Since 1981 Health School Chapter 553

   Lan Lijuan had all the data in the department in her head, just to wait for this moment, so she replied without hesitation:

   "At present, there are 10 patients in our department who need fundoplication, and another 10 patients with achalasia who need to be treated by POEM technology."

  The communication between the two husband and wife was carried out entirely in English, and there was a secret hidden in it, just for the foreign doctors in the conference room to hear.

   Sure enough, as soon as Lan Lijuan finished speaking, Professor Grace couldn't wait to ask:

   "Wait, Lan, what exactly is the POEM technology you mentioned? Is it the key to endoscopic surgery?"

  Chen Qi knew the fish was hooked when he heard this question, so he pretended to be serious and nodded:

   "POEM is the abbreviation of Preoralendoscopic myotomy, which translates to endoscopic myotomy, also called endoscopic tube sphincterotomy, which is performed through a tunnel."

  The invention of the tunneling technique was actually invented by a Japanese doctor in 2009 in the previous life. This new technology plays a pivotal role in endoscopic treatment and has great clinical significance.

It is only 1989, and endoscopic surgery has only started for a few years. Chen Qi has come up with such an epoch-making new endoscopic surgery. If he has no ambitions, it is enough to become an authority in the medical field and eat POEM for a lifetime. dinner.

   At this time, another doctor raised his hand and asked:

"Chen, if I heard correctly, you mean that you are going to perform 5 achalasia surgeries this morning? But each of these surgeries takes at least 3 hours. How can you perform 5 surgeries in half a day? completed in time?"

  Chen Qi smiled: "What if I control each operation within one hour?"

"This is impossible."

   "Nothing is impossible, I dare say it can be done, right?"

  Americans like to question, and they have the courage to question, and they will not shut up and not question just because you are the host, so Chen Qi is not angry at all. Facts speak louder than words.

   "Let's go, let's go to the operating room now. There is a saying in Huaguo that you will know if it is a mule or a horse out for a walk. Today I will let you know what kind of genius I am."

  hahaha~~~~

  The foreign doctors laughed lightly. Proper bragging is the way these Americans are used to colluding, so there is no need to be so subtle.

  When a group of foreign doctors came to the operating room, the head nurse of the operating room was already waiting and handed a set of brand new surgical gowns to the foreign doctors, even the slippers were brand new.

  Chen Qi felt unbalanced when he thought of his patched surgical gown:

   "Head nurse, why did you buy so many new surgical gowns? Before we wanted to change a few sets, you still said we were wasting it."

  The head nurse Wang also laughed:

   "Dean, this is what Guo Shuji specially asked. It doesn't matter if we wear a little worn out, but we can't lose face in front of foreign colleagues. These surgical gowns are still bought from the Shanghai stock market. They are very expensive."

  Chen Qi patted his forehead: "Old Guo, this is a big mistake for me. It's too late for me to cry poor. How can we show off our wealth?"

"Huh?"

  Master Wang is a little puzzled, why should she cry poor in front of foreigners? Shouldn't it be to pretend to be rich in life?

   On the other hand, except for emergency surgery, elective surgery in the People's Hospital has been suspended today, just to facilitate foreign friends to visit, which is what Lao Guo urged.

  As colleagues, foreign doctors are actually very interested in the current medical situation in Huaguo.

  After all, they have been educated, and Huaguo is poor, backward, ignorant, and even like an uncivilized primitive society.

  So they looked around one by one, wanting to see what equipment is in the operating room of Huaguo Hospital. Through these equipment, they can also see the medical level of Huaguo doctors and what level of surgery they can do.

   This look is quite disappointing.

  The operating rooms in the United States have basically adopted laminar flow ultrclean operating rooms.

  This kind of operating room adopts air laminar flow ultrpurification device to efficiently filter and sterilize dust particles and bacteria in the air to achieve the effect of dust removal and sterilization, creating a clean and comfortable operating space environment.

  However, the operating room of Yuezhong Hospital is an ordinary room renovation, especially in winter because there is no air-conditioning equipment, and traditional boiler radiators are used.

  The other doctors were just watching the fun, but for Professor Braderick, he felt even more uncomfortable.

  With such a working environment, the possibility of the Hollywood tycoon coming to China for surgery no longer exists. Don't expect the surgery to be successful, but encounter a postoperative infection.

   For hemophilia patients, postoperative infection is absolutely fatal, because infection can also cause massive bleeding and DIC.

  Professor Grace stood in front of the gastroscope, frowning as he looked at the equipment in front of him, because all the endoscopic equipment in front of him were outdated tools that were eliminated early in top hospitals.

  He picked up one endoscopic tube and looked at it for a long time, then picked up another endoscopic tube with a camera and tried it, and found that the bite force was very unbearable.

   Except for the relatively advanced main gastroscope, there was nothing on the scene that could be put on the table, which made Professor Grace both puzzled and puzzled.

  Chen Qi walked into the operating room after being sterilized. It was a little strange to see the expressions of these foreigners:

   "Several professors, do you have any questions about our equipment?"

  Professor Grace shrugged: "Chen, if I'm not mistaken, your endoscopic equipment should be from many years ago, right?"

  Chen Qi suddenly expressed embarrassment:

"Yeah, all these endoscopic instruments were given to us by the Mayo Clinic for free. They didn't spend a penny, but they are all obsolete products. There is no way. Who told us that our country is not rich, so let's tinker with it." It took three years and three years."

  As soon as these words came out, those foreign doctors gave their thumbs up one after another.

   "Chen, you are so amazing, you can do the greatest surgery with such rubbish."

  Chen Qi talked about what and where, but what he thought in his heart was how to get some good things from the WGO organization.

  The WGO organization has a lot of money and wealth, and if they leak some soup at will, it is enough for Chen Qi to replace the equipment in the endoscopy operating room of the People's Hospital from top to bottom, from the inside to the outside.

  Professors Grace and Bradrick obviously also thought about the sponsorship, but again, you, Chen Qi, have to show your worth.

  You are valuable, and people will invest in you.

  If your operation is not successful, or if there is academic fraud, people will just pat your **** and leave, and then belittle a certain country at major academic conferences.

Blacksmith need its own hardware.

  The operation started, and all 15 American doctors formed a circle. Professor Grace and Professor Bradrick stood beside Chen Qi, staring at the TV monitor without moving.

  Although the two of them complained in their hearts that the TV screen was too small and the clarity was not enough, they could see the whole process of the operation anyway.

  Chen Qi explained while inserting the endoscope. Firstly, the endoscope was inserted into the cardia, so that these American doctors could see the obstruction of the cardia, so as not to accuse him of academic fraud.

  The camera next to it was clicking and clicking, and there were two cameras shooting at the same time, one was aimed at the TV monitor, and the other was aimed at Chen Qi's gestures.

   "Everyone has seen the obstruction of the cardia, and now I am going to perform the tunnel technique I invented, everyone is optimistic."

   Chen Qi quickly cut a small incision on the wall of the esophagus with an electric knife. The diameter of the incision is only 1 cm, which is very small.

  Professor Bradrick and his assistants pay special attention to the bleeding problem, because the success of the operation of the Hollywood bigwig depends on the amount of bleeding, or the size of the wound.

  Then they discovered miraculously that no blood flowed out of this small incision, and it was completely clean after being washed several times.

   "Chen, why didn't your incision bleed? Is this the case in every operation, or is it just this patient's special?"

  Professor Bradrick must ask clearly.

  Chen Qi is a little surprised why this expert from Sid-Sinai Medical Center cares more about bleeding. Of course, if people ask him, he will definitely answer:

"Professor, this is easy to understand, because there are only a small number of tiny blood vessels on the mucosal layer, and a large number of blood vessels on the adventitia, so our operation will not touch the esophagus and gastric fundus veins or the aorta. The knife makes such a small cut, basically there will be no bleeding."

  Professor Bradrick nodded, and after writing something in his notebook, he continued to watch Chen Qi operate.

   Then it came to the "tunnel digging" link. After Chen Qi injected the normal saline, he began to separate the submucosa and muscular layer.

  The faces of Professor Braderick and his assistant were almost pasted on the screen, and they asked each other: "Is it bleeding? Is it bleeding?"

  Chen Qi couldn't bear it anymore, and asked his own question:

"Professor Bradrick, why do you care so much about the amount of surgical blood loss? The advantages of endoscopic surgery are small trauma, good curative effect, and fewer postoperative complications. If the amount of bleeding during the operation is large, it will violate the trauma of endoscopic surgery." It's a small principle."

  Professor Bradrick was a little embarrassed. After thinking about it, he decided to tell the truth. Of course, he would keep the patient's privacy.

"It's like this, Chen, I have a patient with severe hemophilia, but he also suffers from achalasia. It can be said that his life is hanging by a thread. Under the premise that medical treatment is ineffective, only endoscopic surgery can save his life. .

   But you also know that hemophiliacs are just like glass people. If you are not careful, you will bleed profusely, or the surgical wound will not stop bleeding. So for the safety of the patients, I came to China to inspect your POEM surgery.

  Whether the operation can be successful is an important part of the investigation, but the premise of all this is that the incision of this operation must be very small, and the amount of bleeding must be controlled in an extremely small range, so as to ensure the safety of the operation. "

  Chen Qi is a director of the International Medical Association. He has seen too many big men, so he understands it immediately.

   "Professor, this patient is very important?"

  Professor Bradrick nodded:

   "In the United States, they belong to the upper class, and they are very rich. To be honest, Dr. Chen, if you can win this operation and cure this big man, the harvest will be far beyond your expectations."

  The operating room is full of doctors, and the topic of flying knife fees is not taboo, so Chen Qi also joked:

   "Yo, how big will it be? The largest medical bill I have received so far is in Africa. I received a total of 1.5 million US dollars for an operation on a senior government official."

  Yoxi~~~~

   Oh no, again, the red neck of the United States should be: "Oh, God~~~"

  Indeed, $1.5 million is top-notch even in the world. If it wasn't for the fact that the other party wasn't the richest man, and it wasn't a life-threatening surgery, it was basically impossible to get so much money.

  For example, when Chen Qi went abroad for surgery, the flying knife fee of tens of thousands of dollars is an international practice.

  Of course, so many years have passed, and the price of the flying knife has also increased, from 50,000 US dollars to 80,000 US dollars, but it is nothing compared to 1.5 million US dollars.

  Professor Bradrick was also taken aback when he heard it. He thought that the Hua Guo doctor, whom he had a little disdain for, was so new in the world?

   But his patient is a Hollywood tycoon worth tens of billions of dollars. He also made it clear that whoever can cure his disease will give him an unexpected fortune.

  Although the specific amount was not mentioned, this "unexpectedness" means that it is at least a few million dollars to start.

   Otherwise, the annual income of top doctors in Europe and the United States is millions of dollars, how many hundreds of thousands would you give? What about sending off beggars? What kind of "unexpected" is it?

  So Professor Bradrick also laughed:

   "Chen, you are more powerful than I imagined, but the patients give more than you imagined. Of course, the premise is that you can get this bounty."

  Professor Grace saw that the atmosphere was relaxed, and joked a few words:

"Chen, I can testify that all of this is true. I have also helped to contact many top gastroenterologists. It is a pity that a hemophilia stopped everyone who was about to move. If your surgery can really solve the bleeding problem , can help you get a bond, and you can definitely make a fortune."

  You said to a "dead money" that you could make a fortune, didn't you lure Chen Qi into a rage.

   Originally, Chen Qi thought that these foreign doctors' visits were more for academic research and experience exchange. After a long time, they turned out to be inspecting him for the big dog?

   How could Chen Qi miss the "unexpected" wealth?

  Don't say he has the conditions to do this hemophilia surgery, even if he doesn't have the conditions, he must create the conditions.

  As soon as he thought of boxes of dollars in front of him, Chen Qi became very motivated.

"Look, gentlemen, well, now I'm going to share the mucous and muscular layers of the esophageal wall, the saline has separated the two, so the separation process is very easy, and you see, that's it, and it doesn't bleed , see?

  Okay, now we have reached the sphincter, which is the ring-shaped muscle. All I have to do now is to cut the muscle open with an electric knife. In the past, all the operations I performed used full-thickness myotomy.

One advantage of this method is that the operation effect is better and there will be no recurrence, but the disadvantage is that there will be a small amount of bleeding, so now I decided to use another incision, which is to do it at 2 o'clock on the anterior wall of the esophagus in the lesser curvature of the stomach A short incision, as long as 1.5cm is enough. "

  Sure enough, the role of banknote ability can create infinite possibilities for people's thinking.

  If the muscle layer is completely cut, the incision will be at least 6~8cm, and now it is directly shortened to 1.5cm. The smaller incision means that the possibility of bleeding is less, and the operation for hemophiliacs will be closer to success.

  Professor Bradrick is a little strange: "Chen, do you have multiple incision methods for POEM surgery?"

  Chen Qi shrugged:

"Of course, we will meet the needs of patients, especially for a billionaire. If there is no condition, we will create a new surgery. Anyway, the research and development cost of the new surgery will be provided by the rich man. , isn't it?"

   "Hahaha, Chen, you speak so well~~~"

  Doctor Huaguo was ashamed to talk about money, thinking it was a sign of lack of medical ethics.

  But the American doctor grew up in the capital and has a very clear concept of money, so he doesn't dislike Chen Qi's mention of money.

  On the contrary, they felt that Chen Qi was so forthright, sincere, and worth dating.

Chapter end