Rebirth in the medical world

Chapter 189 Meeting Phoebe
With more and more different opinions, the report had to be temporarily stopped, and the host had to change the original single-person report form to a multi-person discussion method.

Ouyang Chenhui thought to himself that a long blocking time is naturally a good thing for the surgeon, because he has enough time to think about the operation and can calmly deal with some emergencies. However, it can also lead to myocardial damage or even necrosis!Myocardial damage mostly occurs in the early stage of recovery of cardiac circulation, which is mainly caused by the concentrated release of a large number of toxic substances such as oxygen free radicals, so it is also called cardiac perfusion reinjury. Severe damage can cause subendocardial necrosis, causing cardiac Recovery is difficult!Or myocardial contraction weakness or intractable arrhythmia after heart re-beating!
This creates a pair of contradictions. Heart surgery can be said to be the most delicate and complicated type of surgery among all surgeries. Therefore, having enough time means that the surgery can be done more beautifully and perfectly, but at the same time, long-term Blocking the blood supply over time greatly increases the chance of myocardial damage!
Aiming at this problem, the experts started a discussion. When fighting with each other, the benevolent sees the benevolent and the wise sees the wisdom. For a while, the two factions have equal forces, and it is almost difficult to distinguish the winner!
At this time, Ouyang Chenhui remembered a paper he had read in his previous life.The title seems to be about direct vision surgery without stopping the beating heart!

He remembered that the thesis at that time talked about the open-heart surgery that only blocked the superior and inferior vena cava without blocking the aorta after intubation by extracorporeal circulation, and did not use cardioplegia perfusion to maintain the heart’s normal agitation.

When he saw this article, he was also a little shocked, so his memory was relatively deep. He still remembers clearly that the hospital where the author of the paper used to use this surgical method at that time caused a great sensation. After that, beating open heart surgery became a trend!
Jingdu Hospital is a city-level hospital. Cardiac surgery started relatively late and developed slowly. The main reason is that heart surgery is risky. Once complications occur, the consequences are more serious. The most important one is myocardial protection. There is no good myocardial protection during the operation. , Severe low cardiac output, severe arrhythmia and other complications will occur after the operation and lead to death.

Jingdu Hospital once performed an operation supported by extracorporeal circulation. Unexpectedly, the patient died of severe arrhythmia after the operation. At that time, this incident had a great impact on the hospital, which also caused the cardiac surgery department of Jingdu Hospital to hesitate. s reason!

Thinking of this, Ouyang Chenhui stood up resolutely despite that he was just an intern.

Because of his standing up, the whole venue became quiet all of a sudden, and everyone turned their attention to this young man. In the whole venue, Ouyang Chenhui should be regarded as the youngest participant!

Everyone was wondering why the hospital would waste this quota for such a grand medical event, instead of letting directors with excellent skills to participate, but only sending a young doctor, many people would not even dare to think about Ouyang Chenhui It turned out to be an intern.

Seeing him standing up, Wang Yi gave him an encouraging gesture. Ouyang Chenhui smiled at him, and suddenly felt confident. He quickly straightened out his thoughts and began to explain in an orderly manner: "Everyone knows that myocardial protection is One of the keys to cardiopulmonary bypass surgery, hypothermic cardiac arrest is the most commonly used cardiac surgical method in open-heart surgery. However, cardiac arrest will cause myocardial ischemia, hypoxia and reperfusion injury, and low temperature will also It brings a lot of disadvantages to the myocardium. So, I boldly imagined whether we can try the normal temperature non-stop beating technique? This avoids myocardial ischemia-reperfusion injury, avoids myocardial fibrillation caused by low temperature, and saves cooling— The rewarming-stopping-repulsing operation procedure greatly shortens the time of extracorporeal circulation. Theoretically, there is no ischemia and reperfusion of the coronary arteries in off-pump surgery. The blood supply of the coronary arteries of the heart is blocked by the extracorporeal circulation machine and the vena cava Afterwards, the heart is in an empty state, which greatly reduces the oxygen consumption of the myocardium, so there is no need for low temperature protection! In this way, the offline time after the operation is shortened, and the chance of complications after the operation is also greatly reduced...

Before Ouyang Chenhui finished speaking, there was thunderous applause from below!There was no pause for a full 5 minutes.

Wang Yi clapped his hands and smiled proudly at Ouyang Chenhui. He did not misunderstand Ouyang Chenhui, this freshman student gave him too much shock!

Ye Haixiang on the other side finally understood why Wang Yi looked at this student differently at this time!

The morning meeting arrangement was delayed by the lengthy opening speech, and there were indeed many issues worthy of discussion on this topic, so the lively atmosphere had to stop until it was time for lunch!
Lunch is arranged in the largest restaurant in the villa. This time, since the guests come from dozens of countries around the world, it is difficult to agree, so it is in the form of a buffet!
Although there were many choices, Ouyang Chenhui still chose a few delicious Chinese dishes. After choosing, he took a tray and sat down in a corner of the restaurant!

It is rare for Wang Yi to meet many old friends, and the agenda of the meeting is very tight, so they can only use the time to catch up on the old days. They are all middle-aged people, and the topics they are talking about are naturally not what Ouyang Chenhui is interested in, so, He didn't want to join in the fun, and planned to straighten out his thoughts after lunch alone!

Just when he sat down, he saw a familiar figure walking towards him not far away. This figure, Ouyang Chenhui remembered, was held in Xueling It was Phoebe, the boyfriend of the little French beauty Elena, who I met at the BBQ party!
He was very surprised that he would meet him on such an occasion. At the barbecue party hesitation, Qin Dali's poisoning time caused everyone to break up, so Ouyang Chenhui didn't have time to learn about this handsome French guy Phoebe. background!

He is also a doctor!This really surprised him!
After choosing her own food, Phoebe walked towards Ouyang Chenhui. It was obvious that he had recognized Ouyang Chenhui a long time ago and was coming towards him.

As soon as she walked in front of Ouyang Chenhui, Phoebe warmly hugged Ouyang Chenhui as if she had met an old friend for many years, said a lot of passionate words, and then sat down!
Ouyang Chenhui noticed that the food he picked were all Chinese style!It seems that I have gotten used to the Chinese eating habits!
"Ouyang, I'm so glad to see you again, Elena often mentions you, and we plan to visit you in a few days!" This time Phoebe seemed much more talkative than last time, and People also seem very friendly!Not as hostile towards him as before!

At the last barbecue party, due to Elena's excessive admiration for Ouyang Chenhui, this passionate man from a foreign country felt jealous, so she also had obvious hostility towards Ouyang Chenhui!
Naturally, it was different this time. It was both a coincidence and a chance for them to meet again here!So, the two hit it off naturally!Especially meeting at such a grand medical event, the two men who are also young have a strong feeling of sympathy for each other!
In fact, Phoebe noticed him as early as when Ouyang Chenhui entered the arena!With the same curiosity and astonishment, he has been silently following Ouyang Chenhui's movements. Unexpectedly, he actually delivered such a powerful speech in a place where many leading figures in the medical field gathered!This had to make Phoebe look at him differently!
At the previous barbecue party, because of Elena's admiration for Ouyang Chenhui, he subconsciously felt that Ouyang Chenhui was just showing off his knowledge. When he saw him this time, he felt that he was indeed a bit of a real talent. When it was time, he followed him and sat down!
It's just that Ouyang Chenhui always felt that this Phoebe was a little strange. For example, he never mentioned where he worked or where he went to school.Judging by age, Phoebe should be several years older than Ouyang Chenhui, so it won't be surprising whether she is already working or still studying!

In this conference, Phoebe should be the youngest participant besides Ouyang Chenhui. It seems that he should also be a doctor with great insight, otherwise he probably wouldn't have had the chance to attend such a conference!

Ouyang Chenhui remembered that when Sister Xueling introduced him, he said that he had settled down in China, so he should not be a doctor in a foreign hospital. If he was in China, Elena was in Kyoto, so Phoebe should be there too. Kyoto, there are only a few hospitals in Kyoto, and the largest one is the Kyoto Hospital.Could he be living in a small hospital?But the possibility of this is almost zero. The reason why I came to China all the way is not to stay in a small hospital to dawdle!
While eating, Ouyang Chenhui guessed with great interest, but after guessing for a long time, there was still no complete conclusion!

"Ouyang, you are really great! I heard that you are now in the obstetrics and gynecology department. Isn't it interesting to see all kinds of women take off their pants?" He said it as a joke.

Ouyang Chenhui was shocked again, he even knew that he was in the obstetrics and gynecology department now, it seemed that he knew himself and Jingdu Hospital very well!
"Phoebe, the most interesting thing is that you are well-informed. It is very appropriate to use a word in China to describe you! That is 'Little Lingtong'! I just went to the obstetrics and gynecology department a few days ago, and you actually Got it, it's really my honor? Thank you very much for paying attention to me! But, what I'm curious about is, which hospital are you in?" Ouyang Chenhui was not used to beating around the bush after all, so he finally asked.

Seeing him asking this question, the corners of Phoebe's mouth turned up slightly, and the curly sheep's hair looked extremely cute under the reflection of the hotel's lights!

Ouyang Chenhui was even more surprised when he saw him smiling without saying a word!But he still looked at him calmly, until Phoebe cleaned up all the food on the plate, then he waved to Ouyang Chenhui and motioned him to come over!

Driven by curiosity, Ouyang Chenhui leaned forward.

Like a Chinese, Phoebe leaned into Ouyang Chenhui's ear and whispered, "I'm also an intern at Jingdu Hospital!"

Hearing Phoebe's unexpected words, Ouyang Chenhui almost spit out the food in his mouth, isn't this too funny?In the same hospital as an intern, he didn't even know?

However, after a while, Ouyang Chenhui felt that something was wrong. Today's cardiovascular seminar is aimed at the medical staff of the cardiovascular system. Jingdu Hospital only has two departments of cardiology and cardiothoracic surgery, and what Wang Yi said is very clear Well, there are only two conference places in the entire Kyoto Hospital, how could it suddenly become three?
So, there must be something wrong with it.

"Phoebe, are you kidding me? Don't forget, this is China, so it's not that easy to fool me!" Ouyang Chenhui said half seriously and half jokingly.While talking, he paid attention to the changes in the expression on Phoebe's face. Foreigners have rich facial expressions, and it is often possible to tell whether he is lying by his facial expressions!

It's just that Phoebe didn't appear to be lying at all. He still smiled and said in his half-baked Chinese: "Ouyang, I didn't play tricks on you. I mean it. I really did an internship at Jingdu Hospital. , The departments where I practice are relatively limited, I only intern in the Department of Nephrology and Urology! So, it’s normal that you haven’t seen me in the hospital, but you are different, you are the miracle of the entire Kyoto Hospital, even if It's because I didn't deliberately inquire about your news, but the news still flew into my ears like wings." Phoebe said humorously.

This is true, Ouyang Chenhui is quite a celebrity in Jingdu Hospital now, when his name is mentioned, not many people don't know about it!

Ouyang Chenhui chuckled, acquiescing to his statement. Foreigners only practiced in the Department of Nephrology and Urology. It seems that the best doctor that the little nurse Taozi in the Department of Cardiology mentioned was the same as Chen Yang. Phoebe?
Ouyang Chenhui thought to himself, so far, this Phoebe is not as annoying as Chen Yang. As for the best method, it seems that it still needs to be verified!
"But Phoebe, since you are an intern in the nephrology department, why did you come to this kind of cardiovascular seminar?" Ouyang Chenhui continued to ask.

"Ouyang, you Chinese have a saying, 'Live to be old, learn to be old.' I am studying. As long as it is related to medicine, I will study. If possible, I would like to participate in your What about the obstetrics and gynecology consultation, just wondering if there is such an opportunity?" Phoebe said humorously, sounding almost watertight!
However, Ouyang Chenhui is not so easy to fool. Since he is so eager to learn, why does he only practice nephrology and urology?It seems that Phoebe is deliberately hiding something!
"Phoebe, I really admire you. It's very difficult to get an invitation card for a meeting of this level. Don't tell me that your invitation card was also brought by the Kyoto Hospital!" Ouyang Chenhui seemed to agree. I was exhausted with him, and I asked persistently, which meant that I would never give up until I reached my goal!
"Ouyang, you are really smart, yes, yes, my invitation card is not from the hospital, I am occupying our quota in France, so don't look at me with such hatred!" Phoebe He has maintained his unique gentlemanly demeanor from beginning to end!

It's just that the more he behaved like this, the more strange Ouyang Chenhui felt. However, as the two of them went around, it seemed that they were getting farther and farther away, and it didn't make much sense to continue like this.Ouyang Chenhui simply stopped asking.Twenty casually asked about Elena.
It's just that Phoebe doesn't seem to like to talk about trivial and trivial things about his parents. After answering a few questions from Ouyang Chenhui, he still turns the topic back to Ouyang Chenhui.
"Ouyang, your idea just now is very novel and peculiar. I admire you very much. I wonder if you are interested in putting this idea into action?" Phoebe seems to have listened to what Ouyang Chenhui said talk.

Ouyang Chenhui had also thought about this issue of Yue. He knew that if Al's disease could not be well controlled, surgery would be unavoidable. Therefore, he also intends to make a breakthrough in the field of heart surgery. , It's just that the cardiac surgery foundation of Jingdu Hospital is too weak, and the quality of doctors is also uneven. For such a major operation, one person's strength is far from enough, so he just thinks about it.

"Phoebe, since you are also an intern at Jingdu Hospital, you should know that the hospital's cardiac surgery is not satisfactory, and the current level is still far from carrying out such a major operation. Moreover, my idea is just an idea, and it needs to be implemented in clinical practice." Besides, I'm just an intern, and I don't have all the conditions yet, so..." Ouyang Chenhui felt that it was a bit lacking in confidence to say this in front of a foreigner, but this was an indisputable fact. It's just insufficient!
"Ouyang, you are a talented person. In the environment of Jingdu Hospital, it may not be possible to provide you with a stage to display your skills, but if you want, I can show you a clear way..." Phoebe said, her face The expression on his face became weird!
Ouyang Chenhui was a little surprised, what did Phoebe want to do?Poaching?He is just an intern, is it necessary to do this?Guessing in his heart, Ouyang Chenhui smiled slightly, thanking Phoebe for valuing him.

"What about Minglu? Let's hear it!" Ouyang Chenhui asked with great interest.

"Ouyang, don't you Chinese like money very much? As far as I know, you don't get paid as an intern in Jingdu Hospital, and even if you become a real clinician in Jingdu Hospital, your salary for a month is as high as It’s not high, like Wang Yi, you can’t get 1 yuan a month, right? And I’m going to show you a path, if you want, you can get 1 yuan a month now , and, as long as you are willing to work hard, [-] to [-] won’t be a problem, so it depends on whether you are interested in the future.” Phoebe said, a pair of eyes showed a different kind of light, like a hungry head The Wolf saw the white and tender lamb.

Ouyang Chenhui didn't like this kind of feeling very much. This kind of feeling of being watched and calculated was not what he wanted, money?1 yuan a month?It seems that Phoebe really underestimated her own appetite!
But in order to find out his details, Ouyang Chenhui still pretended to be very interested and leaned over, with a wicked smile on his face: "Mr. Phoebe, which bright road are you talking about?"

Hearing Ouyang Chenhui's question, Phoebe thought that Ouyang Chenhui had already been moved by the rich material conditions, so she said with a smile: "In the suburbs of Kyoto, there is a hospital called Cihu Hospital. Don't think it's small. , but the income is definitely not low. If you want, ask me to introduce you. After entering there, I guarantee that you can perform surgery, which is no worse than being an intern at Kyoto Hospital... Moreover, it is quite easy to go to work, and you don’t need to work night shifts , no work pressure, and no need to keep taking exams like those doctors in China..."

Cihu Hospital?

It turned out to be Cihu Hospital?
Ouyang Chenhui was stunned again. How many secrets are hidden in a small suburban hospital?Even foreigners have been dispatched, it seems that the water is deep enough.

Nan Huaiyang had explained that he would handle the matter of Cihu Hospital himself, so Ouyang Chenhui didn't go too far to investigate the mystery of it. Unexpectedly, if he didn't provoke this Cihu Hospital, he would find it himself. Come to the door.

"1 yuan a month, are you interested?" Phoebe asked inquiringly.

Ouyang Chenhui smiled and said nothing, of course he is interested, but his interest is not in the monthly salary of 1 yuan, but why so many people are interested in a small hospital. There are many great gods in the small temple of the Lake Hospital!How could he not be interested in such an interesting thing?

Seeing that Ouyang Chenhui smiled, Phoebe had the bottom line in his heart. He felt that Ouyang Chenhui had already been attracted by the rich material conditions in all likelihood!Although he is not very old, he looks only 21 or [-] years old, but he has a good understanding of Chinese people's sophistication.Therefore, instead of rushing for Ouyang Chenhui to give an answer, he smiled slightly and said softly: "It's okay, I will give you enough time for you to think about it, when will you think it over clearly, and when will you call me?" Call, I am waiting for your good news at any time..." After Phoebe finished speaking, she handed over a business card with his mobile phone number printed on it, and while Ouyang Chenhui looked down at the business card, he left alone...

The card was simply printed: Phoebe, Kidney Surgeon.

Kidney surgeon?Nephrology?Urology?Cihu Hospital?Kidney surgery?
These words were connected together in Ouyang Chenhui's mind, and Ouyang Chenhui's eyes became serious all of a sudden. He suddenly guessed what Phoebe said about a doctor with 1 yuan a month.
It seems that Xiao Wu's incident last time was definitely not a coincidence. That Cihu Hospital may be a black hospital that removes human organs in an organized and planned way!
Thinking of this, he felt a chill in his heart!
He quickly took out his cell phone and called Nan Huaiyang!
(End of this chapter)