Mr. Huang sat in the corner and looked at Zhou Congwen with satisfaction.

"Zhou Congwen, he did a good job."

"With you here, I have a clear mind." Zhou Congwen replied with a smile.

Director Zou smiled bitterly in his heart while looking at the values ​​on the monitor and ventilator.

He knew very well that Mr. Huang was a person, and that ordinary flattery would not work at all for Mr. Huang.

What hasn't Mr. Huang seen before? People eat more salt than these young people eat. They have a magnificent life, ups and downs, and have seen countless lives and deaths. They have long seen through the world and will not care about a few flatteries.

But Zhou Congwen was different. He seemed to focus all his attention on Mr. Huang, and every detail was done perfectly, like a difficult operation.

Water drips through the stone, and rope sawed and broken. If you had such a student following you, you would probably be very happy.

Director Zou looked at Zhou Congwen with complicated eyes.

"Tell me." Mr. Huang sat down and said lightly.

"The patient I met before was not undergoing thoracic surgery." Zhou Congwen bent down slightly and whispered to the side of Huang Lao, "The patient had a cholecystitis surgery. There was a problem with the anesthesia, so I thought about it more."

"Ah? Cholecystectomy?" Director Zou was stunned.

Zhou Congwen continued, "At that time, general anesthesia was changed to continuous epidural, with a relatively high position and the surgery was performed. I was thinking about what to do if I encountered thoracic surgery, so I had some experience."

"Tell me something more." Mr. Huang also became interested and asked lightly.

“CT is the gold standard for the diagnosis of megatratracheal bronchial.

Lower abdominal surgery or lower limb surgery for patients with megatratracheal bronchitis should be performed under regional anesthesia, and continuous epidural anesthesia is also possible.

Patients with megatratracheal bronchitis who require general anesthesia can use CT to measure the diameter of the trachea and main bronchial to develop detailed airway management plans and select appropriate airway management tools."

“But the risk is quite high.”

Zhou Congwen added a sentence.

"Why?" Director Zou asked.

"The characteristics of megalotracheal bronchia are markedly dilated, tracheal bronchial softened, diverticulum formation, and repeated lower respiratory tract infections."

"I saw a similar report in an issue of "The Lancet", where the surgeon used a bronchial obstruction catheter. Zhou Congwen, what do you think?" Mr. Huang continued to test Zhou Congwen.

"I don't think he was right to do this." Zhou Congwen replied calmly.

Director Zou was silent.

"The Lancet", the world's top journals are all industry experts like Huang and Lao.

The documents that can be published in the Lancet must be carefully selected to ensure that there are no logical problems and feasibility.

But Zhou Congwen denied "The Lancet" in one sentence!

"Bronchial obstruction catheter is generally difficult to block the bronchial, and at the same time, a large amount of secretions are blocked and it is difficult to collapse the lungs. If the surgeon performs surgery with the bronchial obstruction catheter, I guess it is a case analysis and there is no large-scale sample. If you do too much, the author will find that this is not possible at all, and something must have happened."

"Well, it's not bad." Mr. Huang gave Zhou Congwen a positive answer, "What should the patient do after the operation?"

"Post-operative complications of patients with megatratracheal bronchitis include difficulty in expelling sputum, airway collapse, and stenosis. The prevention and treatment of these complications is crucial for the prognosis of patients. During the operation, fibronectronic bronchoscopy suction and protective lung ventilation strategies are used, and continuous positive respiratory pressure is used to prevent bronchial collapse after the operation."

"The extubation of patients with megatratracheal bronchial should be done when the patient is fully awake, myotonia is fully restored, and there is no abnormality in the arterial blood gas analysis. Be prepared for re-intubation before extubation."

Seeing that the boss didn't speak, Zhou Congwen pondered and added another point, "There is another point that it is best not to use opioids after surgery to relieve pain."

It was not until this time that Mr. Huang showed a faint smile, "Absolutely, then that's it, Xiao Zou remembers it all."

"..." Director Zou felt a slump. Although he knew that Mr. Huang would not be able to take the exam, what if.

"I have seen it once, remember it in the future." Huang Lao said, "If you meet a similar patient again, don't cause such a problem. At my age, I may not be able to spend much time with you. Next time I meet me, I will talk about whether I am here or not."

"Yes, Mr. Huang." Director Zou said quickly, "By the way, Mr. Huang, I want to study this disease. What book do I need to read?"

"Not in the book." Mr. Huang shook his head, "I have collected relatively little patient information, and there is no statistical significance yet."

Zhou Congwen is very clear that the diagnosis, differential diagnosis, treatment, and pathophysiology of each disease require a large range of samples.

Although the boss has a certain understanding of megatratracheal bronchosis and can solve clinical difficulties, his age limits the number of patients.

The Internet plays a decisive role in this regard.

Now doctors have communicated on the Internet platform. After a few years, communication is more frequent, and more and more doctors have joined in, and many cases have appeared in front of doctors.

From this point of view, the Internet is indeed a magic weapon.

It’s not that the boss can’t do it, but that the historical limitations make people like the boss helpless.

Mr. Huang then asked some related questions, and Zhou Congwen answered them smoothly.

Mr. Huang was very satisfied with this.

The operation was completed very quickly. As long as the problem of single-pulmonary ventilation was solved, cutting a lung lobe was a small operation that could not be simple for the professor who led the group of 912.

After all, Mr. Huang had the final say in his own acre of three-point land, and 912 had already fully launched a thoracoscopy.

After the operation was completed, Mr. Huang stood up and "go back to continue reading the medical records."

"Okay, boss."

"Xiao Zou."

"I'm here, Mr. Huang."

"For a one-stop surgery for small incisions, you can have a good hand. During the operation, you must repeatedly ventilate one lung and ventilate both lungs, and run in advance." Mr. Huang told him tirelessly.

"Old Huang, I'm going to go on my own," said Director Zou.

Once upon a time when Mr. Huang participated in the World Surgery Competition, Director Zou was still a middle-level doctor, and he was jealous of him.

With such a big opportunity to make a resume, Director Zou had long wanted to volunteer.

Just in time for today's incident, Director Zou said it directly.

"That's OK." Mr. Huang didn't refuse, and said directly, "Two days, 10 surgeries, you have to follow."

“!!!”

Although Director Zou had been mentally prepared for a long time, he had five bypass operations a day, and this amount of surgery made him inexplicably doubt his life.

Do you want it so fast?

Even though he had long had psychological expectations, Director Zou was still stunned after hearing Mr. Huang's affirmative words.

"There are many surgeries, and the more you are, the more meticulous you need. You can't make mistakes while busy, that's not an excuse."
Chapter completed!