Chapter 1579 Gap (Part 1)

The two of them casually found a restaurant and sat down to have a meal.

Shen Lang was still immersed in the shock of Nutcracker Syndrome. He was not as "smart" as he used to be, and was a little confused.

"Shen Lang, what are you thinking?" Zhou Congwen asked.

"Congwen, I didn't think there was much difference between hospitals before." Shen Lang concentrated and whispered.

Zhou Congwen frowned slightly, "Shen Lang, you are also a person who went to the provincial capital from Jianghai City and came to the imperial capital from the provincial capital. You have experienced the medical level in China from the middle to the highest level, how can you not feel the difference?"

"The diseases are all those diseases. The Third Hospital of Jianghai City cannot understand them, and the provincial capital cannot understand them." Shen Lang shrugged.

Zhou Congwen scratched his head and looked at the sky.

Indeed, the diagnosis and treatment level of Jianghai Third Hospital is a certain distance away from that of the provincial capital, but it is definitely not as shocking as possible.

Some old doctors in Jianghai City are even at a higher level than those in the provincial capital in some special fields, which is what Zhu Jun and others have always been proud of.

But compared with 912, the top public hospitals in the country, which ranks among the top three in the country, the gap can be said to be completely different.

"Haha." Zhou Congwen smiled, "The Third Court of Jianghai City is newly established, with a group company behind it. All the equipment is new. Some equipment is not even comparable to the provincial capital. Of course you don't think anything."

"But when it comes to surgery, diagnosis, etc., the Third Hospital is really not enough. Let's not talk about Nutcracker syndrome, but 10% of the doctors in the Third Hospital now know that the diagnosis is good."

"Is it that exaggerated?" Shen Lang asked.

"I... a few years ago, I got a rib fracture, and was injured in a car accident. I broke two ribs. It's nothing, and the match-to-line is good." Zhou Congwen said, "The patient pulled me and asked if he was going to die early the next morning after being admitted to the hospital."

"Ah!" Shen Lang's experience, "Congwen, what did you say to the patient."

"The other injured person who had a car accident with him couldn't believe in our third hospital in Jianghai City. He went to the People's Hospital and was at Zhu Jun's place. The initial diagnosis was nothing, and they were all broken ribs, but suddenly they disappeared in the early morning."

Shen Lang was shocked.

Zhou Congwen said simply - people are gone.

If the cancer is in the late stage, it will disappear, and it will be inevitable based on the current medical level and methods.

But if a rib fracture is broken, the person will be gone? Can the family accept it?

"How are the family members?" Shen Lang asked vaguely.

"The family will never carry people away, and ask Zhu Jun to give me an explanation." Zhou Congwen said, "If you don't talk about this, I'll ask you, what disease is this?"

"There is a high possibility of aortic dissection." Shen Lang said in accustomed to it.

"Yes." Zhou Congwen said, "You think it's a normal disease. You will take a look when watching the movie, but the front-line doctors at the People's Hospital don't understand it at all."

"..." Shen Lang didn't expect that he would grow up so quickly inadvertently. He was thinking about Zhou Congwen's words.

"What will happen if you take a patient with a rib fracture?" Zhou Congwen continued to ask.

"When filming, it is usually chest X-ray." Shen Lang thought about it carefully and replied, "But I am used to having a CT scan for patients, which is not very troublesome. I can take a look at the aorta and pericardium."

"Although ordinary CT can't be seen clearly, you can see some clues. If you only strengthen the patient because of a rib fracture, it is a bit unreasonable. Besides, you can't do enhanced CT at night."

"Yes." Zhou Congwen nodded with some relief.

Although Shen Lang didn't know about Nutcracker syndrome, it was not the scope of diagnosis and treatment of cardiothoracic surgery at all. It was amazing and could be said to be the scope of vascular science, and it was a thousand miles apart from cardiothoracic surgery.

But Shen Lang's diagnosis and treatment of the simplest rib fracture in thoracic surgery is correct. (Note)

Be cautious and there is nothing wrong with it.

"Look, Shen Lang, there is a gap in the diagnosis and treatment level between you and the grassroots hospitals." Zhou Congwen smiled, "It is inevitable that you will see more and think more."

"But that little boy just now, you didn't even see the patient!" Shen Lang emphasized.

"Didn't you say it all? There is no family genetic history. Boys with thin bodies in junior high school and high school have signs such as hematuria, proteinuria, left varicocele, etc. They are usually Nutcracker syndrome, and other diseases are rare and will not be considered for the time being."

"Tsk tsk." Shen Lang tsk twice and fell into deep thought.

"Look at the difference between the 912 cardiothoracic surgery department and the Third Hospital of Jianghai City and the Second Hospital of the Provincial Medical University?" Zhou Congwen asked.

"We are all undergraduates, half undergraduates and half graduate students in the provincial capital, and 912... are all doctoral students." Shen Lang suddenly swears and then looked at Zhou Congwen pitifully.

"Congwen, when will you recruit doctoral students?"

"Hahaha." Zhou Congwen smiled, "Director Deng Zhao, I think you are not interested in this."

"Oh, I used to see that I was surrounded by undergraduates and thought my education was OK, so I didn't think so much. When I was in the provincial capital, I was at least half of them, and I didn't think much about graduate students."

"I think it's wrong to come to 912."

"Yes." Shen Lang nodded.

"Hurry up." Zhou Congwen said, "Now, the doctoral degree in 912 is only barely spread out. After waiting for another ten years, Dean Deng's doctoral degree will not be able to stay after graduation."

"I'll go!"

"Really." Zhou Congwen said, "And there will be many requirements for promotion in the future, and it will definitely not be as simple as a lower-level hospital."

Although Shen Lang felt that Zhou Congwen said that the lower-level hospital was a bit harsh and that his role had not been changed, it turned out that both Jianghai Third Hospital and the Second Hospital of Medical University were younger brothers in front of 912, and they were all lower-level hospitals.

"What will you ask for in the future?" Shen Lang asked.

"The attending physician is promoted to the associate vocational college and needs a national-level natural science fund project."

"!!!" Shen Lang's eyes almost fell out.

"You have to know that 912 is now in the top three in the country. Union, West China, and next are 912, Xiangya, Ruijin and so on." Zhou Congwen said, "There are too many talents, and it is not easy for us to come in this year."

"Congwen, if you can't get in in a few years?" Shen Lang was a little confused.

"Ah?" Zhou Congwen's eyes were a little joking, "I'm talking about you. We just say this word casually and seem closer. I am the world's number one, why can't I get in?"

Shen Lang burst into tears.

...

...

Note: I don’t know if my habits are right. Maybe I am very timid. Every time a patient with a fracture, especially a patient with high blood pressure, will carefully undergo a CT scan.

Several dissections were screened out in thoracic surgery in those years.

Be careful and walk on thin ice, life is really hard. The key is that you can’t see the chest CT clearly. Sometimes you can face the film for an hour.
Chapter completed!