Zhongshan Hospital, in fact, is an affiliated hospital of Fudan University, ranking among the top three in the country in terms of comprehensive strength, and is one of the top tertiary hospitals in China.

For example, the Vietnamese People's Hospital wants to arrange doctors to go to Zhongshan Hospital for further study, which is a once-in-a-century event, and it is almost impossible to have such an opportunity.

For example, if the Vietnamese People's Hospital wants to visit Zhongshan Hospital, people will not be able to bird you, at most send a deputy section chief to take you around.

If you go, it can only be regarded as "learning", and when people come, it is called "visiting".

Now such a powerful hospital took the initiative to ask to visit Vietnam, which had to surprise Chen Qi.

"Zhongshan Hospital wants to visit our hospital? Then welcome, by the way, did they say which departments they want to visit? Gastroenterology or Emergency Department? ”

In just a few months, these two departments have become famous.

Needless to say, the Department of Gastroenterology, a 2 million dollar subject has been piled up, and no less than 5 international-level papers have been published, and it is definitely not a brag to say that it is the first in China.

As for the emergency department, although it is the second in Haidong Province, it is possible to say that it will cause a sensation in Viethung City, but it is not very likely that it will be famous and go outside the province and attract the top hospitals in Huhai City to visit.

He Jia opened the notebook, looked at the record on it and said:

"Zhongshan Hospital came over with one of their vice presidents who led the team, as well as a group of doctors from the endoscopy center, probably for your endoscopic fundoplication surgery, President Chen, right?"

Chen Qi was taken aback, "Zhongshan Hospital already has an endoscopy center?" ”

This incident was beyond Chen Qi's expectations, he knew that gastrointestinal endoscopy had been carried out in China, but he didn't know that there were already hospitals in China that carried out endoscopic surgery.

If people have already carried out endoscopic surgery, then the significance of establishing a second endoscopy center in Vietnam and Central will be less than half, after all, people only remember the first sentence, and they are unlikely to remember the second place.

Very bad from a hype point of view.

(In fact, it is a misunderstanding, this center is a listed center, and it does not involve clinical treatment at all.) ）

However, Chen Qi thought about it again, he had not yet established an endoscopy center, so people would come to visit, and the estimated level was limited, otherwise it should be the other way around, and the Yuezhong People's Hospital would go to Huhai City to visit.

"Okay, let's give us a warm reception when we arrive, what are the arrangements for this morning? If I don't have anything to do, I'll go to the emergency department. ”

"There is something to do, Dean Chen, you have two meetings in the morning, one is the hospital quality control inspection meeting, and the other is the summary and commendation meeting of the nursing department."

Chen Qi exhaled helplessly:

"Alas, I knew that when this broken dean had to hold meetings every day, it seems that he has to be reformed, and he can't hold meetings in the future, doctors are to see patients and sit for consultations, not to waste time in meetings."

He Jia quietly stuck out his tongue and fled.

Chen Qi, who had a half-day meeting, met his wife in the cafeteria at noon, so he kindly asked:

"The little girl I brought in the morning, what is Lu Zhaodi's name, what do you suspect is the problem?"

Lan Lijuan quipped:

"Of course, the patients brought by Dean Chen should pay attention to it, we have done a gastroscopy in the morning, and found that the esophageal body is dilated, and there are different degrees of distortion and deformation, the cardia is very narrow, and it is about to be in a state of total atresia, and the condition is still quite critical."

"What's wrong with the cardia again? Last time, that Wu Ah dog was too loose in the cardia, and this little girl was too tight in the cardia and obstructed, doesn't that mean it? ”

As mentioned earlier, the cardia is the junction of the esophagus and stomach.

The stomach is equivalent to a pocket, with two openings at the top and bottom, the cardia is the upper pocket, and the pylorus is the lower pocket.

If the cardia is too loose, the contents of the stomach, such as stomach acid, will flow backwards up to the esophagus, mouth, or even lungs, which is called esophageal reflux.

But if the cardia is too tight, what the person eats passes through the esophagus, and then it becomes blocked above the cardia area, causing obstruction.

So this thing is too loose, it's not okay to be too tight, it needs to be relaxed.

Lan Lijuan continued to explain while chopping rice:

"Yes, but we haven't found out why the cardia has become narrow, or even blocked soon, so it's another case of incurable disease."

Doctors' favorite is this kind of disease that cannot be found, because it is difficult and challenging, and maybe you can set up a topic and write a paper or something.

Narrow cardia?

Chen Qi thought of another article in his mind, and he thought of a common disease: achalasia.

It may not be correct to say that it is common, because in the general population of China, there are only about 2 or 3 achalasia patients out of 100,000 people. There are more in Europe and the United States, generally 1 in 10,000.

However, for a department of gastroenterology, achalasia accounts for about 10~20% of esophageal diseases, which can be called a common disease.

The clinical manifestations are intermittent food stagnation, obstruction, non-progressive dysphagia, retrosternal pain, esophageal reflux and other symptoms.

Also, because it is difficult to swallow, I can only choose to eat slowly, eat liquids, and I can't eat well.

In these years, there is no good milk powder to eat, and there are no nutritional injections, so the course of the disease is long, and the patient's long-term inability to eat normally will lead to malnutrition and vitamin deficiency.

Lu Zhaodi's children eat and vomit, and have cardia stenosis in gastroscopy, which feels perfectly in line with the clinical manifestations of achalasia.

However, achalasia, a common disease of later doctors, was a rare disease for doctors in the 80s.

After all, there are too few auxiliary examinations in this era, and many diseases cannot be verified, and even whether achalasia is written into textbooks is a problem. (I have to go to the book again)

So Chen Qi decided to mention his wife:

"Go back and do a barium swallow test for this child, and then do an esophageal pressure test, forget it, I'm fine in the afternoon anyway, I just went to the imaging department to inspect it, I'll do this barium swallow myself."

Lan Lijuan's eating movements slowed down: "Do you have a guess in your heart, probably what kind of disease it is?" ”

"I suspect that there is a problem with the annular sphincter at the lower end of the esophagus, and it depends on the results of the examination."

"If that's what you're talking about, is this disease curable?"

"It is easy to treat, it is difficult to treat, and it is difficult to treat, internal medicine treatment can only be adjuvant, but if you use traditional surgical methods, the side effects will be very large, this is not your husband will also endoscopic surgery, rest assured."

"Okay, I'll go to the imaging department with you in the afternoon, and I will study hard."

"Well, my wife is good at learning, and my husband is very comforting."

"Get out!"

"Okay~~~ Do you want to add soup? Why is the canteen always dried vegetable soup, unchanged for thousands of years? ”

Chen Qi felt a little sorry for his wife, in order to save subsidies when Lan Lijuan was in school, she was white rice + free dried vegetable soup every day, and she really vomited after 5 years of health school.

So after the two got married and started a family, the Chen family never prepared dried vegetable soup.

As a result, the free soup in the canteen of the People's Hospital will never be the same as dried vegetable soup, although Lan Lijuan never says anything, but she never touches it.

Chen Qi stood up and looked around, obviously looking for someone, and the little doctor next to him stood up:

"Dean Chen, who are you looking for, I'll call it for you."

"Call Li Jianqiang, the head of the General Affairs Section."

Li Jianqiang was also eating in the cafeteria, and as soon as he heard the dean's call, he rushed to the scene, not daring to delay at all.

"Dean, are you looking for me?"

"Oh, Lao Wang, you tell the canteen, the free soup also has to change the taste, every day bamboo shoots and dry soup, everyone is tired of drinking, what seaweed soup shrimp skin, tomato egg soup can be served."

Section Chief Wang sweated down when he heard this, but he also complained in his heart, you don't want to open a small stove for your dean, but now he dislikes the poor quality of the dishes.

But scolding in my heart, on the surface, I still have to continue to obey:

"Okay, I have this matter in mind, and I will adjust it tomorrow, dean, don't worry."

Chen Qi patted the old qualification section chief on the shoulder:

"Okay, I'll leave this matter to you, your general manager usually takes the initiative to work, finds problems and rectifies them as soon as possible, don't wait for the employees to put forward their opinions, so that both parties will be unhappy, are you right?"

"Yes, yes, Dean Chen's criticism is right, I will definitely take the initiative and inspect every day!"

After Li Qiang left, Chen Qi continued to sit down to eat, and Lan Lijuan next to her was still very moved, thinking that her husband still remembered what she didn't like to eat.

"Thank you, Dean Chen, finally don't dry the vegetable soup in the future."

"Thank you, I'm also looking for an opportunity to knock on this Li Jianqiang, the section chief has been doing it for too long, sitting in the office all day, no enthusiasm for work at all, and when I change the director of the clinical department, I will give the administrative department cramps."

2 p.m.

The young doctors in the Department of Gastroenterology pushed the little patient Lu Zhaodi into the imaging department, and Chen Qi, Zuo Liwei, the head of the medical department, and Lan Lijuan, the director of the Department of Gastroenterology, followed behind them to discuss some things about endoscopy.

Hong Tianxing, the director of the imaging department, stood in the courtyard, waiting for the arrival of the dean.

"Dean Chen, this is the first time you have officially come to our imaging department to inspect after taking office, welcome to it."

Chen Qi said with a smile:

"Yo, Senior Brother Hong is accusing me of not paying attention to the imaging department, this is really wronged, you see I have got two CTs for our imaging department, which is ranked first in the country, you can't say bad things about me again."

"Hahaha, whoever says bad things will not be me Lao Hong who says bad things about you, go, comrades are waiting."

Hong Tianxing and Chen Qi have a very good relationship, when Chen Qi went to the People's Hospital for the first day of internship, he occasionally found a case of basilar skull fracture in the corridor that manifested as a panda eye, so the two also collaborated on a paper.

Chen Qi came to the People's Hospital as the president, and Hong Tianxing was also a staunch supporter, and he helped Chen Qi to canvass for popularity in the auxiliary department.

So the two met and joked, this kind of treatment is not just for anyone, the dean has to maintain his majesty at many times, especially a young dean like Chen Qi, otherwise he really can't control the scene.

A few people were talking and laughing, and as soon as they entered the door of the imaging department, they heard a quarrel inside.

"You doctor really bully us don't understand, others have to do ECGs for a minute or two in a row, you just posted this thing here and said it's done, aren't you pounding the lake!"

A male doctor's voice then rang out, and he said nonchalantly:

"Who told you you had to do it for a minute or two? I said okay, do you know or do I understand? ”

"You're only a little bit of a, what can you see? I'm here to heal, not to go through the motions! ”

"If you want to look good and go to other hospitals, our people's hospital is like this, if you like to watch it or not, if you don't look at it, you can get out."

"You, how unreasonable are you."

Hong Tianxing's face turned green when he heard this, the dean repeatedly emphasized that the medical staff should not only have a high clinical level, but also a good service attitude, but today the dean came to the official inspection for the first time and gave him such a good quarrel?

Chen Qi's face also pulled down a little, what does it mean to love to look at it or not? Roll without looking? Treat patients like this? Have a business doing this?

Hong Tianxing has already rushed into the department and is scolding his mother:

"It's you again, Jiang Aiguo, Lao Tzu asked you to treat patients better, you should be the wind in your ears? Do you have such a quarrel with a patient? You're pushing patients out, do you want to get subsidies in the future? ”

Chen Qi and Lan Lijuan glanced at each other, yes, they are still old classmates.

"Director Hong, I can't be blamed for this, this patient is unreasonable, and he must do an ECG more often, as if he can get something cheap."

The patient and Hong Tianxing were so angry that their hands trembled, and Jiang Aiguo still looked indifferent.

Chen Qi strode in at this time.

As soon as Jiang Aiguo saw Chen Qi and Lan Lijuan, his eyes shrank obviously, and he knew in his heart that he would definitely be unlucky if he was arrested today.

The two can be described as mortal enemies, and they can't break the knot, Jiang Aiguo knows that Chen Qi will definitely take the opportunity to "retaliate" against him.

But how can people from cadre families be caught with their hands tied?

"Jiang Aiguo, as soon as I arrived at the People's Hospital as the president, I emphasized that you must treat patients well, even if you have a serious attitude, but you can't point at the patient and scold your mother, push the patient out, you are not afraid of punishment?"

Jiang Aiguo sneered:

"Dean Chen, who in the health system doesn't know that I don't have a good relationship with you, and I also know that you will definitely retaliate against me when you become the director of this people's hospital, and announce your personal vendetta, what's the matter, you're ready to take revenge today?"

This sentence is a typical confusion, it is obviously a doctor-patient dispute, and it is a contradiction between him Jiang Aiguo and the patient.

But after Jiang Aiguo's transfer, it seems that Chen Qi really wants to retaliate against the employee Jiang Aiguo, if this spreads, it will also be a smear to Chen Qi's personal reputation and prestige.

Lan Lijuan was upset when she heard her old classmate smear her husband like this:

"Jiang Aiguo, now you are violating the rules and regulations of the hospital, what personal grievances are you talking about?"

"Yo yo yo, let's come and take a look, the dean's wife has interfered in politics, what's the matter, this hospital is your mom-and-pop shop? Then we, the workers, will be the servants of your husband and wife in the future, do you want us to see the master? ”

Imaging Cory can be heard of a needle drop.

Chen Qi thought to himself, yo, this kid is really fucking smart, a talent, this is to roast him, the dean, on the fire, and he can't be punished, and if he is punished, it will be a personal vendetta for the communiqué.

Hong Tianxing was just about to make a move, but Chen Qi stopped him.

"Okay, let's talk about this later, today I am as the dean to officially inspect the imaging department, and now I want to conduct a business assessment on you, random inspection, please listen to the question!"

Jiang Aiguo was stunned when he heard it, you Chen Qi don't fucking play cards according to the routine.