Back in 2002 as a doctor

Page 474

Fortunately, the money I brought today was almost lost, but Zhou Congwen said that it would take less than an hour to play.

Dr. Zang looked at Zhou Congwen with a smile, "playing tricks", "Professor Zhou, do you have a photographic memory? But you didn't look at the cards. I have seen a master who started to play hidden cards after touching the cards with his fingers. You... ... thirty thousand."

"fork."

Zhou Congwen smiled slightly, and checked out two cards from the buckled ones, which turned out to be [-].

Chapter 0814 bullying is the funniest

"Uh……"

Everyone was stunned.

Zhou Congwen didn't say much, and the game continued.

It's just that no one spoke anymore, and no one chatted with Zhou Congwen about the hospital, so the atmosphere became weird and inexplicable.

Playing cards one by one, Zhou Congwen's "card skills" seemed to improve by leaps and bounds, the next player was under the watchful eye, and the other two were also miserable.

The weirdest thing is that Zhou Congwen didn't even look at the cards, and didn't use his thumb to touch the cards. Every card seemed to be transparent to him.

"Touch yourself."

"Professor Zhou, this is..." Doctor Zang asked in surprise.

"I'm lucky." Zhou Congwen said calmly, "What is the most important thing on the poker table, you can win if you play blindly. If you are lucky, you can't stop it."

"..."

"..."

Several people were speechless.

Obviously Zhou Congwen is talking nonsense, no matter how lucky he is, can he draw himself without looking at the cards?But how did he do it?

Countless questions arose above several people's heads.

After Zhou Congwen touched himself a few times in a row, everyone's faces were ashen and choked. Dr. Zang asked tentatively, "Professor Zhou, have you memorized all the cards?"

"Almost." Zhou Congwen admitted directly, "Do we do microsurgery? The texture of each card is slightly different, so I can remember it."

"!!!"

"If you don't want to play cards in a regular game, you can change cards. It's almost the same principle. It's not difficult to be a little tricky." Zhou Congwen said with a smile, "Playing cards is basically a clear card for me, so I said I won't let you."

"The first few..." Dr. Zang asked stammeringly.

"I have to touch it myself or watch you play to know what each card looks like." Zhou Congwen took out the Bai Ganoderma lucidum, and lit one on his own, "Don't be foolish, whoever of you dares to play tricks, be careful and I will hold grudges. "

Still have this?

Dr. Zang, Liu Wei, Shen Lang and others looked confused.

"I've always been stingy. When I was in the Third Hospital of Jianghai City, the old director refused to let me have surgery, so I sent him to the outpatient clinic." Zhou Congwen smiled slightly, flipped the card, and touched himself again.

Everyone was speechless.

"Huh, huh, huh~" Zhou Congwen began to shuffle the cards.

"It's an hour, it's an hour. You lose as much as you want. I just want to relax. It's really easy to play cards without technical content. Remember to call me when you play cards in the future."

After Zhou Congwen shuffled the cards, he took out Bai Ganoderma lucidum, and with a flick of his wrist, a cigarette jumped out and held it in his mouth.

The wrist turned again, and flames rose between the fingers.

Looks like an old gambler.

"..."

"I'll write down what I say. I'll write it down. In the future, the hand and anesthesiology department... Hahaha, don't be afraid of me, but I have a good relationship with Han Chu." Zhou Congwen said with a smile, "You don't have to play if you don't want to, but maybe When Han Chu will fall from the sky."

The three people at the poker table burst into tears.

This is... Telling yourself openly and honestly, Zhou Congwen is playing the bright cards, and he can only play the dark cards, the key is that he has to play the cards.

Losing some money is nothing, once Han Chu falls from the sky...

Thinking of Director Han, who is as fat as a ball, they feel ashamed.

I don't have any thoughts, I just hope that I can lose less when the hour is up.

Less is more.

But the wish is beautiful, the reality is cruel.

Zhou Congwen didn't go down after going to the dealership, as he said, he was playing his own cards.

Zhou Congwen seldom played the cards that others asked for. Although some of the cards looked weird at the time, it could be seen at the final showdown that Zhou Congwen played brilliantly.

It's really a bright spot.

After a few hands, Zhou Congwen's words were confirmed - he was indeed playing a clear card.

If you can't leave, no one will be foolish enough to provoke Director Han for this little money, even if it's just a possibility.

"Old Liu, playing cards is actually quite interesting, especially bullying people." Zhou Congwen said with a smile while playing, "Remember to call me when you play cards in the future."

Liu Wei cried the most sadly.

He has been in the society for so many years, and he has seen many things that his immediate boss likes to play mahjong.

What will the people under him do if they are a little self-motivated?

Let's play along.

Those with a high level can feed the leaders comfortably, while those with a low level... can only bite the bullet and lose, how can they still win.

Zhou Congwen's leadership is so damn hateful!

Playing mahjong with him is very worry-free. You don't have to think about how to control the game, because the whole situation is under Zhou Congwen's control.

But he hugged too hard!

In less than half an hour, the game was over.

In Liu Wei's prediction, Zhou Congwen should wave his hand generously and return the money to others.

After all, Qian Zhou Congwen, who is so rich in the medical team, doesn't even care about the three melons in front of him.

But when everyone silently watched Zhou Congwen pick up the money, they were speechless.

"Then I'll go first." Zhou Congwen smiled, "Come to play next time, call me."

Zhou Congwen talked to Liu Wei while walking away.

Liu Wei sighed deeply, his way of playing mahjong was completely smashed by Zhou Congwen, who would dare to call him playing mahjong in the future?

Even if you call yourself, do you have the nerve to go?

If Congwen comes back again in a week, his reputation in this circle will be completely stink.

The essential!

The essential! !

Zhou Congwen threatened people when he was playing cards, and he couldn't do it if he didn't play.

The whole hospital knew about the incident of bone cement used in orthopedics causing heart problems. Zhou Congwen and Han Chu had such a good relationship that they wore a pair of trousers.

With Han at his side, no one in the hospital would dare to offend Zhou Congwen because of his big fart little hygienic mahjong.

Liu Wei glanced at the mahjong on the table reluctantly and sighed.

"It's actually quite boring, what do you think, Lao Liu."

After going out, Zhou Congwen asked.

"Yes, it's boring." Liu Wei replied sadly.

"I have business with you today." Zhou Congwen said, "The operation the day after tomorrow will use the spinnaker technique."

"What technique?" Liu Wei was taken aback.

"How should I say it?" Zhou Congwen naturally knew how to say it, he just said casually, "Because it is a small incision, the pericardium and fat may block the surgical field, you understand this."

"Understood." Liu Wei nodded cautiously.

6, 7cm small incision for heart bypass surgery, every millimeter must be fully utilized.And Liu Wei still can't figure out how to do surgery with such a small hole.

In Liu Wei's limited experience, the sternum splitting field is sometimes not big enough, let alone the small "hole" chosen by Zhou Congwen.

"This technology is for you to decompress." Zhou Congwen continued, "Normal surgery requires sometimes left lung ventilation and sometimes right lung ventilation. It’s about lowering the bar.”

"After all, to find an anesthetist with a high level and who can cooperate with the surgeon, the medical team must spend enough time. This alone is enough to get stuck in most hospitals."

"Come on a little bit, I'll tell you in advance."

Chapter 0815 just look honest and honest

"Congwen, what is a triangle sail..." Liu Wei asked.

He has completely forgotten mahjong, at least not in front of Zhou Congwen.

It's not that I don't want to, how can I abandon a lifetime hobby in the blink of an eye.

Liu Wei is very clever, knowing that after he came to the Second Hospital of Medical University, he found a few like-minded "friends" to play mahjong together, which made Zhou Congwen very unhappy.

That's why Zhou Congwen played mahjong for half an hour today.

And it was this half hour of mahjong that made Liu Wei realize that the reason why Zhou Congwen performed a good operation is that he has real skills.

With a photographic memory and keen insight, these two skills alone make Liu Wei salivate.

Moreover, although Zhou Congwen didn't explicitly say that he was not allowed to play mahjong, Director Han warned him faintly when he moved out that Liu Wei knew very well that the consequence of his recidivism would be to return to Jianghai City with all his stuff.

Oh, admit it.

Zhou Congwen didn't say it clearly this time, and he "wasted" half an hour playing mahjong. It was for his own sake, and Liu Wei knew it.

It would be meaningless if you were shameless.Just can't play mahjong... Go home and scratch the wall with your hands.

"It's like this. The patients we need to undergo surgery are all elderly patients. Anesthesia is a hurdle for elderly patients. In order to improve the success rate of surgery and reduce postoperative complications, we should minimize the impact of one-lung ventilation on patients while making small incisions. trauma."

"Congwen, is there any difference between one-lung ventilation and double-lung ventilation? Aren't they all blown by a ventilator?" Shen Lang asked.

"It's very different." Zhou Congwen said lightly, "Our thoracic surgery, especially thoracoscopic surgery, requires one-lung ventilation.

However, the approach of collapsing one lung and ventilating the other with high tidal volumes complicates intraoperative airway management.

A collapsed lung increases intrapulmonary shunting, leading to hypoxemia.

According to research, after lung collapse, there will be hypoxic pulmonary vasoconstriction, which is a self-regulatory mechanism against hypoxia, through which blood flow in non-ventilated lung areas is reduced.

Correspondingly, blood flow increases in well-ventilated areas, which leads to a ventilation-perfusion mismatch. "

Zhou Congwen started rambling, but Shen Lang didn't fully understand.

But fortunately Zhou Congwen stopped soon.

"You don't understand if you talk too much. If you want to learn, find time to ask Lao Liu."

Liu Wei was ashamed, because he didn't understand everything Zhou Congwen was talking about.

At that time, I learned one-lung ventilation because I wanted to make my way in the anesthesiology department and let the director see my value.But by accident, he actually hugged Zhou Congwen's thigh.

Thinking of the old days, and now that he can get a generous "subsidy" from Dean Xiao Kaixiao every two weeks, Liu Wei feels awe-inspiring.

Whatever the leader needs, he will do it himself, otherwise there will be no subsidy.

If Kangzhuang Avenue is really turned into a single-plank bridge, thinking about it in the future, I will have to make trouble with myself.

"Interferon-α, interleukin-6, and macrophage inflammatory protein-1 are three important inflammatory mediators during one-lung ventilation. These are all details, so I won't go into details." Zhou Congwen added.

"Congwen, I'll go back and talk to Shen Lang." Liu Wei bit the bullet and pretended that he would.

Go back and hurry up to read the book, besides, Shen Lang is much easier to fool than Zhou Congwen.

Zhou Congwen nodded and continued, "The spinnaker technique uses its own extrapericardial fat to isolate the lung tissue from the pericardial cavity. It is easy to operate, does not require special equipment or gauze pressure, does not cause other side damage to tissues and organs, and can keep the surgical field clear. No lung tissue covering."

"During the operation, we need to insert a minimally invasive straight rod stabilizer from the anterior axillary incision in the 6th intercostal space. When performing proximal coronary anastomosis, the stabilizer should be used to compress the right ventricular outflow tract to expose the ascending aorta..."

Zhou Congwen talked "long-winded" for 10 minutes.

Liu Wei was stunned.