Outside the multimedia classroom, as soon as Shunta Nishishi walked out, he was pulled to the top of the stairs by Tsukasa Sakuda.

Shunta Nishishishi didn't know what was going on, so he asked strangely, "Director Saku, what is the matter with you calling me out?" ”

Sakuda Tsukasa gritted his teeth and looked very anxious:

"We were careless, we didn't expect that the endoscopic level of this doctor from Hua Guo is so high, and the surgical research has far surpassed our Dongda Hospital, so it is not possible to go on like this, and when his 4 surgeries are completely successful, where is the face of our Dongda Hospital? When we digest it, we will become the whole book, oh no, the laughing stock of our peers all over the world. ”

The University of Tokyo Medical Center, one of the world's top hospitals, invests a large amount of money every year to support the research of doctors.

For example, in order to support the endoscopy project of Todai Hospital, Nipro has an annual sponsorship fee of up to 5 million US dollars.

In addition, the hospital's funding comes from patient donations, and the annual scientific research expenses of the gastroenterology department alone reach tens of millions of dollars.

If you want to maintain the leading position in the world and the country, you must insist on scientific research, and scientific research must be supported by money.

Now, I gave you so much money, but it turns out that your endoscopic surgery project can't solve a Huaguo hospital.

The city of Yuezhong in Huaguo is generally known to me, because my favorite "Orchid Pavilion Preface" and ceramics "Yue Kiln" are from Yuezhong.

China is already poor and backward enough, and Vietnam, as a third- and fourth-tier small city in China, is even more backward.

The result is such a small hospital that I can't look down on, and the level of endoscopy and endoscopic scientific research far surpass their Dongda Hospital, who doesn't laugh at this?

I'm afraid that even those rich people who have sponsored more than N dollars will have to ask: Are we feeding all our money to the dogs?

Sakuda Tsukasa can see it now, where are these Chinese doctors coming to study, this is clearly coming to the door.

Said myself, it's a big drop, because of the light enemy, Chen Qi made a big show of power, so now it's time to stumble.

"Junta, you quickly remove the fourth patient and replace it with a more difficult patient."

Nishi'an Shunta instantly understood what his director wanted to do, so he looked vigilantly at the fact that there was no one around, and then whispered:

"Director, what you mean is that the fourth carcinoma in situ resection is not difficult enough, and it is better to let Dr. Chen fail the operation and then we can remedy it, so that our face can be saved."

"Yes, although this is against medical ethics, I really can't explain to the hospital in front of so many peers across the country, not to mention that Professor Grace from WGO has also come in person, which will affect the status of our Dongda Hospital in the WGO field."

It is the largest manufacturer and exporter of endoscopic medical instruments.

The University of Tokyo Medical Center is the most authoritative hospital in the field of endoscopy, and it is famous all over the world.

Professor Sakuda's idea is very simple, if you have a rice country hospital that surpasses Todai Hospital, then forget it.

But if you want to surpass Dongda Hospital, this thing is unbearable, not only because of face, but also about your wallet.

Nishigishi Junta nodded heavily: "Okay, I'll listen to the director, then which patient will we arrange next?" ”

Tsukasa Sakuda had already thought about it in the multimedia classroom:

"In this way, isn't the mother of the second prime minister of the Great Treasure Department suffering from esophageal tumors, and we are still discussing treatment options these days, isn't this Dr. Chen omnipotent? Then hand over the patient to him. ”

Nishigishi Shunta trembled when he heard this:

"Director Saku, will there be a problem with this, after all, the patient's identity is special!"

The Ministry of Finance, which is equivalent to the Ministry of Finance, and the Minister of Finance, who is equivalent to the Deputy Minister of Finance, has real power.

The mother of the great Tibetan minister, the old lady is over 80 years old, and her body is already weak, if she dies on the operating table today, or if the operation fails, she has a stomach perforation and esophageal perforation, then the fun will be great.

At that time, Chen Qi will not be a discredited issue, but may rise to a major issue in the dispute between the two countries, and even Chen Qi will have legal responsibility.

Don't forget, Chen Qi was not qualified to practice medicine because the incident happened suddenly, and the teaching operation did not pass the record of the Ministry of Health, Labor and Welfare (Ministry of Health)

This really needs to be investigated, and it is appropriate to give him an illegal practice of medicine.

Although Todai Hospital, or Tsukasa Sakuda himself, will certainly be blamed, this kind of blame is obviously easier to bear than to lose face.

"No matter what, just do as I instructed, but in order to show that we are not making things difficult for Dr. Chen, all medical records must be given to him completely, and it would be best if he retreated, our goal was achieved, and the patient was spared a danger."

Tsukasa Sakuda and Shunta Nishigishi were discussing how to make a trip, and Chen Qi's surgery was easy and happy.

By the time the third POEM was over, the discussion block in the hall had reached its peak.

The success of making a tunnel in the wall of the esophagus changed everyone's perception and immediately realized how wide the POEM procedure can be used.

This link has been opened, and many diseases that were previously unbooked by endoscopy have suddenly become operational, and the thinking is smooth.

This is a very big step forward for gastroenterology, or gastroenterology.

In the operating room:

While eliminating the poison, he asked the wife next to him: "Lijuan, are you tired?" It's all three surgeries. ”

Lan Lijuan smiled: "I'm not tired, you can perform three or four surgeries on others with this operation, and the people in the rivers and lakes are called fast gunners, how can I be tired?" ”

Chen Qi was not happy when he heard it: "What fast gunner?" Don't you know if I'm fast or not? ”

Lan Lijuan blushed: "Phew, rascal, this is abroad, pay attention." ”

When the three of them finished detoxifying and came to another operating room, Chen Qi realized that something was wrong.

Because the medical record given to him before should be a middle-aged man, but now there is an elderly woman lying on the operating table.

What doctors are most afraid of is that there is a mistake in the connection work, and then you were originally Ga on the left side of the waist, but as a result, Ga became the right waist, a proper major medical accident.

"Doctor West Bank, this patient doesn't seem to match the case we discussed yesterday, could it be a mistake?"

Shunta Nishigishi laughed harmlessly:

"Dr. Chen, the patient we discussed yesterday heard that he was going to have a public teaching operation, and he was afraid of leaking his privacy, so he suddenly refused the operation, so we had to temporarily change a patient, please bear with me."

Chen Qi and Lan Lijuan glanced at each other and felt that this decision to change patients was a bit problematic.

Generally speaking, in order to ensure the smooth operation of the teaching, the surgeon will understand the patient's situation in detail in advance, and then formulate the surgical plan in advance, so that it can be foolproof.

If the patient is unable to cooperate due to special circumstances, the general teaching operation is also directly canceled, rather than temporarily replacing the patient.

Chen Qi had a faint guess in his heart, it seemed that Dongda Hospital didn't want his teaching operation to go too smoothly.

But now that 300 Dr. Saymoto and Professor Grace are watching the live broadcast, if he asks to stop the operation, the fame of the previous three surgeries will be half wasted.

Because the doctor may encounter an emergency situation at any time, if you can't handle it, it means that your doctor is not qualified, or you can only do the surgery that has been scheduled in advance.

So even if Chen Qi felt that something was wrong, he wanted him to throw in the towel, which was not his temper.

"Oh, temporarily change the patient, then you can report the condition to me in detail, and bring all the examination reports, I need to review it myself."

Dr. Shunta Nishigishi thought to himself that this Huaguo doctor has taken the bait, so it depends on how you die.

"Hi, the patient is a female woman, 82 years old, who came to our hospital in January because of epigastric discomfort, and the gastroscopy showed a submucosal bulge on the left wall of the lower esophagus near the cardia, with a smooth surface and a size of about 2.5X3......

The condition is actually very simple, that is, the old lady's esophagus has a tumor near the cardia, which causes the mucosa to bulge out, resulting in esophageal obstruction.

The nature of the tumor is undetermined, and the malignant and benign nature is unknown.

As with the symptoms of achalasia, the esophagus is obstructed and food cannot pass through the cardia smoothly, which causes the patient to vomit violently and malnourish.

Combined with the fact that the old lady is in her 80s and has poor physical tolerance, she may not be able to afford a thoracotomy and an insection of the esophagus, and endoscopic surgery seems to be the best solution.

Chen Qi, Lan Lijuan, and Zhang Weizhong also ignored the fact that they had finished eliminating the drugs, and picked up various inspection reports one after another to read them.

Zhang Weizhong is still relatively experienced, and whispered to Chen Qi:

"Dean Chen, it looks like a stromal tumor."

Chen Qi nodded and breathed a sigh of relief: "It seems that we are lucky, there has been no hematogenous transmission yet, so the difficulty of the operation has plummeted." ”

Zhang Weizhong had never seen such an operation, and was a little worried:

"Dean Chen, is this kind of tumor resection endoscopic feasible? What should we do? ”

"How?"

In fact, Chen Qi already had a complete set of treatment options in his mind, which was another surgery derived from the POEM surgery.

Endoscopic submucosal tunnel tumor resection, English full name submucosaltunnel endoscopic resection, abbreviated as STER.

"STER?"

Zhang Weizhong was excited when he heard this, and with Dean Chen, he was able to come into contact with a new technique from time to time, and it was all original, which made him a great satisfaction in his endoscopic technology nerd.

"Yes, the STER operation, in fact, is similar to the POEM operation, which is also through the tunnel perforation, to the middle of the mucosal layer, and then the whole tumor is removed, through the tunnel, esophagus, and through the mouth, the surgical process is not complicated."

Zhang Weizhong and Lan Lijuan were happy when they heard it,

"It seems that this side wants to set a difficult point for us, but it has achieved your reputation."

Chen Qi shrugged:

"How can I sing in the song, there are no guns and no cannons, we have our own enemies to make us, and we also have to thank the captain of the transportation brigade. But it's also lucky, if they arrange a complicated one, or it is already an advanced tumor, this endoscope will definitely not be able to do it today. ”

Nishigi Junta couldn't hear Chinese, but when he saw that Dr. Hua Guo, who was still serious just now, his expression suddenly relaxed, and he instinctively felt that things were beyond their expectations.

But now that the arrow has to be fired, the eyes of these hundreds of people are staring, even if they want to stumble, they can't go too far.

"Dr. Chen, is it possible to operate?"

Chen Qi threw away the medical records and materials, stood up and said lightly:

"It's time for surgery, you prepare anesthesia first, and then we'll go to eliminate the poison."

Tsukasa Sakuda, who was sitting in the multimedia classroom, and Shunta Nishigishi, who was in the operating room, both sighed in their hearts, wondering if this kind of endoscopic surgery for tumor resection can also be done.

Facts have proved that Chen Qi can not only do it, but also do it perfectly.

When he removed the tumor and used the "fishing method" to remove the tumor from the patient's mouth, everyone applauded enthusiastically in both the operating room and the multimedia classroom.

This time, the vast majority of people were convinced.

Surgery is not a bragging and fart that can be successful, you will do it if you can do it, and you will not do it if you can't do it.

As mentioned earlier, his personality is to worship the strong, at least in the field of endoscopy, Chen Qi has proved his status as a strong man with 4 teaching surgeries.

Professor Grace was also clapping, and at the same time admonished the assistant next to him:

"You can immediately ask Dongda Hospital to make a copy of the video of the first few surgeries, and it will be broadcast at the International Society of Gastroenterology in a few days, and I am looking forward to seeing more The technological innovation has finally made a major breakthrough, and we should attach great importance to it."

As for Chen Shu, Chen Hua, Jin Meng, Yang Yibing and other 10 master's students, because they are young people, how nervous they were before and how excited they are now.

When the host, Professor Tsukasa Sakuda, announced that the four surgeries had been successfully completed, all of them jumped up at once.

In this scene, I don't know that I think it is like Huaguo won the right to host the Olympic Games.

When Chen Qi, Lan Lijuan, and Zhang Weizhong came out of the operating room and walked into the multimedia classroom, the 300 doctors in the audience stood up collectively and burst into warm applause again.

Even though Professor Sakuda's face was cloudy, he still forced a smile:

"Congratulations to Dr. Chen, you have shown us a wonderful teaching operation, which has benefited all of us a lot, and also opened up our clinical thinking to know that there is a possibility of a third treatment option in addition to traditional surgery and conservative internal medicine.

Moreover, the third treatment option, which is mainly endoscopic, is less invasive and easily tolerated by the patient than the other two regimens. It can not only completely remove the lesion site, but also preserve the normal function of the digestive tract, avoid the decline in the quality of life of patients caused by surgery, and recover quickly after surgery.

All I can say is, Dr. Chan, you are amazing. ”

Professor Grace also smiled and patted Chen Qi on the shoulder:

"In a few days, I look forward to meeting you again at the World Society of Gastroenterology in Houston, and maybe you'll have a surprise."

(End of chapter)