world famous doctor

Chapter 64
Zhou Chen's heart skipped a beat.

If he had known earlier that he came out for late-night snacks to ask about this matter, it would have been better for him not to have come.

He thought about it carefully in his mind, and really didn't know how to explain it.

But seeing so many eyes staring at him closely, he had to say something wrong no matter what.

"Hmm... by intuition."

"intuition?"

Xie Zhiwen frowned, obviously, he didn't believe that things would be so simple.

So, he turned around and said, "Forget it, since you don't want to say it, I won't make things difficult for you."

After a while, the staff of the restaurant brought the hot pot to the table.

Xie Zhiwen raised his chopsticks and greeted:

"Everyone is hungry too, let's get started and let's chat while we eat."

Judging from the various actions just now, the doctors probably understand.

It seems that Director Xie specially wanted to discuss issues with Zhou Chen for the supper tonight.

Because in the past, when they went out to eat, they basically never discussed the work in the hospital.

Medical work is already tedious and tiring. After work and leaving the hospital, you must find a way to vent and relax.

No doctor wants to bring it to the dinner table and take it home with the stress of working in the hospital.

If this happens over time, it will only tire people out.

At the dinner table, everyone lowered their heads and ate.

The voice of talking and laughing gradually became smaller.

For a while, fell into an embarrassing silence.

The atmosphere seemed a bit awkward.

From time to time, Xie Zhiwen enthusiastically sandwiches dishes for Zhou Chen.

Zhou Chen nodded while eating and replied, "Thank you, Director, I'll do it myself."

While eating, Xie Zhiwen raised his head and asked again:
"Xiao Zhou, with your knowledge, I believe that your teacher should also value you very much, right? Logically, he should introduce you to the hospital for training practice?"

Before Zhou Chen could speak, he continued to speculate: "Is it possible that you have a bad relationship with your teacher?"

Zhou Chen shook his head and replied with a wry smile: "No, no, my teachers all work in the hospital affiliated to the Medical University. They are very good to me and take good care of me."

Of course, this is just a perfunctory face-saving remark.

During the five years that Zhou Chen was at the Medical University, he had no sense of existence at all in the eyes of the teachers.

Even if there is, he is deeply impressed by his nickname of "spiritual guy".

Among teachers and classmates, no one would think that someone like Zhou Chen would have any future.

If so, in the end Zhou Chen didn't have enough credits, and he didn't even get his graduation certificate.

What's more, they think that Zhou Chen's association with them is a shame for them and a shame for the Medical University.

A "spiritual guy" came out of a medical university, which in itself sounds disgraceful.

Back then, the vice president of the University of Medical Sciences talked to Zhou Chen alone, and told him earnestly:

"Zhou Chen, for the sake of the school's honor, I hope that after you leave school, if someone asks you, don't say that you are a student of our medical university..."

Zhou Chen also worried about this for a long time.

But since he was bound to the famous doctor system, he felt relieved.

Zhou Chen is determined to make a name for himself with the help of the famous doctor system, so that everyone will look at him with admiration.

One day, he will tell the world loudly: "I, Zhou Chen, am not a spirited guy."

"Oh Zhou Chen, why are you in a daze? Eat."

While talking, Xie Zhiwen took another piece of meat and put it in Zhou Chen's bowl.

Zhou Chen nodded slightly, and showed a narrow smile at the other party.

Xie Zhiwen laughed twice.

He wanted to explore Zhou Chen's background and see how deeply he knew about the relevant medical knowledge of the cardiovascular department.

So, Xie Zhiwen said in a questioning tone: "Xiao Zhou, don't be too restrained, just treat me like a teacher in your university. Next, can I discuss a few issues with you?"

"Of course, sir, please speak."

"Can you talk about your understanding of heart beating surgery under off-pump cardiopulmonary bypass?" Xie Zhiwen asked.

Zhou Chen blurted out without thinking.

He recounted the operation method and the whole process in one go.

"This operation is referred to as opcabg. It is operated through a median chest incision. Between the left pulmonary vein and the entrance of the inferior vena cava, 10 stitches of pericardial traction line are sewed with 3-gauge silk suture to lift the heart, and then the target blood vessel area of ​​the heart is fixed with a heart stabilizer. , and then use the elastic thread to block the blood flow, so as to perform the operation.”

After listening, Xie Zhiwen nodded in satisfaction.

Zhou Chen really described the details of the operation very well.

"What about matching order?" Xie Zhiwen asked again.

Zhou Chen probably understood in his heart, how could the other party discuss this with him?

This is clearly testing yourself.

Xie Zhiwen had his own reasons for asking this question.

An intern who is going to practice next to him must know more about certain medical knowledge than ordinary students.

Xie Zhiwen also didn't want to bring a student with a dull talent, that would not only be tiring, but also bring no benefits at all, and might damage the reputation of his director.

Zhou Chen's mouth showed a slight smile.

These problems are clearly annotated in the famous doctor system.

All he has to do is follow the subtitles that appear in his head.

"The sequence of anastomosis in arterial bypass surgery generally follows the principle of first easy and then difficult, first the anastomosis of the anterior descending branch of the left internal thoracic artery, and then the anastomosis of the grafted vessel with the posterior descending and obtuse marginal branches..."

Zhou Chen's answer can be given full marks.

This also attracted the attention of other doctors present.

To be honest, although there are several doctors here who have worked in the cardiovascular department of the hospital for many years, I am afraid that even if he were to come here, they would not be able to answer questions so fluently.

All the doctors present seemed to have thousands of questions about Zhou Chen.

How did he know so much as a medical student who just graduated?

Among those present, there is also a deputy chief physician.

He suddenly asked Zhou Chen a question.

"If the patient's hemodynamic condition is unstable, how should we operate?"

His question was obviously intended to lead Zhou Chen into a trap.

Because the patient's hemodynamic instability is a contraindication for OPCABG.

It and valvular disease, ventricular aneurysm, moderate or above mitral insufficiency, atrial fibrillation, and frequent premature ventricular contractions are all contraindications to this operation.

Just when all the doctors were about to watch Zhou Chen's joke.

Zhou Chen didn't even think, nodded with a smile, and explained seriously:

"Strictly speaking, OPCABG should be used with caution in patients with unstable hemodynamic conditions, but my suggestion is that in an emergency, intra-aortic balloon counterpulsation can also be placed before the operation before OPCABG , so relatively speaking, a certain degree of security can be improved.”

For this impeccable answer, Director Xie Zhiwen took the lead in applauding.

"Good answer!"

When the others saw this, although they were a little reluctant, they could only join in and clapped their hands together.

(End of this chapter)