Back in 2002 as a doctor

Page 646

At this moment, Mr. Huang dropped the pen in his hand, leaned back on the chair, and closed his eyes.

"Boss, that's it. I said that it's not too much to be number one in the world next year."

Zhou Congwen asked very flatly.

"Not too much, if there are consumables." Huang Lao gave an affirmative answer.

Chapter 1102 Sweaty BMW

In Mr. Huang's office, there were only him and Zhou Congwen. Deng Ming was doing the operation and was not involved in it.

After receiving the honor, Deng Ming intentionally stayed away from the World Cardiothoracic Surgery Competition.Everyone knew about it, but no one mentioned it.

Huang Lao saw it in his eyes, but he never said it, so he pretended not to see it.

For Mr. Huang, the operation is the most important thing. No matter what the little guys under his hands do, as long as the operation is not delayed.

He is very aware of his weaknesses, and he can't become a master, maybe it wasn't a problem when he was still there.But once they leave, these students will face a lot of pressure.

If you just want to be safe, that's fine.But can Zhou Congwen be peaceful?Does he have a peaceful personality?

Zhou Congwen's goal must be an academician of the Chinese Academy of Sciences and Chinese Academy of Sciences, so don't even think about it.

But Zhou Congwen's shortcomings are also obvious - not enough qualifications.

Therefore, Zhou Congwen's desperate efforts to be number one in the world can be regarded as a means of accumulating qualifications.

Before this goal, any impact factors and the like are pediatrics, which are not useless, but not great.

The neurosurgery boss in the Temple of Heaven is already considered a scholar, but for some reason, when evaluating academicians, he was unwilling to let his students be promoted, which made the city cheaper.

The gossip and even the psychological details between Huang and Lao are clear, he understands that he is already old, and the young people still have a lot of future, and he just needs to escort him for many things.

However, Zhou Congwen's idea was very good. After a few days of research, Mr. Huang and Zhou Congwen had already determined the whole process of the operation.

But at the beginning, they talked about interventional valve surgery, but after only one day, the discussion ended because there were no consumables, and the two began to chat about valve replacement surgery under thoracoscopic surgery.

Although thoracoscopic surgery is very difficult, there is no situation where surgical consumables do not exist.

"I'll find time to find a patient." Huang Lao said, "This is your first thoracoscopic valve replacement surgery, so be careful."

"Boss, look at this." Zhou Congwen said with a smile, "But the anesthesiologist and others, I will lead them from the Second Hospital of the Medical University."

"I know, they will definitely share this big fruit." Huang Lao Youyou said, "It doesn't matter, as long as the level is good enough. They can take a good look at the first operation, and no one will compete with them."

"Boss, you have worked hard these days, take a good rest." Zhou Congwen said, "I'll go back right away."

"In such a hurry?"

"You have assigned a lot of tasks, and they are very heavy." Zhou Congwen pretended to be sad, and said with a smile, "There are thousands of operations a year. Even if you throw Director Deng to the Second Hospital of Medical University, you may not be able to finish them."

"I heard that you turned Baishui Central Hospital into your back garden?" Huang Lao asked.

"Just throwing knives." Zhou Congwen said, "Simple patients are sent to Baishui Central Hospital for surgery, mainly for wedge surgery. Complicated patients are sent to the Second Hospital of Medical University, where the comprehensive level is higher."

"There are also problems, that is, the distance is relatively long, but fortunately, the highway is not bad, and it won't take long to drive."

"Pay attention to safety, especially when running at high speed." Huang Lao urged.

"I know, boss." Zhou Congwen said, "I don't know if you know that there is a prefecture-level hospital where the director of the Cardiac Surgery Department has just returned from studying in Japan and is commissioned as the director."

"Oh, the father of the caring director's family passed away, and then we rushed to the provincial capital for the funeral together." Huang Lao said calmly with his eyes closed.

Zhou Congwen smiled, the boss didn't seem to gossip, but in fact he was quite well informed about all kinds of news.

He didn't continue talking, but started to collect his notes.

Since we all know this, there is nothing to talk about.

The new director, who just returned from studying abroad, went to help with funerals and funerals before he could flex his muscles.I just got off the highway early in the morning because of poor vision and fatigue driving, the car directly hit the guardrail.

There were 4 people in a car, 3 directors, deputy directors, and professors were gone at that time, and the head nurse was paraplegic.

A car accident wiped out the heart surgery department of a prefecture-level city, and set back the local surgical level by at least 10 years.

It's a pity to say it.

Zhou Congwen knew very well what his boss told him to pay attention to safety.

The expressway is still slightly dangerous. When will the high-speed rail be open, Zhou Congwen thought to himself.

Now there are green leather trains, and it takes at least 4-5 hours from the provincial capital to Baishui City.It only takes 45 minutes for the high-speed rail to open.

There is a world of difference between the two.

"Ring, ring, ring~" Huang Lao's landline rang.

"Hey."

"Boss, are you busy? Come to the operating room to take a look?" Deng Ming's voice came.

"Did you not treat today's patient?" Elder Huang asked a little unhappy.

Zhou Congwen smiled. His boss had seen the film and the patient before the operation, and knew everything about today's operation.It's not difficult, Director Deng can't do it... It's really unreasonable.

"No, Boss." Deng Ming hesitated, but quickly explained, "The operation has been completed, but suddenly Xiaofang's toe was found to be bleeding, and I couldn't find the wound."

President Fang?

Zhou Congwen frowned.

"Okay, no need to come down, I'll go up and take a look." Huang Lao hung up the phone and stood up.

"Bleeding, no wound?" Zhou Congwen asked.

"Xiao Fang usually has nothing to do, I'll take a look."

"Hey, is it hard work?" Zhou Congwen laughed.

Sweaty BMW is just a joke word, representing the relatively rare sweat blood disease.

However, since it is a rare disease, Zhou Congwen just said something casually, and did not think that it would really fall on the hospital manager.

"Zhou Congwen, let me ask you, what is your first consideration." Elder Huang walked out of the office with his hands bent.

Zhou Congwen turned around and closed the door, walked beside the boss, thought for a while, "Chlorfazimine."

Clofazimine can effectively increase the sputum negative conversion rate, lesion absorption rate and cavity shrinkage rate in patients with multidrug-resistant tuberculosis without increasing the incidence of adverse drug reactions. It has gradually become one of the important drugs that can be selected in the treatment of MDR-TB. one.

After oral administration of clofazimine, sweating will turn red, which is also an obvious side effect of this type of drug.

It's just that clofazimine is not a routine anti-tuberculosis drug, and few doctors know the name of this drug in clinical practice.

Mr. Huang nodded upon hearing what Zhou Congwen said.

That's what he thought about too. Although Mr. Huang knew Mr. Fang didn't have tuberculosis, clofazimine was still the first thing he considered.

Of course, there are some other possibilities, but we need to see Mr. Fang first, and then ask about the medical history.

In the locker room, a group of doctors surrounded him.

"Xiao Fang, you are going to travel thousands of miles a day and eight hundred nights." A professor laughed, "No wonder Mr. Huang talks to you a lot recently, and I see that you are a great horse."

Mr. Fang had a mournful face, thinking that this joke was not funny at all.

Chapter 1103 Total Sequelae of Hospitalization

"Boss." Deng Ming respectfully picked up his boss.

"what happened?"

"Old Huang." Mr. Fang wanted to stand up, but Mr. Huang put his hand on his shoulder and pressed down.

"Has it appeared before?" Huang Lao asked warmly.

"No." Mr. Fang knew that he was a patient now, and he sat on the bench in the locker room, "It was fine before the operation, but during the operation, the soles of my feet were hot, so I took off my slippers and stepped on the floor barefoot. "

Young, the firepower is really strong, Deng Ming thought to himself while holding the thermos.

I am getting old, no matter how much supplements I take, I can't make up for Xiao Fang.

"After the operation, the itinerant nurse saw blood on the ground and was startled, thinking that we had punctured something during the operation." Recalling the process, Mr. Fang said helplessly, "Then I saw blood on my foot. bleeding."

Mr. Huang didn't interrupt Mr. Fang's statement, and listened silently.

"I didn't notice it at the time. When I came to the locker room, Xiao Hou wiped it for me, but I couldn't find the wound. Then Director Deng helped me look, but I couldn't find the wound."

"Let me take a look." Huang Lao said.

Mr. Fang was a little embarrassed, but he still lifted his foot and put it on another stool.

Mr. Huang refused Deng Ming and Zhou Congwen's support, squatted in front of Mr. Fang's feet, wiped it with sterile gauze, and then looked for the location of the split skin.

Zhou Congwen followed and saw that Mr. Fang had no wounds on his feet, but there were reddish "sweat".

It looked really scary.

"Never before." Huang Lao asked the question again.

"Yes, Mr. Huang, this is the first time."

"Have you used methylene blue lately?"

"No."

"Have you used iodide?"

"No."

"I don't have tuberculosis, and I haven't used clofazimine." Huang Lao asked for one medicine after another.

"It's useless." Mr. Fang said.

"Yeah." Huang Lao stood up with his waist supported, "The skin color of both feet is normal, without any skin lesions."

"Do a routine examination of blood in urine and stool, and then do a big biochemistry."

"Good boss." Deng Ming replied.

"Give me the gauze, I'll go to the laboratory."

"Boss, do you want to see it for yourself?"

"Looking for the red blood cells is a delicate task. I don't worry about other people doing it." Huang Lao said.

Zhou Congwen immediately put the gauze that had just wiped the red "sweat" on Mr. Fang's feet into a sterile bag and held it in his hand.

"Let's check first, don't worry, it's not a serious illness." Huang Lao patted Mr. Fang on the shoulder.

"I know, Mr. Huang." Although Boss Fang said so, it was obvious from his expression that he was suppressing his anxiety.

Huang Lao didn't say much, turned around and left the locker room.

Zhou Congwen followed behind his boss, "Boss, what are you thinking about?"

"It's okay." Huang Lao said with certainty, "Go and look for red blood cells under the microscope. If there are no red blood cells, it is not blood sweat."

"And check for fungi."

"Yeah." Huang Lao nodded, he also thought of what Zhou Congwen added, but he didn't have time to say it.

"It's not blood sweat disease, it's color sweat disease." Zhou Congwen said with a smile, "It's rare to see it, but I didn't expect to encounter it around me. Mr. Fang is also, how can he get such a strange disease."

Normal human sweat is colorless.

Sweat that is colored due to various reasons is called chromatohidrosis.

Chromatosis is a rare disease.Yellow is the most common color sweat, and others are blue, green, brown, purple and black, colorful, and often combined with underarm odor.

But Mr. Fang's situation is quite special, in the position of his toes.

And it is a relatively rare red sweat.

"Zhou Congwen, tell me the main points of chromatic hyperhidrosis." Huang Lao asked casually as he walked to the laboratory with his hands behind his back.

This is all routine, Zhou Congwen has long been used to it, and he predicted that the boss would ask himself.

"Forget it, you said there are several types of sweat glands."

"There are two types of sweat glands in the human body: eccrine sweat glands and apocrine sweat glands.

Eccrine glands are what we usually call sweat glands. They are composed of a secretory part and a ductal part. The secretory part is located in the deep dermis and subcutaneous tissue. to light and dark cells. "

"It's long-winded, I didn't ask you to endorse, let's get to the point." Huang Lao scolded.