Back in 2002 as a doctor

Page 493

Zhou Congwen frowned.

Chapter 0847 to be a puppet

"Director Deng?" Zhou Congwen glanced at Deng Ming.

Deng Ming shook his head, indicating that he didn't know what happened.

Zhou Congwen was curious, "I'll go first."

After finishing speaking, Zhou Congwen turned around and tore off the surgical gown, took off the lead suit and threw it aside, and quickly followed Huang Lao.

"Okay, come and pick me up." Huang Lao finished the last sentence and hung up the phone.

"Boss, is there a consul who is sick? Which country?" Zhou Congwen asked.

This speculation is also wrong, Zhou Congwen knew it in his heart.

Mr. Huang shook his head, and said simply, "It's the one in England who is sick. Please consult me."

Zhou Congwen had never experienced this in his previous life, so he was slightly taken aback, "Isn't there Wellington here? Why are you looking for us? If even Wellington can't do it, we probably have enough trouble."

Huang Lao bent over and put his hands behind his back, and walked slowly to the dressing room.

"I had coronary artery bypass grafting before, and it took more than ten years, and the vein graft was blocked." Huang Laodao, "Now the heart is not supplying enough blood, and I am taking maintenance medication in Wellington."

"Why don't you have an operation?" Zhou Congwen asked.

Huang Lao turned his head and glared at Zhou Congwen, "Don't worry, listen to me slowly."

"Hey." Zhou Congwen picked up the small crew cut under the sterile cap.

"I had an operation. I just came on stage a while ago, but there was an accident with the anesthesia. I don't know what drug I am allergic to."

"..."

"The pharmacology institute has checked all the medicines, and there is nothing wrong with it." Huang Lao said, "This kind of inexplicable allergy is the most annoying thing. It takes a lot of effort to find out what the medicine is, and there may not be any results in the end."

"Yes, the boss is right." Zhou Congwen said.

"Now it is tentatively decided that Miyamoto of Juntendo will perform excimer laser ablation."

"That……"

"After all, I'm not an ordinary person, and I have the title of number one in the world." Huang Lao said lightly, "Go and take a look, in case the excimer laser ablation fails..."

"Acupuncture anesthesia?" Zhou Congwen suddenly remembered the anesthesia method his boss had mentioned in the Second Hospital of Medical University.

"Stupid or not." Huang Lao said, "How could it be possible to use acupuncture anesthesia for such a major operation."

Zhou Congwen let out a sigh of relief. He thought that his boss was so against the sky that even the second coronary artery bypass surgery could be solved with acupuncture anesthesia.

If that were the case, Zhou Congwen's world view would be overturned.

Fortunately, not really.

"If it doesn't work, we can only force it to the stage." Huang Lao said, "Wellington has nothing to do with it. If the patient's condition is getting worse, it is definitely not possible to maintain the medicine."

"I'll accompany you." Zhou Congwen said.

"No need." Huang Lao said, "You are honestly doing surgery at home, I heard yesterday that you have accepted some patients, waiting for you to go back to do the sleeve surgery.

The surgery at the Academician Workstation is different from our 912. Deng Ming and I have left, and there are still others doing it.Your side leaves you, not for the time being. "

"Okay." Zhou Congwen felt a little regretful, "Boss, do you have any solution?"

"Are you kidding? Do you think the doctors in Wellington and Cleveland are mentally handicapped?" Mr. Huang scolded, "They have nothing to do, and neither can I. The reason why I didn't take you there is because they have already decided to use excimer laser ablation." , I’m just going to be a puppet and watch excimer laser surgery by the way.”

"Then let's take a look, just in case I need you." Zhou Congwen said with a smile.

"It's probably going to be difficult. Don't worry about it, just focus on one-stop surgery. Although the number one in the world is just a false name, it's still useful to you." Mr. Huang warned, "Look, it's not Did you find me?"

"I know, Boss." Zhou Congwen said, "Then Director Deng will accompany you. If you need anything, call me anytime."

"You have a solution?" Huang Lao stopped suddenly, tilted his head, raised his head slightly, and looked at Zhou Congwen.

Seeing his boss's awkward posture, Zhou Congwen quickly bent his knees, keeping his eyes level with his boss.

"Boss, if the normal surgical methods don't work... If the patient's family agrees, you can try unconventional methods." Zhou Congwen said.

"Unconventional means take a lot of risk, and they should not be tried unless it is a last resort."

"Drug allergy, I don't know what it is, and the existing technology can't solve it." Zhou Congwen said, "I think I can try it."

Huang Lao smiled slightly, "I'm old, I can still do conventional surgery, unconventional methods..."

"I'll give you a hand."

"Say more."

The master and the apprentice talked about the unconventional treatment plan like a riddle. Neither of them pointed it out, but each knew it in their hearts.

Huang Lao didn't even question what Zhou Congwen said, but acquiesced that Zhou Congwen could do the kind of surgery that he rarely tried.

"Boss, pay attention to your body, jet lag is actually very important." Zhou Congwen said.

"Don't worry." Huang Lao said, "My health is not bad, not as bad as you imagined."

"Then you go and have a look. It mainly depends on the opinions of our department, and whether the family members of the patients can accept it."

"The department must think that nothing is wrong, and it has nothing to do with us."

"En." Zhou Congwen nodded, he was very clear about the priorities.

This is the toughest kind of patient.

In the handsome mansion, when encountering a patient whose rank is much lower than that one, the entire health care team should sit together and discuss it.

No matter what happens and the outcome of the treatment, it is a collective decision in the end, and if there is a blame, everyone will bear it together.

As for the rumors that a certain pancreatic cancer operation failed, the tumor metastasized, and the two surgeons on 912 were exiled to Western Xinjiang to move bricks, Zhou Congwen thought it was childish.

But the patient's matter was countless times more complicated, involving foreign affairs disputes, and he would have to bear the big blame if he failed.

Forget it, don't meddle in this matter, Zhou Congwen thought to himself.

To be honest and proficient in one-stop surgery, proficiency in 2003 and proficiency in 2030 are two different things.

There is no Da Vinci robot, no mechanical arm that can change the angle, and the operation is a little difficult for Zhou Congwen.

Do it beautifully and shock everyone!

Accompanying the boss to change clothes, Zhou Congwen saw that his boss didn't say a word, silent like a sculpture, presumably the boss should be thinking about the treatment there.

"boss……"

"Zhou Congwen, do you think excimer laser technology is practical?" Mr. Huang interrupted Zhou Congwen's question and asked.

"..." Zhou Congwen burst out laughing.

How did I make such a big mistake.

The reason why the boss went to London was to see Shun Tendo's excimer laser ablation besides being a puppet.

"It is useful, but the machine should be very expensive. It is said that excimer laser ablation should be used under optical coherence tomography."

"In 1998, I saw the optical coherence tomography technology in the "Science" magazine, and I thought it was a bit interesting." Huang Lao said, sighing, "It's a pity that our Republic is developing, and we can't spend a lot of money on scientific research. cost."

Chapter 0848 Traveling across the ocean to see excimer laser ablation

Zhou Congwen knows that optical coherence tomography has not been around for a long time, and with the level of his own boss, he must be able to see the huge value contained in it at a glance.

"From the invention of the microscope to the X-ray, technological progress has been remarkable.

The application in medicine allows us to observe the morphological structure that cannot be directly seen by the naked eye in the form of images, which promotes the development of medical diagnosis.

I have told you many times about CT. There was no CT before, and some cerebral hemorrhages and cerebral infarctions are difficult to differentiate and diagnose. "

"Yes, boss." Zhou Congwen said, "At present, CT is not popular in China, and MRI is only available in large hospitals, but it also falls to municipal hospitals."

"Development is still necessary. Only development is the last word. Talking about anything else is nonsense." Huang Lao sighed, a little bit reluctantly.

"Ballistic photons and snaking photons returning in scattering media, I have studied these terms for a long time.

The optical path difference with the reference light is within the coherence length of the light source, and interference occurs. I went to the Academy of Sciences to ask Xiao Zhai for this principle. "

"Hey, boss, you are really modest." Zhou Congwen said with a smile.

"You must always know that this is the most cutting-edge technology." Huang Lao said, "Although there may not be one in China for a while, or even when I leave, I always feel itchy if I don't look at it." Huang Lao said He said lightly, "After the research, I think it's quite simple, and I have also simulated many sets."

While talking, Mr. Huang pointed to his head, indicating that Zhou Congwen was imitating it in his mind.

There should be, Zhou Congwen thought to himself.

Since 2001, the Republic has accumulated a lot of accumulation and is changing with each passing day. No one can guess the speed of development.

I still remember that a post on the Tianya forum about when to surpass Japan was scolded out of Xiang.

Even if the saber uses its imagination, the predicted time seems so unimaginative in the face of the facts.

More than ten years later, everyone began to discuss whether to build an ion collider in China, which is a big project worth tens of billions.

But standing in 2003 to see this matter, it is simply unimaginable.

Pushing forward more than ten years, the Three Gorges Project will have to issue treasury bonds, even at the national level, there is no money to build the Three Gorges Dam.

But more than ten years later, the Three Gorges Dam is no longer the largest hydropower station in the country.

Still need to develop, the boss's words are right.

"The optical path difference between the diffuse photon and the reference light is greater than the coherence length of the light source, and interference cannot occur, so that the ballistic photon and snake photon with the information of the measured sample are extracted and imaged, which can realize high-resolution imaging of biological tissues non-invasive tomographic measurement of

Sitting on a chair in the locker room, Huang Lao said a series of unfamiliar words leisurely.

For others, even experienced doctors would not understand it at all, but Zhou Congwen did.

As he spoke, Mr. Huang rubbed his right thumb, index finger, and middle finger.

Zhou Congwen understood, he smiled and took out a cigarette, "Boss, just smoke half a cigarette."

"Stingy." Huang Lao said unhappily, "I am a little excited when I think of seeing an optical coherence tomography machine."

Seeing his boss's childlike expression, Zhou Congwen smiled, handed the white ganoderma to the boss, turned his wrist, and a ball of flames burst out.

"You don't do it like this way of lighting cigarettes." Mr. Huang muttered, "As a surgeon, the most precious thing is your left and right hands."

"Boss, it's here." Zhou Congwen pointed to his head.

"quibble."

"Yes, the boss is right." Zhou Congwen hesitated helplessly.

This way of lighting cigarettes was learned from watching Hong Kong movies when I was in college. It’s cool, and young people like it.

The boss has never been stubborn in technology, and he will not draw a picture.But in daily life, he is really old and stubborn, as stubborn as a stone.

Zhou Congwen lit a white ganoderma lucidum himself and sat opposite the boss.

"Zhou Congwen, what do you think the intracoronary optical coherence tomography machine is like?" Huang Lao asked Zhou Congwen, but it was more like talking to himself.

"A time-domain optical coherence tomography technology that superimposes and interferes the optical signal reflected from the tissue at the same time with the optical signal reflected by the reference mirror, and then forms an image." Zhou Congwen said with certainty.

Mr. Huang was a little surprised, but then he looked at Zhou Congwen in relief, "Do you have research?"

"I have a little understanding. The equipment produced by Zeiss was published in the magazine "Science" at that time, and I have been paying attention to it." Zhou Congwen said, "Shuntian... I guess it is for the emperor's coronary artery bypass surgery. The price, prepare in advance. To say that, they are also hardworking."

"I went to Tokyo to see his film, and it can be maintained for the time being, and the royal family is also hesitant." Huang Lao said lightly, "The problem is not big, and the difficulty of the operation is very small.

But you are right, Shun Tendo is also preparing for the blockage of the vein bridge ten to twenty years later, but I did not expect to use it now. "

"Boss, do you estimate the probability of success is high?"

"Gao, didn't I say it, this time I'm going to see the clinical application of excimer laser ablation technology." Huang Lao said, "Sooner or later, there will be one in China, look at it early, simulate it early, and clear some obstacles for future machines to come in. "

The temper and talent of his boss are really enviable. Zhou Congwen accompanied the boss to smoke a cigarette and then returned to the boss's office.

Soon, the Ministry came to pick up Huang Lao and Deng Ming.

Zhou Congwen did not leave in a hurry, but took care of the patient at 912 for a day, and then left after the patient's tube was removed.

……

……

London, Wellington Hospital.