The morning was the day when Chen Qi sat in the "expert clinic".

Anyway, Chen Qi is the dean, and he can do whatever he wants, so he deliberately opened the first "endoscopy expert outpatient clinic" in China, and sat for 1 morning a week.

In addition, he also has to go to the Fourth Hospital of Vietnam once a week for a "cleft lip and palate specialist clinic", also half a day a week.

In addition, Chen Qi arranges one day a month to go to Huangtan Health Center for outpatient treatment, which is considered to be a tertiary hospital in the city, county and town.

After all, the slogan of "two-way referral" was shouted by him at the beginning, and he couldn't turn his face and deny people after he took out the political capital, and he didn't go to the lower hospital to see a doctor immediately.

If you want to hang up Chen Qi's expert number, you need to queue up overnight with a quilt a week in advance, and it is an instantaneous second.

Now it is almost difficult to get the numbers of Chen Qi and Lan Lijuan, and this is Chen Qi's insistence on putting an end to the emergence of scalpers.

The patients came from all over the country, and those who could come from other places in the 80s were actually incurable diseases like Yu Sisi, so Chen Qi's personal medical level is also improving.

No, today Chen Qi sat in the expert clinic, and the scene was quite spectacular.

There were two students sitting next to him, one writing medical records, the other writing checklists or prescriptions, and Chen Qi only needed to be in charge of seeing a doctor.

This is a proper treatment of a great professor, and only the old experts of top hospitals can enjoy it.

In addition, behind Chen Qi, there are 8 master's students, and the teacher is sitting in the outpatient clinic, and they must follow. In addition, 5 master's students are studying with Lan Lijuan.

Chen Qi and Lan Lijuan pioneered the first domestic husband and wife to take students together, or to study both medicine and surgery, you can imagine what kind of height these 15 master's students can reach after graduation.

Next to the master's students, a visiting group of 20 doctors from Xijing Hospital was formed.

The doctors from Xijing Hospital came to Yuezhong mainly to see Chen Qi's best endoscopic surgery, and to see if it was as magical as the legend and could replace surgery.

Doctors in gastrointestinal surgery are clearly more concerned about this issue.

As a result, good guys, they have seen a few cases of incurable diseases after coming to Yuezhong, and they can be regarded as having a long experience, either epileptic abdominal pain, myocardial infarction abdominal pain, or abdominal pain without the specialty of gastroenterology.

So today, I knew that Chen Qi had an endoscopy clinic, and all 20 doctors in Xijing Hospital got up early to wait in the outpatient clinic.

Anyway, the doctors are used to getting up early to go to the clinic.

Even Professor Tong, who is in his 70s and almost 80, sat there in a regular manner, watching how "Teacher Chen" carried out endoscopic diagnosis and treatment like a student.

Chen Qi has a lot of rules for seeing a doctor, and he doesn't allow a large group of patients to gather there, which not only lacks personal privacy, but also affects the doctor's mood.

Therefore, when Dean Chen left the outpatient clinic, there must be a nurse holding a table at the door, and then the manual calling system was adopted.

For example, now, Yang Xiuxiu is already shouting: "No. 15, Yuanquanlin, Yuanquanlin is not there?" ”

At this time, a middle-aged and elderly man in his 50s came from behind the crowd, wearing glasses, and he looked like an intellectual, only to see him smile and say:

"Little comrade, I don't have the surname Yuan, my surname is Qi, this word is pronounced in the same way, and it is Qi in 'Qi and Xuantong, after the official in charge'."

Yang Xiuxiu blushed when she heard it, she only had a secondary school diploma, and she was very unfamiliar with this kind of cold words, so she quickly apologized:

"I'm sorry, I'm sorry, I didn't read your name correctly because I didn't have a high level of education, and now it's your turn."

"Hehe, it's okay, anyway, my surname is always mispronounced, I've long been used to it."

The nurse outside was calling the patient's name, and Liang Wenwen, director of the gastroenterology department of Xijing Hospital, who was sitting inside, muttered:

"Hey, listen, why is the name of this Qiquanlin so familiar? It sounds familiar, too. ”

Zhou Qiqi, director of gastrointestinal surgery next to him, said casually:

"There is also a surgeon named Qi Quanlin in the First Affiliated Hospital of Jiaotong University, his surname is relatively rare, and he is often pronounced as Yuan, strange, this voice is indeed like him, is it that Lao Qi also came to Yuezhong?"

Director Liang was confused:

"No, why did you come to Vietnam? This train will take three days and three nights, besides, what kind of disease they can't cure in the First Affiliated Hospital of Jiaotong University, and they want to come to Yuezhong? ”

The best hospital in Xi'an is Xijing Hospital, followed by the First Affiliated Hospital of Xi'an Jiaotong University.

There is not much difference in the level of the two hospitals, and they are located in the same city, so the doctors are quite familiar with each other.

At this time, the door of the clinic was pushed open, and a patient came in, holding a briefcase with a red envelope, with a polite attitude but not humble or arrogant:

"Hello Dean Chen, I'm patient No. 15."

Before Chen Qi could speak, he heard a burst of exclamations from behind him: "Old man? Is it really you? ”

Qi Quanlin was still very calm just now, when he was shouted out like this, the whole person was stunned, thinking that he had run to Yuezhong, which was thousands of miles away, why did anyone still recognize him?

Take a closer look, "Hey, isn't this Teacher Tong?" Why are Lao Liang and Lao Zhou also in Yuezhong? ”

Liang Wenwen and Zhou Qiqi stood up, and the surprise on their faces couldn't be stopped:

"That's right, we are here to visit Vietnam, why did your old guy come to Vietnam? You also registered, are you here to see a doctor? ”

"Old man, did you go to Yuezhong to see a doctor? What's going on? ”

Liang Wenwen and Zhou Qiqi asked a lot of questions in one breath, which was really too surprising for them.

Although Professor Tong didn't remember Qi Quanlin very much, he seemed to be his fellow countryman and colleague, so he also smiled and nodded.

Qi Quanlin looked at these 20 fellow villagers and peers, and suddenly cried and laughed:

"This world is so small, I didn't expect that I would be able to meet you when I came to Yuezhong, this is really a hometown to meet my old friend, hehe, yes, I came to Yuezhong specifically to see Dean Chen."

Qi Quanlin said it easily, but the loss and embarrassment on his face couldn't be concealed.

After Liang Wenwen and Zhou Qiqi calmed down, they also asked with concern: "Lao Qi, what is your situation?" Xi'an can't be cured, and it has to run to Yuezhong. ”

Qi Quanlin smiled bitterly: "Xi'an really can't be cured, you look at this, it is estimated that only Dean Chen has hope here." ”

Chen Qi heard that he was a peer, and he was still the chief physician and professor of Xi'an Jiaotong University in his 50s, although he was also surprised in his heart, he still nodded politely:

"It was, it was ......"

"Qi Quanlin, surnamed Qi ......"

Chen Qi was embarrassed to hit haha:

"I'm sorry Director Qi, it's the first time I've seen this surname, thank you for trusting me, I've come all the way from Xi'an, I heard Professor Tong say that they went to Yuezhong, and it took three days and three nights on the road.

So I think Director Qi must have encountered a great difficulty, everyone is a peer, you are also my senior, anyway, if I can cure Chen Qi, I will do my best, I will definitely not have reservations, and I will not live up to your trust in me. ”

As soon as Chen Qi's voice fell, it was determined that he was either a professor or a director, and even the students were all masters, and their IQ was enough, and everyone understood that things must not be so simple.

Qi Quanlin would rather abandon Xi'an and go to Yuezhong, thousands of miles away, to treat his illness, which shows that he does not want the outside world to know what disease he has or where he is going.

Today, this is really a coincidence, when Ah Qiaoniang met Ah Qiao's father, it was a coincidence.

Qi Quanlin smiled bitterly:

"Originally, I really wanted to come quietly and go quietly, I didn't expect everyone to be so lucky to meet so many fellows, anyway, you are all gastroenterologists, I am a patient today, please help me think of a way."

After speaking, Qi Quanlin took out his medical records and related checklists.

Intellectuals do things carefully, and each piece of paper is put away one by one in chronological order, and clamped up with clips so that those who look through it can see it at a glance.

After circulating the medical records, Zhou Qiqi, director of the Department of Gastrointestinal Surgery, frowned, he is a professional intestinal cutter, and he is quite expert and proficient in Qi Quanlin's disease.

"Lao Qi, you have a lateral developmental tumor, how to treat it, don't you know that you are a surgeon? It's going to be surgically removed. ”

Laterally developing tumors, known as laterally spreading tumor or LST, are a special type of colorectal tumor that originates from the intestinal mucosa.

Because intestinal tumors can easily enter the intestinal lumen when they develop laterally, after entering the intestinal lumen, they will grow wildly without the restriction of other tissues, resulting in blockage of the intestinal lumen and the development of intestinal obstruction.

This tumor has a higher risk of locally invasive growth and dysplasia than common adenoma.

Therefore, lateral intestinal tumors should be surgically removed as soon as possible.

Qi Quanlin heard Zhou Qiqi's questioning, and his wry smile was even worse:

"Lao Zhou, I understand what you said, you see that I also had a part of the intestine removed last year, I thought it was over, but then the growth of the tumor obviously exceeded my expectations, and it developed too fast.

If you look at this colonoscopy list, it says that almost my entire rectum is covered with tumors, and now it is not only a change in bowel habits, diarrhea, constipation, blood in the stool or abdominal pain, etc., but also incomplete intestinal obstruction.

Everyone knows that there is only one way to remove this disease, but if the tumor is to be removed, it also means that I need to remove the entire rectum and anus. If I didn't have my rectum and anus, what do you mean by living in the future? ”

As soon as Qi Quanlin's words came out, it seemed that he had woken up the person in his dream, and every doctor present suddenly realized, and then he could understand why Qi Quanlin refused to remove his rectum and anus.

The length of the rectum is about 12~14cm, and its main function is to absorb water and electrolytes, and another function is to store stool.

In addition, the rectum is anatomically connected to the anus and is quite close to the muscle layers such as the anal sphincter.

After traditional segmental resection surgery, it is likely that the muscle layer of the sphincter will be damaged, which will affect the bowel function to a certain extent, and patients may have sequelae such as fecal incontinence.

It is not said that if a person's rectum and anus are completely removed, the stool will no longer be controlled, and it will be pulled out when it is said.

The best thing to do is to wear a dung bag, and for the rest of your life.

This dung bag is not the old BJ man's birdcage, carry it in your hand to the end, and then meet someone to say: Did you pull it?

In addition, the excision of the anus directly and the anus is also prone to infection.

As a door between the human intestine and the outside world, the area of communication between the intestine and the outside world will increase after removal, which will increase the risk of intestinal infection, and even viruses and bacteria from the outside world will circulate into the blood through the gastrointestinal tract, thus causing systemic infection.

Therefore, for an intellectual, it is really better to die if he is incontinent at any time when he has stool, and he lives with a dung bag every day.

Everyone in the office was a doctor, so they immediately understood why Qi Quanlin did not want to seek medical treatment in Xi'an, but traveled all the way to Yuezhong.

In addition to taking a fancy to Chen Qi's medical skills, I am afraid that he doesn't want acquaintances to see his miserable condition.

It's a pity that it backfired, the more he didn't want people to know, he just met so many fellow villagers and peers, which made Qi Quanlin feel a sense of helplessness in his heart.

After Zhou Qiqi heard Qi Quanlin's words, he patted these peers on the shoulder:

"Lao Qi, there's nothing to be embarrassed about, you're a surgeon yourself, why do you want to use internal medicine for treatment? In this way, when I return to Xi'an, I will personally operate on you, and I will not let others know. ”

Qi Quanlin smiled: "No, Lao Zhou, I really wanted Dean Chen Qi to help me think of a way when I came to Yuezhong this time." ”

After speaking, Qi Quanlin looked at Chen Qi who was sitting there:

"Dean Chen, I heard that your endoscopic surgery is a must, whether it is early cancer, achalasia, or refractory gastroesophageal reflux disease, these incurable diseases can be easily solved, I wonder if it is possible to help me and help me treat lateral developmental tumors?"

Chen Qi was studying the medical records in his hand.

In later generations, the examination report was printed out in high definition with a color printer, so that the doctor could see it at a glance.

In the 80s, there was no such printing, the hospital did not even have a computer, and all the examination reports were handwritten, which made it impossible for Chen Qi to judge and assess the severity of his condition and whether it was possible to have surgery.

This is also the reason why those experts in later generations do not like to read the image reports of lower-level hospitals, but like to read the film by themselves.

Looking at it yourself, you know it in your heart, and it is more intuitive, and the judgment of others is not necessarily prepared, which is directly related to the level of doctors.

"Director Qi, I have read these reports of yours, although the diagnosis above is clear, but because I don't know what the situation is in the intestines, I need to do some further tests to reply to you whether this operation can be done, but you can rest assured, as long as there is a glimmer of possibility, I will definitely do this operation."

Qi Quanlin was greatly relieved when he heard Chen Qi's assurance, "Then please ask Dean Chen." ”

But the gastroenterology surgeons led by Zhou Qiqi all turned ugly.

Some surgeons were a little angry, thinking that Qi Quanlin himself was a surgeon and actually asked for help from an internist? (Chen Qi asked rhetorically, is endoscopy internal medicine?) ）

Some surgeons are uneasy, and then the internist will be able to do the surgery, so what do they want the surgeon to do?

Some surgeons are questioning, you dig up a tumor, cut a polyp, maybe the endoscopy is okay.

Now a tumor in one intestine is not a matter of one or two, it may be dozens or even hundreds of large and small, how do you cut it through endoscopic surgery?

The best way to develop a tumor is to directly remove the entire intestine and anus, so that it can be cleaned up, which is a radical resection.

At this moment, the contradiction between internal medicine, surgery, and endoscopy is revealed.

(End of chapter)