174 Can you be a little more promising? (The leader is helpless 3)
If you close these things, your family will have to talk about them. You dare not talk nonsense when you go out.
No one has ever said that medicine is used to support medical care. Medical care is thrown into the market. There are too many things to bear, many of which are just unspoken rules, and you will understand what you understand.
Zhang You sighed that Zhou Congwen looked gentle, but he couldn't touch his butt. He thought about it and made a few sarcastic words and then he directly called him back.
Wang Cheng was surprised. When he saw that Zhang You was not angry, he stopped talking about Zhou Congwen, but continued to talk as Zhang You said.
Zhou Congwen Shushuo soon came back.
"Xiao Zhou, it's more convenient for you to come to the position of the craftsman." Zhang You said, "Director Wang and I squeezed in."
Zhou Congwen glanced at Zhang You and didn't say anything.
Zhang You smiled and raised his hands flat on his chest and walked to the opposite side. Zhou Congwen was not polite, so he brushed his hands and put on his clothes and stood directly at the position of the craftsman.
The anesthesiologist, circuit nurse, and instrument nurse in the operating room were speechless.
This was in 2002. The experts in the outside world also completed the operation conscientiously. The number of flying knives was small. There was no situation where the experts in the outside world sat down and watched the operation was completed by local doctors after more than ten years.
But because of this, they were extremely shocked.
Jianghai Third Hospital has never had coronary artery bypass surgery alone, so why did Zhang You give up his position to Zhou Congwen?
Normally, Zhang You did this meant... he admitted his thug and thought that his surgery was not as good as Zhou Congwen.
but
Is this possible?
"30 mL of normal saline + 30 mg of papaverine." Zhou Congwen said.
The nurse was stunned for a moment. She was not used to Zhou Congwen's orders. But then a sharp gaze fell on her and she immediately started to prescribe medicine.
Zhou Congwen used a 10ml syringe to draw liquid and inject it into both sides of the internal papillary artery. The function of papaverine is to relieve vasospasm and at the same time make tissue edema and facilitate freeing.
After injecting papaverine, Zhou Congwen patted the syringe on the patient's leg and then opened his hand.
A hemorrhagic forceps were slapped in the hand.
Zhou Congwen moved his finger, and the hemostatic forceps were left in the sterile area, and he said in a deep voice, "Low-energy electric knife, titanium clip."
"..." The instrument nurse was stunned for a moment, "Xiao Zhou?"
Uh... Zhou Congwen woke up. It's 2002 now. Not only does it have low-energy electric knife, but the Third Hospital does not even have the minimum electric fire.
Zhou Congwen almost fainted from crying on the operating table.
I was careless. It was so fucking. It was really difficult to do a Taiwanese surgery back in 2002. How to do the surgery without a little bit? With this condition, I am afraid that people with a slightly worse level will not be able to do it at all.
Zhou Congwen, who had long been accustomed to the convenience of various consumables, could only do a good job of mental construction and bite the bullet and freeze the inner mammary artery a little bit.
Although it is not at all difficult for Zhou Congwen, it is not as fast and convenient as the low-energy electric knife is broken at a glance.
Free, ligate, then free, and then ligate. The operation was slow and Zhou Congwen burst into tears.
But "slow" is just what he thinks is slow, and it is slower than cutting on the low-energy electric knife and clamping on the titanium clip. However, in Zhang You's opinion, the operation is so fast that it has already flown.
It’s not that they can only be assistants. Dr. Zhou performed the surgery faster after taking the surgery, and Zhang You also had to cry.
It turns out that the person who delayed the operation time was actually himself.
"Don't you have a pug clip?" Zhou Congwen asked carefully.
The nurse was stunned and stared at her big eyes. Pug, what is that thing.
"Temporary blocking clips, vascular surgery... general surgery laparoscopic bag should be included." Zhou Congwen said helplessly.
"Yes! I'll go and call one." The tour nurse said immediately.
Finally, there was a handy device, Zhou Congwen was a little moved.
No, you must promote the development of technology so that you can have more handy things to use.
A coronary artery bypass surgery can be dealt with, but it wouldn't be possible if the difficulty of the surgery soared to the sky without any handy things.
After freeing the internal breast artery, Zhou Congwen replaced the internal breast opener with a bridge opener.
Zhang You was not idle either. He used two mid-bend pliers and a large round needle No. 10 silk thread, and cooperated with the surgeon to cut the pericardium and hang it.
He has not been an assistant for some years, but his level is there, and he can be at ease with his assistant.
Assist Zhou Congwen to connect the heart fixture and the carbon dioxide blowing pipe.
When freeing the target blood vessel, pass through bypass blood vessel tweezers, No. 15 blade, coronary artery knife, coronary angle scissor, coronary artery probe strip, and suitable shunt plugs in size.
Everything went smoothly, and Zhang Youqing couldn't help but feel a little proud.
But then I thought about it and felt proud, but it wasn't a clinical doctor who cooperated with the old director for the operation.
Zhang You couldn't laugh or cry.
When preparing the blood vessels of the bridge material, the fine blood vessels and mosquito-type clamps are transferred in sequence. The Prolene thread handed to Zhou Congwen 8-0 for anastomosis, and the tail of the thread is about 2 cm away from the sewing needle is clamped with the rubber tube mosquito-type clamps.
Zhang You became serious at this time.
The bypass surgery has just begun now.
"Sister, 10x mirror." Zhou Congwen turned his head and said to the tour nurse.
"Xiao Zhou, did you buy it yourself?" The nurse asked while putting a microscope on Zhou Congwen, "Our trauma department said we were a director from the People's Hospital. If someone can do broken finger replantation, they can use a 10x mirror. You are very advanced, you have matched it yourself."
"Well, I'm practicing at home." Zhou Congwen said casually.
The speaker is unintentional, the listener is intentional, and Zhang You's actions are slightly stopped, so he carefully read Zhou Congwen.
Could it be the apprentice of an academician? Or is the illegitimate son of a rich man living in Jianghai City?
Nor can the academician's disciples fall into the Third Hospital of Jianghai City and be bullied; do children from the rich family come to be doctors? Fresh clothes and horses, and the beaks and swallows are the life.
But a 10x mirror is not cheap, at least tens of thousands.
In 2002, I bought this thing for training surgery... Alas, Zhang You never used it himself.
After the rescue just now, the patient's heart seemed to have recovered some energy. When he came to "wake up", every jump was so powerful. It drove the coronary blood vessels and beat very hard.
Keep jumping to build bridges!
Zhang You naturally knew the difficulty.
It’s not that he has tried it, but after a few failures, he no longer dares to do this. What if something happens? Zhang You is conservative, so it’s better to be your own director honestly.
Without the assistance of octopus, Zhou Congwen was ready to go like this. Zhang You stared at Zhou Congwen's movements.
Zhou Congwen shook his wrist and the light reflected from the shadowless lamp at the tip of the needle disappeared. Zhang You could only see the 8-0 Prolene line traveling back and forth between the blood vessels.
This speed... Zhang You are surprised.
Not only was the speed fast, Zhou Congwen seemed to completely ignore the beating of his heart, or he was used to the beating of his heart, and every movement calculated the interference, so that the constant jumping without the octopus was even faster than Zhang You's stop jumping and syncopation.
Really OK!
How did he do it?!
Countless question marks flashed in Zhang You's heart. He couldn't understand how a young doctor like Zhou Congwen did this.
What’s ridiculous is Wang Chengfa and Chen Houkun.
One person thought Zhou Congwen had never touched a knife, and the other person thought Zhou Congwen was a natural assistant.
Zhang You wanted to poke Wang Chengfa's eyes blindly. What is there to be no eyes?
An old director could actually let his doctors practice such delicate and delicate sutures, but he didn't even know.
At this level, it's not a little bit higher than yourself.
The patient's heart was beating constantly, but Zhou Congwen's movement of coherent coronary blood vessels was not affected at all, and he looked awesome.
Especially Zhang You, who was shocked by Zhou Congwen's stitching, was stunned.
Zhou Congwen's performance inspired Zhang You's competitive spirit, not his winning spirit, but his winning spirit, but his starting to use 120% of his strength to concentrate on the operation. He didn't want Zhou Congwen to be a bad assistant. If that were the case, where would this old face be put?
Not daring to distract himself, Zhang You focused on watching Zhou Congwen assembled his blood vessels and handed the threaded scissors as soon as possible.
Zhou Congwen cut off a stitch.
When cutting threads, the nurse held the house to cut the stitching needles, and Zhou Congwen started cutting the stitching.
Zhang You promptly store and manage the needles to prevent them from falling.
Zhang You grasped many details very well, and Zhou Congwen was also quite satisfied.
He also actively moistened Zhou Congwen's hands with sterile warm saline when tying knots to prevent sutures from breaking due to excessive friction, and at the same time, he alleviated the anastomosis damage caused by suture pulling.
It was actually quite satisfying to be an assistant. Seeing Zhou Congwen's hands were silently tied, Zhang You thought proudly.
Damn! I am the director of the thoracic department of the Second Hospital of the Provincial Medical University. Why have I been proud of being an assistant? Zhang You started to curse in his heart.
Can you have some success?
Chapter completed!