A week later, Professor Tong Shanggao led a team of 20 people from the Department of Gastroenterology and Gastrointestinal Surgery of Xijing Hospital to take the train to Vietnam.

In advance, I have contacted the Vietnamese and Chinese side by telephone, which belongs to the visit between the hospitals, and the Xijing Hospital only needs its own travel expenses, and when it arrives in Vietnam, accommodation + tourism has its own local counterpart to receive it.

This is also a major feature of the eighties and nineties.

Many large units have internal guest houses, and they will take the "reception fee" for eating and sleeping, and they will send local products before leaving, which is very intimate.

Today you invite me, tomorrow you come to my territory for a "meeting", I invite you again, hello, hello, hello, everyone.

It is to let a top 10 hospital in the country take the initiative to visit a small local hospital, and many gastroenterologists do not say anything, and they are very unhappy.

Even if they knew that Chen Qi and Lan Lijuan from the Vietnamese Hospital had made some academic achievements and were elected to the WGO Council.

But how could the doctors of the old hospital be so easily convinced? Maybe these two people opened some kind of back door to go to the WGO?

The doctors were accompanied by the girl with abdominal pain and her parents, who had gone to Vietengzhong for medical treatment at the suggestion of Professor Tong.

Fortunately, the girl's abdominal pain was bursting, and the pain was unbearable only when it attacked, and it would be relieved after half a day, plus there were 20 doctors along the way, and there were enough guarantees for health and safety.

It was not easy to travel to Vietnam and Central China these years, and according to the level of these doctors, they could not take a plane.

Therefore, I could only take a two-day and two-night train from Xi'an to Huhai City, and then take a one-day train to Yuezhong City, which took three days.

When I got off the train, the doctors at Xijing Hospital had swollen legs, shaky people, and pale faces.

It is no wonder that tourism did not flourish at all in the eighties, there was no way to solve the traffic problem, and tourism could not develop at all.

Fortunately, Professor Tong Shanggao is a member of the school department, and his treatment is much better, and he can take a soft sleeper, otherwise the old man would have to fall apart completely.

Chen Qi and Lan Lijuan personally greeted them at the train station.

Seeing Professor Tong get off the train, Chen Qi hurriedly ran up and greeted respectfully:

"Professor Tong, we'll meet again."

The old man Tong is also happy,

"Xiao Chen, we're bothering you, by the way, I want to come and learn from you, don't hide your secrets, come, introduce to everyone, this is the president of the Yuezhong People's Hospital, and the director of the China Domestic Endoscopic Treatment Center, deputy department level.

He is also a member of the Board of Directors of the International Society of Gastroenterology, the International Society of Cleft Lip and Palate, and the Vice President of the International Society of Endoscopy.

There is also this female comrade is Comrade Chen Qi's lover, Comrade Lan Lijuan, who is also a member of the International Society of Gastroenterology, director of the National Key Laboratory of Gastroenterology, and director of the Department of Gastroenterology of the Vietnamese Central People's Hospital. ”

Ooh~~~~

The doctors at Xijing Hospital were dumbfounded, such a young couple, in their twenties, had already gone to the International Medical Association.

This member of the board of directors of the International Medical Association is too far away from everyone and does not feel deeply. But there is a deputy department level and a deputy department level, which is in a country where the idea of official standard is serious, so the doctors of Xijing Hospital present will look up to him.

After all, Xijing Hospital is only at the level of the main department, and this Chen Qi is equivalent to the level of vice president.

Liang Wenwen, director of the Department of Gastroenterology, hurriedly stepped forward and took the initiative to shake hands and said:

"Dean Chen, I have admired the name for a long time, I am Liang Wenwen from Xijing Hospital, this is Zhou Qiqi, the director of the Department of Gastrointestinal Surgery, and these are all my colleagues, this time we came here to ask Dean Chen for advice."

Chen Qi still wanted to be polite, and as soon as he heard the inquiry, he thought of the right thing.

"By the way, you said on the phone that there is a special patient who needs to be consulted by our Vietnamese and Chinese sides, but what about the patient?"

Professor Tong opened the crowd and said to the curious three people behind him:

"It's that this girl's family has a strange disease, abdominal pain, or paroxysmal abdominal pain, which hurts once every day or two, and can last for 1-2 hours each time, which can be relieved by itself. We tried everything we could, and we couldn't get a diagnosis after doing all the tests we could, so we thought of you. ”

The girl's father was a local leader in Xi'an, and he originally had a lot of opinions about Chen Qi's age, but as soon as he heard that he was a deputy department-level cadre, he immediately straightened his attitude.

took the initiative to step forward and bowed slightly:

"Hello Dean Chen, I am a family member of the patient, my name is Yu Kejia, this is my daughter Yu Sisi, it is she who has this strange disease, and I will ask Dean Chen next."

The child's mother, Luo Zhen, is also an intellectual, and she also stepped forward to take the initiative to shake hands:

"Dean Chen, my family Sisi will trouble you!"

Chen Qi noticed that when the child's mother was talking, the corner of the left side of her mouth unconsciously pulled back, and the range of movement was not large, but it looked very unnatural.

So while dealing with the patient's parents, he looked at the timid little girl in front of him.

Then he and Lan Lijuan glanced at each other, and the "inspection" alone didn't seem to see any problems, whether it was a mental state or a complexion, it was normal.

There are incurable diseases that Xijing Hospital can't handle, and to be honest, Chen Qi doesn't have much bottom in his heart.

If this overturns, it is estimated that it will become a laughing stock in the health system, and the first referred patient introduced by his peers will be a squib, which is unlucky.

"In this way, everyone has come from afar to work hard, go to the guest house to rest first, Yu Sisi's children will first go through the admission procedures with the ambulance of our hospital, and we will have a joint ward round between the two hospitals tomorrow to learn from each other."

Face is given to each other, and Chen Qi doesn't want to be a "loner" in the health system, so there are some scenes that still have to be said.

The doctors at Xijing Hospital are obviously very professional.

Professor Tong waved his hand:

"There's no need to rest, let's have a medical record discussion tonight and give you a briefing on what we have. Starting tomorrow, we will humbly learn how to diagnose and treat from the comrades in Vietnam, and hope that the People's Hospital of Vietnam, will also teach us a good lesson. ”

Sometimes several doctors from Xijing Hospital pull the clothes of the old man:

"Master, we still have to face."

"That's it, Master, you have to save some face for our Xijing Hospital."

Professor Tong disagreed: "The face is given by yourself, and if you are not as good as others, you have to admit it, it is not terrible to lose, but it is terrible to be afraid!" ”

Chen Qi listened to it and thought to himself, if the old doctors in China have such a mind, why worry that our domestic medical technology cannot surpass that of foreign countries? It's a pity that there are too few doctors like Professor Tong and Professor Wu.

In the evening, the doctors of Xijing Hospital and all the doctors of the Department of Gastroenterology of the Viet Chung People's Hospital began to analyze the medical records.

On the way back at night, Chen Qi and Lan Lijuan walked, which was also a rare leisure time for the two couples.

"Chen Qi, what do you think this Xijing girl might have a bigger problem?"

In the face of his wife's inquiry, Chen Qi was also thinking:

"Let's do the elimination method first, B ultrasound, X-ray, CT have all been illuminated, and there is no obvious abnormality, which means that it is not a substantial lesion, we can rule out female reproductive system diseases, as well as hepatobiliary, pancreatic, spleen, lungs and kidney problems, then this range is very small.

The first thing to consider is the problem of the intestine itself, why does Xijing Hospital transfer patients to our Yuezhong? It is because we can do endoscopy, we can see what lesions are happening in the gastrointestinal tract, which is our advantage and our characteristic. ”

The next day.

Yu Sisi was scared to death when he saw such a long and thick gastroscope tube.

"Mom, I don't do gastroscopy, I don't want such a thick tube to poke me~~~"

Chen Qi smiled helplessly while holding the gastroscope, and the doctors from Xijing Hospital next to him collectively watched, also smiling helplessly.

This is the trouble for children to see a doctor, and if they don't cooperate, they have to use sedatives to do a CT scan, so that the child can only be completed while he is asleep, which is very troublesome.

Therefore, many pediatric surgeons, no matter what disease you have to operate, will give you general anesthesia.

In the end, the child's parents persuaded for a long time, and after scaring for a long time, the girl reluctantly agreed to have a gastroscopy.

However, the gastroscopy shows that at least from the esophagus to the fundus of the stomach, including the duodenum, is normal, which excludes the problem of the upper gastrointestinal tract.

Then it's time to do a colonoscopy.

The colonoscopy requires a tube to be inserted from the anus, which makes it even more difficult for girls who love beauty and are shy to accept, especially since the doctor is still a man, and there are dozens of doctors surrounded by a group of men and women.

"Don't do it, I don't do it~~~"

It's going to be a mess again.

Now the parents can't persuade it, and the girl is very stubborn and resolutely refuses to expose her chrysanthemum.

Chen Qi was also very helpless, so he said that he gave a compromise plan:

"Little sister, in this way, let the colonoscopy be done by Aunt Lan next to her, and then all our gay men will go out and not look at it, is this okay?"

Seeing that the little girl hesitated, Chen Qi added another code and began to scare her:

"If you don't do colonoscopy, we don't know what disease you have, if you often have a stomachache like this for no reason, you won't be able to find a partner in the future, and you won't be able to have children, you look so good, do you want to be lonely for life?"

Chen Qi's words were half-truths and half-truths, but not only Yu Sisi was frightened, but her parents were also frightened.

The eighties were a conservative society, especially in the Great Northwest, if a girl can't get married and have children, then this is a waste, what will happen when she gets old in the future? What about family reputation?

Luo Zhen said firmly: "Sisi, this inspection must be done, you will be angry if you don't be a parent!" ”

Yu Sisi knew that she couldn't run today, so she accepted Chen Qi's suggestion and asked the female doctor to complete the examination for her, and all the male doctors withdrew.

In the corridor, Professor Tong took advantage of his free time and asked:

"Xiao Chen, what do you suspect is the problem?"

"I suspect that there are problems inside the intestines, such as Crohn's disease and tuberculous enteritis, which cannot be ruled out."

"Crohn's disease?"

The doctors of Xijing Hospital present all nodded slightly, and their minds were quickly recalling the cause and characteristics of the disease.

Although this disease belongs to the gastroenterology department, it is limited to the limitations of examination methods and equipment, and it is difficult to diagnose this disease, so it is a rare disease in the 80s, and we have not studied much.

Crohn's disease, also known as localized enteritis, localized ileitis, segmental enteritis, and granulomatous enteritis, is an inflammatory disease of the intestine of unknown origin that can occur anywhere in the gastrointestinal tract but is more common in the terminal ileum and right colon.

and chronic non-specific ulcerative colitis, collectively known as inflammatory bowel disease (IBD), are clinically manifested as abdominal pain, diarrhea, and intestinal obstruction, and the course of the disease is prolonged, recurrent, and not easy to cure.

This seems to be more in line with the characteristics of Yu Sisi's condition.

However, one of the characteristics of Crohn's disease is that the onset of Crohn's disease is very slow and insidious, and it often takes months or even years from the early appearance of symptoms to diagnosis.

And the clinical manifestations are not specific, your doctor can't suspect that it is Crohn's disease just because someone has abdominal pain and diarrhea, right?

Generally, a colonoscopy is required, and if there is intestinal mucosal hyperplasia like a pebble paving under the microscope, a tissue biopsy can be performed to confirm the diagnosis of Crohn's disease.

Therefore, the diagnosis of this disease is very dependent on colonoscopy, and only a few people like Chen Qi who can play with endoenteroscopy dare to diagnose it.

The male doctor was chatting outside to discuss the condition, and in the ward, after Lan Lijuan underwent a colonoscopy, the results disappointed everyone.

There were no obvious abnormalities, no tumors, no enteritis, no Crohn's disease, nothing was found.

That's the trouble.

None of the gastroscopic colonoscopies showed abnormal symptoms, and all previous hypothetical diseases were overturned.

At this time, Professor Zhang Weizhong put forward a different opinion:

"The whole digestive tract is so long, the gastroscope can see part of the upper digestive tract, the colonoscopy can see the lower part, and the middle digestive tract (jejunum, ileum) can't be seen, could it be that there is a problem here?"

Professor Tong sighed:

"The problem is that the middle digestive tract can't be examined, unless it is a diagnostic exploration by surgery, but the cost is too great, if there is no problem, the patient will be stabbed in vain, and it will leave an ugly scar."

Chen Qi sat there, but his eyes lit up, thinking to himself, you can't help it, I have a way.

If you want to see the middle digestive tract, in addition to the traditional gastroscopic colonoscopy, there is a special examination method in later generations, that is, "capsule endoscopy".

Capsule endoscopy is actually a camera that is reduced and implanted into a medical capsule to help doctors diagnose patients.

A small capsule is a camera studio that explores the human body, and may even become a "spaceship" to travel the human body.

Outwardly, it is not much different from ordinary capsules, but it is a miniature camera that is used to spy on the health of the gastrointestinal and esophageal parts of the human body.

After the patient swallows, the capsule moves in the direction of digestion with the movement of the gastrointestinal muscles, and the image is taken and transmitted to a data transmission device tied to the patient's waist.

The doctor then downloads the images taken by the capsule to a computer, and the capsule is automatically excreted from the body within 24 hours.

Moreover, with the use of capsule endoscope, patients can maintain normal activities and life, which is very convenient.

The problem is that capsule endoscopy did not exist in 1989, so Chen Qi could only rely on gold fingers to cheat.

(End of chapter)