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819 It's so simple and honest

"Congwen, spinnaker... what is it?" Liu Wei asked.

He had completely thrown the mahjong behind his head, at least not in front of Zhou Congwen.

It’s not that I don’t want to abandon my lifelong hobbies in the blink of an eye.

Liu Wei was very clever. Zhou Congwen was very unhappy when he knew that after he came to the Second Hospital of Medical University, he found a few "friends" with similar tastes to play mahjong together.

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

It was this half hour of mahjong that made Liu Wei realize that Zhou Congwen had real skills in his surgery.

He never forgets everything and observes everything clearly. These two skills alone make Liu Wei salivate.

Moreover, although Zhou Congwen did not explicitly say that he would not let him play mahjong, Director Han vaguely warned himself that Liu Wei knew very well that the consequence of his re-inflict was to roll back into Jianghai City.

Alas, I admit it.

This time, Zhou Congwen did not say it clearly and even "wasted" half an hour of playing mahjong. This was to give him a face, and Liu Wei knew it in his heart.

If you are shameless, that's boring. You just can't play mahjong... Go home and scratch the wall with your hands.

"That's right, the patients we want to perform 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, while small incisions, we must also minimize the trauma of single-pulmonary ventilation on patients."

"Congwen, is there any difference between single-pulmonary ventilation and double-pulmonary ventilation? Don't they both use ventilators to blow," Shen Lang asked.

"There are big differences." Zhou Congwen said lightly, "We have thoracic surgery, especially thoracoscopy, and single-pulmonary ventilation must be performed during the operation.

However, the lung collapses on one side and the tidal air volume ventilation on the other side complicates the intraoperative airway management.

Collapsed lungs can increase intrapulmonary shunts, leading to the occurrence of hypoxemia.

According to research, after lung collapse, hypoxic pulmonary vasoconstriction will occur, which is a self-regulatory mechanism to combat hypoxia. Through this mechanism, blood flow in the unventilated lung area will be reduced.

Correspondingly, blood flow increases in areas with good ventilation, which can lead to mismatch in ventilation perfusion.”

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

But fortunately, Zhou Congwen stopped soon.

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

Liu Wei was ashamed, and Zhou Congwen didn't understand everything he was saying.

At that time, I learned single-pulmonary ventilation because I wanted to make a way out in the anesthesia department and let the director see his value. But after a mistake, I actually hugged Zhou Congwen's thigh.

When Liu Wei thought of the past days and then the thick "subsidies" he could get from Dean Xiao Kaixiao every two weeks, he felt awesome.

Do whatever the leader needs, otherwise where will the subsidies come from?

If you really walk Kangzhuang Avenue into a single-plank bridge, you will have to be unable to get along with yourself when you think of this in the future.

"When single lung ventilation occurs, interferon α, interleukin 6 and macrophage inflammatory protein-1 are three important inflammatory mediators. These are all details, so I won't say much." Zhou Congwen added.

"Congwen, I'll go back and talk to Shen Lang." Liu Wei gritted his teeth and pretended that he could do it.

Let’s hurry up and read the book. Besides, Shen Lang is much easier to fool than Zhou Congwen.

Zhou Congwen nodded and continued, "The spinnaker technology uses its own pericardial fat to isolate the lung tissue and the pericardial cavity. It is simple to operate, without special equipment or gauze compression, and has no other side damage to the tissues and organs. It can keep the surgical field clear and there is no obstruction of the lung tissue."

"During the operation, we need to place a minimally invasive straight rod stabilizer from the 6th intercostal anastomosis auxiliary incision. When performing proximal coronary anastomosis, use a stabilizer to compress the right ventricular outflow tract to expose the ascending aorta..."

Zhou Congwen talked about it for ten minutes.

Liu Wei was shocked.

There is such a method in one operation!

He thought he was just an anesthesiologist, and he just had to anesthesia in any surgical competition. The rest would depend on Zhou Congwen's performance.

What I never expected was that like an anesthesia nurse, I actually had a role.

"Old Liu, at the beginning, I will cooperate with the boss and then with Director Deng. If you have snacks, you must understand a few technical details."

"Yes." Liu Wei nodded and responded simply.

What Zhou Congwen said is indeed correct, leaving a good impression on Mr. Huang. Although he doesn’t know if he can go to 912 in the future, once he goes, his previous impression will be extremely important.

This is related to one's future, but it is much more important than playing mahjong.

"Congwen, Director Deng is also here." Shen Lang's focus is always different from that of people.

"Yes, Director Deng will definitely be there." Zhou Congwen said, "The boss will help me on the horse, and Director Deng will send me another trip."

"I don't think Director Deng looks very skilled." Shen Lang scratched his head and said his heart.

Only three people from Jianghai City were there, Shen Lang had no scruples when he spoke, and directly expressed his thoughts.

Deng Ming, who he contacted, always stood beside Mr. Huang with a thermos cup in his hand, and he could not see his own attitude at all.

He is countless times worse than Zhou Congwen, and he doesn't look like the 912 director at all. At least he is much worse than the 912 director that Shen Lang imagines.

In Shen Lang's consciousness, Deng Ming became the director because of Mr. Huang.

"Ha." Zhou Congwen laughed dryly, thought for a few seconds and asked, "Shen Lang, what do you think of my level?"

"Very high." Shen Lang said seriously, "and he has such a high level at such a young age. In fact, we went to the Third Hospital of Jianghai City together. I didn't see why you are so awesome."

"Then I can tell you responsibly that in terms of talent, I am a little worse than Director Deng."

“…”

“…”

Shen Lang and Liu Wei were both stunned for a moment.

Zhou Congwen had just performed a performance that was unforgettable and clear, and the two were amazed at him.

But Zhou Congwen actually said that he was not as good as Deng Ming?

Is this humility?

It seems that there is no need, it’s all your own people, just seek truth from facts.

No, I guess he is modest, Zhou Congwen is really cautious.

"I think I'm joking." Zhou Congwen suddenly said with a smile.

"Well……"

Liu Wei didn't say anything, Shen Lang pondered, and then said, "I know you have respect for Director Deng."

"I'm not polite." Zhou Congwen said, "Director Deng Ming and Director Deng look honest and honest, but you know... For example, it's difficult for Jianghai Third Hospital to become a department director, you understand."

"Know."

"912, even if Director Deng has a boss behind him, he must show his ability to convince the public, otherwise at most he will be a professor in the group. Senior brother... he just looks honest and honest."

Zhou Congwen thought of something and laughed and scolded in a low voice.
Chapter completed!
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