Back in 2002 as a doctor

Page 533

"Win the monkey and get the crown." Zhou Congwen said lightly.

"Yes! That's the word." Shen Lang said, "There are at least [-] to [-] doctors in the big rounds, six or seven professors leading the group, and hundreds of patients. Although I have never been to Xiehe and Huaxi, I have always heard people talk about it. "

Shen Lang was a little envious, but he immediately thought that he was in the Second Hospital of Medical University, and he might go to 912. It seemed that he was not far from the legendary rounds.

"Director Wang always said that he took the three of us for a big round of ward rounds. Many of the diagnoses he said were specious, just to bully us young. I went back to read the diagnosis he said many times, and it was not the case at all."

"That's true." Zhou Congwen nodded.

"Until that day, Director Wang hit you with medical records. I didn't know he encountered a problem that I didn't know, so I threw the blame on you in advance.

Although I know it has nothing to do with you, I don't have the courage to stand up and speak for you.I thought it was over for you at first, but Director Wang has another clue in the future, so he can handle it whatever he wants. "

"But I didn't expect you to talk so much and explain things clearly. Do you still remember the pennant that the patient gave you before he was discharged from the hospital? Your own name was on it, without Director Wang and the head nurse. It's so ridiculous. .”

"Patients and their families are not smart enough." Zhou Congwen said, "Sending the pennant like this is to set up the attending doctor."

"At that time, Director Wang's face was very ugly. I also thought that although you forced a patient and cured it, life will probably be very difficult in the future."

"But I didn't expect Director Wang to beat you in the next few days!"

Shen Lang made an exaggerated gesture, full of sighs.

Zhou Congwen smiled.

It would be no wonder if Wang Chengfa could beat him, it was thanks to the blessing of the new society, and he had long been accustomed to the rhythm of cracking down on gangsters and eliminating evil, so he didn't dare to go one step further, so he left a way for Wang Chengfa to survive.

"Congwen, I thought about you every day during that time, and suddenly one day I figured it out. You are the legendary enlightenment!"

Zhou Congwen sighed.

Although what Shen Lang said was messy, the basic meaning was the same.

I have indeed become enlightened. With decades of experience, the inheritance of the master, and the half-dead system, it is no wonder that Wang Chengfa can resist.

"How did you become enlightened, teach me." Shen Lang's disappointing tears almost flowed down the corner of his mouth.

"Don't make trouble, what can't be enlightened. I can recite all the books I've read, not to mention memorizing backwards, but it's almost the same. I have accumulated a lot of knowledge. Do you know what is a accumulation of knowledge?"

What Zhou Congwen said is correct, after all, the profound accumulation in the previous life is unimaginable to most people.

"I do not believe."

The two returned to the ward while chatting.

Xiao Kai was still sitting in the office, supervising Peng Yiming and the others practicing the operation of the thoracoscopy with cardboard boxes like a supervisor.

"Busy." Zhou Congwen greeted after entering.

"Professor Zhou, I took a look on stage just now." Xiao Kai stood up and said with a smile, "It's bleeding like milking."

He only said a few key words, but Zhou Congwen knew what Xiao Kai meant.

"Are you going to ask someone from your circulation department to study?" Zhou Congwen asked following Xiao Kai's words.

"I have this idea, but if I am here, they will probably be very cautious, so they will wait for me to go back." Xiao Kai said, "Professor Zhou, our central hospital has admitted some patients, and I would like to ask you to throw a knife. I don't know if it will affect this situation." face rhythm."

"It doesn't matter." Zhou Congwen said, "Surgery still needs to be done, and we can't put all our energy on the competition. The competition is a method, a means, and in the end it still has to fall on promotion."

"Promote thoracoscopy?" Xiao Kai seemed to have thought of something, but he was not sure, he said vaguely, "If it's just to promote thoracoscopy, I always feel that something is missing."

"It's minimally invasive." Zhou Congwen said softly.

"Yes!" Xiao Kai patted his thigh.

"With the advancement of science and technology in the future, all treatments will enter the field of minimally invasive treatment." Zhou Congwen said, "The cold war is over, and a large amount of military technology hoarded will slowly enter the civilian field. Treatment methods that have not changed in the past few decades may be in the future. Every day for 20 years could change."

"Military technology?"

"For example, the excimer laser ablation equipment used by Dr. Miyamoto was originally researched in the military field; let me give you another interesting example." Zhou Congwen sat down, holding a mobile phone in his hand, waiting for the equipment nurse to call himself.

"The frontline rescue work of American soldiers is very advanced, and remote control has begun to be studied."

"..." Xiao Kai was speechless.

He couldn't understand what Zhou Congwen said.

"That is to say... there is a robotic arm, and doctors can remotely control the machine through signal transmission thousands of miles away to perform operations on traumatized soldiers."

"Is this black technology?"

"It's, it's not." Zhou Congwen said, "I've seen some literature write that because of the end of the Cold War, some highly confidential military technology has entered the civilian field. Like the Internet?"

"Isn't that taking off your pants and farting?" Xiao Kai murmured, but then he realized that he was a little impolite, so he laughed, "The machine must not be cheap, but it seems that we don't need to throw knives in the future. It's just our current Internet speed... …It’s hard to describe.”

Zhou Congwen smiled, the Internet speed in China is indeed very slow now, and the speed of downloading movies and playing games has been criticized.

But in a few years, everything will change.

But this is not what Zhou Congwen wants to say.

"It costs tens of thousands of dollars to start the machine, which is very expensive, but it has its own advantages." Zhou Congwen said, "For example, the thoracoscopic surgery we are doing now goes straight, and some places can't be seen at all."

"Yes!"

"I did a sleeve cut, and when the blood vessels were anastomosed, the anesthesiologist had to use a bronchoscope to help me stare at the blind spot of the angle of view. Dean Xiao remembers it."

"I know." Xiao Kai looked at Zhou Congwen, carefully thinking about what he was going to say.

Chapter 0919 a general teacher who is scarcer than love

"A laparoscopic machine based on military technology can reverse the angle." Zhou Congwen shocked Xiao Kai in place with one sentence.

The angle can be converted, 360° without dead angle!

If thoracoscopic surgery can reach this level, the troubles of clinicians will disappear.

The rest is familiarity with the local anatomy.

It depends on the talent and diligence of each person.

If what Zhou Congwen said is true, then the sleeve surgery is not too difficult, and there are more surgeries that can be carried out!

Zhou Congwen looked at Xiao Kai and smiled slightly.

He didn't want to tell Xiao Kai about the future, because those things Xiao Kai couldn't accept at all, they were beyond his dreams.

Now students can only get a general teacher in groups of several people when they are in anatomy class.

Go back to the dormitory and memorize the anatomy book carefully, and then go to the anatomy teaching and research room to implement what is written in the book.

This opportunity is quite rare, almost once in a lifetime for most medical students.

Generally speaking, teachers are more scarce than love.

You may encounter many love affairs in your life, but there is a high probability that you will only meet one general teacher in your life.

However, after 20 years, you can easily find detailed local anatomy videos on Bilibili. As long as you want to learn, there are a lot of opportunities.

Of course, opportunity does not mean that a successful doctor can stand out just by watching videos, but at least the threshold has been lowered.

As for 30 years later, simulated general teachers have appeared on a large scale. Although the price is very expensive, it is still a big step forward.

40 year later...

Zhou Congwen thought of the ever-changing era of technological explosion, the cold war dividends were eaten up, the accumulation of science and technology was gradually exhausted, and the capital did not make any progress and only thought about eating the stock, he also felt a little emotional.

Explosion, peak, delay, decline, these are objective laws, you can re-watch after rebirth, Zhou Congwen finds it quite interesting.

"Professor Zhou, thoracoscopy can really do this."

"That kind of machine is called a Da Vinci robot. When I go to 912, I will ask the boss to install one." Zhou Congwen laughed. Do you want to do combined pancreaticoduodenectomy?"

"It can be done, but it depends on whether you can live after the operation." Xiao Kai said the truth.

"In the future, if you master the da Vinci robot and use minimally invasive surgery, patients will not need to be admitted to the ICU after major surgery such as pancreas and duodenum."

"!!!" Xiao Kai was speechless.

Although he witnessed Zhou Congwen's small incision and one-stop heart bypass surgery patients can walk out of the ICU on the first day after surgery, which is shocking enough.

But after all, it is Zhou Congwen and Huang Lao's surgery, and it is the top medical level in the country, and even in the world.

But combined pancreaticoduodenectomy is also possible, without even going to the intensive care unit?

Zhou Congwen's cell phone rang.

"Xiao Liu, are you here?"

"Well, please, Professor Zhou." The equipment nurse said politely.

"Professor Zhou, do you still have a consultation?" Xiao Kai asked when Zhou Congwen hung up the phone.

"During the operation, I heard the equipment nurse say that the old man in the family has Alzheimer's disease. I think it's a bit strange, and it may be a misdiagnosis, so I want to see it." Zhou Congwen said.

"..." Xiao Kai was silent.

Although he has gradually gotten used to Zhou Congwen's various mysteries and inconceivables, Zhou Congwen will bring him more "surprises" every time.

"Can I follow along?" Xiao Kai asked.

"Let's go." Zhou Congwen got up, Xiao Kai and Shen Lang followed behind, and went to the B-ultrasound room together.

When I came to the B-ultrasound room, equipment nurse Liu Na was comforting an old man in a wheelchair, and three or five family members accompanied him to see the doctor.

Seeing Zhou Congwen and the other three approaching, a family member of a middle-aged patient greeted him.

"Professor Zhou, I'm really sorry to bother you at such a late hour."

Zhou Congwen smiled and raised his hand when he saw him walking towards him.

But the family members of the patient walked past Xiao Kai with smiles on their faces.

Zhou Congwen didn't mind admitting to the wrong person again, but Xiao Kai did. He quickly said, "I'm not Professor Zhou, this is."

The patient's family was taken aback.

"Third Uncle, he is Dean Xiao from Baishui City, and he came to Professor Zhou's medical team for advanced training." The equipment nurse also saw this slightly embarrassing scene, and quickly explained.

The content of this sentence is too rich.

Although Baishui City is not as good as the provincial capital, a dean came to the medical team of Professor Zhou, who was too young to be ridiculous...

The family members of patients don't know much about the operating principles of the medical industry, but this sentence sounds awesome.

He did not underestimate Zhou Congwen, but bent over with an apologetic smile on his face, "Professor Zhou, I'm sorry."

"Hehe." Zhou Congwen smiled, "How long has the old man been in this situation?"

"It's been 6 or 7 months, and she was confused at first. We took her to all major hospitals and saw the same diagnosis—senile dementia. She was prescribed medicine, but it didn't help. Now her physical condition is relatively poor, I guess ..."

When the patient's family members said this, they paused for a while, and then swallowed back the unpleasant words about how long they would not live.

While this is true, there are some truths that no one wants to hear.

"Let me take a look." Zhou Congwen had a physical examination while "chatting" with his family members.

While busy, push the patient into the B-ultrasound room and prepare for the B-ultrasound.

In the medical history, the patient had cognitive impairment for less than 12 months, increased social isolation, partial memory loss, apathy, and decreased self-care ability. He had visited a psychiatric department, but drug treatment had little improvement.

In the last three weeks, the patient's symptoms of "senile dementia" have rapidly worsened.

Theoretically speaking, it should be rapidly progressive dementia caused by other reasons, and this diagnosis is ready to come out.

Zhou Congwen glanced at the test sheet of the patient two weeks ago, and then helped the old man to the examination bed.

"What to do?" asked the doctor in the B-ultrasound room.

"I'll come, okay?" Zhou Congwen asked.

The doctor in the B-ultrasound room didn't know whether to laugh or cry, he frowned and said with a smile, "Professor Zhou, right? He's been famous for a long time."

Zhou Congwen's name was already well known in the Second Hospital of Medical University and in the medical circle in the provincial capital.Coupled with the recent incident of Mr. Huang chasing him with a broom, and the fabled ban on Jiang Hu, most people are even more interested in Zhou Congwen.

Even the B-ultrasound room knew about him, and Zhou Congwen was helpless.

I don't know if the boss is tired now... Forget it, let's not think about the boss first, it's important to check up the patients.

After applying the couplant, the doctor in the B-ultrasound room was stunned, "Professor Zhou, where to check?"

"thyroid."

"..."

The doctor in the B-ultrasound room just listened to Zhou Congwen's "casual" inquiry about the medical history. Knowing that this is a patient with Alzheimer's disease and recently had an eating disorder, he thought he needed to do liver, gallbladder and spleen.