A young doctor reacted, and the first one said, "This may be a gastroduodenal ulcer." ”

Chen Qi clapped his hands, "Yes, there is a high possibility of gastric ulcers, so what your department studies is stomach diseases, can you tell me what gastric ulcers and gastroesophageal reflux disease have in common?" ”

"Stomach acid or other stomach contents!"

"Okay, since we know that these two diseases have something in common, then let's check according to this idea, so that we can find out the cause, right? So in the afternoon, I was going to do a gastroscopy first, and others didn't dare to do it, because others were timid.

You, Dean Chen, and I are international directors, not to mention a gastroscopy, even gastrectomy is done with your eyes closed. In addition, you need to do one such test, one is continuous pH impedance monitoring, esophageal high-resolution manometry and gastric function test.

In particular, esophageal pH monitoring can quantify gastroesophageal reflux and evaluate the relationship between symptoms and reflux events. ”

Maybe leaders like to train people at every turn, even if Chen Qi is already more easy-going, he can't change this stinky problem.

"Now you know that Wu Agou is a treasure patient, right? I tell you, there are two gold mines hidden in this patient. Come on, come on, Director Lan recorded that from Wu Agou we can now do two big topics,

One is whether reflux of gastric contents is likely to cause chronic cough? What is the mechanism? What is this clinical ratio? How should we go about treatment?

Another topic: What are the complications of refractory gastroesophageal reflux disease? What is the mechanism? What are the treatment options?

If any of these two topics is successful, it can be published in the top four international medical journals, and it can bring you a great reputation, and even rewrite the textbook. ”

"Wow~~~ Then our six departments are making a fortune again~~~"

"It's more difficult for others to find a topic than to ascend to the sky, our topics are one after another, and they are all international-level, which is too powerful~~~"

The little doctor below listened to one more excited than the other.

Having a project means that there is funding, and having funding means that participants can get an additional subsidy.

Even if there is no right of authorship for small doctors, this is a time to accumulate valuable experience, and when they become big doctors, they can also apply for big projects.

Lan Lijuan looked at the contents of her notebook, and her heart couldn't calm down for a long time.

Although the Helicobacter pylori project is not completely over, it has already allowed her to publish 5 top international papers as the author of the paper.

And it also brought her an additional income of more than 1 million US dollars (the total sponsorship of the project reached 2 million).

Good guy, the previous topic has not yet been swept up, and her husband immediately gave her two more topics, which made her suddenly feel like she was dreaming.

When did this kind of textbook-rewriting international-level topic come to be the same as Chinese cabbage, one after another?

In fact, no one knows that what Chen Qi just said, whether it is the content or the topic, is the content of the textbook decades later, and he is just taking advantage of the difference between the two generations to cut off the research of others.

Others are reborn as copying texts, either copying or copying songs, only Chen Qi is standing on the shoulders of his predecessors, desperately copying medical knowledge.

For doctors, it is not enough to see a doctor and perform surgery.

For a hospital, if it only focuses on clinical practice and does not pay attention to scientific research and teaching, it will always be a second- or third-rate hospital.

If Chen Qi wants to bring the People's Hospital to a new height, he must make it a "teaching hospital" and a "scientific research hospital", so that the People's Hospital can stand out among many peers.

Chen Qi either doesn't want to be the dean, or if he wants to do it, he has to do his best.

In the afternoon, in the operating room, Wu Agou was already under general anesthesia.

"Dean Chen, the anesthesia is complete."

Chen Qi nodded, and with Lan Lijuan's personal assistance, he took out a child-type thin gastroscope and began to slowly lower the tube.

Canker sores are all over the mouth, the screen is dense and very obvious, and everyone in the operating room has goosebumps.

As the gastroscope continued, everyone's eyes widened, and they saw that the esophageal mucosa was very damaged and eroded, full of ulcers, and because of edema, many places were almost obstructed due to swelling.

While observing, Chen Qi slowly lowered the tube, turned his right hand left and right, and tried to make the gastroscope bypass the obstruction point until it reached the connection with the stomach.

If I changed to another doctor, I didn't dare to do this kind of gastroscopy, and if I shook my hand slightly, it would be a perforation of the esophagus, and then the fun would be great, and it would be a serious medical accident.

Chen Qi doesn't care, the artist is bold, and he doesn't forget to teach at the critical moment:

"Have you seen it, the esophageal mucosa is damaged, fused with each other to at least 75% of the diameter of the esophagus, which has reached grade D, very serious, from the mouth to the throat to the esophagus all the way to the lesion, it is completely certain that it is caused by reflux disease, now let's go and see the stomach and duodenum."

Lan Lijuan glanced at her husband, and there was a little admiration in her eyes.

For a patient who could not be diagnosed by a large hospital in Shanghai, Chen Qi could be diagnosed with a gastroscopy.

Not only can it confirm the diagnosis, but also predictively put forward various hypotheses and explain the reason, and the current gastroscopy has further confirmed the correctness of Chen Qi's previous hypothesis.

She sometimes really doubts that her husband is not from the earth, otherwise he is also a secondary school graduate like her, and almost none of his undergraduate and graduate students have taken classes well, so how can he understand everything?

Is it really because of long-term reading of foreign English-language medical journals?

Outside the operating room, Wu Agou's family members were waiting anxiously.

In fact, in their minds, including many doctors, they believe that Wu Agou must have a malignant tumor somewhere and will die soon.

Including Wu Agou himself thinks so, how can he be a fool if he can become the first batch of trendsetters to do business? On the contrary, he is smarter than the average person.

But the patient's mentality is like this, that is, the "escape mentality", always hoping for a miracle, so he does not give up, and he has to run to various hospitals if he is not diagnosed for a day.

Chen Qi walked out of the operating room after the examination and was immediately surrounded by his family.

"Dean Chen, how is my dog?"

"Dean Chen, does my dad have any cancer?"

Chen Qi looked at Wu Agou's eldest son who was talking with a little surprise:

"Hey, why do you think your dad has cancer? Don't be too pessimistic, the cause of your father's illness has been found out, in fact, there is something wrong with the upper part of the stomach called the cardia, which was supposed to be tightened like a pocket, but now it has become loose.

In this way, all the stomach acid, pepsin, and bile in the stomach come out, and I tell you, these stomach acids and other things are very powerful, and even some metals can corrode. ran to the esophagus, which rotted; Ran to the throat, the throat was rotten, and even the mouth was rotten.

The key is that after these stomach contents come up, they are sucked into the lungs, okay, this is the reason why Boss Wu keeps coughing and recurrent pneumonia. In a word, in the final analysis, it is still a problem in the stomach. ”

Chen Qi's explanation, as a doctor, is understandable as soon as he hears it, but for family members who have no medical knowledge, it seems to understand.

But they know that at this time, even if they don't understand, they have to pretend to understand very well.

"Oh~~~ So that's the case, hey, no wonder Dean Chen is an international director, and the level is high."

"That's right, that's great, the cause has been found, Dean Chen, can my dad be cured?"

As soon as Chen Qi was about to answer, Wu Agou's son stuffed a thick envelope into Chen Qi's pocket.

Who is Chen Qi? In the world, it is known as "death for money", and a little touch knows that this wallet has at least 5,000 yuan, and a thick answer.

A red envelope of 5,000 yuan is not a small red envelope even in 2023, not to mention that this is 1988, when the average income of employees is more than 1,000 yuan.

The 5,000 yuan red envelope can be described as shocking, and I am afraid that 99% of the families in China will not be able to take out this huge amount of money.

Chen Qi likes money, but he doesn't take all the money, so he grabbed Wu Agou's son's hand and returned the envelope to him in turn.

"Take it, don't push it around, it's ugly, we're fellow countrymen, and your father also helped us back then, so I definitely won't accept this red envelope, and I can clearly assure you that your father's surgery is on me, and he will definitely be discharged from the hospital in good health."

"Dean Chen, this, how embarrassing is this, I have inquired, you need at least 50,000 US dollars to treat people abroad, and my 5,000 yuan can only be regarded as meaning......"

"Since you know how expensive my money is, you know that I am not short of money at all, so take this money back and buy some delicious supplements for your father in the future. In addition, be filial to your father, he is a good person, and a good person will definitely be rewarded. ”

After Chen Qi finished speaking, he didn't care about the expressions of the family members, waved his hand and left quickly.

Wu Agou's eldest son held the envelope in his hand, and tears flowed down his eyes:

"Good man, what a good dean, second brother, you hurry up and make a pennant, third brother, you immediately go and buy 50 cured chickens, 50 sauced ducks, I heard that Dean Chen likes to eat bacon very much, he doesn't charge money, let's send some local products."

Okay, no wonder the Wu family can get rich, this brain is really smart, his emotional intelligence is extremely high, and he has thoroughly understood Chen Qi's two "hobbies".

Since Dean Chen doesn't collect money, but he collects "native products", then continue to send it in another way, and we must satisfy Dean Chen.

Dean Chen is not satisfied?

At this time, he was standing outside the hospital room, quietly looking in through the crack in the door.

Bai Xue has been rearranged to a single room, in fact, there are two beds in the ward, but the other bed is not arranged for patients, which is equivalent to a private room.

At this time, there was no one else in the ward, Bai Xue was lying on the hospital bed, tilting her head sideways and listening to Yan Shifan talk about his life in the mountain village when he was a child.

For Bai Xue, who grew up in the city, every grass and tree in the mountains, and even a wild boar are so rare.

Yan Shifan also changed his previous appearance of the stuffy gourd, and slowly opened his heart and became a lot more cheerful.

Two young men and women who have been emotionally hurt seem to be slowly attracting each other, at least not hating each other, and that's a good start.

Chen Qi looked at the two people in the room, and the "aunt smile" on his face never disappeared.

"Sister Lin fell from the sky, like a light cloud just coming out. Demure is like a flower shining on water, and action is like the wind blowing willows. There are outsiders in front of me, but in my heart I look like an old friend~~~"

When Chen Qi hummed Yue Opera and walked out of the Department of Gastroenterology in a happy mood to get off work, he found that the lights in the laboratory building were on.

This laboratory building belongs to the "Helicobacter pylori" research group, and most of the basic research has been completed, so many researchers from other places have gone back.

At this time, the lights were on, and the only possibility was that Lan Lijuan was working overtime again.

Chen Qi sighed, she was helpless for her wife's strength, work and family could only be chosen, Lan Lijuan put more energy on work.

Chen Qi actually didn't want her to work so hard.

What's there to fight? With his golden finger, others may have to study for 10 years, make countless mistakes, and repeat countless experiments to get a correct answer, Chen Qi only needs to "copy" it.

If it weren't for the fact that the experimental topic needed to record the process in detail, otherwise there would be no need to set up any research group, just copy the answers.

But Lan Lijuan's desperate efforts were beyond his imagination, otherwise she would not have been able to kill her from the countryside, all of which she had earned by her own efforts.

Chen Qi pushed open the door and saw his wife reading a book alone, so he quietly went over and hugged her from behind.

Lan Lijuan was startled, and directly elbowed back, hitting Chen Qi's nose at once.

"Ouch~~~"

As soon as Chen Qi called, Lan Lijuan heard her husband's voice, which was angry, funny and distressed:

"Chen Lao Er, you are not naïve, don't move, it's bleeding, I'll get you a cotton ball."

Chen Qi pressed his nose and said in a humming voice:

"Director Lan, do you want to work so hard, our family doesn't have to worry about food and clothing now, your husband is still the dean, you are almost lying down to win your life, why do you have to think about things at work day and night, and you don't even care about your husband and children?"

Lan Lijuan sighed lightly while wiping Chen Qi's nosebleed:

"Maybe I'm stupid, look at you, we're classmates, I don't think you usually work hard, but your knowledge is so profound, you even have a clear grasp of the latest international medical trends, let alone the clinical level.

But look at me, some of the achievements I have made have also been completed under your guidance, as for the clinical level is far worse than you, like Wu Agou's condition, I can't find out for a week after I take over, you can be ready to tell the cause just by asking.

Chen Qi, sometimes I really think that you are a weirdo, an omniscient, omnipotent weirdo, in order to catch up with your footsteps, I have to work harder, otherwise I will be thrown farther and farther away by you, and I will never be able to catch up with you.

If one day you think that the gap between the two of us is too big, or that we are two grades of people, maybe then you will think that I am not worthy of you, then ......"

Chen Qi rolled his eyes angrily when he heard this:

"It's like Chen Shimei, you are my wife, we should help each other, and I chose you at the beginning, I will not regret or abandon you, you are the person I love, the person I choose, my baby is too late for me to leave you? Lan Lijuan, what are you thinking? ”

】

Lan Lijuan blushed in embarrassment, and hurriedly begged for mercy:

"I'm sorry, I'm sorry, I just felt it, don't be angry, Dean."

"It's late, the dean is angry, unless ......"

Chen Qi looked at the quiet experimental building, then looked at the closed material room next to him, and whispered in his wife's ear:

"Unless you come with me there......"

Lan Lijuan's face turned even redder when she heard this: "What do you think about Chen Er, this is in the unit, are you ashamed?" ”

Chen Qi quickly ran to the door of the laboratory, locked it, and then pulled his wife up and ran to the material room, saying as he ran:

"No, you've got to make me angry today, or I'm going to be upset, huh."

Half an hour later, Lan Lijuan was lying in front of the washstand in the laboratory and kept rinsing her mouth, trying to wash away some proteins, and felt that her whole mouth was sore.

Dean Chen was refreshed, and waved his hand: "Let's go, let's go to the restaurant today~~~"