Back in 2002 as a doctor
Page 854
Zhou Congwen did not prepare extracorporeal circulation, Zhang You could see this very clearly.
After everything was ready, Zhou Congwen and Huang Laoji turned their heads and looked at each other in a tacit understanding.
Step on the line.
The screen lights up, and the guide wire goes into the heart, followed by the catheter and corresponding consumables.
Zhou Congwen compared the positions and cut open the heart. The 2cm incision was not bad at all.
Zhang You has undergone "normal" valve replacement surgery and interventional surgery, so after seeing this scene, he has already started to compare in his heart.
Every step seems to have a deep meaning. In fact, in simple terms, it is an opening outside the body, and the consumables of the replacement valve are "embedded" on the loose mitral valve with instruments under direct vision.
The benefits of simply intervening in the "valve replacement" surgery are obvious-the difficulty of the operation has been greatly reduced, from the hell-level difficulty that cannot be completed at all to the level that Zhang You feels that he should be able to do it after a glance.
And not only can understand, Zhang You also thinks he can do it.
Not only can it be done, but it can also be done successfully at one time.
The operation was not difficult, with a 2cm incision, under direct vision of the endoscope, Zhou Congwen assisted Huang Lao to install the mitral valve consumables, then sutured the heart, and removed the endoscopic equipment and interventional equipment after washing.
22′02″, the operation is over.
The end was a matter of course, and the end was uneventful.
This operation does not make people feel dizzy, it is as simple as a spring and a stream.It is different from the previous mitral valve and aortic valve surgery performed by Zhou Congwen and Huang Lao.
Simple interventional surgery is a hell-level difficulty, and can only be completed with the tacit cooperation of the top surgeons.
But this surgery is absolutely, absolutely different.
All complicated steps have been simplified, all difficult thresholds have been removed by Huang Lao and Zhou Congwen, and all difficulties have been overcome.
Although not everyone can do it, as long as a doctor with basic heart surgery can understand the principle of surgery at a glance.
The trauma of the patient is greater than that of simple intervention, but the difficulty of combination has dropped sharply. Not only is it less difficult than interventional surgery, but even compared with the ancient valve replacement surgery, the difficulty is countless times lower.
The value of this surgery is evident on paper.
Zhang You was dumbfounded.
A unique skill in martial arts is definitely not something that can be learned by picking it up.People like Zhang Wuji can directly cultivate to the seventh level in the Great Teleportation of the Universe, so it can be said that they are talents of the sky.
However, what makes Zhang You mouth dry and incomprehensible is that it is obviously extremely difficult. Even a talented doctor spends his life only able to get a glimpse of the valve replacement surgery. After Huang Lao and Zhou Congwen improved, the difficulty was reduced to ordinary. Passers-by A, B, C and D can do it.
what is this?
Is this the legendary simplification? !
Simplifying the complex requires the operator's extremely profound clinical knowledge, excellent techniques across several disciplines, and the ability to analyze and summarize in an intertwined but orderly manner.
And it takes a little bit of luck.
Zhang You watched the operation end and stood silently behind the camera without saying a word.
Surgery, he understands.
Unlike the interventional valve replacement surgery performed by Mr. Huang and Zhou Congwen a few months ago, he doesn't need to read it repeatedly, he only needs to take a look to understand it.
but,
Because of this, Zhang You became more and more confused and confused.
How can valve replacement surgery be so simple!
You must know that in the province with a population of tens of millions, there are at most one or two doctors in prefecture-level hospitals who can perform valve replacement surgery.But in any case, at best, you can do it, and no one can guarantee whether the patient will live after the treatment.
Only a few hospitals in the provincial capital can guarantee the recovery of patients.
It can be said that valve replacement surgery is one of the landmark operations in cardiothoracic surgery. It is extremely difficult, and doctors who can do it can be called top-notch surgeons.
At least at the provincial level, there are only a handful of such doctors, and it is not an exaggeration to say that they are top surgeons.
However, under the blow of Huang Lao's dimension reduction, everything turned into smoke and dispersed.
Was the operation just now difficult?
It's not difficult at all, as long as someone who has the basics of cardiothoracic surgery can master it in a short period of time.
Zhang You's understanding of valve replacement was overturned by the facts, which made him feel that his experience after coming to the imperial capital was like a dream.
Decades of surgical accumulation were finally overthrown by Mr. Huang with an unrivaled posture.
There were countless splashes in Zhang You's mind.
At the very beginning, I learned about valve replacement surgery and read books all night long. No matter who performed the operation, I had to follow it from beginning to end.
How to replace the valve, how to sew up, how to minimize the side-effects of the operation, these experiences accumulated over time and one operation after another were all overturned by Mr. Huang.
The old man only left a foundation, and then a brand new tall building rose from the ground.
After Zhang You was stunned, he was full of joy.
This new surgical method has indeed greatly reduced the difficulty of the operation and simplified the operation. The valve replacement operation is no longer a daunting operation.
If it is vigorously promoted, it will be rolled out in provincial and municipal hospitals within a few years.
And valve replacement will become an ordinary minor operation, changing the existing ecology of cardiothoracic surgery.
Normally, Zhang You would help carry the patient and pick up the next patient like a little doctor.Although he doesn't do anything, he will show that he is busy and has done a lot of work.
Without physical performances, Zhang You has reached the pinnacle of proficiency.
But he stood aside in a daze, watching other people busy without doing anything, just like stone puppets.
Chapter 1464 Epoch-making
The second surgery patient came up, Zhou Congwen and Huang Lao switched positions, Huang Lao performed thoracoscopic surgery, and Zhou Congwen performed interventional surgery.
Although the surgeons are different, the process is very similar, almost cut out from the same mold.
The operation is simple,
Outrageously simple.
Zhang You stared straight at the screen, watching the clip of the mitral valve being installed under the thoracoscope almost directly with the naked eye.
After the operation, Zhou Congwen also made an angiogram. The previously stenotic and incompetent mitral valve has basically returned to normal on the angiogram.
Although the angiography after the operation showed a small amount of reflux, it was no longer a problem.
surgery,
It's actually done like this, which Zhang You never thought of.
It's like child's play.
Mr. Huang and Zhou Congwen simplified the complexity of the culture, and suddenly reduced the difficulty of valve replacement surgery. This process alone made Zhang You dumbfounded.
I was dumbfounded when I saw the operation, but when I thought about it after the operation, Zhang You became more astonished the more he thought about it.
after……
Zhang You didn't dare to think about the future, he just rejoiced that his luck was really good.
Originally, the most ideal situation was to collect honor points and bluff and deceive with the title of number one in the world, but Zhou Congwen never expected that Zhou Congwen would actually send himself a big gift package.
This kind of technique can be mastered as long as you have a little foundation, and if you become a pioneer, fame and fortune will come like flowing water in the future, and you can't stop it.
Deng Ming looked at Zhang You suspiciously, and when he saw that the operation was over, he pulled Zhou Congwen aside.
"Zhou Congwen, what's wrong with Director Zhang? Could it be that Director Zhang doesn't trust you because you haven't told him the truth?" Deng Ming lowered his voice and asked.
"Hehe." Zhou Congwen smiled.
"I'm serious."
"Dean Deng, no." Zhou Congwen said with a smile.
"Trust is like a piece of paper. After it is wrinkled, no matter how hard you try to smooth it..."
Deng Ming said rather worriedly.
"Dean Deng, don't give me a lesson." Zhou Congwen said with a smile, "After a piece of A4 paper is crumpled, use water tape, spray water, and tie it to a wooden board. After it dries, you will find that the paper is thicker than before it was crumpled." Be even."
"..." Deng Ming was dumbfounded.
"If you can't do it, it's not because of the paper, but because your knowledge is not enough."
"!!!" Deng Ming was speechless.
Zhou Congwen teased Deng Ming, and Deng Ming spread his hands, looking at his little junior helplessly.
"Director Zhang!" Zhou Congwen shouted.
"Ah?" Zhang You looked over as if waking up from a dream.
His eyes were a little dazed.
"Come here." Zhou Congwen hooked his fingers.
Zhang You tried his best to get himself back to normal quickly, but his gaffe fell into the eyes of everyone present.
"Professor Xiao Zhou, what's the matter?" Zhang You walked over staggeringly, and the words "uneasy" seemed to be engraved on his face.
"After the surgery, how do you feel?" Zhou Congwen asked.
Zhang You was slightly taken aback, then bared his big teeth, bent down, his face was full of smiles, his tail was already wagging, Deng Ming saw nothing to say.
"Awesome!" Zhang You said without hesitation.
Deng Ming immediately thought of a piece of crumpled A4 paper, and subconsciously held it in front of him with both hands, as if holding a thermos cup in his hand.
"Professor Xiao Zhou, you and Mr. Huang have worked together to reduce the difficulty of the operation by several levels. Simplifying the complexity is the most difficult thing to do. I am really moved. When I was learning valve replacement surgery , took a lot of effort."
"However, the operation can only be described as mediocre. I was dumbfounded just now. I never dreamed that valve replacement surgery could do this."
Zhang You's flattery is like a torrential river, endless.
Zhou Congwen glanced at Deng Ming, who shook his head slightly.
Really, as long as the ability is enough, no matter how crumpled the paper can be smoothed out, there is no need to worry about it. My worries are unnecessary.
"Surgery... I can do it at a glance at my level. Professor Xiao Zhou, the new technique you and Mr. Huang have developed can be said to be of great merit." Zhang You didn't care about other people's eyes, and he praised it brazenly.
"Let's not talk about anything else. Although there are still problems with surgical indications and patient selection, at least these patients don't have to hesitate at all."
"A valve replacement operation... I'm not afraid of your jokes, Professor Xiao Zhou."
"Before I performed this type of surgery in my sophomore year of medical school, the patients were all carefully selected. Many patients who can be performed, but I am afraid that patients with postoperative problems will be sent to the imperial capital."
"Okay." Zhou Congwen raised his hand, interrupting Zhang You.
"Go out for a quick bite to eat later, and study the surgery video when I come back." Zhou Congwen said, "Tomorrow I will teach you how to perform the surgery step by step."
"Okay!" Zhang You rubbed his hands, his excited big teeth were full of bright lights, like morning stars.
"Zhou Congwen, the operation is not bad." Huang Lao had already taken off his lead jacket, and walked over with his hands behind his back.
Zhou Congwen chuckled, "That's right, how many times have we rehearsed beforehand, if there is a problem, we will see the devil."
"You can't say that. Be careful. You still need to walk on thin ice." Huang Laolin looked back at the patient's vital signs when he left the door of the operating room, "Not bad, not bad."
Even the sterile mask couldn't cover Deng Ming's smile, and it overflowed.
Deng Ming knew how picky his boss was.How many years has it been since I heard the word "good" from the boss?
It seems that the boss is really happy.
This operation is really amazing. Zhang You's words sound disgusting, but when you think about it carefully, you are telling the truth.
Valve replacement surgery, if it can be done, is already a top-notch surgeon. The boss and Zhou Congwen actually strive for perfection and simplify it.
This skill makes people who know how to do it feel amazed.
Deng Ming took a deep look at Zhou Congwen who was standing beside the boss, his gaze was extremely complicated.
Zhou Congwen seemed to have noticed something, looked back at Deng Ming, smiled slightly, and did not follow Huang Lao to the locker room as usual, but deliberately lagged behind by half a step, shoulder to shoulder with Deng Ming.
"Dean Deng, what are you thinking?" Zhou Congwen asked.
"The surgery went well. The boss is happy, and so am I." Deng Ming said with a smile.
Zhou Congwen turned his head, took a deep look at Deng Ming, and did not continue.
"I won the first place this year, so it's time to come." Deng Ming said calmly, as if he didn't see Zhou Congwen's gaze.
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