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He knew very well why three holes were drilled—the first one was an inspection hole, and the latter two were operation holes, which were relatively close to the appendix and were easy to operate.
However, Zhou Congwen only used one hole to solve the problem, the sleeves interacted with each other, and the position was far away from the appendix, which was more than twice as difficult as ordinary appendectomy.
It can even be said that the difficulty of the operation will increase geometrically.
"Xiao Zhou, don't talk nonsense, you must have done many sets, right?" Dr. Gao asked directly.
"Hehe, because the patient is young and beautiful." Zhou Congwen smiled and said a slang word in the operating room.
Being young and beautiful does not mean that the patient is really the same as Liu Xiaobie, young and beautiful, and well-groomed.
It refers to fat and thin within the normal range, not much fat, and no abnormal deformities in the abdominal organs.
Everyone knows how important a young and beautiful patient is.If appendectomy is difficult, it will be difficult.
The chief directors were sweating all over their foreheads, and if they couldn't find the appendix for several hours, they could see it once in a year or two.
Indeed, the most important thing is to be young and beautiful.
"But it can't be so fast." Dr. Gao said confusedly.
"Just get used to it, maybe it's because I do more thoracoscopy." Zhou Congwen said casually.
"Really?" Doctor Gao still couldn't figure it out.
But it doesn't matter whether you can understand it or not. The single-hole laparoscopic technique demonstrated by Zhou Congwen touched Dr. Gao's heart.
After the instrument nurse finished counting, she immediately turned her head and said, "Xiao Zhou, you are amazing. I didn't expect you to do so impressively once Lao Wang left."
"Do you still think we are dead?" Zhou Congwen smiled.
"Yes." The equipment nurse didn't hesitate to say, and said directly, "At that time, we all guessed whether there could be more than five thoracic surgeries a year. I didn't expect that you can do so many in a week or two now, which is unexpected."
"That is." Zhou Congwen was slightly proud.
"I used to want to do breast surgery too." Dr. Gao saw that Zhou Congwen had already started suturing, so he stopped thinking about the operation and was going to go back and think carefully, as if he could do it himself.
The operation was "smooth", and I will go out and talk to some family members later, and the director may be shocked when he comes tomorrow morning.
"Yeah, our chest is so good." Zhou Congwen followed Dr. Gao's words, "The surgical field is bright, unlike neurosurgery, with a big fart, and you dare not touch anything inside."
"When I was in the rotation department of the People's Hospital, something happened and I gave up the thoracic surgery." Dr. Gao began to recall, "I was outpatient for the director that day, and a female patient came to ask about the medical history, physical examination, and film. Exclude pneumothorax and rib fractures. I think there is a small amount of pneumonia, let the patient take a look."
"and after?"
"The patient said he didn't want to watch it, and less than 10 minutes later, the medical department called me and asked me to come over." Dr. Gao thought of the past, not sad, but a little happy.
"Medical department? What did you do to the patient?" the anesthesiologist asked, "Old Gao, I didn't expect you to be such a person with thick eyebrows and big eyes."
"Bah, what kind of person am I?" Dr. Gao said disdainfully.
"What happened next?" The little nurse was anxious to listen to gossip and interrupted their conversation.
"The patient was very upset. When he saw me, he said you apologize and I'll leave, to save you some face." Dr. Gao said, "I just thought I needed some face. I was young at that time, so I just sent the patient back. "
"The patient also exploded, pointed at my nose and called me a hooligan, and said he would take me to see underwear."
"Neiyi? Isn't it the Department of Respiratory Medicine? There's nothing wrong with it." The anesthesiologist also came from the People's Hospital. He recalled the structure of the People's Hospital and asked suspiciously.
"What is the internal medicine department? The patient thinks it's the clothes!" The equipment nurse understood it, and said contemptuously, "Old Gao, it's good if you don't get beaten to death by the patient's lover just because you talk like that."
Zhou Congwen was speechless.
You have to deduct money for talking about homophonic stalks, which is indeed reasonable.
If I and Liu Xiao don't tell her to take her to see underwear, I'm afraid that the leg knife will be cut on my body in the next second.
"Yes, although it was a misunderstanding, I still apologized to the patient. I didn't want to go to the chest department after that. If a patient said that I had a chest attack, I guess I would not be able to explain it clearly in my life."
"People's patients are also reasonable, okay? You look like this, so no one wants to talk to you. It's your fault if you don't care about what you say!" The little nurse directly reproached Dr. Gao's words.
Zhou Congwen sewed up the incision after hearing a joke.
At this time, the patient was also on the verge of sobriety and began to feel restless.
"Brother Gao, I'll go back first if it's okay." Zhou Congwen was in a better mood when he heard the "ding dong" sound of the task being completed in his ear.
Chapter 0345
Doctor Gao Zhou Congwen said a few words politely, and made an appointment to have dinner with Zhou Congwen in a few days, then hurried down to explain to the patient's family.
An operation that could not be explained at first has become like this. Dr. Gao walked with his head held high, walking like a tiger, walking like a dragon, walking like a tiger, and walking like a triumphant.
This operation was just one of them, and Dr. Gao's heart was pounding because he found his reason to continue.
Zhou Congwen knew Dr. Gao's emotions very well. When the multi-hole endoscope evolved into a single-hole endoscope in his previous life, he was extremely proud in the system training room.
Dr. Gao touched a little threshold, plus he went out to explain the condition to the patient's family, and the director would definitely come to introduce him tomorrow morning, so he should be in high spirits.
Going to change clothes alone, Zhou Congwen smoked a cigarette slowly before returning home.
When he saw the big poplar tree at the door, Zhou Congwen suddenly had an idea - cut it down.
If it weren't for breaking the law by cutting down trees, Zhou Congwen might have used a scalpel rope to saw the wood and knocked down the big poplar tree in the middle of the night.
Passing by the house of the landlady on the first floor, Zhou Congwen tiptoed around like a thief.
In the past few days, he didn't want to see Liu Xiaobie anymore, not at all.
Maybe in a few days Liu Xiaobie will forget about that princess hug, although Zhou Congwen knew he was thinking too much, but after all, he had something on his mind.
……
……
With the vigorous promotion of physical examination, more and more patients with small pulmonary nodules have been screened out.
In the past, patients would definitely go to the People's Hospital for consultation. Even if Li Qinghua gave a slide show and let the patients and their family members watch his own surgery video clips, the patients would still go to the People's Hospital for consultation.
This is a fixed inertia that has been formed for countless years. In the hearts of the citizens of Jianghai City, the position of the People's Hospital is unshakable. People under the age of 40 may all be born in the People's Hospital. No one can do anything about it.
However, the vast majority of patients are more determined to undergo surgery in the third hospital after consultation.
After all, there are professors from the Second Hospital of Medical University. After all, cutting only a little bit of the lung sounds infinitely more acceptable than directly cutting the lung lobes at the People's Hospital.
This week, six patients stayed for surgery, and Li Qinghua screened all patients with small pulmonary nodules who were doing well, and there was basically no difficulty.
He cautiously recommended patients to find Chen Houkun in the Second Hospital of Medical University for those who were slightly difficult, and even called Professor Chen specifically to help patients contact beds.
Zhou Congwen didn't think that Li Qinghua was too careful, but rather recognized his approach.
Now the Thoracic Surgery Department of the Third Hospital is just a sapling, unable to withstand the wind and rain.
Perhaps one or two medical accidents in the Department of Thoracic Surgery of the People's Hospital can be overcome, but as long as there is one medical accident in the Department of Thoracic Surgery of the Third Hospital, the meager reputation accumulated before will disappear in smoke.
On Friday, Li Qinghua gathered all the films of the patients who were going to be operated on tomorrow, and asked Zhou Congwen to read the films together, making final decisions to see if there were any accidents that could be avoided.
The patient's films were very simple, but Zhou Congwen was not impatient. No matter how small a medical matter is, it is a big one.
Sitting in Li Qinghua's office, the two chatted and read the film.
"Dong Dong Dong~"
"Please come in."
A family member of the patient opened the door and came in. Seeing Zhou Congwen there, he smiled embarrassedly, "There is someone here, then Director Li, please be busy first."
Li Qinghua smiled and said, "Come in, please close the door by the way."
Seeing that Zhou Congwen's buttocks were heavy and motionless as if a lead had fallen, the patient's family gave him a contemptuous glance.
Zhou Congwen knew that he was despising himself for being ignorant.Obviously, the patient came to "express" before the operation.
"We don't accept red envelopes here. Even if you throw them away, I will still have to pay your hospitalization fee. That would be more troublesome, so don't bother." Li Qinghua said straight to the point, "Is there anything else?"
The patient's family members had already heard about how much money the People's Hospital charged for surgery, and he came here for this purpose.
Hearing what Li Qinghua said, the family members of the patient hesitated for a moment, and then said awkwardly, "Director Li, even with a little care, it doesn't cost much."
"You don't have to be so polite." Li Qinghua smiled, "Besides, the operation is performed by Professor Chen, and he has already paid the fee for hiring an external expert, and nothing else is needed."
The patient's family members moved their lips, as if they wanted to say something, but they held back.
"Just say what you have, don't think too much."
"That... that... Director Li, my father is the fourth operation, can you mention the first one?" asked the patient's family.
"You don't understand now." Li Qinghua laughed, "Six patients, the third and fourth operations are in the best positions. I specially arranged it, are you sure you want to adjust?"
"Ah?" The patient's family members were taken aback, puzzled.
"Actually, the first one is not the best state for the operator. It's like running. You have to get familiar with the rhythm at the beginning."
The family members of the patient pondered over what Li Qinghua said, and it seemed that there was some truth in it.
"The first and second surgeries are warm-ups. The professor of the third and fourth surgeries is not yet tired and is in the best condition. I specially reserved the best surgical position for the old man. Don't worry." Li Qinghua said with a smile.
"Hmm." The patient's family members were grateful and bowed again and again.
He took another vicious look at Zhou Congwen, thinking that Zhou Congwen was in the way, and finally bowed and left.
"Don't talk nonsense when you go back, or else someone else will find an acquaintance to change the operation position, and I will have to make trouble." Li Qinghua warned.
"Yes, yes, yes." The patient's family members thanked each other and left.
"Ugh."
When the patient's family members went out, Li Qinghua sighed softly.
"Director, you can talk quite well." Zhou Congwen said with a smile.
"I can't help it. The first few have to be done well. The sequence of operations was decided yesterday and brought up early in the morning. According to the order of age, I have to explain a few more words." Li Qinghua said helplessly.
Zhou Congwen laughed, completely understanding Li Qinghua's thoughts.
Generally, the family members of the patients on the first and second stations will not come to look for them, and the family members of the patients behind will be anxious to change places.
Zhou Congwen knew very well that if the family members of the patient at the last station came to find him, he would be able to guess what Li Qinghua said.
The professor is in a hurry to go back to the provincial capital, the operation ahead must be done in a hurry.
The last one, the time is determined, if it is late, I will not go back, if it is early, there will be plenty of time, so the one that is done is the most calm and careful, and it will benefit more than the previous patients.
After listening to the patient's family members, they feel that it makes sense, and they will leave with satisfaction.
In fact, which one is different, it is not opened, the linear cutting stapler is sent in, and everything is done with a click.
But with a director who can talk like Li Qinghua, Zhou Congwen can save a lot of worry, and he is very satisfied.
Chapter 0346
Chen Houkun Professor Chen is still the same, he arrives one day early and has a good night's rest.
In fact, the surgery in the Third Hospital is very simple, and Chen Houkun and Li Qinghua are usually the first to perform the surgery.Then Li Qinghua went halfway through, and the doctor came to change the bed, and he went to open the second one with Zhou Congwen.
After the second operation, the operation became infinitely easier. Every time Chen Houkun came up, he only needed to shoot.Kakaka, two shots of the linear cutting stapler, the wedge resection is over, and the operation is very boring.
But Chen Houkun still didn't dare to be careless. He often walked by the river, and there was no one who didn't get his shoes wet.
Even though the cooperation with the Third Hospital of Jianghai City has become increasingly tacit, Chen Houkun still has to maintain his physical strength and energy, and treat every operation as if it requires emergency rescue.
Moreover, one of the most time-consuming key points is not the operation, but the stage of finding small nodules in the wedge-cut lung lobes.
If the hemp is numb, cut and cut, but the small nodules are still there... This is a signboard. Chen Houkun always takes the trouble to find the small nodules.
I saw the patient early in the morning on Saturday. In fact, Chen Houkun had watched the movie twice, and it was completely fine.
Zhou Congwen drove to pick up Chen Houkun, and said after meeting, "Brother Chen, today's operation is a little troublesome."
"Ok?"
"You do the underworld first, and I'll prepare the underworld."
Master Shi has always been as calm as a stone, and it seems that nothing can touch his nerves.
But hearing what Zhou Congwen said about Yin and Yang, even Master Shi trembled slightly, and the red flag swayed a little, but he immediately recovered his composure.
Zhou Congwen felt the Hongqi car tremble, and immediately realized that his "black words" seemed to scare Master Shi.
"Master Shi, don't be afraid. The underworld I'm talking about is not the underworld, but the operating room for patients with negative tests."
Master Shi was like a rock, without even nodding his head.
Did he hear his own words? Zhou Congwen had no way of knowing, but he continued to explain, "Yangjian is the operating room for patients who have tested positive. Some diseases are contagious, as you know. Today, two patients were positive for hepatitis B, and they were put in one operation room. time."
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