The curtains were tightened, the lights were turned off, and the entire room was darkened.

Chen Qi's laptop-like convenience B-ultrasound machine once again played a role.

I saw that he was holding a probe in his right hand, constantly irradiating back and forth on the patient's painful parts, manipulating the mouse left and right, and taking screenshots from time to time; Both eyes didn't leave the screen for a moment.

Dean Baggri, Director Momberto, and Piette and Kalaima were all staring at the screen.

Doctors are all professionals, so it is naturally easy to distinguish what kind of advanced level this "color ultrasound machine" is.

The B-ultrasound machine was invented in the 50s, and by the 80s, the mainstream of the world was still dominated by black and white B-ultrasound, even if the black-and-white machine had not been completely eliminated by 2022.

The color Doppler ultrasonic detection technology, that is, the "color ultrasound machine", was just launched in the early eighties, so it is now an advanced medical instrument in Europe and the United States.

As for the color ultrasound machine in Chen Qi's hand, it can no longer be described as advanced, it can only be said to be a cross-era product.

Everyone has never seen this high-definition LCD screen alone, and with the movement of Chen Qi's probe, everyone can see the situation of the abdominal organs very clearly.

B-ultrasound diagnosis is to display the reflected echo signal on the instrument in the form of gray scale, and the strength of gray scale reflects and attenuates the strength of ultrasound at the echo interface of body tissues and organs.

These two-dimensional flat images composed of gray scale light points that are reflected back are common ultrasound images.

Therefore, it is very important to look at the echo performance of B-ultrasound, which is one of the bases for the doctor's judgment.

For example, strong echogenicity, which refers to increased echogenicity accompanied by posterior acoustic shadows, is commonly found in stones, air-containing interfaces, and bone surfaces.

Hyperechogenicity is different from hyperechogenicity in that it is not accompanied by sound and shadow in the posterior part of the liver and spleen.

There is also a type called isoechogenicity, that is, a moderate level of echo, which is seen in the liver, spleen, parenchyma, etc.

Hypoechoicism is typically seen in subcutaneous fat.

The last type is anechoic, which is typically anechoic in pure liquid substances such as bile, urine, chest and ascites, and exudates.

When Chen Qi's probe was fixed in the position of the gallbladder and bile duct, everyone obviously saw the abnormality.

Kalaima was a little excited: "Look, this intrahepatic bile duct has a slight dilation. ”

Secondary dilation of the bile ducts, which strongly suggests obstruction or mass occupancy of the biliary tract, seems to further confirm the possibility of bile duct cancer.

As soon as the doctor was excited, the patient was nervous, especially Dr. Kalaima, who couldn't spit out ivory from the dog's mouth.

Vice President Mbeki asked nervously, "Dr. Chen, is this bile duct dilation good or bad?" ”

Chen Qi hesitated a little and decided to tell the truth:

"Uh, this doesn't seem to be too friendly, don't worry, keep checking ......"

Chen Qi also wanted to comfort the poor little African old man with a few words, but who knew that Kalaima exclaimed excitedly at this time:

"Look, look here."

Kalama shouted while poking his finger at the screen, and the whole person's momentum was different.

I saw a breast on the ultrasound screen, a breast... A capitate echogenic mass protrudes into the dilated bile duct lumen.

Let's describe it this way, it was originally a smooth tube, but suddenly something protruded from the inside of the tube, which was clear at a glance under Chen Qi's advanced color ultrasound.

Even if there is no need for the doctor to answer, Vice President Mbeki will know that something is wrong no matter how stupid he is.

"Doctor, really, is it really bile duct cancer?"

As he spoke, the little black man's original little black face had turned into a little white face, and he felt like he was about to fall.

Unlike Kalaima's excitement and conclusive words, Chen Qi still has a different opinion:

"Doctor Kalaima, look around here, I just scanned the area, and I didn't find any swelling or abnormal increase in the surrounding lymph, if this bulge is bile duct cancer, and it has developed so obviously, the lymph cannot be normal."

Dr. Kalama was clearly unconvinced:

"Not necessarily, not all lymph nodes around cancer have problems, right? Maybe this is one of the few cases where cancer cells have not spread? ”

Chen Qi continued to retort:

"There is another one, B ultrasound can only know that there is such a thing in the bile duct, which may be caused by this thing, but B ultrasound cannot determine the boundary of this bulge and the internal blood flow, so it is too early to say that it is bile duct cancer."

Chen's argument apparently didn't convince Dr. Kalaima, who continued to point to the screenshot on the screen and said:

"There is a bulge in this place, either a tumor or a stone or inflammation, Dr. Chen, you look at this echo, it does not meet the possibility of stones or inflammation at all, so I can't think of any other possibility besides the tumor?"

Chen Qi continued to retort:

"As you just said, maybe it's just a few cases, and this inflammation looks like cancer? Now, except for a bulge, other symptoms do not support cancer. ”

Seeing the two doctors arguing, everyone didn't dare to breathe.

This is an obvious opinion analysis in front of the vice president of a country, this is really treating the vice president of others as a cadre?

But Mbeki was happy in his heart, and what he feared most was that all the doctors were unanimous, just as the jury in the court was unanimously guilty, and there was really no hope at all.

The doctor has an analysis, which means that the diagnosis of bile duct cancer cannot be determined.

Then it may not be cancer, can it survive?

The patients' psychology is fragile, and they all want to listen to good words, so the vice president glanced at Dr. Kalaima, but when he looked at Chen Qi, his eyes were full of hope.

"Dr. Chan, do you think it's not like cancer? Okay, so what do you say is the next treatment? ”

Chen Qi replied while packing up his portable color ultrasound machine:

"Let's install the CT machine tonight, and we'll do the CT machine early tomorrow morning, and then let's talk about whether it's cancer or not, it's hard to say, I just argued with Dr. Kalaima, but I just went through all the possibilities. It cannot be arbitrarily said to be cancer, but it cannot be ruled out. ”

The doctor speaks like this, he will never be full of words, in this cloud, what he said is the same as not saying it.

Mbeki was disappointed and went back to bed thinking about what was on her mind.

Mrs. Mbeki was anxious: "Doctor Chen, since we can't be sure if it's cancer, let's not check it out, just have a surgery to remove it." ”

Chen Ji was a little embarrassed and said:

"Madam, if it is not cancer, if it is confirmed to be bile duct cancer, then the scope of this operation requires the removal of four nearby organs, and the operation may aggravate the death.

Moreover, the operation time is also more than 10 hours, and many people may not be able to get off the operating table, and it is not an exaggeration to say that it is the most difficult operation in surgery, especially the medical conditions in your country, which is even less optimistic. ”

As soon as she heard that it was fine without surgery, she might hang up on the spot if she did, and Mrs. Mbeki was so frightened that she covered her mouth and did not dare to ask again.

Coming out of the ward, Dean Bagri was a little anxious:

"Dr. Chen, even if you ship the CT here, but there is no condition to install the CT in the computer room of our hospital for the time being, and the CT will be done tomorrow, what can I do?"

Chen Qi is obviously confident:

"There is a priority, there is no CT room, so I will temporarily replace it with an X-ray room, although the safety is not reached, but we only do CT once, so that irrelevant personnel are far away, there will be no big problem."

Besides, if you look at Mr. Mbeki, he can't wait to start doing CT tonight, it was good to say that there was no CT before, but now with this machine, it will be delayed for a few days, do you believe that you can easily get out of the dean's throne? ”

As soon as Bagri heard this, he realized the gravity of the matter.

Especially in such a country where the law is not sound, the leader can not only decide your future, but even your life and death.

"Okay, I'll listen to Dr. Chen, and I'll immediately organize all the plumbers and logistics staff in the hospital to ensure that they work all night tonight and work overtime."

Chen Qi patted Dean Bagri on the shoulder:

"That's right, that's what you want, wait, I'll bring the CT in the evening, you have the forklift and the loading and unloading crew, the machine is several tons, it's sinking to death."

Nonsense, this is related to 250,000 US dollars, how can you not catch it in time?

It sells for 50,000 US dollars in China, and 250,000 US dollars for big dogs in Africa, where is there such a good business? The cost is almost zero.

With so much money, how fragrant it is to buy U.S. stocks, the future is worth hundreds of millions.

That night, Chen Qi drove to the beach alone, and then changed into a second-hand truck from the space, which was loaded with CT and ran to Freetown National Hospital.

Some people will think, how did you get this CT? By what means of transport? Is there a customs report? People will definitely check on you, and you won't be able to say it at that time.

In fact, this is all too much to worry about.

Not to mention this kind of country that does not have much legal order and normal trade, even if it is a certain country in the 80s, this kind of gray business along the coast should not be too prosperous.

The car you "go ashore" directly can still have a license plate, and people ask you where you come from?

Unless you offend someone, and someone wants to fix you, they will die to find out your source, otherwise no one will be enough to do such things that are not good for others or self-interest.

In particular, Chen Qi's CT machine is used by Mbeki and other high-ranking officials, who dares to check?

When Chen Qi hummed a little song and drove a big truck to transport the machine to the Freetown National Hospital, it was indeed brightly lit and a large number of people were waiting.

The most exciting thing is Dean Bagri, who would not want to have such advanced medical equipment, which can raise the overall clinical level by several notches.

Many diseases that could not be treated or dared to be treated before can now be started with the assistance of CT.

This time, if it weren't for the east wind of the vice president of the big dog family, otherwise this CT dream would not have come true, so the more Bagri looked at Chen Qi, the more he looked at it, the happier he became.

Chen Qi is not an equipment worker, and it is over after sending the machine and installation drawings, and how to install it is someone's business.

On the premise of not considering safety and radiation, the installation is also simple, that is, you need to fix the machine, wiring, and the instructions of the Mayo clinic are very detailed.

Mbeki's secretary was waiting at the scene, and when he saw Chen Qi deliver the CT machine as promised, he hurriedly handed over a box.

"Dr. Chen, this is $250,000, which is the money for the purchase of CT, and you need to sign a few names here."

The necessary procedures still have to be followed, and Chen Qi doesn't care, he picked up the pen and signed his English name directly on the contract

“ja”。

Carrying the heavy box of money in his hand, Chen Qi laughed so much that his back molars were about to be exposed:

"Hehehe, good, good, your country's work efficiency is really high, and it is really a good ZF who is honest and honest."

Vomit in the heart.

When Secretary Mbeki heard foreigners praise his country, of course, he was honored, and the smile on his face became even more serious.

"Whereever, this is what we should do, by the way, Dr. Chen, Your Excellency Vice President L has one more thing for me to pass on to you, I hope you can bring more good news to you in the next diagnosis and treatment process."

With that, the secretary took out a wooden box from his handbag.

Chen Qi opened it and looked at it, smiling so much that not to mention the back molars, even the tonsils were about to be exposed, because the box contained two rough diamonds the size of pigeon eggs.

It's been a year since I came to Africa, and Chen Qi is also a knowledgeable person, such a large rough diamond, cut it, and it's absolutely no problem to get 2 or 30 carats each.

Decades later, it was sold to coal bosses and nouveau riche, and it was a small case to sell hundreds, or even tens of millions.

At that time, it will be more than enough to sell these two rough diamonds and replace them with a 3.0t MRI machine.

Thanks to the fact that China's economy has not yet developed at this time, and the world's diamond speculation price has not reached its peak, it is estimated that in a few decades, the black people who killed others will not send any big rough diamonds.

Taking people's money and doing things for others has always been the biggest advantage of Dean Chen.

"Don't worry, Mr. Secretary, please tell His Excellency Vice President L, I will definitely do my best to serve him, for the friendship between the two countries!"

At this time, the secretary looked around and asked in a low voice:

"Dr. Chen, do you think Vice President Mbeki's condition is optimistic?"

Chen Qi was a little surprised in his heart, thinking that this little secretary was also quite active in his thoughts, could it be that the master was unreliable and ready to leave a way out?

"The possibility of cancer still exists, it's hard to say now, according to my judgment for many years, at most half and half, tomorrow's CT can be more clear, but it is not a diagnosis, and the diagnosis will require pathological biopsy or other examinations."

The secretary listened and nodded thoughtfully.

The next morning, the original X-ray room was surrounded by doctors, and everyone wanted to see what the first CT machine in the country looked like and how it worked.

Dean Bagri has been chasing people, "Go away, go away, if you don't want to eat the rays, get out of the way, what's so nice about this thing." ”

At this time, accompanied by a large group of people, Vice President Mbeki came in a hurry, saw Chen Qi, and held the hand of the Chinese doctor tightly:

】

"Dr. Chen, only you can operate CT here, please~~~~"