Back in 2002 as a doctor

Page 458

"Professor Zhou, do you have any reason?" Director Tang did not laugh at Zhou Congwen, but asked cautiously.

"Come together." Zhou Congwen glanced at Director Tang, hesitated for a moment, then turned to greet the patient's family, "Come to the office and let me talk."

"..."

Everyone looked at each other.

Purple urine, black sesame... Shen Lang heard the melodious cry of black sesame paste in the advertisement.

Does this thing matter?

Although he was full of doubts, Shen Lang judged from his expression and movements when he first heard about the purple urine in the cardiothoracic surgery department that he must have full confidence.

But Zhou Congwen's advice was so strange. Without further examination, medicine, or injections, just quit black sesame paste and urine would change color. It seemed like a joke.

Back at the doctor's office, Zhou Congwen asked, "Director Tang, ask about the results first."

Director Tang nodded, picked up his mobile phone and made a call to ask about the report of the general hospital inspection.

Director Tang soon hung up the phone after saying a few words, "Professor Zhou, Klebsiella pneumoniae has indeed been cultivated."

"It's the same as I guessed." Zhou Congwen smiled and asked everyone to sit down. He said with a smile, "The patient's purple urine is initially determined to be caused by eating habits, which is the black sesame I just mentioned."

"Black sesame is rich in tryptophan, which will be decomposed into indoxyl sulfate in the liver, and then excreted through urine."

"..."

Everyone's eyes were filled with gold stars.

What exactly is Zhou Congwen going to say?

"Indoxyl sulfate is broken down by Klebsiella pneumoniae to form blue and red compounds that, when mixed, make purple."

"This rare condition, also known as purple urine bag syndrome, is the result of a strange chemical reaction."

"Of course it's rare, not all patients who eat tryptophan-rich foods with pneumonia will have purple urine."

Chapter 0785 very important honor

A bunch of weird symbols popped out of everyone's heads.

Eating black sesame seeds leads to purple urine... This conclusion sounds as unreliable as possible, but what Zhou Congwen said is well-founded, and no one can refute it.

The main thing is that when Zhou Congwen talked about biochemical reactions, almost everyone had enough knowledge in this area and couldn't remember anything.

"Purple urine does not affect the patient's body and treatment, it is just a simple chemical reaction, don't worry." Zhou Congwen stood up and said lightly, "That's it, let's leave Director Tang first."

"Professor Zhou!" Director Tang saw that Zhou Congwen left after speaking cleanly, like a scumbag, and hurriedly stopped him.

"Do you want to ask about treatment?" Zhou Congwen asked.

Director Tang nodded quickly.

"I just said that there is no need for special treatment, as long as the patient does not eat foods rich in tryptophan, eat a normal diet, and treat pneumonia normally. Drugs for Klebsiella pneumonia... I won't say more, Director Tang It's an expert."

So simple?

It's really that simple.

What Zhou Congwen said was watertight, but Director Tang felt that the patient had an inexplicable serious illness before.When she saw the purple urine, she, the patient, and the family members of the patient were shocked, for fear that the patient's organs would fail anytime, anywhere.

But as long as you don't eat black sesame, you can cure the disease...

Director Tang was still dubious, but Zhou Congwen had already said everything he needed to say, and asking any further questions would be meaningless.

When Zhou Congwen left the Department of Respiratory Medicine, Shen Lang asked in a low voice, "Congwen, can eating black sesame really cure gray hair?"

"..." Zhou Congwen looked sideways at Shen Lang.

How wonderful and exciting the diagnosis and conclusion I just made.

If the boss hadn't mentioned this matter in a case question and answer in the previous life, I wouldn't be able to judge the purple urine myself.

The relevant case report will not be published in the "New England" magazine until 2019. It is only 2003 now, and it is estimated that not many people in the world know about it.

Why didn't Shen Lang pay attention to such a wonderful diagnosis?

Everyone was at a loss, and he was like a god descending from the earth, and he came to the Department of Respiratory Medicine to solve the matter cleanly and neatly, as awesome as he could be.This is the crystallization of clinical experience of two generations, can't it attract Shen Lang's attention?

What he thought was black sesame seeds for treating gray hair.

"My dad has gray hair." Seeing Zhou Congwen looking at him strangely, Shen Lang explained with a smile, "If it's useful, I'll buy some for my dad when I go home for the Chinese New Year this year."

"Supplementing calcium, lowering blood pressure, and conditioning hair and black hair still have certain effects." Zhou Congwen looked at Shen Lang helplessly, and after doing a simple science popularization, he turned around and said to Chen Houkun, "Brother Chen, we are going to start a new surgery in the next year. "

"Oh?" Chen Houkun immediately forgot about the purple urine after hearing what Zhou Congwen said.

After all, purple urine is only a clinical experience, a small wave in the diagnosis and treatment process.

Without Zhou Congwen, after a period of treatment, Klebsiella pneumoniae would disappear under the action of antibiotics, and the patient's urine would return to normal.

Although no one knows the truth, it can only become another "unsolved mystery" in clinical practice, but it does not affect the patient's health and subsequent diagnosis and treatment after all.

But the new technique is different!

"What kind of surgery do you want to perform?"

"I'm going to participate in the World Cardiothoracic Surgery Competition after the next year. I'm going to do one-stop surgery. You can help me."

Zhou Congwen said lightly.

A strange melancholy surged into Chen Houkun's heart.

In the summer half a year ago, Zhou Congwen was still a junior doctor at the Third Hospital of Jianghai City, and every time he assisted him in an operation, he "helped out".

But now, Zhou Congwen asked him to help, but he gave himself a great opportunity and honor.

Chen Houkun's trance and absent-mindedness were fleeting, and then his heart itched unbearably.

"I haven't talked to Director Zhang about my next work recently, so..." Zhou Congwen smiled slightly, "Let's take part in this year's competition together, and first take the first place in the world. In the future, your resume will include participating in the 2003 World Cardiothoracic Surgery Competition." It will look better to win the surgery competition and win the championship."

First……

Both Chen Houkun and Yuan Qingyao were very enthusiastic.

This resume is precious to anyone.

Chen Houkun can run rampant in the province with a world number one resume. If Zhang You suppresses him too much, he will just jump to another hospital.

There are even many large public hospitals in China extending an olive branch and actively inviting Chen Houkun.

And it was even more so for Yuan Qingyao.

With the resume of participating in the 2003 cardiothoracic surgery competition and winning the championship, I am afraid that he can go back to Cleveland directly to apply for a professorship.

If he masters one or two new techniques, he can serve as a tenured professor when he returns to Cleveland.

"Xiao Zhou, are you so sure?" Although Chen Houkun was enthusiastic, he didn't feel dizzy, and asked carefully, for fear that his joy would be in vain.

"Would you like to keep watching?"

"I heard from Brother Zhou that it is a one-stop small incision heart bypass surgery." Yuan Qingyao asked, "Is there anything special?"

"After the vein graft is completed, Abbott's drug-eluting stent is used. The long-term effect is not yet known, but according to Abbott's experience, the patency rate can be increased by at least 10 percentage points over 30 years."

"!!!" Chen Houkun was shocked.

Now at the Second Hospital of Medical University and himself, although it is not difficult to build a vein bridge, it can only stop here.

The heart kept beating to build bridges, and Chen Houkun was just about to start trying when he was "thrown" to the thoracoscopy team.

Chen Houkun is not qualified to pay attention to the more in-depth details such as arterial bridges and vein bridges.

Drug-eluting stents are placed directly after the bypass!

Is this a surgery that humans can do?

And it's a small cut!

Small incisions have many meanings. Except for the small surgical impact on patients, the difficulty of surgery has turned upside down for doctors.Another point is that since it is a small incision, extracorporeal circulation must not be used, and the heart must be constantly beating to bridge.

After surgery, interventional surgery is required, and the whole operation is extremely difficult.

"Can I do it?"

"I'll take you to do it, just help me." Zhou Congwen smiled slightly, "The difficulty of the operation is actually not bad. Director Deng will also come to participate in the operation after the year. But I will talk to Director Deng about the competition, and he is not lacking. In the past few years, I won the world number one with my boss many times, and Director Deng was always a help."

"..."

"We will do 100 cases after the end of the year, and I will talk to Abbott and Olida about the specific sponsoring manufacturers." Zhou Congwen said, "That's the deal."

"Xiao Zhou, wait." Chen Houkun recalled what Zhou Congwen said at the beginning, "What are you going to do with Director Zhang?"

"It's best to cooperate with Director Zhang in the next step. After all, he is the chief director and has a natural advantage. It's not good if I am too domineering. Tell me, Brother Chen."

Chapter 0786 brain twitching

The last batch of patients was discharged from the hospital last year.

The whole world is filled with a smell of Chinese New Year.

Although the taste of the new year is getting weaker and weaker, the changes in the hospital are most obvious when the new year is approaching.

As long as there is a chance, both patients and doctors go through the discharge procedures at the same time, and go home for the New Year.

Let's talk about it after a year.

New Year, after all, has a special meaning in the hearts of Chinese people.

Zhou Congwen returned to his hometown and spent a reborn New Year with his parents, full of happiness.

On the first day of the new year, firecrackers were set off early in the morning and dumplings were eaten.

Mutton stuffed, just like soup dumpling, bite a bag of oil, pure dumpling flavor made by parents.

Zhou Congwen misses this kind of dumplings that are similar to soup dumplings.

At this time, eating it in the mouth, another little wish was fulfilled.

In the afternoon Liu Xiaobie drove to pick up Zhou Congwen, and Zhou Congwen dragged her away after celebrating his parents.

"Why are you in such a hurry?"

After getting in the car, Liu Xiaobie asked.

"Going back to work." Zhou Congwen said, "I asked the others to rest for two days. I came to work in the second year of junior high school to prepare for the operation. As the leader of the medical team, I had to go back early."

"Can't we have a good year?"

"Did you have a good New Year?" Zhou Congwen asked.

"It's not the New Year in the United States. I've been so busy these days." Liu Xiaobie said with a smile, "By the way, I brought you the internal mammary artery suspension device made by the boss."

"Go back and try." Zhou Congwen said.

"Is it meaningful?"

"Generally, it can make the operation easier."

"I really don't understand you and your boss." Liu Xiaobie said disdainfully again, "They try to increase the difficulty as much as possible to avoid competition. But you are lucky, racking your brains all day long to figure out how to lower the difficulty."

"It's not the same." Zhou Congwen said lightly, "To achieve top-level surgery requires talent. The moat between me and the boss is talent. Of course, the boss's talent is much stronger than mine. As for the difficulty of surgery? It's completely unnecessary."

"I thought you were going to tell me how many lives a lower talent could save."

"This must be the greatest meaning, needless to say." Zhou Congwen said with a smile, "Your old lady sees you leaving on the first day of junior high school, is it annoying?"

"Urging me to leave, I'm afraid I won't be able to get married." Liu Xiaobie said very unhappy, "Look at me, am I someone who can't get married!"

"No." Zhou Congwen said seriously.

"Hey, Zhou Congwen, don't you have any entertainment every day? Do you feel bored in the hospital every day?" Liu Xiaobie asked, "Even the Chinese New Year is not stable, and I have to go back on the first day of the new year."

"No, it's so interesting in the hospital." Zhou Congwen said, "Sex is like a steel knife that cuts flesh, and wine is poison that pierces the intestines. It's not good to have too much contact, and it's completely meaningless."

"It's as if you've been in contact with it before. It's very boring for you to talk like this. You can only speak badly if you have experienced it. You are called expressing sorrow for new words."

Zhou Congwen smiled lightly.

What I should be in contact with has already been in contact with it in my previous life. I have tasted it and seen it.

Surgery is different. Whenever you enter the state of flow, the feeling is much better than spending time and money.

"The hospital is actually very interesting." Zhou Congwen felt that the atmosphere was slightly awkward, so he smiled slightly, and started gossiping with Liu Xiaobie, "For example, many atypical symptoms are easy to be misdiagnosed, so we have to be careful every day, and even often As soon as the doctor's brain twitches, the diagnosis is correct."