Chapter 1601 Demon Eye (Seven)

"How do you know?" Director Zhang Shanchang subconsciously retorted.

Zhou Congwen smiled slightly, "When I was chatting with my boss and Mr. Li, I heard the old man talk about Roujiamo. The old man doesn't like the Western sayings, Devil's Eye. This name is not easy to understand in the old man. Look, Roujiamo, does it have a concept when it comes to saying it? Even if you haven't eaten it."

“…”

“…”

Everyone in the operating room was silent.

This is true. Zhou Congwen said it very vividly and easily, unlike Director Zhang Shanchang who used these two concepts to show off.

and!

Zhou Congwen didn't need to learn at all. The big tree behind him waving gently, and for the doctors in the provincial capital, it was Lin Hai's Lutao.

Mr. Huang is familiar with Mr. Li.

"The old man said that other factors that cause gallstone intestinal obstruction include a long-term history of cholelithiasis, repeated acute cholecystitis and stones with diameters greater than 2 cm. The so-called Roujiamo or the Demon Eye must be viewed dialectically."

"The patient has no recent history of biliary colic attacks, jaundice or acute cholecystitis, and the probability of diagnosing cholelithic intestinal obstruction is not high."

"Mr. Li's meaning is mainly to remind doctors in the medical and technical department to be careful not to make diagnosis based on imaging alone."

Zhou Congwen's words made Director Zhang even more ashamed.

Director Ji stood in the position of the surgeon and sutured the incisional intestinal duct. He had already felt awe and fear of this young world's number one surgeon.

It's not just a good surgery.

Although Zhou Congwen's surgery was so good that he could not tell the difference with the "simple" surgery in front of him, Zhou Congwen's basic knowledge was really solid, and Director Ji felt inferior.

The knowledge involved in theory is easy to learn and is extremely solid.

It even gives people an illusion that Mr. Huang is in the operating room, rather than Zhou Congwen, a stinky boy, is talking big here.

"So in clinical judgment, doctors tend to have preconceptions and are not easy to consider intestinal obstructions caused by incarceration of other foreign bodies."

"But walnuts are not common, the key is how they go down." Director Zhang Shanchang defended.

"Usually, accidentally ingested fruit cores will not cause complications after passing through the gastrointestinal tract, but occasionally it may also lead to small intestinal obstruction.

The latter may be caused by the incarceration directly caused by the nucleus or secondary gastrointestinal stones. The most common incarceration point is the narrowest part of the ileum lumen, which is about 50-75 cm away from the ileococcus valve. Other obstructive sites include the pylorus, duodenum, colon and rectum."

"Although it is not common, it might be better if Director Zhang, the patient in front of him, could ask about his medical history and have more clinical experience." Zhou Congwen smiled slightly and said.

Director Tan felt a little inexplicable sense of joy when he saw the young Zhou Congwen waving the stick of clinical experience, hitting Director Shanchang one by one.

Isn’t it supposed to be an old director like Director Zhang Shanchang who is qualified to say that?

Now everything is reversed.

"Professor Zhou." Director Tan said with a smile, "Thank you for your hard work, let's go change your clothes?"

"Okay." Zhou Congwen smiled and glanced at Director Zhang Shanchang. "Director Zhang, the foundation of watching movies must be further deepened. It is best to combine it with clinical practice, especially the differential diagnosis of similar rare diseases."

"..." Director Zhang was at a loss to mock Zhou Congwen directly.

It is said to be ridiculous, but it also has the feeling of a memorable teaching; but when listening carefully in the memorable teaching, it feels full of ridiculous teaching.

"Old Li dared not diagnosed with gallstone intestinal obstruction based on just one Roujiamo test." Zhou Congwen smiled.

"What should I do?" Director Zhang Shanchang was a little confused. He regarded himself as a student in a daze and asked on his own initiative.

"The clinical manifestations caused by instillation of the fruit core are similar to those of gallslide intestinal obstruction. However, Rigler triads can be seen in abdominal flat films of patients with gallslide intestinal obstruction - intestinal dilation, bile qi accumulation, and ectopic gallstones, while instillation of the fruit core does not cause bile qi accumulation."

"So, it can be diagnosed by not just a Roujiamo battle or a demon's eye." Zhou Congwen's voice became farther and farther away. By the time he finished speaking, he had already left the operating room with Director Tan.

Director Zhang Shanchang stood there in a confused look on his face. His forehead had already started to turn red. Zhou Congwen smashed the bleeding-stop pincers and tried very hard.

The nurse on the tour saw Zhou Congwen and Director Tan leave, and after a few seconds, he looked out and closed the door of the operating room, then breathed a sigh of relief.

She picked up the bleeding-resisting pliers and looked at Director Zhang Shanchang who was still confused. "Director Shanchang, what are you fighting with Professor Zhou?"

"..." Director Zhang Shanchang burst into tears. Why can't he say a few words?

But when the rebuttal came to the extreme, Director Zhang Shanchang felt that no matter what he said, no matter what he said, it would be ridiculous and embarrassing.

"That's right, Professor Zhou took out the walnuts." Director Ji added a mouthful, "Director Shanchang, so are you. He wants to get the walnuts when he reaches out. This means that Professor Zhou has a good temper. If he changes someone... I will turn against me."

When Director Ji talked about the pain, Director Zhang Shanchang was extremely ashamed.

Although he is the director of the medical and technical department, he also knows that he cannot move around when he is in the operating room, and the most basic concept of aseptics must be.

I was also a little surprised when I saw the walnut. I was distracted and wanted to pick it up and take a look, so I was scolded by Zhou Congwen.

Director Zhang Shanchang touched the ground on his forehead that was hit by the bleeding-stopping forceps, and was in a trance.

"Professor Zhou is very good, he is very wise." said the tour nurse, "Director Ji, did you have a diagnosis before the operation?"

"How could it be?" Director Ji said frankly, "This kind of intestinal obstruction is rare. Anyway, when I saw the patient's intestinal CT, there was no diagnosis."

"How come Professor Zhou Congwen and Zhou knew so much at such a young age?"

"He is the closed disciple of Mr. Huang. Didn't he listen to Professor Zhou? He can meet all the big guys across the country with Mr. Huang. What the big guys usually chat and say is enough. What do you think about Director Shanchang."

Director Zhang Shanchang sighed helplessly.

When I was studying, I only heard Mr. Li say a word about Roujiamo. I thought this was a unique skill in slaying dragons. I didn’t expect that there would be so many things to do if I continued to go deeper.

What Zhou Congwen said just now echoed in his ears, and the more Director Zhang Shanchang thought about it, the more reasonable it made.

A CT image cannot be diagnosed, and more clinical diagnostic criteria must be used. This time, Professor Zhou Congwen and Zhou even found the real answer through consultation.

The walnuts were placed in the contaminated area of ​​the instrument table, as if silently mocking Director Zhang Shanchang.

He repeatedly recalled what Zhou Congwen said, especially occasionally thinking about how confident he had before, how ashamed he felt at this moment.
Chapter completed!