The fourth day of the first lunar month.

It is the day when every family is celebrating the Spring Festival, almost no one goes to work, and all hospitals are rarely quiet for a few days.

The emergency department of the People's Hospital is at its busiest time of the year.

There are many emergency patients who eat and drink too much, injure their whole body by setting off firecrackers, get drunk and fight or fall themselves, and even have cardiovascular and cerebrovascular accidents due to emotional agitation.

Fortunately, Chen Qi made the medical department arrange a duty schedule before the Chinese New Year, so that all doctors took turns to go to the emergency department on duty, and each person was given a subsidy of 10 yuan per day, which did not paralyze the emergency department.

Others are busy, but Dean Chen is also very busy.

Early in the morning of the fourth day of the Lunar New Year, the building where the operating room is located was surrounded by people from the relevant departments.

In the end, Rupert is the top rich man in the United States and the object of the united front, and all the requirements he put forward are met by the relevant departments as much as possible.

For example, the people of the United States pay special attention to their privacy, so they require that the operation be carried out secretly, not publicly, not filmed, and no unrelated personnel are allowed to enter the operating room.

Therefore, in this POEM operation, it was finally determined that the chief surgeon was Chen Qi, and the assistants were Professor Bradrick and Lan Lijuan.

In addition, anesthesiologists and nurses, and all other doctors are not allowed to observe the operation, or even be allowed to go near the surgical area (this is added by the relevant departments themselves)

Chen Qi looked at the luxurious, modern, and brand-new operating room full of science and technology in front of him, and his heart was full of emotion.

Such laminar flow operating rooms have long been popularized abroad, but they are still rare in our country, and it will take 10 years before our economy takes off, which shows that domestic counterparts will have to suffer for another 10 years.

Lan Lijuan also looked at a large number of imported endoscopy instruments curiously.

There are two in the four laminar flow operating rooms, which does not arouse her much interest, she is interested in endoscopic equipment.

According to Chen Qi, surgery will definitely be "minimally invasive" in the future, which is also an opportunity for internal medicine, for example, endoscopic surgery can be done by internal medicine doctors themselves.

Internal medicine can already perform surgery, one is the improvement of technology, the other is the increase in income, either is a big benefit.

So having a set of tools at hand is the thing that everyone who is engaged in technology desires the most.

Just think about how happy Chen Qi was when he got a set of customized surgical instruments from Hanjiang Group, and how happy he was smiling.

Compared with Chen Qi and Lan Lijuan, two Chinese doctors, Professor Bradrick's eyes are constantly aimed at the brand-new endoscopy instrument on the operating table.

Because he hadn't seen this endoscope.

Even if he has never seen it, in the eyes of an insider, there is always a feeling that this endoscope is more advanced and not a product of Karl Storz at all.

But he didn't dare to ask more, it was still the same sentence, relatively speaking, Lao Mei paid more attention to privacy.

Rupert, the billionaire, was lying on the operating table, and his heart was actually very complicated, because he knew that this was the last chance in his life.

"Chen, you know what? During World War II, I was also a member of the United States Air Force, and I once came to China to help you fight a small life together, it was really a good time, I was still young, strong, and as strong as a western cow."

While preparing the equipment, Chen Qi gave the old man a thumbs up:

"Then it seems that Mr. Rupert is a good friend of our Huaguo, and in our Huaguo's words, we are also the four irons of life who have carried guns together, and we are great heroes."

"Yes, it's a pity that heroes always come to an end, after the end of World War II, I entered the family business, from my father's hands, I became a rich man that everyone envied, and lived a life of spending and drinking, but I became old and old, but I became such a ghost, Chen, I am really unwilling."

Chen Qi knew that the old man was nervous before the operation.

But this tension is not a good thing for the operation, because the heart rate is obviously increasing, the blood pressure is constantly rising, and the ECG monitoring is turning on the red light.

"Mr. Rupert, I'm actually very interested in the behind-the-scenes of Hollywood, or else

It's my wife who won't allow it, and I really want to see what that talking red couch looks like."

Sure enough, as soon as the old critic heard the woman's thinking, he was led astray.

"Hey, you still know about the red sofa, are you still interested? Chen, you are different from other Chinese people, if possible, I really hope to take you to experience the red sofa in person, and those modern girls, for a role, for money, they are willing to give everything......

The old critic said happily, but Chen Qi's waist quilt was twisted by Lan Lijuan, and he grinned in pain.

"Don't make a fuss, I'm comforting the old man, you haven't seen that the heart rate has been 120 times, how can he operate like this?"

Lan Lijuan snorted lightly, "You'd better be honest, or you'll cut off your third leg."

Rupert had fallen into his own thoughts at this time, and began to talk to himself:

"Chen, I don't want to die, I'm only in my 60s, I think I can live another 30 years, so please help me heal, now you are my only hope, as long as I can recover, I can meet whatever you ask, money, women, I will give you what you want......

Chen Qi gestured to the anesthesiologist with his eyes, quickly took the mask and covered the old man's mouth and nose, and then released the anesthetic gas.

After a few seconds, the Hollywood tycoon was unconscious.

After the patient enters anesthesia, the operation must be carried out against time because the surgical plan does not include endotracheal intubation.

If the operation is too long, the patient will either suffocate or bleed, either of which will kill the patient.

"Let's start the operation, let's get started."

After Chen Qi finished speaking, he directly picked up the gastroscope tube and put it into Rupert's mouth, and quickly lowered the tube with more than double the usual hand speed.

Whoosh, the tube went down so fast that even Professor Bradrick next to him felt numb when he saw it, if he accidentally punctured his esophagus or stomach, then he would be in trouble today.

There are risks associated with any surgery, and this is a principle that everyone should keep in mind.

For example, in this POEM operation, esophageal perforation is only one of the risks, and there are other possibilities such as emphysema, pneumothorax, pneumoperitoneum, hemorrhage, etc.

Especially Rupert is now skinny and has very poor physical fitness, and he will finish playing if he doesn't play well.

Chen Qi didn't dare to be careless at all, his eyes looked at the screen, he held the sense of operation in his hand, and without too much testing and side calculations, he directly made a small incision on the esophageal mucosa with an electric knife.

An opening smaller than when he had surgery before, barely the size of an endoscope tube to pass through.

When Professor Bradrick and Lan Lijuan saw this step, their hearts were in their throats, if this caused massive bleeding in the gastric mucosa during the incision process, then the operation would have failed at the beginning.

Chen Qi had also been prepared for a long time, and at the moment of cutting open the mucosa, he pulled out the electric knife at a rapid speed, reinserted an injection tube, and quickly injected a potion into the incision.

The injection is "somatostatin", which Chen Qi found from the space operating room.

In later generations, it was mainly used for the treatment of gastric bleeding, and this drug can not only inhibit the bleeding of internal organs, but also inhibit the secretion of growth hormone and insulin.

Even when varices in the fundus of the stomach are ruptured, this medication can be used.

There is no in this era, but Chen Qi has, and sure enough, as soon as somatostatin is used, there is no bleeding at the incision site.

Professor Bradéric exclaimed:

"Chen, this is amazing, how did you do it? What kind of potion are you injecting?"

said that he would respect other people's privacy, but the white doctor couldn't help but ask with curiosity.

Chen Qicai wouldn't tell him what it was, but just made a joke:

"This is a hemostatic agent extracted from our traditional Chinese medicine, which is very precious."

Professor Bradrick wanted to ask something, but Chen Qi didn't give him a chance, because by this time he was already about to start "tunneling".

Professor Bradrick had accidentally caused a perforation of the esophagus during the process, so the white doctor's attention was quickly diverted and he was so nervous that he swallowed his saliva.

Originally, before tunneling, normal saline was injected to separate the mucosal layer and the femoral layer, but this time Chen Qi still used the diluted growth inhibitor as a solvent, plus his own 120,000 points of caution.

Finally, the hole was successfully completed, and the whole process was completed in one go, without any mud and water, and even looked like it had an artistic beauty.

Professor Bradik clapped his hands excitedly: "Great, Chen Qi, you are such a great endoscopyist!"

Chen Qi also took a deep breath, and now it's time for the last link.

The ring sphincter of the dark red envelope is placed in front of you, and with a light cut, the operation is successful.

There is blood supply in the muscles, and if it is not good, it will bleed profusely.

Lan Lijuan and Professor Bradik both looked up and looked at Chen Qi's final choice.

How can Chen Qi choose?

He glanced at Rupert in general anesthesia on the hospital bed, and his breathing sounds became thicker and thicker, because the human body did not have enough oxygen, and automatically deepened his breathing to get more oxygen.

There was not much time left for Chen Qi.

The surgical plan has also been decided, and all the things that should be considered before and after have been considered, and whether the operation is successful or not depends on Rupert's own life.

When the electric knife came to the anterior wall of the esophagus on the side of the small curvature of the stomach at 2 o'clock, Chen Qi didn't have much time to think about it, so he decided to start here.

Because there are fewer blood vessels on this side of the anterior wall, it can also avoid cutting the natural anti-reflux barrier of the sling fibers, and the recovery after surgery will be better.

Of course, this requires higher requirements for the stability of the main endoscope and the cutting angle of the electric knife, which is more technically difficult, and the general doctor cannot afford to do it.

Chen Qi didn't communicate with the two assistants, he didn't even look at him, he just picked up the electric knife, cut it with one knife, and then quickly made an incision to stop the bleeding with an electric knife.

Through the TV screen, as far as Kamino could reach, a trace of bright red blood was flowing out.

This frightened Professor Bradrick and Lan Lijuan, and they only dared to whisper:

"Chen, this, this ......"

Chen Qi was not blind, of course, he also saw the bleeding, so he also frowned, so nervous that his heart was about to jump out.

Thousands of miles of embankment, destroyed by ants.

Seeing that the operation was about to be successful, if the final muscle incision caused massive bleeding, the operation still ended in failure.

And this failure means that the Hollywood tycoon on the operating table will be directly judged for death.

This consequence is not something that Chen Qi or even Hua Guo can bear, and it is conceivable that Rupert and Chen Qi, as well as Hua Guo, will become a joke for the whole world.

laughed at him for the whimsy of a rich man in the United States, Huaguo Hospital was overwhelmed, and then sent the Huaguo medical community into eighteen layers of hell.

As for Chen Qi personally, he could imagine with his toes that he would become the backstabber of the whole incident and be severely punished by his superiors.

For a while, the leg muscles of the itinerant nurse were already tense, and she was ready to run out of the door at any time, so that the second line of rescue and blood preparation were ready.

Others can panic, but as a surgeon, you can't panic.

Chen Qi forced himself to calm down, took a few deep breaths in a row, and then saw that he quickly injected injections into the bleeding area of the incision, and his hand speed was so fast that afterimages were shot in the air.

Fortunately, he made sufficient preparations in advance, and at this time, octreotide injection, recombinant human growth hormone, snake venom hemocoagulase injection, omeprazole injection and so on.

But all the drugs that can be used to stop bleeding in the internal organs, Chen Qi is like no money, and all his brains are hit through the endoscope tube to the incision.

directly came to a trick of "punching the master to death", regardless of whether there were any side effects of the combination of several drugs.

After a while, after the medicine was roughly absorbed, Chen Qi used the suction device to suck up all the liquid, and everyone unconsciously took a step closer to the video display.

I saw that the incision was clean and there was no fresh blood coming out.

The bleeding stopped.

Chen Qi, who had not been silent, was already smiling at this time, and shouted:

"OK, the operation was successful, now I have to take out the endoscopic tube, and finally clamp the mucosal incision, anesthesiologist, you are ready for resuscitation, be fast, and then immediately change the mask of the nasal oxygen hall."

"Okay Dean, resuscitation right away."

Professor Bradrick sat down on the ground when he saw that the bleeding had stopped, and really, his nerves were so tense that he almost lost his breath.

Now that the bleeding has stopped, the annular sphincter that caused the cardia obstruction has been removed, and the operation can be said to have been a success.

Bursts of exclamations immediately erupted in the operating room, and even Lan Lijuan excitedly patted Chen Qi's back:

"Husband, you're amazing, you're amazing! It only took 13 minutes in total, and you had a difficult operation."

Lan Lijuan usually doesn't call Chen Qi's husband, the two are classmates, they call their names when they are happy, and they call Chen Lao Er when they are unhappy, this husband is really a VIP treatment.

It's a pity that Chen Qi's mood was still in a state of excitement at this time, and he didn't hear it at all.

The people waiting outside the operating room heard the cheers inside the operating room, and they all pricked up their ears to hear what was going on inside.

Do you want to open the suona, it's time to eat.

At this time, as soon as the door of the operating room opened, the head nurse excitedly shouted:

"The operation was successful, and the patient is safe."

Because the head nurse spoke Chinese, the reception staff on the Huaguo side first let out a burst of cheers after hearing it.

Then, after hearing the translation, the American entourage knew that their boss had successfully operated on the operation, and they all hugged each other excitedly.