Back in 2002 as a doctor

Everyone was stunned.

The ins and outs of this diagnosis are too complicated, numb hands and feet, painters, drawing, pencils, lead poisoning...the doctors' brains are a little dizzy.

"Relevant examinations were done, and symptomatic treatment was given after confirming this point, and the patient recovered soon. I also sent a pennant once later, and I don't know where to bury it." Xiao Kai finished talking about one thing leisurely. .

Similar things are very common in academician workstations, and Xiao Kai has become accustomed to the diagnosis and treatment provided by Professor Zhou at his fingertips.But at this time, when he returned to his hometown and said it, even he thought it was amazing.

Numbness in hands and feet, occupation, habit, lead poisoning of peripheral nerves.

Recalling the process of Professor Zhou's medical treatment, Xiao Kai was really touched.

Thinking about the patient in front of me, if I had been diagnosed more than a year ago, I would not have received a definitive diagnosis.But he was subtly influenced by Zhou Congwen in the Second Hospital of Medical University, and he resolved the matter with every gesture.

This is the true meaning of learning, Xiao Kai thought to himself.Before I knew it, I had improved like never before.

"So, it is very important to ask the medical history carefully and find clues from the statements of the patient and the patient's family." Xiao Kai told his doctors earnestly what he had learned.

Unknowingly, Xiao Kai also switched to Zhou Congwen's mode, but it was the mode of Chun Chun's teaching that he was quite defamatory before.

"Having said that, there is a little abnormality in this patient's CT, maybe it's an artifact, maybe it's a foreign body, so we need to ask the medical history carefully to know the result."

"I'm thinking it's a foreign body in the esophagus and emphysema of the mediastinum. Hurry up and do a gastroscopy to see if Professor Zhou can take it out. If it doesn't work, I have to do surgery... Oh, it's very difficult, see what Professor Zhou said. Bar."

"Dean Xiao, if it is a foreign body, there must be a hole in the wall of the esophagus when it is taken out. What if the hole is relatively large? You can't perform the operation according to the radical operation for esophageal cancer." Director Ji whispered his opinion.

He still tends to be immobile, conservative.

"It can lower the large shelf in the esophagus." Xiao Kai said, "It's like lowering the coronary artery stent in circulatory medicine."

"..."

"..."

All the doctors didn't understand what Xiao Kai was talking about.

Xiao Kai glanced at the doctors around him and sighed softly.The doctor under him is so bad, why didn't he realize it before the advanced training.

"This is also the project we will send people to study in the future." Xiao Kai has long thought that people should be sent to learn this technology.

It seems that it is not too early to say it at this time.

"What do we do for patients with advanced esophageal cancer we have encountered?" Xiao Kai asked.

The director hoped to answer this question, and he quickly said, "Before you went to the Second Hospital of Medical University, you introduced a jejunal nutrition tube. Whether it is a jejunal nutrition tube before esophageal cancer surgery or a tube in the late stage of esophageal cancer, it is very important for the patient's disease. Treatment helps."

"Principal Xiao, you can see far!"

"Hehe." Xiao Kai smiled flatly, "The jejunal nutrition tube is okay, but eating is also very important in one's life. I remember a patient with advanced esophageal cancer who asked his family to cook delicious food. "

"Old Xu two years ago, I took care of the patient." A doctor immediately said, "He is too greedy. It is obvious that the esophagus has been blocked, and it is difficult to put the jejunal nutrition tube in. He still insists on eating all kinds of delicious food. of."

The patient named Lao Xu only ate for the pleasure of chewing, and spit it out directly after chewing.

All the doctors in the department knew about it.

That kind of appetite is only half left, which is pretty pitiful when I think about it.

Now Xiao Kai said this again.

"I am in the Second Hospital of Medical University. Whether it is the Department of Gastroenterology or our Cardiothoracic Surgery Department, I have received patients with advanced esophageal cancer. Professor Zhou used the thinnest guide wire to pass through the gap of esophageal cancer, and went in under the air."

"Useful?" Director Ji was stunned.

"Open the esophageal wall." Xiao Kai said, "Although it has no effect on the treatment of esophageal cancer, it can ensure one thing - the patient died of illness, not starvation."

"..."

"..."

Everyone was dumbfounded.

Died of illness, died of starvation.

Although both are dead ends, the difficulty of the two roads is completely different.

We are all clinicians, and we have seen countless similar situations, and we all feel sorry for them.

Especially for patients with late-stage esophageal cancer, they can only rely on intravenous high nutrition to maintain their survival. In the end, they are skinny, like a hungry ghost in the world of hungry ghosts, which is horrible.

"After getting off the shelf in the esophagus, the patient can at least eat." Xiao Kai explained plainly, "First, reduce intravenous hypernutrition, so that the patient's family can afford less treatment costs."

"Secondly, patients can eat whatever they want, which can be regarded as a blessing in the end."

"We in medical treatment are often helpless to deal with many diseases. It is always good to let patients go more comfortably."

The crowd nodded frequently.

"The operation is not difficult. The guide wire passes through the gap between the esophageal cancer and the wall of the esophagus, and the large frame is lowered in, and the balloon is opened." Xiao Kai briefly introduced, "Director Ji."

"Dean Xiao, tell me."

"Find time for people to study and learn this technology."

"it is good."

"There are also problems. For example, if the tumor entity of esophageal cancer does not disappear, it will definitely squeeze the surrounding organs. But no matter what the consequences are, I think as long as I explain it clearly to the patient and the patient's family, they will be able to accept it."

Xiao Kai babbled a lot, and finally said, "If the esophageal wall of this patient is torn by the jujube stone in a relatively large area, he can only use a membrane-covered esophageal stent."

"If there is no surgery and conservative treatment, I estimate that the patient can last up to three months."

After Xiao Kai finished speaking, he took the film out of the film reader, put it into the film bag, and looked back at the doctors under him.

My own technical level has improved, and the logic of treating various diseases is clear, which is the harvest of further study.

But Xiao Kai didn't feel joyful, he felt that the distance between himself and the subordinate doctors was getting farther and farther.

Chapter 1524 Decision

"Director Ji, I'll go to your office to rest for a while." Xiao Kai said to Director Ji, carrying the medical records in a pouch bag.

When they came to Director Ji's office, Xiao Kai and Zhou Congwen finalized the time, and then lay down to rest for a while.

After all, Xiao Kai is already old, so he should do less of staying up late.

Xiao Kai didn't realize that he had changed a lot under the subtle influence of Huang Lao and Zhou Congwen.

For example, the regularity of work and rest, ensuring one's working status, this kind of thing was something that Xiao Kai thought about in the past.

The work and rest like an ascetic monk is not as sweet and delicious as Liangshan heroes who drink heavily and eat large pieces of meat.

Although everyone knows that doing this can help you live longer, but if you live, it is meaningless if you are too poor. It is better to be drunk today.

However, after witnessing countless times that Huang Lao, who has reached an octogenarian age, can still perform operations in a lead suit and perform extremely delicate operations, it is impossible for Xiao Kai not to be shocked.

And once this kind of shock occurs more often, it will shatter the old and stubborn thoughts like an earthquake.

Before he knew it, Xiao Kai had already started to maintain his health, began to babble, and began to be strict with himself like Huang Lao. Even Xiao Kai didn't notice that the idea of ​​working for the people for another 50 years would occasionally pop up in his heart, and he wavered a bit. .

There are some things that Xiao Kai didn't realize, but there are some things that he was aware of - such as the patient today.

Before the "advanced training", Xiao Kai would have been helpless with this patient, and could only observe conservatively, waiting for the patient's condition to get worse and worse in a few months, until he finally died.

But after studying, he saw the sky outside, and the diagnosis and treatment process was orderly, even including chatting with the patient's family members to grasp the key points of the matter.

This was completely impossible in the past.

Xiao Kai gradually realized that he had been changed little by little.

From quantitative change to qualitative change, I am no longer the former Dean Xiao.

It's really weird, Xiao Kai recalled what he did today, even he thought it was a little funny.

Going to study more than a year ago is just a kind of instinct, a kind of innate persistence and belief since practicing medicine.

The time for further study is half a year, which is also carefully calculated by Xiao Kai.

Walking by myself for half a year, and there are still 1-2 months to celebrate the New Year, so I won’t let myself be empty at home.Moreover, contacting Mr. Huang and 912 through Zhou Congwen can completely open up the high-end medical treatment in the imperial capital.

This was a big gamble, and Xiao Kai felt that his chances of winning were relatively high.To get rid of the disadvantage between the pair and Guan Xiaozhe, this is the winner.

Not surprisingly, Xiao Kai, who counted too much, won, and he won thoroughly.

Xiao Kai could not get in touch with the leaders of the city in the past, and it is already very remarkable to be able to get in touch with the level of a personal secretary.

But now, it's not a big deal to eat with the leaders of the city. After drinking too much, it's common for the leaders to call themselves brothers and sisters.

Guan Xiaozhe is not even a stumbling block to the current Xiao Kai.Looking condescendingly, Xiao Kai thought he was just a pebble.

But while his status was improving, his vision was also improving, especially when the half-year training period expired, Xiao Kai took the initiative to extend the training time.

Xiao Kai doesn't care much about whether his family will be emptied out.Hugging Professor Zhou Congwen Zhou's thigh is the most important thing.

Although the mouth said no, but the body was very honest.

An analysis of pros and cons is not as good as an instinctive choice.

Moreover, these are all pros and cons, and they are calculations. The thing that made Xiao Kai completely make up his mind today was that his behavior was also straightened out.

Xiao Kai lay on the bed, not sleepy, but he tried his best to soothe his spirit, waiting for Zhou Congwen's arrival.

In the darkness, he could hear his heart beating.

This is a fate-determining choice. After buying and leaving, I have no possibility to change it.

There are not many opportunities to change your life, and perhaps this decision is the most important in your life.

But Xiao Kai no longer hesitated, unconsciously, an arc was drawn at the corner of his mouth, and his smile was natural and firm.

Going to 912, getting in touch with newer and better medical care, and watching Professor Zhou Congwen Zhou go up step by step, is really a new and exciting life.

As time passed by every minute and every second, Xiao Kai had already made his own choice this night.

……

……

Three and a half hours later, the phone rang.

"Professor Zhou!" Xiao Kai answered the phone immediately, "You are here."

"10 minutes, how is the patient?" Zhou Congwen asked.

"The patient's condition is not bad. If the operation is not possible, he will suffer slowly. It is estimated that it will take 2-3 months before he dies due to exhaustion." Xiao Kai said, "The doctor's order for the operation has been issued, and I have also contacted the gastroscopy side. Just waiting for you to see the patient."

"Okay, try it." Zhou Congwen said very modestly.

Xiao Kai hung up the phone, straightened his tie habitually, and smoothed out the wrinkles on the white suit after putting it on, trying to make himself look more dignified and more academic.

This is also one of the "rules" of Zhou Congwen's medical team. Xiao Kai has already formed muscle memory after being tempered by the intense fire.

When I came downstairs, I received Zhou Congwen. After watching the film and materials, Zhou Congwen changed his clothes to see the patient.

These are all familiar processes.

Then went to the endoscopy room, Xiao Kai personally put on sterile gloves to cooperate with Zhou Congwen.

When he saw the date stone on the screen of the gastroscope, Xiao Kai felt relieved suddenly for some reason.

Your own judgment is correct.

Although Xiao Kai also knew that he was not capable of taking out the jujube pit without damage, but he had a magic skill——summoning Zhou Congwen.

During the operation, it can be seen that the jujube nucleus is located in the first stricture of the esophagus, invaded into the esophagus tissue, and is surrounded by pus moss.

Zhou Congwen took out the jujube stone with forceps, and a lot of pus overflowed from the esophageal injury.

Xiao Kai was a little worried, "Professor Zhou, is the esophagus okay?"

"It's okay, I don't need to put on the big air for the time being." Zhou Congwen said with a smile, "Fast water for 1 week to 10 days, it should be able to grow well. If it doesn't work, I'll come again and put the big air in."

Seeing that there was no date pit, Xiao Kai deliberately took it to explain to the patient's family.

At this time, Guan Xiaozhe also rushed over, he followed closely beside the patient's family, and even set Xiao Kai off several times in words.

In the past, Xiao Kai would have hesitated and weighed whether to fight back or not.But now that he had made up his mind, the world suddenly became clear.

Guan Xiaozhe is just a dirt dog guarding carrion, so he can't afford to devote his precious energy to him.

After sending the patient back, Xiao Kai stared at it for 10 minutes. Seeing that everything was stable, he told Director Ji about the precautions, and went to find Zhou Congwen.

Zhou Congwen had already changed his clothes, and stood at the end of the corridor outside the department, a white ganoderma lucidum dancing between his fingers.

Chapter 1525