No one pleaded for Jiang Aiguo, and everyone watched as Jiang Aiguo was taken away by the people of the Security Section.

Jiang Aiguo is also the first employee in the history of the People's Hospital to be taken away by the security department of the hospital, and it is no longer a question of whether the job can be kept or not, but something that may be enough to commit a criminal offense.

$500 is enough for Jiang Aiguo to drink a pot.

Even Lan Lijuan didn't raise her eyelids, and she didn't intercede for this old classmate.

At the beginning, Chen Qi was assigned after graduation and was assigned to the most remote Huangtan Mountain area in the city by the Jiang family, and went to the People's Hospital under his own name, and the two sides were already mortal enemies.

The Jiang family's decision to put Chen Qi to death is not news at the top of the health system.

Lan Lijuan watched Chen Qi buy building materials step by step, build a house and build an operating room, and personally begged her grandfather to tell her grandmother to get a batch of second-hand surgical instruments, so that the surgery could be established.

Danfan Chen Qi was a little disheartened in the middle, so he must still be gnawing in Huangtan Mountain today.

When her husband suffered such unfair treatment, it is impossible to say that Lan Lijuan has no anger in her heart.

So it doesn't matter if you are an old classmate or not, Chen Qi's enemy is her Lan Lijuan's enemy, so she has no intention of interceding for Jiang Aiguo at all.

Hong Tianxing saw that the atmosphere at the scene had cooled down, and hurriedly played a round:

"Everyone is scattered, what's there to see, the dean is here for an official inspection today, and everyone is in good spirits."

Only then did everyone come back to their senses from the scene where Jiang Aiguo was taken away just now, and they ran back to their jobs one after another, scared like chickens.

Can it not be scary? Directly sent an employee to the security department, this dean is too scary, even more scary than the original Dean Guo.

Chen Qi has regained his smile Mimi.

"Yes, everyone work hard, don't be half-hearted like Jiang Aiguo, I will still ask questions in a while, and if I can't answer, I will be embarrassed."

As soon as Chen Qi's words came out, a group of little doctors were already scared and trembled.

Who is really a high-level scholar who comes to the imaging department, half of them are graduates of the imaging major of the health school, and the other half are clinical graduates.

Now Chen Qi said that he would continue to ask questions, would he be called the security department if he couldn't answer?

Many little doctors are already shouting in their hearts that Dad will save me.

Chen Qi began to inspect in the imaging department.

Lan Lijuan had already taken the little sick number Lu Zhaodi and started to do the examination.

By the time Chen Qi came to the X-ray room after walking around, the film had already been washed out.

Before reading the film, Chen Qi understood that his previous guess was indeed not a problem, because there was obviously a "bird's beak sign" on the film.

The so-called bird's beak sign is due to the dilation of the esophageal lumen after barium swallowing, the passage of barium is impaired, the normal peristaltic waves of the middle and lower esophagus disappear, and the distal end gradually tapes, showing beak-like changes.

If the beak sign appears in the gastrointestinal area, it may be a disease such as sigmoid volvulus or congenital hypertrophic pyloric stenosis.

But if it is present in the esophageal area, the most likely condition is achalasia.

"Achalasia?"

Hearing Chen Qi's diagnosis, both the doctors from the Department of Gastroenterology and the doctors from the Department of Imaging felt strange at the scene, because they had never heard of this disease at all.

Chen Qi has already flipped through the book of internal medicine, and there is indeed no introduction to this disease in the book, so it is understandable that everyone does not know.

They don't understand, Chen Qi does, so he introduced:

"Achalasia achalasia, known in English as achalasiaofcardia, is already available in foreign textbooks, and the principle is very simple.

It is a disease in which esophageal dysfunction is caused by neuromuscular dysfunction of the esophageal cardia, resulting in incomplete relaxation of the lower esophageal sphincter, and food cannot pass smoothly and is retained, thereby gradually reducing esophageal tension, peristalsis and esophageal dilation.

It is characterized by a lack of peristalsis in the esophagus, high pressure in the lower esophageal sphincter, and a weakened flaccid response to swallowing maneuvers. Clinical manifestations include dysphagia, retrosternal pain, and food regurgitation.

Do the comrades in the Department of Gastroenterology think that this disease is the same as gastroesophageal reflux disease? The clinical symptoms are the same, even the emaciation of the patients is exactly the same, and they all have the performance of eating and vomiting.

The clinical symptoms are indeed similar, but the causes are completely different, one is too loose and the other is too tight, so the treatment is completely different. ”

Lan Lijuan looked at the film thoughtfully:

"How should this condition be treated? The last time I had GERD was because the cardia was too flaccid, so you had a fundoplication to increase the pressure on the cardia area.

Now Lu Zhaodi's disease is due to the fact that the esophageal sphincter cannot relax, can it interfere with the sphincter to relax the muscles, and never relieve the obstruction of the cardia by muscle tightness? ”

Chen Qi snapped and applauded:

"It's not my family Lijuan, when it comes to the point, the mainstream treatment methods in the world are endoscopic balloon dilation and stent implantation treatment, microscopic botulinum toxin type A injection, endoscopic microwave incision and sclerotherapy injection treatment.

However, these three methods are not a symptomatic treatment and do not fundamentally solve the problem of muscle tension, so the patient often does not get cured, and will relapse after a period of time.

Another method is more direct, which is to use traditional surgery, to perform a type called cardia myotomy, which is to cut all the muscles, so that the muscle tension is relieved, and the cardia obstruction does not exist.

But this surgery just has a very big side effect, that is, you are too tight in the cardia area, and the operation is so everything, the muscle function of the cardia part is completely lost, causing the cardia to be too loose and aggravating the appearance of esophageal reflux disease. ”

Ma Xiaona next to her muttered quietly:

"What can I do? This doesn't work, that doesn't work, it's too tight, it's not too loose, it's a trouble not to have surgery, it's even more troublesome to have surgery, is it that Lu Zhaodi can't be cured? ”

Knowing her husband and wife, Lan Lijuan glanced at her proud husband and said to Ma Xiaona with a smile:

"That's not necessarily, your old classmate doesn't know yet, he must have a score in his heart to teach us this lesson, if he can't treat it, he won't take over this patient at all, this guy is bad."

Ma Xiaona looked at Chen Qi suspiciously, and then nodded firmly:

"Lijuan, I think you're right, your Dean Chen almost crossed his legs, held a cigarette in his mouth, and then had an expression on his face that everyone came to ask me."

Speaking of this, Ma Xiaona whispered to Lan Lijuan's ear: "It's so bad!" ”

When Lan Lijuan heard this, she burst out laughing.

Chen Qi was upset: "Hey, hey, Ma Xiaona, I respect you as a man, you have the ability to say it in front of the dean, what kind of ability is it to whisper?" ”

Ma Xiaona snorted lightly: "I'm not a man in the first place." ”

As a result, Hong Tianxing next to him couldn't help it:

"Dean Chen, do you really have a way to treat this achalasia? Since endoscopy doesn't work, surgery doesn't work, what else can be done? ”

It's funny.

Dean Chen gave Section Chief Hong a thumbs up in his heart, and the next time the vice president candidate can focus on this senior brother of the health school.

"No, no, no, if you want to have few side effects, but also to recover quickly, and to have accurate curative effects, treat the symptoms and cure the root cause, then of course you still have to have endoscopic surgery."

Ma Xiaona's eyes lit up: "Hey, Chen Qi...... Dean, do you have a new technique? ”

Chen Qi was just about to answer, but Director Liu Huichun of the hospital office broke in:

"Dean Chen, you are here, the visiting group of Zhongshan Hospital has arrived, and Guo Shuji is already receiving you, so let you hurry over."

"Okay, I'll go over right away."

Other visiting groups generally come in the morning and leave in the afternoon, and everyone has a meal in the middle, and then brings some local products before leaving.

The reason why Zhongshan Hospital arrives in the afternoon is also because at this time, from Huhai City to Yuezhong City, there are only two trains a day, one slow train and one fast train.

The express train generally only stops at the county and municipal railway stations, starting from Huhai in the morning, the old locomotive of the firing medium, the speed is dozens of kilometers per hour, and you can get to Yuezhong in the afternoon, and the whole journey takes about 7 hours.

The slow train is to stop at every town train station, and it is a platform in less than a few minutes, until you are old, stop until you doubt life, and from time to time you have to temporarily stop and give way.

Therefore, starting from Huhai City in the morning, it will take 12 hours to get to Viet Central City after dark in the evening.

Unlike later generations, the speed of the high-speed railway is more than 350 kilometers per hour, and it takes more than an hour from Shanghai to Vietnam.

Seeing that Chen Qi was leaving, Hong Tianxing suddenly grabbed him and said with a smile:

"Dean Chen, you see that this achalasia has not been written into the textbook in China, and you also said that the barium X-ray is a re-auxiliary examination, so can our imaging department set up a research group on this disease?"

"Yo, Senior Brother Hong, you have a lot of vision, this proposal is good, but I think it can be expanded a little more, Director Lan is also here, you two departments can work together on this achalasia topic, I will do the treatment, and then the three of us can complete a few international-level papers."

Chen Qi is more satisfied with Hong Tianxing this time.

Taking the initiative to ask for research and actively want to participate in medical papers, this meets the requirements of Chen Qi's "teaching hospital".

He has always demanded that doctors not only be able to see patients, but also be able to do scientific research. Not only do you have to know how to heal, but you also have to know why. Is it possible to draw inferences?

In this way, individual doctors can improve, and hospitals can also improve quickly.

Lan Lijuan was under a lot of pressure when she heard this, because Chen Qi had already given him several new topics.

For example, "refractory gastroesophageal reflux disease research group", "fundoplication for reflux disease and hiatal hernia", and now there is another "achalasia", plus the original Helicobacter pylori research group has not been fully completed.

With so many research groups all handed over to her, Lan Lijuan felt that the task was too arduous even if she had three heads and six arms.

Other doctors are troubled by not finding good topics, but Lan Lijuan is troubled by too many topics, where is the reason?

But fortunately, she belongs to the Iron Lady, and it is estimated that she will have to work overtime to do research again, and she can't take care of her family.

But if you don't do this, you won't be able to do it, and then the results of this research will go to doctors in other countries, and you are not the only one who is researching, what a pity.

Coming out of the imaging department, Chen Qi followed Liu Huichun directly into the small conference room on the third floor.

In the conference room, Lao Guo was talking with the group of Zhongshan Hospital with a "cordial" face.

In the middle is a middle-aged man in a tunic suit

, looking at the posture, it should be the leader of Zhongshan Hospital, who is smoking a cigarette with an indifferent expression, ignoring Lao Guo.

On the contrary, there was a middle-aged man with eyes and an elegant temperament who kept asking questions, looking very eager.

Other staff members of Zhongshan Hospital stood at the window and looked at the scenery outside the window, pointing and pointing from time to time.

There are not many high-rise buildings in Yuezhong City at this time, most of them are still Ming and Qing Dynasty buildings, antique, standing on the third floor of the People's Hospital, you can see most of the Yuezhong City, this is a famous historical and cultural city, and the best tourism.

In fact, the group of Zhongshan Hospital, except for Zhang Weizhong, everyone else should have come to travel.

Even Vice President Ni, who led the team, if he hadn't reported to come to Vietnam and Central China for a tour, like the hometown of Lu Shuren, Lanting, Dayu Mausoleum, and the ancient city.

By the way, come to show off in front of his peers, otherwise he will definitely not come to a rural place like Yuezhong.

Not to mention anything else, as soon as you enter the Viet Chung People's Hospital, the two-story dilapidated outpatient building is full of inpatient departments of bungalows, and the patients who come in and out are all dressed in rustic style and full of local flavor.

This makes the people who come out of Huhai have a sense of superiority in identity.

At the same time, as a doctor or hospital leader, Vice President Ni understands how difficult it is to establish an endoscopy center. You can't take it without a million dollars.

Even Zhongshan Hospital can't come up with so much money, so how can the Vietnamese People's Hospital take it out?

If you talk about equipment money or secondary, the key is where do you know how to do endoscopism? Where did you learn your technique? Anyway, there is definitely no one in China, and there is no study abroad?

No kidding, even Zhongshan Hospital only has one or two places for overseas study every year, how can the small Viet Chung People's Hospital get this kind of opportunity?

Therefore, Vice President Ni has basically decided in his heart that it is a scam that Yuezhong can do endoscopic surgery.

Of course, it is not a person with low emotional intelligence to be the vice president of the people, anyway, when the time comes, just walk around the process, pretend to visit, and just say a few good words to give some face.

The main thing is to see whether the Vietnamese and Chinese sides understand or not, whether they will arrange a few more tours, and can provide high-standard accommodation for free.

Thinking of this, Vice President Ni glanced at Zhang Weizhong, who was talking enthusiastically with the secretary of the Yuezhong People's Hospital, and wondered why this guy's thinking is so simple?

Sure enough, it's an ivory tower, how naïve is to think that this kind of rural hospital can do endoscopic surgery?

In this strange atmosphere, Chen Qi walked into the conference room.

Lao Guo was also depressed in his heart, he was so enthusiastic, but Zhongshan Hospital was lukewarm, which was a bit faceless.

But there is no way, Zhongshan Hospital is an affiliated hospital of Fudan University, and the president is concurrently served by the vice president of the people, and the hospital belongs to the deputy department level, but the president is at the department level.

In this way, the vice president is either a high-ranking deputy hall, or a real officer, and he, Guo Yuanhang, just enjoys the treatment of the main department, and he is a head shorter, so he can only endure it.

Seeing Chen Qi coming in, Lao Guo was overjoyed, and the person who threw the pot came:

"Come on, let's introduce to you, this is the director of our hospital, Comrade Chen Qi."