Back in 2002 as a doctor

"But the problem followed." Zhou Congwen stretched out his hand and gestured for a range of the size of the hip joint, "President Xiao, tell me, how much would it cost to make such a large hip joint out of hard and wear-resistant rare metal? "

money!

Xiao Kai immediately contacted Huang Lao and Zhou Congwen about the techniques studied.

In the final analysis, everything has something to do with money, even if it is a surgery to save lives.

Chapter 1429 Telling You Directly I’m Afraid You’re Not Impressed Deeply

"Later, the research laboratory chose metal cobalt and produced related products."

Xiao Kai was embarrassed by this.

"If we use titanium and other metals, we really can't afford it. How much do we have for a guide wire and a bracket? Calculate the weight, even alloys are too expensive, and we know that most people can't consume those things. "Zhou Congwen said.

Xiao Kai nodded, what Zhou Congwen said was indeed true.

"To put it simply, many patients had a series of complications after metal hip replacement surgery."

"For example, heart failure, for example, symptoms similar to Alzheimer's, for example, Parkinson's."

"Oh?" Xiao Kai concentrated, thought for a while, and asked in a low voice, "Professor Zhou, is the poisoning caused by cobalt?"

"Yes." Zhou Congwen nodded, "The implants must go through strict screening, because the FDA has a 501K process, so the boss is not optimistic."

Xiao Kai was taken aback, FDA is a tall existence, but what is the 501K process?

Zhou Congwen is not a specialist in orthopedics, so he doesn't know much about the causes and consequences of hip replacement surgery.He suddenly remembered that it was 2003...

It's really distressing, you have to be careful when speaking and chatting, like walking on eggshells.

Sighing deeply, Zhou Congwen began to make amends, "The boss can't help it. He doesn't speak loudly in the orthopedics department, but the boss thinks there will be cobalt element poisoning."

What Zhou Congwen said before and after was a little out of touch, but Xiao Kai didn't notice.

"The operation that my boss and I did would cost too much, and even if it is mass-produced, it will definitely not be used by most people." Zhou Congwen said, "A surgical technique is meaningless if it is not universal."

"Whether it's the difficulty of the operation or the high cost of consumables, it's an unsolvable problem."

"So Mr. Huang and you are not only going to solve the difficulty of surgery, but also the problem of consumables?" Xiao Kai asked.

This should not be something a clinician should pay attention to, but Huang Lao and Zhou Congwen have such thoughts, which makes Xiao Kai feel unacceptable.

"Yeah." Zhou Congwen smiled, "Multinational corporations want to forcibly push, after all, this is to make money, and make money without any resistance."

"..." Xiao Kai was silent, and he couldn't get in a word when he said this.

"The boss is not a nerd, nor can he be a simple clinician." Zhou Congwen said, "President Xiao, do you know what a nerd is?"

"All the books have been read into the stomach of a dog." Xiao Kai said, "He has a single-minded mind, and he accepts death in everything he does."

"What is nerdiness? It is mastering a bunch of beautiful principles and trying to make the real world accommodate these principles.

Although these principles are exquisite, there is still a long way to go to solve practical problems.One has knowledge but no wisdom, or one has knowledge but does not know where the boundary of application lies. "

Xiao Kai carefully tasted Zhou Congwen's words.

"This is what the boss said." Zhou Congwen said, "There are many great principles that sound good, but what the boss wants to instill is definitely not those great principles."

"Yes." Xiao Kai agreed and nodded.

"The boss is not a nerd." Zhou Congwen smiled, "So although the operation was successful, it was actually a failure for him. The operation process is too complicated, and the consumables required are too high-performance, so people who can do it must be very good. limited, let alone practical issues such as high product prices.”

Xiao Kai scratched his head.

How much something sells has nothing to do with the clinician's sincerity, but Huang Lao's macro narrative perspective is so complicated.

Xiao Kai was silent, he couldn't understand these things.There is only one thing in Xiao Kai's mind - if all he does is valve surgery every day, he may be able to be financially free in half a year.

Huang Lao and Zhou Congwen wanted to block this road, but Xiao Kai instinctively didn't understand it.

If it wasn't for getting to know Zhou Congwen gradually, Xiao Kai would definitely think that this person is mentally ill.

Just as he was talking, Shen Lang changed his clothes and walked in.

"Congwen, the patient has been sent to the emergency department." Shen Lang said, "You haven't told me why yet."

"what why."

"The patient looks like a ghost, why did you do a full-abdominal CT, and finally found that there is a problem with the pancreas." Shen Lang said.

"Looking at the patient's condition, what do you think of?" Zhou Congwen asked.

"Ghost..." As soon as Shen Lang said two words, he ran away with his head in his arms, avoiding Zhou Congwen's slap.

"The first thing I consider is sympathetic nerve excitement, such as palpitation, hand tremors, disturbance of consciousness, mental abnormalities, and temporal lobe epilepsy." Zhou Congwen glared at Shen Lang, "Those related to these, especially temporal lobe epilepsy, should be considered diseases." ! Not some ghost upper body!!"

Zhou Congwen raised his voice by 10 decibels.

"Oh, then what?" Shen Lang pretended not to hear.

"If the temporal lobe epilepsy is not very severe, it can be suppressed with diazepam." Zhou Congwen continued, "But only the advanced nurse can do this, which is rather weird, and it must have something to do with her habit. "

"But pushing 10ml of 10% glucose will have an effect, which is relatively rare, so I didn't expect it at first." Zhou Congwen said, "After thinking about it carefully, I still think that insulinoma is more likely."

"The reason why we need a full abdominal CT is to check for several rare diseases."

"What disease?" Shen Lang asked curiously.

"Tell you that you don't understand either." Zhou Congwen glanced at Shen Lang, "Don't be crazy about anything, it's meaningless."

"Oh."

"Go home and read books, first read the thick ones, then the thin ones, and after the last few cycles, you will know why."

"Isn't this the kind of cross talk that tells you directly, in case you don't understand deeply?" Shen Lang complained.

"Of course." Zhou Congwen said calmly, "That's true."

Shen Lang sighed, he knew what Zhou Congwen meant—if he wanted to know more gossip, he had to be right in one sentence, attract everyone's attention, make an awesome appearance, and tell everyone the truth. My own basic knowledge is more solid.

This scene is really cool, but it is so difficult.

……

……

A few days later, the imperial capital.

The sales manager of Aolida Company Didu stood beside Director Xue of the Intervention Department of the Cardiovascular Hospital, with a very respectful attitude.

"Director Xue, take a look at this operation..."

Director Xue didn't speak, but silently watched the operation process played on the CD.

What kind of fairy surgery is this?

It was so complicated that Director Xue didn't understand it after reading it once. It was only after the third time that he felt that he understood a little bit.

What do you want to say?Director Xue couldn't say anything.

"Director Xue, you are the best performer of interventional surgery in our country." The product manager said with a smile, "Can you give it a try?"

Chapter 1430 People Are Still Selfish

try it...

"I'll take a look at the operation first, and I'll talk about the details later." Director Xue waved his hand impatiently.

The sales manager left tactfully. Although he knew that the task given to him by the superior had to be completed, Director Xue's expression and tone told him to "scroll off" quickly. Staying would only make Director Xue more disgusted.

Hearing the sound of the door closing, Director Xue turned into a pile of rotten meat as if his spine had been taken away, and he slumped in the chair.

The operation was unbelievable. After watching it, his spirit had already collapsed into pieces and he couldn't put it together.

The scope of circulatory interventional surgery is limited, which has been agreed by both circulatory medicine and thoracic surgery.

When it comes to boundaries, the clearest is valve surgery.

As for the coronary arteries, circulatory medicine cannot be completely removed, and some operations cannot be performed at all.For example, the classic CRUSH technique and Huang Lao's modified DK-crush technique solved a small fork problem.

It looks small, but it is such a bifurcation that has stumped many doctors before the DK-crush operation, and there has been no breakthrough for many years.

However, Mr. Huang's research has not stopped, and has never stopped. He has quietly broken through the limit of everyone's cognition, and turned the operation that everyone thought could only be performed by surgery and sternum into an interventional operation!

How is this possible!

Even after seeing the video of the surgery, Director Xue couldn't believe it was real.

The interventional surgery process is extremely cumbersome. Although Director Xue is one of the top ten surgeons in China, it took him a whole day to understand the process of the surgery.

This is just to understand the process of the operation. Director Xue knows in his heart that he has no way to perform a similar operation.

Even if the operation process is in front of my eyes, I can't learn it even if I want to learn it.

When thinking of the old man, Director Xue felt a feeling of looking up from a high mountain.Before the epoch-making technique, he was as humble as an ant.

Director Xue didn't close his eyes until it was getting late.

Rubbing his sore eyes, Director Xue had a strange feeling—there was a treasure mountain in front of him, and he could already see it, but there seemed to be an invisible barrier in front of this golden treasure mountain, and he couldn't get close at all.

When he got home, Director Xue was also restless, with the look of the end of the world on his face.

Early the next morning, he greeted the department and went straight to 912 instead of going to the Cardiovascular Hospital.

Standing at the door of Mr. Huang's office, Director Xue made a gesture.

It is said that the surgery developed by Huang Laoxin is prepared for next year's World Cardiothoracic Surgery Competition, but is this surgery?

Director Xue didn't know this, but he knew exactly what he wanted.

This is the most powerful force to overthrow cardiothoracic surgery, and it is in the hands of the old man who occupies the highest peak of cardiothoracic surgery.

If valvular disease can be treated with interventional surgery, who will split the sternum for surgery if their brains are flooded?As long as there are some conditions, interventional surgery with almost zero trauma will definitely be chosen.

But Mr. Huang is the ancestor of cardiothoracic surgery. It is hard for Director Xue to believe that he will personally slap the cardiothoracic surgery he has established.

Director Xue already has a cognition in his heart - this kind of operation method of the supreme secret book, anyone will hide it like a treasure, and it is estimated that Huang Lao can't teach himself.

Although he thought so in his heart, he would definitely do the same thing if it was Director Xue, but the matter was so important that he still had to try.

What if Huang Lao is really as impartial as the legend says.

Standing in front of Mr. Huang's office, occasionally a professor with a group he knew passed by, and greeted Director Xue in surprise.

Soon, a hunched figure appeared in Director Xue's field of vision.

"Old Huang." Director Xue trotted to Elder Huang's side. He tried his best to bend his back and look at the old man.

"Xiao Xue, do you have anything to do with me so early?" Elder Huang asked kindly with his arms behind his back.

"Old Huang, I watched the video of the interventional surgery you did a while ago yesterday." Director Xue said.

As he spoke, he nervously observed Huang Lao's expression.

"Oh, is it the valve surgery?" Elder Huang asked leisurely, without any change in his expression.

"Yes." Director Xue tentatively asked, "Old Huang, your surgery is really well done. To be honest, I didn't understand it just by reading it. I have a lot of questions. No, I'll come here early in the morning to ask you for advice."

"That operation is meaningless." Huang Lao waved his hand, took out the key and opened the door of the office.

Director Xue was startled, Huang Lao's words were like an ice pick, piercing directly from the mouth, along the esophagus to the stomach, and then through the pylorus into the duodenum.

His whole body was frozen.

It's meaningless, this is Huang Lao's unabashed rejection of himself!

The reason he gave was so ridiculous that he said it was meaningless!Director Xue felt contemptuous and extremely unhappy.

Does Huang always bully himself for being blind?

Even a blind person can see the significance of the operation performed by Huang Lao and Zhou Congwen!

It seems that Mr. Huang still wants to protect the cardiothoracic surgery department and his group of disciples and grandchildren, Director Xue thought to himself.

His thoughts were interrupted by the rattling sound of the key in Huang Lao's hand. Huang Lao searched for a long time before finding the key.

Still getting old... A thought flashed in Director Xue's mind, but he was startled immediately, and immediately remembered that extremely complicated operation.

Mr. Huang can easily do things that young people with quick hands and feet can't do. How can you say he is old?

Director Xue looked at the old man in front of him hunched over and walked into the office in confusion. Just looking at his back, it was hard for him to imagine that Mr. Huang could go to the stage for surgery in a lead suit of dozens of kilograms.

But everything is a fact, an iron-like fact.