Chen Qi underwent endoscopic surgery, which took about 50 minutes on average.

At the end of the morning, 5 surgeries were easily completed, and Chen Qi let this group of Mi counterparts see what "Huaguo speed" is.

When the foreigners had lunch, their mentality was actually collapsed, and many people were sitting on the side in twos and threes and discussing softly:

"John, are you surprised? It turns out that endoscopic surgery can be done like this? ”

"It's not surprise, it's just fright, I think I've learned so much about endoscopy, it's like I've learned a bunch of shit."

"It seems that the sky is going to change in the future, and our country is no longer the most developed country for endoscopic surgery, which is too frustrating."

"It seems that this magical Chen's mentor is too powerful, if only I could be his student too."

"Who's to say it's not, it's better than Professor Bradrick."

"Be quiet, stupid!"

Compared with the surprise, unwillingness, and shock of other doctors, Professor Grace, who is the president of the World Society of Gastroenterological Organizations, has a much more complicated mood.

On the one hand, as the leader of an international medical organization, he should be happy to see new technologies and procedures for gastrointestinal diseases invented all over the world and actively promote them.

But on the other hand, as a white man and a top doctor in the United States, Professor Grace's sense of superiority was originally very strong, but now this sense of superiority is gone.

What was the previous medical community in China? Those are all low-end existences that he raises his eyes and will not enter his eyes at all.

Every time the WGO held a conference, those Chinese doctors saw him, and they didn't nod their heads and show as much humility as they wanted.

But Professor Grace took this for granted, and even met with doctors from third world countries and gave them a few words.

As a result, a young doctor from Huaguo gave him a hard slap today.

Medicine is the same as competitive sports, the first place is the first place, the second place is the second place, and there is no intermediate model lake area.

Chen Qi can do surgeries that others can't do, he is NO1.

Even if Grace is the president of the WGO organization, an academician of the Academy of Sciences, the president of Duke University Medical Center, the director of the Department of Gastroenterology, a senior professor and a series of positions or titles.

But if he can't perform such a complex endoscopic operation, then he can never say that he is the best doctor in the field of gastroenterology.

Professor Grace never dreamed that he would be defeated by a young doctor.

Of course, he is not a small chicken belly person, as the president of WGO, his pattern is bigger, after all, he is not the president of the National Society of Gastroenterology.

Therefore, Professor Grace did not intend to attack Chen Qi, and with tears in his eyes, he would also affirm Chen Qi's achievements, who called his vocation to promote the development of gastrointestinal medicine, and this professional ethics still exists.

Compared to Professor Grace's inner sadness, Professor Bradrick from Siedsinai Medical Center was thinking about his little ninety-nine.

He had repeatedly studied Chen Qi's surgical tape in the United States before, and he also saw the whole process of Chen Qi's surgery with his own eyes this morning.

For a veteran doctor like Professor Bradrick, who has been a gastrointestinal specialist for more than 20 years, the POEM surgery does not seem to be that difficult.

If......

If he Bradrick himself has learned the poem technique and learned the tunneling technique, then will the huge bounty of the Haolaiwu tycoon be able to keep the water from flowing into the fields of outsiders?

A possible bounty of several million dollars, even if Bradik himself is a top doctor, is just as tempting.

Who doesn't love money?

Thinking of this, Professor Bradrick coughed lightly and pretended to be very decent and proposed:

"Chen, the poem technique you invented is really amazing, you also know that I came all the way to China to learn this new technology, can you let me try a poem operation in the afternoon?"

As soon as Professor Bradrick's words fell, Professor Grace, who was next to him, gave him a meaningful look.

But obviously Chen Qi still lacks experience in the rivers and lakes, and he has not seen what is called the insidiousness of the United States, he feels that he can help this foreign counterpart purely from the perspective of medical technology promotion.

In addition, an important reason why Chen Qi was not vigilant was that the poem technique was also plagiarized for him, so he didn't cherish it so much.

"Mr. Professor, you mean, you want to do a endoscopic surgery for achalasia with your own hands?"

"Yes, Chen, I want your permission that I can do it under your guidance."

Seeing that the professors of Mi Guoda were so modest, Chen Qi shrugged his shoulders and said indifferently:

"Okay, it's not a problem, I'll hand over the main knife in the afternoon."

Professor Bradrick saw that Chen Qi was so easy to take the bait, and he was excited and nervous for a while, and there was a kind of eagerness to try, and at the same time there was a little joy in his heart.

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

Professor Bradrick holds the endoscope handle and slowly inserts the gastroscopic catheter into the patient's mouth and extends it to the esophagus.

Then learn Chen Qi's technique, on the cardia 10cm?? The submucosal injection of normal saline, and then the longitudinal incision of the mucosal layer, up to this point, Professor Bradrick has done very steadily.

People can become one of the most famous gastroenterologists in the United States, and that is also with two brushes.

The next step is to "open the tunnel", in which the doctor separates the submucosal and muscular layers of the esophagus.

This separation is completely dependent on the surgeon manipulating the gastroscopic surgical rod and using a hook knife to cut or melt off the tissue of the submucosa, so that there is no link between the mucosal layer and the muscles propria, and a tunnel is formed.

It is equivalent to making a long hole in the wall layer of the esophagus.

This process seems simple, but for doctors who have not practiced, the brain understands, but the hands may not understand.

Surgical procedures require millions of times of training to be performed, which is an important reason why medicine is called "empirical medicine".

After successfully completing the first few steps, Professor Bradrick felt that this operation was nothing more than that, and after breaking the principle, it was actually quite simple, so it was a little floating for a while.

I was even in the mood to joke with the doctor next to me, and at this time, if nothing else, an accident appeared.

When Professor Bradrick was manipulating the hook knife to make a tunnel, he didn't have a good grasp of the strength, and when he stabbed down with a little force, the muscularis and adventitia of the esophageal wall were all opened at once.

It was too late for Chen Qi to stop it.

The esophagus is perforated.

"Hiss~~~"

"Oh God~~~"

The onlookers were all doctors from the gastroenterology department, and everyone gasped in unison, this esophageal perforation is not a joke, and a bad one will die.

Professor Bradrick was stunned on the spot, and even forgot to recover the gastroscope, and kept it perforated.

Professor Grace's face darkened suddenly, and he cursed, "Fool, you have done great harm to an innocent patient. ”

The old white man was really angry, because he knew that Bradrick was careful, and now that he had failed the operation, Professor Grace was angry.

There is an important principle of medical ethics, and that is the principle of "do no harm".

If this is for the media to know that this well-known doctor at Siedsinai Medical Center is using patients as experiments, not treating patients as people, and piercing people's esophagus, he will not be sprayed until he can't take care of himself.

Professor Bradrick came on behalf of the WGO organization this time, and it was known to outsiders and the media, and the WGO organization would be criticized and blamed.

The older the doctor, the less courageous he is.

Chen Qi didn't have time to blame this Mi Guo doctor for his three-legged cat kung fu.

Now this patient is nominally the chief surgeon of Chen Qi, and people trust him Chen Qi, so they have waited for so many days until all the foreign doctors have arrived to do this teaching operation.

As a result, people's achalasia was not cured, but a perforated esophagus was created, how can this be reasonable?

After Professor Bradrick was pushed away by Chen Qi, he knew that he was in trouble, and as a gastroenterologist, he also knew the dangers of esophageal perforation.

In particular, the poem technique is to make a hole in the esophagus, and now as soon as the hole is pierced, the outside and the inside are connected, which becomes a "fistula", that is, the esophageal fistula that can be said.

That's even more of a danger.

"Chen, I'm sorry, I'm sorry, I didn't know it would be a perforation."

Professor Bradrick apologized repeatedly, completely panicked, if this kind of medical accident happened in the United States, he would not be able to get it without millions of dollars in a lawsuit.

It could also cause huge reputational damage to his career.

Chen Qi didn't blame Dr. Mi Guo either, there was an accident during the operation, which is also a normal thing for clinical practice, not to mention that this Mi Guo professor had a poem operation for the first time.

But how to solve this esophageal perforation has become the top priority.

Fortunately, in order to welcome the leaders of the department and foreign friends, all the staff of the People's Hospital have to go to work these days and are on standby.

So Chen Qi yelled:

"Head nurse, hurry up and call Guo Shuji and Director Zhu of the Department of Surgery, and ask them to come to the operating room quickly, there is a patient with esophageal perforation who needs to be treated with thoracotomy immediately."

"Okay, Dean Chen!"

The head nurse of the operating room is more experienced, and when she saw that the dean was rarely yelling, she knew that these foreign doctors estimated that the endoscopic surgery had been messed up, which might cause major harm to the patient, so she ran to the office in two steps.

In less than 5 minutes, Lao Guo's loud voice came in from outside:

"What's wrong, what's wrong? What's going on? Chen Qi, you stinky boy, I told you to take this reception task seriously, what kind of moth are you making trouble, why did you perforate other people's food for no reason? ”

Before he finished speaking, Lao Guo entered the operating room, and Director Zhu also followed, panting.

"Chen Qi, what happened, how to take care of the esophagus and perforated."

Chen Qi didn't have time to explain:

"When I just did endoscopic surgery, the endoscopic electrosurgical knife was forced, and the esophageal wall was accidentally opened, but fortunately, the patient is now under general anesthesia, and I have asked the anesthesiologist to adjust the dose, and I need to urgently do esophageal perforation repair, and I can't do it alone."

Lao Guo was shocked when he heard this, and asked in Chinese:

"There is such a danger in this endoscopic operation, will it affect the visit of these foreigners and cause a bad impact?"

If the doctor fails to perform the operation, it is called a rollover, but if the operation fails in front of his peers, it is called a medium rollover, but if your operation fails in front of a foreign expert group, it is definitely a super overturn.

As a leader, Lao Guo instantly thought about how to deal with the aftermath and whether it would have a bad impact on Chen Qi himself.

Chen Qi replied softly: "It's not me, it's the foreigner next to me who did the operation, the perforation was caused by him, and it has nothing to do with us." ”

Lao Guo and Director Zhu were relieved when they heard this, as long as Chen Qi was fine.

"Okay, push this patient to the operating room next to it, we will do this repair, you go and explain it to the family, we can't be sorry for the patient."

Chen Qi nodded heavily: "It should be, it's troublesome for Guo Shuji and Teacher Zhu." ”

Professor Bradrick could not understand Chinese, so he asked anxiously: "Chen, what now?" Can you do esophageal repair in your hospital? ”

The white doctor was so anxious that he accidentally said this discriminatory question.

Chen Qi was also a little unhappy when he heard it, what do you mean, "Will your hospital do it?" ”

"Professor Bradrick, don't worry, just two of the best surgeons in our hospital, with 30 years of clinical experience in surgery, a esophageal repair is not a problem, the point is that now I am going to beg the patient's family for forgiveness, after all, this is already considered medical malpractice."

Professor Bradik's whole body trembled when he heard the word "medical malpractice".

The people of the United States pay attention to the protection of rights in everything, and the lawyers of the United States are also pervasive, so the medical lawsuits in the United States are also impossible to prevent and cannot be mentioned.

It's just that the insurance in the country is relatively sound, and even if the hospital loses the lawsuit, there is insurance compensation.

Although the doctor himself does not have to bear the loss of money, if the doctor has too many medical accidents, the insurance company will downgrade the doctor's credit or even refuse to insure the doctor.

The doctor who was abandoned by the insurance company also ended up in a tragedy.

Therefore, sometimes, as long as the amount of compensation is not too huge, those top doctors who are not bad for money would rather choose to go private and lose a sum of money to buy a peace to save adverse effects.

"Chen, I'm really sorry, please help me tell the patient's family that I am willing to compensate them $50,000, oh no, $100,000, as long as they give up holding me accountable."

Professor Bradrick is not qualified to practice medicine in China, it is an "illegal practice of medicine", and according to the laws of the United States, he will be imprisoned.

A number of factors came together to scare the white doctor a little bit of a distraction.

But he seems to have forgotten that this is China, and the relevant laws of China in the 80s do not seem to be so sound, and the "Medical Practitioner Law" has not been promulgated.

Chen Qi was also surprised to hear that this doctor was willing to compensate so much money.

Even if the official exchange rate is 1:4, the patient can get 400,000 yuan in compensation, you must know that this is 400,000 yuan in 1989.

You don't need so much to gag a waist.

If you know that you can get 400,000 compensation, let alone a perforation of the esophagus, it is estimated that many people would rather have a perforation of the stomach, intestines, and heart perforation, and wait in line for foreigners to perforate.