Chapter 555: Hemophilia can't bleed
Lan Lijuan had all the data in the department in her head, just to wait for this moment, so she replied without hesitation:
"We currently have 10 patients in our department who need fundoplication, and another 10 cases of achalasia that need to be treated with the POEM technique."
The couple's collusion was conducted entirely in English, and there was a hidden trick in it, just to be heard by the foreign doctors in the conference room.
Sure enough, as soon as Lan Lijuan's voice fell, Professor Grace couldn't wait to ask:
"Wait, Lan, what exactly is the poem technique you are talking about? Is it the key to endoscopic surgery? β
When Chen Qi heard this inquiry, he knew that the fish had been hooked, so he pretended to be very serious and nodded:
"Poem is the abbreviation of Preoral Endosy, which translates to Sutra? Endoscopic myotomy can also be called menstruation? Endoscopically? Ductal sphincterotomy, through tunneling? Formula to enter?. β
In the previous life, the invention of tunnel technology was not invented until 2009, and this new technology has a pivotal role in endoscopic treatment and is of great clinical significance.
At present, it is only 1989, and endoscopic surgery has only started for a few years, and Chen Qi has come up with such an epoch-making new endoscopic operation, just by virtue of this, if he has no ambition, it is enough to become an authority in the medical field and eat a lifetime of poetry.
At this time, another doctor raised his hand and asked:
"Chen, if I heard me right, you mean you're going to have 5 achalasia surgeries this morning? However, this kind of surgery takes at least 3 hours each, how can you complete 5 surgeries in half a day? β
Chen Qi smiled: "What if I control each operation within 1 hour?" β
"It can't be."
"Nothing is impossible, I dare to say that I can definitely do it, right?"
The people of the United States like to question, and they also 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, facts speak louder than words.
"Let's go, let's go to the operating room now, we have a proverb in China, it's a mule or a horse that comes out for a walk, and today I'll let you know what kind of genius I am."
Hahaha~~~~
The foreign doctors all chuckled, and proper bragging is the way that these Mi people are used to colluding, and they don't 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 early and handed a set of brand-new surgical gowns to the foreign doctors, even the slippers were brand new.
Chen Qi thought of the surgical gown he was wearing with patches, and his heart was unbalanced:
"Head nurse, why did you buy so many new surgical gowns, we wanted to change a few sets before, and you still said that we were wasteful."
Nurse Wang also smiled:
"Dean, this is what Guo Shuji specially instructed, it doesn't matter if we dress a little shabby, but we can't lose face in front of foreign counterparts, these surgical gowns are still bought from the Shanghai market, and the thieves are expensive."
Chen Qi slapped his forehead: "Lao Guo, this is a big mistake for me, it's too late for me to cry poor, how can we show off our wealth?" β
"Huh?"
Nurse Wang was a little puzzled, why was she crying poor in front of foreigners? Shouldn't it be pretending to be rich in life?
On the other hand, today, except for emergency surgery, all elective surgeries in the People's Hospital have been suspended, just to facilitate foreign friends to visit, which is also what Lao Guo advised.
As peers, foreign doctors are actually quite interested in the current situation of medical care in China.
After all, they have always been educated, and China is poor, backward, ignorant, and even like an uncivilized primitive society.
So they all looked around one by one, wanting to see what equipment was in the operating room of Huaguo Hospital, and through these equipment, they could also see how the medical level of Huaguo doctors was and what level of surgery they could do.
It's quite disappointing.
The operating rooms in the United States have basically applied laminar flow ultra-clean operating rooms.
This kind of operating room uses an air laminar flow ultra-purification device to efficiently filter and disinfect dust particles and bacteria in the air to achieve the effect of dust removal and sterilization, and create a clean and comfortable operating space environment.
However, the operating room of Viet Chung Hospital is an ordinary room remodel, especially in winter, because there is no air conditioning equipment, and the traditional boiler radiator is still used.
The other doctors were just watching the fun, and for Professor Bradrick, there was a pimple in his heart.
In such a working environment, the possibility of the old man coming to China for surgery no longer exists, and then the operation will be successful, but he will encounter a postoperative infection.
For hemophilia patients, postoperative infections are absolutely fatal because infections can likewise cause massive bleeding and DIC.
Professor Grace stood in front of the gastroscopy, looking at the equipment in front of him and frowning, because all the endoscopic equipment in front of him were outdated tools that had been obsolete early in top hospitals.
He picked up an endoscope tube and looked at it for a long time, and then picked up another endoscope tube with a camera and tried it, and found that the bite force was very unbearable.
Except for the main gastroscope that is relatively advanced, there is nothing on the scene that can be held on the table, which makes Professor Grace puzzled and puzzled.
Chen Qi walked into the operating room after detoxification at this time, and it was a little strange to see the expressions of these foreigners:
"Professors, do you have any questions about our equipment?"
Professor Grace shrugged, "Chen, if I'm not mistaken, these endoscopic devices of yours should have been from many years ago, right?" β
Chen Qi suddenly showed embarrassment:
"Yes, these endoscopic instruments were all given to us for free by the Mayo Clinic, and they didn't cost a penny, but they were all their obsolete products, no way, who called our country not rich, we tinkered with it for three years and three years."
As soon as these words came out, those foreign doctors gave a thumbs up.
"Chen, you guys are amazing, you can do the greatest surgery with such junk goods."
Chen Qi was talking about where and where, but what he was thinking about was how to get something good from the WGO organization.
The WGO organization is rich and wealthy, and it leaks a little soup casually, which is enough for Chen Qi to replace the equipment in the endoscopic operating room of the People's Hospital from top to bottom and from the inside to the outside.
Professor Grace and Professor Bradrick had apparently thought about sponsorship as well, but again, you have to show your value.
If you are valuable, people will invest in you.
If your surgery is not successful, or if there is academic fraud, people will just pat themselves on the ass and walk away, and then belittle a country at major academic conferences.
Iron also needs to be hard.
The operation began, and all the 15 doctors of the United States formed a circle, and Professor Grace and Professor Bradrick stood beside Chen Qi, their eyes motionless and looking at the TV monitor.
Although the two of them were also complaining in their hearts that the screen of the TV was too small and the clarity was not enough, they were able to see the whole process of the operation.
While getting the endoscope, Chen Qi explained that the first thing was to put the endoscope down to the cardia site, so that these American doctors could see the obstruction of the cardia site, so as not to say that he was an academic fraud.
The camera next to him, Kacha Kacha, kept filming, and two cameras started shooting at the same time, one aimed at the TV monitor, and the other aimed at Chen Qi's gestures.
"You've seen the obstruction in the cardia area, and now I'm going to carry out the tunneling technology I invented, so everyone is optimistic."
I saw that Chen Qi quickly made a small infusion on the wall of the esophagus with an electric knife, and the diameter of the incision was only 1cm, which was very small.
Professor Bradrick and his assistants paid special attention to the problem of bleeding, because the success of the operation depended on the amount of bleeding, or the size of the wound.
Then they miraculously found that no blood was coming out of the small incision, and after a few washes, it was clean.
"Chen, why is there no bleeding from this incision of yours? Is this true for every operation, or is it just that the patient is special? β
Professor BradΓ©rick had to ask clearly.
Chen Qi was a little curious about how this Sied-Sinai medical center specialist was more concerned about bleeding, and of course he would definitely answer when asked:
"Mr. Professor, this is very understandable, because there are only a small number of capillaries on the mucosal layer, and there will be a large number of blood vessels distributed on the adventitia, so our operation will not touch the esophageal gastric vein or any aorta.
Professor Bradrick nodded, and after writing something in his notebook, he continued to watch Chen Qi's operation.
Then it was time to "dig a tunnel", and after Chen Qi injected normal saline, he began to separate the submucosal and muscular layers.
Professor Bradrick and his assistant were almost touching the screen as they asked, "Is there any bleeding?" Is there bleeding? β
Chen Qi couldn't help it and asked his own question:
"Professor Bradrick, why do you care so much about the amount of bleeding from surgery? The advantages of endoscopic surgery are that there is little trauma, good curative effect, and few postoperative complications. β
Professor Bradrick was a little embarrassed, and after thinking about it, he decided to tell the truth, of course, he would keep the patient's privacy.
"That's right, Chen, I have a patient with severe hemophilia, but he also suffers from achalasia, and now it can be said that his life is hanging by a thread, and only endoscopic surgery can save his life under the premise that medical treatment is ineffective.
But you also know that hemophilia patients are just like glass people, the slightest carelessness is heavy bleeding, or the surgical wound bleeding does not stop, so for the safety of the patient, I specially came to Huaguo to inspect your POEM operation.
The success of the operation is an important part of the investigation, but the premise of all this is that the wound of the operation must be very small, and the amount of bleeding must be controlled within a very small range, so as to ensure the safety of the operation. β
Chen Qi is a director of the International Medical Association, and he has seen too many elders, and he understands it in seconds.
"Mr. Professor, this patient is very important?"
Professor Bradrick nodded:
"In the United States, he belongs to the upper class, especially rich, to tell the truth, Dr. Chen, if you can win this operation and cure this elder, the harvest will greatly exceed your expectations."
The operating room is full of doctors, and the topic of flying knife fees is not taboo, so Chen Qi also quipped:
"Yo, how big will it be? The largest medical bill I have received so far was in Africa for an operation on a high-ranking official, and I received a total of $1.5 million. β
Yo West ~~~~
Oh no, come again, the red neck of the rice country should be: "Oh, God~~~"
Indeed, $1.5 million is top-notch even in the world, and if it weren't for the fact that the other party was not the richest man and not a life-threatening operation, it would be basically impossible to get so much money.
For example, Chen Qi went abroad for surgery, and tens of thousands of dollars were spent on flying knives, which is an international practice.
Of course, after so many years, the price of flying knives has also increased, from $50,000 to $80,000, but it is a drop in the bucket compared to $1.5 million.
Professor Bradrick was also shocked when he heard it, and he thought that the Chinese doctor he looked down on in his heart was so good in the world.
But his patient was a Hollywood elder worth tens of billions of dollars, and he made it clear that if anyone could cure his illness, he would give them an unexpected fortune.
Although the specific amount was not said, this "unexpected" 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, and you give hundreds of thousands? What about sending Hanako? What kind of "unexpected" is it?
So Professor Bradrick also laughed:
"Chen, you are more powerful than I imagined, but other patients also give more than you think, of course, this is provided that you get this bounty."
Seeing that the atmosphere was relaxed, Professor Grace also joked a few words:
"Chen, I can testify that all this is true, I have also helped contact many top gastroenterologists, but unfortunately a hemophilia has stopped all the people who are ready to move, if your surgery can really solve the problem of bleeding, it can help you make a guarantee, you can definitely make a payment."
You said to a "dead money" that you could make a fortune, isn't this a temptation for Chen Qi to make a fortune.
Originally, Chen Qi thought that the visit of these foreign doctors was more academic research and experience exchange, and after a long time, people came to inspect him for the big dogs?
"Unexpected" wealth, how could he Chen Qi miss it?
Not to mention that he has the conditions to do this hemophilia surgery, even if he doesn't have this condition, he has to create the conditions.
At the thought of boxes and boxes of dollars in front of him, Chen Qi was full of energy.
"Gentlemen, you see, now I'm going to share the mucosal layer and the muscular layer of the esophageal wall, and the saline has separated the two, so this separation process is very easy, you see, that's what it does, and it doesn't bleed, see?
Okay, now we've got to the sphincter, this ring-shaped muscle, and all I have to do now is use an electric knife to cut the muscle, and all the surgeries I've done have were full-thickness myotomy.
One of the advantages of this is that the surgery is more effective and will not recur, but the disadvantage is that there will be a small amount of bleeding, so now I have decided to use another incision, which is to make a short incision at 2 o'clock in the anterior wall of the esophagus in the small curvature of the stomach, which is only 1.5cm. β
Sure enough, the role of money ability can allow people's thinking to create infinite possibilities.
If the muscle layer is completely resected, the incision is at least between 6~8cm, but now it is directly shortened to 1.5cm, and the reduction of the incision means that the possibility of bleeding is smaller, and the operation of hemophilia patients will be closer to success.
Professor Bradrick was a little strange: "Chen, could it be that there are multiple incision methods for the poem surgery you are talking about?" β
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Chen Qi shrugged:
"Of course, if the patient has any requirements, we will meet their requirements, especially a billionaire, if there is no condition, we will also create a new surgery, anyway, the research and development cost of the new surgery, the rich will provide, isn't it?"
"Hahaha, Chen, you said it amazing~~~"
Dr. Hua Guo is ashamed to talk about money, feeling that this is a sign of lack of medical ethics.
But Dr. Mi Guo originally grew up in capital, and he has a very clear concept of money, so he is not disgusted by Chen Qi's mention of money.
On the contrary, they felt that Chen Qi was so straightforward, sincere, and worthy of intercourse.