Back in 2002 as a doctor

Page 931

"That's good." Director Ji smiled.

"A piece of X-ray plain film, let Mr. Li see the effect of CT enhancement, it really makes me ashamed." Director Zhang Shanchang said with emotion.

"so smart?!"

"Well, the earliest CT machine in our country was fiddled with by Mr. Li, and it fell into the Imperial Hospital." Director Zhang Shanchang said quite proudly, "The experts of the older generation who are still on the front line of clinical practice are all national treasures."

"Mr. Huang is also on the front line of the clinic." Director Ji said, "Zhou Congwen is really lucky!"

He was envious.

But having said that, who doesn't envy Zhou Congwen's luck in clinical practice?

After changing their clothes, the two entered the operating room.

The anesthesiologist had already completed the anesthesia, and the inpatients of the gastrointestinal tract always checked the hand shop list. Director Ji took a special look at the laparoscopic equipment, and it was necessary to be safe.

After all, there must be no mistakes in doing things according to Dean Tan's instructions.Otherwise, it would be difficult for him to do his job if he was caught by this group of turtles.

Swiping his hands onto the stage, Director Ji operated it himself from the moment he opened the skin, entered the poking card, and took a look with the camera.

Under the lens, a small amount of serous fluid can be seen in the abdominal cavity, and the intestinal viability is good without necrosis.

Seeing this scene, Director Ji heaved a sigh of relief, "Let me tell you, it's fine."

"It's definitely fine." Director Zhang Shanchang said, "It's very clear on the video."

The operation continued. Director Ji was going to end the operation in the shortest possible time. When Dean Tan came, he would show him the stone and plug the guy's mouth with the stone.

But what happened next was a bit weird.

Most of the small intestine was dilated in the operative field, and the terminal ileum at the distal end of the intestinal obstruction collapsed. A tumor in the cavity was found at the transition point of intestinal obstruction about 30 cm proximal to it, and the rest of the organs were unremarkable.

Director Ji used laparoscopic forceps to explore, and found that the blockage in the intestine seemed to be larger than expected.

"Director Shanchang, it doesn't seem to be a stone."

"impossible!"

Chapter 1602 Devil's Eye ([-])

"Director Shanchang, this thing looks big, it doesn't look like a stone." Director Ji moved the laparoscopic pliers a couple of times, found the location of the obstruction, and then poked, poked, poked, poked, and said with more doubts.

"Impossible!" Director Zhang Shanchang said stubbornly, "On the imaging, a 3cm high-density shadow can be seen in the lumen of the distal ileum, the center is a low-density area, and the proximal bowel is dilated and the distal bowel is collapsed. "

"The largest diameter is only 3cm, how could it not be taken out."

"Director Shanchang, why don't you watch it yourself." Director Ji looked at the endoscopic TV screen on the opposite side, and said to Director Zhang Shanchang, "Here, it is here, with a diameter of at least 6-7cm."

"impossible!"

Director Zhang Shanchang is still stubborn. This is the self-confidence brought to him by his professional skills, and it can even be said to be domineering.

But in the face of the wider position shown on the TV screen and the diameter visible to the naked eye, his voice gradually lowered.

"The incision of the laparoscope is too small to be taken out." Director Ji complained, but did not continue.

In the next sentence, it must be good to open the stomach, but saying this now means slapping myself and Zhang Shanchang in the face, killing two birds with one stone.

"Impossible, how did such a big thing fall from the bile duct into the duodenum." Director Zhang Shanchang said to himself suspiciously.

"Is the diagnosis wrong?"

"Impossible, absolutely impossible! This is taught by Mr. Li, a typical Roujiamo sign, a typical devil's eye!"

Zhang Shanchang said firmly.

Director Ji once again heard Director Zhang Shanchang talk about Roujiamo and Devil's Eye, and felt helpless.

Seeing is believing, this thing is so big, Director Zhang Shanchang must have missed it.As for Roujiamo and Devil's Eye, Director Ji thinks it's not practical at all.

"It's at least 7cm in diameter, and it can't fall out at all. You read it wrong." Director Ji's hands were a little numb, and while he was thinking about how to explain to Director Tan, he said something to Director Zhang Shanchang.

"Who said that?" came a strange voice.

"How did you do the laparoscopy, don't you say you need to have surgery!" Dean Tan's voice came over immediately.

Director Ji turned his head and saw a tall young man and Dean Tan walking in.

"Professor Zhou... Zhou... Zhou." Director Ji greeted quickly.

"The cause of gallstone ileus is that huge gallstones enter the intestinal tract, and the diameter of stones that can cause intestinal blockage is generally more than 2.5cm. Turner reported a case of gallstones that caused obstruction with a diameter of 1cm." Zhou Congwen lifted hand, Director Heji motioned, and explained.

Zhang Shanchang almost choked on Zhou Congwen's words.

17.7cm?Can a gallstone of this diameter pass into the bowel?

This is what can't happen!

The 17.7cm gallstone shot across director Zhang Shanchang's mind like a meteor, and hit his heart.

With a bang, Director Zhang Shanchang's three views were shattered.

But he knew that Zhou Congwen was speaking for himself, even though director Zhang Shanchang didn't agree with this statement.

Just as he was about to express his gratitude, Zhou Congwen said, "Although it is not gallstone intestinal obstruction, gallstones should not be underestimated. Gallstones that can cause intestinal obstruction are generally large in diameter, and the sediment-like ones are discharged."

"!!!"

"Director Ji." Zhou Congwen narrowed his eyes, "Do you want to help?"

"Professor Zhou, are you interested?" Director Ji was still immersed in the huge calculus, which violated the laws of anatomy, so he was a little confused and slightly indifferent to Zhou Congwen's proposal.

"Intestinal obstruction is rare. I just asked the patient's family and friends about the past history." Zhou Congwen said while walking to brush his hands.

He only spoke half of what he said, and the rest of the people in the first hospital of the Medical University in the operating room were in a mess.

"Fortunately, Professor Zhou is here." Dean Tan directly reprimanded Zhou Congwen, regardless of whether Zhou Congwen was from the First Hospital of the Medical University or whether he would frustrate his own directors.

The operating room was quiet, even director Zhang Shanchang fell silent.

"Professor Zhou asked me to ask the family members of the patient if there was anyone playing with walnuts around. The patient's lover came to his senses and went home to see that there was only one pair of dull-pointed lion heads left."

"What is a pointed lion head?" Director Ji was a little confused.

Director Tan was proud of himself, and he briefly told a few people about the stuffy lion head.There are not many people playing with walnuts in Northeast China, and this matter is relatively new.

After the science popularization, Director Tan said proudly, "It turns out that the patient's wife has recently become obsessed with Wenwan walnuts. She didn't want his wife to play with them, so she hid one secretly, and his wife looked around at home."

"What does that prove?" Director Zhang Shanchang said in a low voice.

"It proves that the thing that caused the obstruction was a walnut, not a stone." Dean Tan said, "Let's see, Professor Zhou performed the operation himself, and the result will be there soon."

Walnut!

Director Zhang Shanchang pondered for a long time, but still didn't believe it.

Soon after Zhou returned from brushing his hands, he saw that Director Ji had removed the endoscope, so he said with a smile, "It's okay to take a look with the endoscope, if it works."

Director Ji was stunned for a moment, Zhou Congwen was speaking for himself?

If I were myself, shouldn't I be proud to stand in the position of the surgeon at this time, and prove that I am right with the facts, and everyone else here is weak?

But Zhou Congwen seemed worried that Dean Tan would have an opinion on him, so he helped him say something intentionally or unintentionally.

"Professor Zhou, come here."

Director Ji took the initiative to give up the position of the operator, and was about to leave back to back with his assistant, and stood on the opposite side of the first assistant, when Zhou Congwen said, "No, it will be soon, you can just cut it directly."

Zhou Congwen stood opposite, and began to ask the equipment nurse for things.

Director Ji stabilized his mind and began to follow the procedure of laparotomy.

With a knife in his hand, he was about to cut it when he suddenly paused, looked up at Zhou Congwen who was opposite him and asked, "Professor Zhou, what cut?"

"Huh? A normal laparotomy... oh, nothing special, just open it and take out the things." Zhou Congwen said, "The simplest exploratory laparotomy."

Director Ji was sweating profusely. Holding a bow and knife, he bit the bullet and cut it down.

Originally, he was familiar with the steps in his bones, but under Zhou Congwen's "stare", his movements were slow, and the scalpel in his hand was like a weight.

Seeing Director Ji's jerky push, Zhou Congwen knew that he was a little nervous.

Just like the students I have brought, it is absolutely different whether I am present or not.

"Director Ji, why don't I do it?" Zhou Congwen asked.

Director Ji felt relieved and handed the knife to Zhou Congwen.

"Professor Zhou, you should do it." Director Ji said with a smile, "The number one surgeon in the world is watching me operate, I really can't do it."

Chapter 1603 Devil's Eye ([-])

After the incision was made, dry gauze was pressed on the incision. Zhou Congwen saw that Director Ji was restrained, his movements were procrastinated, and he did not have the demeanor of a mature surgeon, so he slapped the knife on the patient's leg and received electric cauterization to stop the bleeding on his own.

Director Ji was a little ashamed, Zhou Congwen put too much pressure on himself, so that he behaved abnormally.

But this is also expected, after all, this young man has the halo of being number one in the world.

In the past, from the standpoint of a bystander, Director Ji could say some sarcastic remarks with contempt, such as Zhou Congwen is a doctor in cardiothoracic surgery, and it is better to do gastrointestinal surgery by himself.

But now that Zhou Congwen was standing in front of him, the pressure was so shocking that Director Ji felt his hands were shaking.

Countless legends flooded into my mind, booming.

For example, how domineering Zhou Congwen was, it had nothing to do with him in the past, but now if he was hit on the head with a hemostat, he might lose his face for the rest of his life.

"Director Ji, do me a favor."

Zhou Congwen's words interrupted Director Ji's wild thoughts.

The bilateral pupils returned to normal, focusing on the surgical field under the shadowless lamp.

Uh... Director Ji was taken aback.

I just lost my mind, why Zhou Congwen has already entered the stomach!Is the operation done so quickly?

Director Ji quickly got up and asked the equipment nurse for a film-covered protective pad, which he clamped with pliers.

"There's nothing wrong with the intestine." Zhou Congwen touched the patient's intestine with his hand and briefly described it.

"There is an intraluminal mass at the position of 30cm from the terminal ileum, and everything else is normal."

This is for postoperative surgery records. Zhou Congwen belongs to the role of an outsourced expert, and he certainly wouldn't sit in front of the computer after the postoperative period and type on the medical records.

So he had to tell what he touched and saw to avoid trouble after the operation.

But doing so is similar to teaching surgery, treating Director Ji as his own student, and Zhou Congwen feels a little annoyed by his meticulous nagging.

Reaching out for a knife, Zhou Congwen cut the intestine 4cm longitudinally. Zhou Congwen gently squeezed it, and a dark red object appeared in the operative field.

"Professor Zhou..." Director Ji was taken aback, "What is this?"

"Walnuts." Zhou Congwen held the walnuts in his hand with a smile. Under the light of the shadowless lamp, the walnuts looked a little dark in color, but they were not digested by the digestive juice, and "strongly" maintained their original shape.

Zhou Congwen touched the walnut with his right thumb, and he was satisfied that he didn't find any "thorns".

Walnuts are not partially digested by the digestive juice, and there are no sharp spots, so it is difficult to cause side damage.

Good.

"Can you sew?" Zhou Congwen asked.

No one answered his question, and the atmosphere on the operating table was slightly awkward.

Seeing that Director Ji was "playing" with walnuts in a daze, Zhou Congwen knew that he fully understood what the situation in front of him meant, so he tapped Director Ji's radial styloid process with the pliers in his hand.

"..." Director Ji was taken aback.

"Can you sew?" Zhou Congwen asked again.

"Yes... yes." Director Ji stammered, not sure.

What this said, even Director Tan almost got his head between his legs, and he didn't want to see Director Ji make a fool of himself.

"Then you sew, I'll do it first." Zhou Congwen handed the walnut to the equipment nurse.

Before he could turn around and step off the stage, he stretched out a hand towards the equipment table.

"Crack~~~"

The moment the "black hand" didn't enter the sterile area, Zhou Congwen picked up the hemostatic forceps at hand and threw it over, hitting Director Zhang Shanchang on the forehead.

Zhou Congwen's power is more refined, and his muscle memory shows the demeanor of the world's number one surgeon in a flash.