Back in 2002 as a doctor

Page 921

Well, in terms of treatment... In any case, they can't catch up with doctors in big cities, because they don't have the latest medicine and the best equipment. "

"And even if there is, so what? The equipment in Jianghai City can be said to be first-class in China. After all, is the group company rich?" Zhou Congwen said, "But judging from the thoracoscopy, no matter which director is willing to carry out it."

"It's very troublesome to explain it clearly, so it's okay not to say it." Zhou Congwen said, "You have to get rid of the thinking of a doctor in a small hospital and enter 912 as soon as possible..."

Shen Lang waved his hands impatiently, "Congwen, you are very annoying, you are getting more and more verbose when you talk."

Zhou Congwen was speechless.

"I know." Shen Lang smiled and felt that he was too casual, so he said, "I really worked hard, otherwise how would I want to be admitted to Dean Deng's graduate and doctoral students."

"You don't need to take the test, just go straight to it." Zhou Congwen said, "But I must be the one who will perform your surgery."

"I feel a generation lower than you." Shen Lang complained softly.

"Call the little uncle to listen."

"Cut." Although Shen Lang knew that "inexplicable" was one generation lower than Zhou Congwen, but it was necessary, "Congwen, do you think there is any difference?"

"You are in it, you can't feel it. Let me ask you something, how many people are there in the Pathology Department, the Third Hospital of Jianghai City?"

"Six!" Shen Lang replied without hesitation.

"Well, guess how many people there are in 912."

"..." Shen Lang shook his head.

"The old director is the undisputed No. 150 existence of superficial pathology in the country. There are four chief physicians and sixteen deputy chief physicians. The attendings are all like small handymen, and they are not ranked at all. In addition to cellular immunity and materials collection Technicians and other miscellaneous people, etc., the department dinner is close to [-] people."

"!!!" Shen Lang was dumbfounded.

The pathology department is a marginal small department in the Third Hospital of Jianghai City. I didn't expect the pathology department of 912 to be so large.

"The Second Hospital of Medical University, you know." Zhou Congwen said, "We don't talk about technology, but the size of the staff. Tell me."

"Such a big gap." Shen Lang murmured.

"Jianghai City's Department of Surgery performs 20 operations a day. The Second Hospital of Medical University performs about 912 operations, and 300 performs about 5 operations a day. The technicians who collect materials need five people to work continuously."

"Let me tell you something, exfoliate cells, have you done it?" Zhou Congwen asked.

"Did it."

Although Zhou Congwen asked vaguely, Shen Lang knew what it meant.

For malignant pleural effusion of lung cancer, the drainage fluid is taken and sent to the pathology department for examination of exfoliated cells, which is a routine procedure.

However, the pathology department of the Third Hospital of Jianghai City basically could not detect cancer cells, so when in Jianghai City, clinicians gradually stopped sending them for inspection. If necessary, they would suggest patients' families to send samples to the provincial capital for testing.

"Why can't we find out? Apart from the equipment, it's just that the centrifugation time is not enough." Zhou Congwen said, "It's really hard to develop a small hospital, all kinds of dawdling. But there are not so many opinions on 912, so you can Even if you want to dawdle, you can't do it, so many surgeries every day are enough for you."

Chapter 1584 Large Thrombosis

Zhou Congwen and Shen Lang chatted while eating. For this friend who went to eat skewers when he was paid in the previous life, Zhou Congwen felt that he was already very caring, and the rest was up to Shen Lang himself.

The words of supporting and supporting have almost been said, and there are more things that Zhou Congwen can't do.

The days on 912 were actually similar to those in the Second Hospital of Medical University, except that the surgery was the surgery, and there was no difference between the day-to-day life.

But both Zhou Congwen and Shen Lang enjoyed it.

Zhou Congwen has already started to study radiofrequency ablation, and through his boss, he contacted the Ministry of Nuclear Industry, and Liu Xiaobie set up a new company to produce radioactive particles, and was going to try particle implantation for the treatment of cancer.

Particle implantation belongs to targeted radiotherapy. Zhou Congwen recalled countless times the situation of the boss at the last time, and believed that only particle implantation can relieve the disease, if the primary lesion is not found in the first place.

In response to this matter, Zhou Congwen almost overbearingly asked the boss to have a full physical examination three times a year, and even threatened to move out the boss' wife for this.

However, his boss is in good health and has never found any problems. For this reason, Zhou Congwen has often been stared at by his boss.

For the elderly, if you are afraid that you will get sick, the best way is - you won't have it if you don't check it.

Even Huang Lao is still unavoidable.

But how could Zhou Congwen agree, he tried to persuade his boss to have a physical examination time and time again with the eyes of his boss.

A few months later, the imperial capital is full of autumn.

Zhou Congwen had just undergone surgery, and was sitting in the locker room smoking an "after-event cigarette" with his boss, when suddenly the boss's cell phone rang.

Elder Huang listened to the other party's statement silently and hung up the phone.

It was too late to smoke, Huang Lao straightened his body, put on the isolation gown of the operating room, and walked out quickly.

Zhou Congwen knew that there should be an urgent consultation, or the boss would at least change his clothes before going.

"Boss, what's the matter?" Zhou Congwen asked.

"A foreign engineer suddenly lowered the temperature of his lower limbs." Huang Lao said simply.

"Lower extremity arteries are occluded?" Zhou Congwen asked, "How serious is it?"

"The B-ultrasound showed that it spread from the tibial artery to the heart, and the vascular surgeon dared not move it." Huang Lao said.

"..."

Even Zhou Congwen was stunned.

From the tibial artery in the lower limbs to the heart?Is this a blood clot?

It's no wonder that a disease in the vascular department has to call the boss. Similar operations are definitely not something that the vascular department can do.

Just like this, the whole country probably only the boss dared to do it.

"That's a long thrombus." Zhou Congwen was surprised.

"Tens of centimeters, maybe one meter, it belongs to a large blood clot." Mr. Huang walked quickly and said "nonsense", Zhou Congwen followed closely behind his boss, wondering what a one-meter long blood clot is like of.

Zhou Congwen had never heard of the word large thrombus, and he also encountered countless large thrombus.

But even with Zhou Congwen's clinical experience, the largest thrombus ever seen was only 20cm.

Although the days are ordinary, for a doctor, accidents can happen at any time, such as a large blood clot of nearly one meter.

When he came to the ICU, Zhou Congwen helped his boss change his clothes. Mr. Huang didn't wait for him after changing his clothes, and hurried in with his body straight.

In the corridor of the ICU, Zhou Congwen heard violent shouts.

The painful voice was like a ghost in hell, which made people feel chills.

Moreover, the patient had shortness of breath, with a familiar voice of pulling the wind box.

Just by listening to the sound, Zhou Congwen was sure that the patient had at least heart failure, and he had to see the patient for the rest.

"Transfer to Xiangjiang." After Zhou Congwen pushed open the door, a voice came, "The patient is a foreign engineer. It is too dangerous to stay in our 912 for treatment."

"..." Zhou Congwen was taken aback for a moment, and then realized that the identity of the patient sometimes had a great impact on the treatment.

"International friends", in the face of sudden critical illness, it is indeed a good way to transfer to Xiangjiang, which can avoid a lot of trouble.

But can the patient's physical condition really hold up?

The director of 912, Wei Aimin, stood in front of the ICU bed, and the words just now were said by the director.Deng Ming was on the side, passing the stethoscope to Huang Lao.

The patient was crying out in severe pain, which had a certain impact on the auscultation, but this couldn't help the boss.

Dean Wei was arranging the patient's transfer, and Mr. Huang carefully auscultated, checked, and scanned with B-ultrasound.

"It's too late." Mr. Huang put down the B-ultrasound probe, "President Wei, please contact the embassy of the country where you are. The patient's condition is critical. He may die suddenly if he can't get on the plane."

"Old Huang, he is from Finland." Dean Wei reminded in a low voice.

"No matter where he is, his condition is very critical and he is going to be operated on." Huang Lao waved his hand without doubt.

Dean Wei was stunned, but he didn't argue with Huang Lao.

When it comes to medical matters, Mr. Huang has the final say. This is an unspoken rule of 912.

And even if the patient is transported away, if he really dies on the way, there will be quite a lot of trouble.

"Dean Deng, you handle this matter." Dean Wei blamed Deng Ming.

Deng Ming nodded, he knew it would be like this.

But he is the vice president in charge of the clinic, so there is no way he can escape.

Looking at the patient, Zhou Congwen picked up the B-ultrasound probe and scanned it briefly.Indeed, the images displayed on the B-ultrasound proved that the thrombus... was at least one meter long.

What the hell!Zhou Congwen cursed in his heart, he had never seen such a large thrombus.

The last time I saw a thrombus of about 20cm, I was already dumbfounded. As a result, the thrombus of the Finnish engineer in front of me far exceeded the longest thrombus I encountered in my previous life.

After Zhou Congwen's physical examination, it was found that the patient had atrial fibrillation and the arterial pulse of the left leg disappeared.This is a typical case of a dislodged heart embolus leading to arterial embolism of the lower extremities.Thrombectomy must be performed as soon as possible.

Even if the patient is transported to Xiangjiang and survives to that side, one leg cannot be saved, at least amputation is required.

The boss's opinion is right, regardless of the patient's nationality, he has to have surgery if he bites the bullet.

And what about transshipment Xiangjiang?Hybrid surgery, in the world, I and my boss do the best, there is no other.

"Boss, how do you think the operation should be done?" Zhou Congwen frowned. He didn't care about how Deng Ming would handle this matter. Those were not medical treatment but administrative matters, so Zhou Congwen asked his boss directly.

"What do you think?" Elder Huang also frowned, looking at the patient, he also seemed to be stumped, and kicked the ball to Zhou Congwen.

Zhou Congwen didn't feel anything, and thought for a while, "Boss, I suggest hybrid surgery. The Department of Vascular Medicine will follow up, cut the femoral artery under local anesthesia, and use a balloon to remove the thrombus."

"Well, I think so too." Huang Lao said.

If Zhang You said this, Zhou Congwen would think it was opportunistic, but this was said by his boss, Zhou Congwen breathed a sigh of relief.

Chapter 1585

"Deng Ming." Huang Lao greeted.

"Boss." Deng Ming was making a call with his mobile phone in hand. When he heard his boss greet him, he hurried over.

"You contact the Ministry and the Finnish embassy. I will perform the surgery first." Huang Lao said.

"Okay." Deng Ming replied cautiously.

This is what his own boss said. If it were someone else, Deng Ming would definitely beat the fan.

In the Liaison Department, foreign affairs disputes are very troublesome.

In fact, Deng Ming still tends to send patients to Xiangjiang.

"Do you have any family members?" Zhou Congwen asked.

"There is a colleague who came."

Zhou Congwen sighed, but he picked up the pen and paper as quickly as possible, and wrote a pre-informed consent form in Chinese and Finnish.

"Boss, I'm going to explain to the patient's family," Zhou Congwen said.

At this time, Mr. Huang was instructing people to carry the patients. After hearing Zhou Congwen's words, he waved his hand and motioned him to do it himself.

Zhou Congwen walked out with a bilingual preoperative explanation.

The general manager of the ICU looked at Zhou Congwen's back in a daze.

"Boss, I'm fine at last." The day shift nurse let out a sigh of relief, "I'm really worried that the patient will die in the ICU."

This kind of worry is inevitable, because of the nationality of the patient, if there is a death, the ICU of 912 will have to jump around for at least a week.

As for the final result, no one can say for sure.

It's not that there is no precedent. It is because the precedent is too tragic and bloody that the little nurse can breathe a sigh of relief.

If the patient has any problems now, Mr. Huang will take the greatest responsibility.The old man's shoulders are strong and he can bear it.

"I have to say that Mr. Huang is responsible. Fortunately, Mr. Huang is here." The boss of the ICU whispered.

"That's right, it's Mr. Huang!" said the little nurse, "It scared me to death. I can't understand the language, and the patient can't understand anything. Boss, do you think his thrombus is really 1 meter?"

"I don't know." The boss of the ICU sighed, he really didn't believe that the thrombus could be 1 meter.

But the images on the B-ultrasound are objective evidence.

When there is a difference between objective evidence and subjective cognition, the boss of the ICU does not dare to insist.Not to mention him, even Zhou Congwen has never seen a one-meter thrombus.

"Boss, I understand one piece of paper written by Professor Zhou. What is the messy writing on the other piece of paper? It doesn't seem to be in English." Another little nurse came over and asked.

"I guess it should be in Finnish." The three views of the boss of the ICU were severely impacted today, and he said in a trance.

Zhou Congwen communicated with the patient during the physical examination, and he spoke Finnish.