr. Wang from the emergency department to add a CT of the upper abdomen to the patient."

"..."

"Wait, the patient's family members should have paid the fee, and there may be problems if they go again. Let's go!"

"Where?"

"CT room." Zhou Congwen said, "I'll take a look, and then there will be surgery."

"What are you going to watch?" Shen Lang asked curiously.

Zhou Congwen didn't speak, but strode straight out of the fire escape, and hurried to the CT room.

When he rushed to the CT room, the patient had not yet been examined, so Zhou Congwen breathed a sigh of relief.

It's just that Zhou Congwen was not familiar with the little doctors in the Second Hospital of Medical University, so he dragged Shen Lang to let him talk.

By the time he queued up for the patients, he was already clear and speaking, and walked in for an examination while chattering.

He could vaguely hear the patient nagging about wasting money, but Zhou Congwen was not thinking about it.

Just now Zhou Congwen had already guessed, and he could roughly understand the truth with a glance during the inspection.

After the head CT of the patient is completed, the doctor in the CT room scans down.

"Professor Zhou, what do you suspect?" the doctor in the CT room asked.

"Take a look, there is nothing suspicious." Zhou Congwen said vaguely.

But that being said, soon an abnormal image appeared in the field of vision.

Chapter 1428 The operation was successful, but it actually failed

"Pancreatic cancer!" The doctor in the CT room shouted in surprise.

"Don't talk nonsense." Zhou Congwen finally breathed a sigh of relief, "It's an insulinoma. If no other lesions are found, it is very likely to be benign."

"What? What kind of tumor?" The doctor in the CT room didn't understand what Zhou Congwen was saying, so he asked in a daze.

Zhou Congwen didn't give him an explanation, but breathed a sigh of relief.

As long as you find the problem, Zhou Congwen seems to have solved a difficult problem, and his whole body is comfortable.

"Congwen, did it cause insulin secretion disorder?" Shen Lang seemed to think of some logical relationship, but it was still hard to believe.

"Well." Zhou Congwen nodded, "Islet β-cell tumor or β-cell hyperplasia causes excessive insulin secretion, which in turn causes hypoglycemia; its insulin secretion is not inhibited by hypoglycemia. Hypoglycemia is a group of diseases caused by various etiologies. syndrome characterized by low blood glucose concentrations."

"But a tube of 10-20ml, 10% glucose is useful?"

"Some insulinoma patients with pancreatic β-cell tumors are extremely sensitive to glucose. After receiving a certain amount of stimulation, the secretion can be quickly reduced, and the blood sugar returns to normal." Zhou Congwen said, "It's just that the probability is relatively small, so I didn't think about it at the beginning."

"..." Shen Lang silently looked at the image on the computer screen, thinking about many things in a mess.

This patient, Shen Lang, has no idea.

From the very beginning, it was a very big gossip, and the clinicians were overwhelmed to find out what the problem was.

The patient roars and twitches like a ghost, which can only be relieved by a specific person pushing the medicine.

Everything is so exact.Although Shen Lang told Zhou Congwen that he didn't believe it, he already believed it in his heart.

But Zhou Congwen discovered a problem again.

"Congwen, is 10ml of sugar really useful?" Shen Lang still didn't believe it.

"Well, in a short period of time, there are..." Zhou Congwen explained half a sentence, then smiled, "Hungry trembling, have you ever seen such a person?"

"I have seen."

"A piece of candy will get better soon, right?"

"Correct."

"You said, how long does it take to swallow a piece of sugar and absorb it from the mouth until it enters the blood circulation?"

Shen Lang really hadn't considered this matter, he looked at Zhou Congwen in a daze, with a question mark on his head.

However, Zhou Congwen's statement was simple and easy to understand, and Shen Lang was not as confused as before.

"I'm going to have an operation, and you explain to the emergency department that the patient is an insulinoma." Zhou Congwen didn't explain to Shen Lang, "Then you hurry up and get on stage."

"Today my patients are the last three."

"Hurry up." Zhou Congwen repeated, turned around and strode away.

"Oh." Shen Lang was still staring at the tumor near the pancreas on the screen in a daze.

He saw that the level of the abdominal CT was average, and he could only know that there was an abnormality there. Zhou Congwen said it was a tumor and it was fine.It's just that the matter has changed too much before and after, making Shen Lang unacceptable for a while.

Zhou Congwen ignored Shen Lang, called Xiao Kai, and then hurried to the operating room.

Wang Xueteng stood in the corner, saw Zhou Congwen leaving quickly, and did not continue to chat with Zhou Congwen.

……

……

"Professor Zhou, I'm really busy this morning." Xiao Kai squinted his eyes and said after seeing Zhou Congwen.

"Are you ready for the surgery?" Zhou Congwen asked.

"Well, no problem. Everything is going according to the procedure, Professor Zhou, you don't have to worry so much." Xiao Kai said.

"I received Manager Wang early in the morning, and then went to see a very strange patient with Shen Lang." Zhou Congwen watched Li Ran doing wedge cutting, and explained something to Xiao Kai.

"Manager Wang is looking for you for valve consumables? Mitral valve clips are a bit expensive, and I think Olida will be very interested." Xiao Kai is not interested in weird patients, which is completely different from Shen Lang.

"En." Zhou Congwen nodded.

"I approached me and asked about related matters." Xiao Kai smiled, "It seems that Olida is very interested in minimally invasive valve surgery, and is prepared to do whatever it takes."

Xiao Kai was a little excited to think of a multinational medical device company that would spare no expense.

If it is said that being the vice president in charge of equipment, medicine, and clinical practice in Baishui Central Hospital is a piece of fat, then this matter is simply a piece of meat.

Xiao Kai could already smell the meat.

"I rejected it." Zhou Congwen said lightly.

reject? !

Xiao Kai was taken aback.

He couldn't think of any reason for the refusal.

Whether it is the minimally invasive treatment of various diseases that Zhou Congwen has been thinking about, the degree of benefit to patients, or other things, this matter is simply a perfect fit for the interests of all parties, without a single flaw.

Of course, the price of mitral valve clips is too expensive, but with the promotion, the price will definitely drop.

Things that benefit everyone are actually rare. Now that Huang Lao and Zhou Congwen have opened up a brand new world, why did they give up at the beginning?

"Professor Zhou, I didn't understand, what did you refuse?" Xiao Kai still couldn't believe it, he asked in a low voice.

"Although the operation was successful, it was actually a failure." Zhou Congwen looked at Li Ran's operation and explained.

"You mean the operation is too cumbersome?"

"Fortunately, it would be easier if it's just the aortic valve." Zhou Congwen said, "It's just that there is no reproducibility, and the requirements for the product are more stringent. Dean Xiao, have you ever seen a hip replacement surgery?"

Xiao Kai shook his head, he had only heard of it, and now there are only a few large public hospitals in China that can do it.For a doctor like him in Baishui City, hip replacement surgery is a fantasy.

"To put it simply, hip replacement surgery requires a lot of high-value consumables." Zhou Congwen said, "Metal, ceramic, and plastic. For example, if a cycling enthusiast wants to have a hip replacement, what will he choose?"

"Ceramic...is it strong?" Xiao Kai asked doubtfully.

In Xiao Kai's imagination, if the ceramic hip joint was replaced, wouldn't the ceramic be broken into 180 pieces in the body with a little force when squeezing the bus?

"Strong, ceramic hip joints... I won't explain the chemical composition to you. The problem is that there will be a rattling sound when moving." Zhou Congwen said, "Many patients will choose metal hip joints."

"Well, if I choose, I will also choose metal." Xiao Kai said.