Chapter 1001 Inheritance (1)
Chapter 1001: The foundation (Part 1)
Soon, all the doctors came to the office, including Zhang You's team professor.
"Today I will briefly talk about the specific learning content. We will train the specific learning content before future operations." Zhou Congwen stood in front of the writing board and said without hesitation.
Lu Tiancheng looked at Zhou Congwen's young face and felt slightly embarrassed.
He used his toes to snatch the soles of his shoes, as if the embarrassment in his heart could be resolved by such an explanation.
Zhou Congwen said this... If Mr. Huang said this, or even Zhang You said this, Lu Tiancheng would not feel anything unusual.
But Zhou Congwen, he is too young.
Well, as long as he is not embarrassed, the embarrassing one is someone else...
Zhou Congwen held a black pen in his hand and rewritten the next word "1.0" on the white writing board.
"Everyone knows that this year the boss took me to complete a small incision and one-stop coronary artery bypass surgery." Zhou Congwen smiled slightly, "and won the first place in this year's World Cardiac Thoracic Surgery Competition.
We will participate in next year's surgical competition, and we have agreed with Director Zhang.
Let me tell you first. The surgery I will most likely choose next year is valve surgery.”
Heart valve surgery is also called valvoplasty.
As the name suggests, surgery is the repair of damaged valves.
Valvoplasty is usually used for mitral or tricuspid valves with mild lesions, and surgery is generally less common for the aortic valve.
For severe heart valve lesions, especially rheumatic heart valve disease, valve replacement is often chosen.
The main methods of valveplasty are Key's molding, DeVega molding and C-ring molding.
This kind of surgery is very large, and the success rate of surgery is lower than that of coronary bypass surgery.
Although the medical community theoretically calls valve surgery and coronary artery bypass surgery level 4 surgery, Lu Tiancheng knows that the difficulty of valve surgery is to some extent higher than coronary artery bypass.
It’s like the level of the chief physician and the chief physician are uneven.
The truths are interrelated.
"There are common laws in the development of human disease treatment technology, which usually go through a process from inaction to potential, from large trauma to small trauma or even trauma."
Zhou Congwen talked freely, and Lu Tiancheng's eyes were a little straight.
He is not like a young doctor who has just come out of Jianghai City. He is modest and cautious, afraid of offending anyone.
At this moment, Zhou Congwen is like an expert professor who has been deeply engaged in cardiothoracic surgery for countless years. He opens his mouth and is a universal human law that is high-level.
Wouldn't this be a bit big?
"I think valve surgery can be divided into several stages. The current sternal valve replacement surgery carried out by our Second Hospital of Medical University is a 1.0-stage surgery."
“…”
“…”
The doctors in the room were stunned.
Zhou Congwen stood up and beaten the Second Hospital of Medical University to death with a stick.
Since there is a stage 1.0, there is 2.0, and there is even 3.0.
Zhang You's face remained unchanged, and even a light flashed across his big teeth.
"The treatment of valvular lesions can be traced back to a hundred years ago.
In 1912, Dr. Tuer successfully separated aortic valve stenosis through the ascending aorta with his fingers; in 1940, Dr. Brock placed a dilator into a dilator through an unknown artery. However, due to poor results, the above methods were not promoted."
Zhou Congwen ignored the feelings of others and began to continue explaining.
"In 1949, Bailey successfully performed closed dilation separation surgery for mitral valve stenosis and received widespread promotion and application."
"In 1953, after long-term unremitting efforts, Gibbon and others successfully developed artificial cardiopulmonary machines, laying the foundation for the subsequent direct-eye surgery for heart valve disease."
"Here, let's talk about gossip." Zhou Congwen glanced at Shen Lang and said with a smile.
Shen Lang's eyes suddenly lit up.
"The team established by Gibbon, the founder of Ex vitro cycle, is affiliated with IBM."
"Wow~~~"
There was a noise in the office.
Zhou Congwen explained the history of valve surgery, and everyone was not interested in it. But when talking about gossip and the famous IBM, everyone suddenly became interested.
The same is true for Lu Tiancheng.
Ibm is a computer company, how can it be connected with medical care?
"In 1949, Gibbon's team developed the first working machine that can be tested on humans under IBM, the Type I.
The first patient was a 15-month-old baby girl who suffered from severe heart failure. Although the surgery failed, they found that the baby girl actually had a congenital heart defect during the autopsy."
"After Gibbon's team made an improved model, and 18-year-old Cecilia Bavorek underwent a second surgery with the help of Model II and was a complete success. By 1954, the research team developed the improved model III."
"But in 1955, IBM began to phase out many non-core programs. Gibbon's team of engineers pulled out of Philadelphia, and IBM left the biomedical equipment field - to Medtronic, HP and others."
"At that time, the field of biomedicine was just a trivial small department, and the input-output was not proportional, so IBM gave up on continuing research. In the future, we met sales staff of Medtronic and had to give a certain amount of respect. This is what cardiothoracic surgeons must do and show respect for their inheritance."
Zhou Congwen told a joke that was not a joke.
"After all, to a certain extent, the extracorporeal circulation system has been on the clinical frontline by Medtronic's continuous large-scale investment. At the very least, respect should be given."
"Later, in 1960, Dr. Harken succeeded in using cage ball mechanical valve replacement; in the same year, Dr. Starr and his team succeeded in using cage ball mechanical valve replacement, both of which marked the basic maturity of heart valve surgery."
"Valve surgery, 1960 can be said to be a mature year." Zhou Congwen said, "It has a history of 43 years."
"The valve surgery time in my country is basically similar to that in the whole world." Zhou Congwen continued, "In 1954, my boss and Mr. Lan Xichun cooperated to perform the first closed dilation separation surgery in China. "
Speaking of this, the office suddenly became quiet. It was like a pot of hot water being poured into a can of cold water, so quiet that it was scary.
Zhou Congwen talked about his boss!
In 1954... and Mr. Lan Sichun... were successfully performed for the first time in mitral stenosis.
The profound history, the foundation of the teacher, is invisible at a glance, is floating out of this sentence.
The heavy and serious spirit made the doctors present feel solemn.
What is the foundation, this is it!
When it comes to cardiothoracic surgery in China, it is inseparable from Mr. Huang and his own boss mentioned by Zhou Congwen.
Zhang You's eyes turned red with envy for a moment. How great would it be if he could say this?
Chapter completed!