As soon as the door of the dissection room closed, Professor Bradley slapped Chen Qi with a smile:

"Hey, Chen, I'm not surprised, I'm not surprised, we met again and became competitors, hahaha."

Chen Qi was also surprised:

"Bradri, it's really surprising to me, why did you come to the United States? How did people invite you, a great expert? ”

Professor Bradley shrugged:

"No way, although my endoscopic skills are nothing in front of you guy, but I am also the top expert in the United States, so my family found it and gave me a check for $1 million, I can only say that it is too much."

When Chen Qi heard this, he pretended to be unhappy:

"Damn, this is so unfair, do you know how much money they gave me when I presided over this autopsy? There is only a travel allowance of 20 yuan a day, or RMB, and the exchange of US dollars is not more than 5 yuan, this gap ~~~"

Chen Qi is famous for asking for money, people take 1 million, he takes 5 yuan, this gap is indeed too big.

"No, since you've got that much, you'll have to treat you to the bar tonight."

Professor Bradley was also extremely bold: "OK no problem, the rice wine I drank at your house last time was very delicious, we don't get drunk and don't go home~~~"

Chen Qi thought to himself: Who still drinks rice wine when you go to the bar, and if you want to drink it, it will start with the ace of spades.........

Professor Bradley personally visited Vietnam and China last time for the Hollywood tycoon's condition, and personally participated in an endoscopic operation, although the operation ended up perforating the patient.

Last time Chen Qi ran for the board of directors of the World Society of Gastroenterology, Professor Bradley cheered for him, and the relationship between the two sides was very good.

Of course, this is also known only to a few people, after all, doctors are not stars, and few people pay attention to interpersonal relationships in private.

So Angelia came up with an oolong, a top medical expert specially found from the United States, thinking that she could suppress the doctor of Huaguo and a professor who could take care of her well, and the two were actually good friends.

If Angelia knew about the relationship between the two parties, she would definitely scold black, really TM black.

After finishing the routine, Professor Bradley also entered the working state:

"Chen, I heard that the previous medical appraisal was done by you, and I also read the detailed report, do you really think it is more likely to be aortic dissection? I think the possibility of asphyxia and cardiovascular and cerebrovascular stroke still exists. ”

After Chen Qi heard this, he found the CT film of the deceased before his death from a pile of materials:

"Look here, when the left ventricle comes out, can you see a bulging shadow at the root of the aorta, I suspect that this is a dissected aneurysm, and then when I was doing endoscopic surgery, I happened to encounter this aneurysm ruptured and hemorrhaged, and finally died of massive bleeding."

If others say it, Professor Bradley may not believe it, but he still admires Chen Qi's medical skills.

"Okay, I'll cooperate with you in the autopsy later, but don't expect me to release the water, after all, there are two cameras working at the same time, and there are 5 forensic doctors from all over the world to supervise the whole process, I hope your guess is right, otherwise you will be in trouble."

Although Angelia has big breasts and no brains, she can't stand the dog's legs behind her.

She also knew that this autopsy was related to who was more suitable to inherit Dakai's toys, so she was also prepared for both.

For example, there are more than 100 reporters from all over the world, and these reporters are all waiting in Ziguang Hospital, waiting for the autopsy report to come out.

For Chen Qi, the only thing that can "wash away grievances" for Ziguang Hospital is only one possibility, that is, it can be confirmed that Chapman Webster died of aortic dissection.

And Beate's mother and son want to win Dakai toys, and there is only one possibility.

All the remaining options, i.e., all causes of death except aortic dissection, are in favor of Angelia.

This is one of the important reasons why Angelia finally relented and agreed to the autopsy, because she herself felt that she had the best chance of winning.

Otherwise, she would not give her husband an autopsy if she was killed, and would rather drag it out, fight a lawsuit with the hospital, fight a lawsuit with his ex-wife, mother and son, and finally use the huge and complex judicial system of the United States to drag on the lawsuit for a long time and muddy the waters.

Is Chen Qi under pressure?

What's the pressure on him? A reborn person like him is no stranger to aortic dissection, and when he works in a hospital, especially in the emergency department, he sees a lot of rotations.

Chen Qi has absolute confidence in his own judgment, not to mention that both the clinical manifestations and auxiliary examinations of the deceased before his death support his judgment.

And more importantly, even if the judgment is wrong?

He's just here to help, it's a big deal to lose a little face, and the doctor's misjudgment is not a capital crime, besides, he doesn't pay for losing money, the pressure is on the side of Qianzhen City.

Therefore, Chen Qi did not have any burden at all, but smiled and greeted 5 forensic doctors from various countries.

Although there is still a big difference between forensic medicine and clinical medicine, one is dealing with the dead and the other is dealing with the living, but both sides are "teachers from the same family", and they have an incense relationship, so they are quite harmonious with each other.

Everyone is taking money to do things, this is just a job, how can there be a brainless slap in the face?

Expressing disdain for a double director of an international medical association, these forensic doctors are not pigs, they know the weight of the double director, and they will never look down on Chen Qi because of their age.

The corpse had already been taken out of the freezer and "thawed" in advance.

In general, autopsies are best performed within 48 hours, and can be extended to up to a week with freezing.

If the corpse is too late to stink and the corpse will decompose, then many characteristic manifestations will be inaccurate, which will affect the conclusion of the autopsy.

Mr. Chapman Webster, the rich man of the United States, is now lying quietly on the dissecting table, no matter how beautiful he was in life, he will be a lamb to the slaughter after death.

Life is short, and timely pleasure is true.

Chen Qi took advantage of the fact that everyone was busy preparing for work, and bowed a few times to Chapman Webster's corpse.

"Chapman Webster, we have a debtor, we can only blame you for your bad life, what kind of disease is not good, but you have aortic dissection, but that quack doctor Li Huacheng also prescribed you a gastrointestinal endoscopy, which caused the sudden increase in pressure in your blood vessels and caused the aneurysm to explode.

Therefore, if you feel that you have died too unjustly in the underworld, you must tell the king of Yama that the quack doctor who killed you was Li Huacheng, and I am here to avenge you, and to announce the cause of your death. ”

Li Huacheng is actually really responsible, if his level is a little higher, and he sees that there is a possibility of aortic dissection on the CT list, he will not let the patient go for gastrointestinal endoscopy.

Without this gastrointestinal endoscopy, the patient may still have hope of rescue.

Even if he can't be rescued in the end, as long as he doesn't die in Ziguang Hospital, he won't let his family lose his mind and bring so much trouble to his unit and country.

So Chen Qi was right to ask Chapman Webster to go to Li Huacheng in the middle of the night.

Professor Bradley came over in a surgical gown, and it was quite strange to see Chen Qi saying goodbye while chanting words in his mouth:

"Chen, why don't you go and change your clothes? Is this a prayer for Mr. Chapman Webster? ”

Chen Qi's face twitched, and he quickly nodded:

"Yes, I am using our unique Chinese way, may our great Taishang Laojun and Jade Emperor forgive Chapman Webster's sins during his lifetime, and his soul can go to the Western Heaven Elysium to enjoy happiness after death, Amen."

Westerners still value faith very much, and Professor Bradley also quickly drew a cross: "May the Lord bless him." ”

The five forensic doctors also crossed one after another.

Then all the staff on Huaguo's side held back a smile and turned their heads one by one.

After Chen Qi put on his surgical gown and gloves and came over, everyone was ready.

"Are all units ready?"

"Ready!"

"OK, no problem!"

The deceased, Chapman Webster, had been stripped of all his clothes and trousers, and was lying there face up.

Chen Qi picked up the scalpel and looked at the snow-white corpse in front of him, and what came to his mind was that he was in the health school, and he followed Teacher Li Baotian to make extra money by making corpse specimens.

For countless nights, he was alone dissecting corpses while watching if the coal stove that boiled the bones was extinguished. Is the water boiled?

Thinking about it now, life at that time was still quite hard, and the key was not enough to eat.

In a flash, Chen Qi has been traveling for almost 10 years.

Seeing that Chen Qi had just picked up the scalpel and was stunned over there, Professor Bradley thought that Chen Qi couldn't figure out where to go for the knife, so he kindly reminded:

"Chen, what incision are you going to make?"

There are generally three types of incisions in an autopsy.

Huaguo forensic doctors like to use the "one-word incision method", that is, the scalpel starts from the midline of the lower edge of the mandible, and along the midline of the neck, chest and abdomen, goes around the left side of the umbilicus to the upper edge of the pubic symphysis to cut the skin and subcutaneous tissue.

To describe it this way, it starts with your jaw and cuts it all the way up to your tiny ding.

The biggest advantage of this dissection cutting method is that it is trouble-free, fast, and can cope with the vast majority of autopsies.

However, there is a very bad point that when the dissection is completed, even if the sutures are good, because the clothes cannot cover the neck, the sutures located in front of the neck are often exposed, which is aesthetically lacking.

Of course, there is no need to pay attention to this detail in a certain country, anyway, there is no stitching after the autopsy, and the pieces are directly sent to the crematorium, and the family only gets the "suspected" ashes of relatives.

Foreign forensic doctors prefer the "Y-shaped incision method".

The tangent line is cut from the left and right mastoid process down to the shoulder, and then the anterior medial incision is made to meet the sternal notch, the thoracic and abdominal incisions are the same as above, the skin under the jaw and the front of the chest is peeled off, and the skin flap is turned up on the face to expose the anterior neck organs.

It starts with the protruding bone behind your ears and cuts diagonally upwards, merges here at the sternum, and then cuts straight down to the end.

This kind of dissection can better preserve the damage on the surface of the body when there is a wound or injury to the neck, and the "Y-shaped incision method" will be used when the neck injury is more and more obvious.

The Y-shaped incision method has less damage to the skin of the neck, and when the deceased wears clothes with a slightly higher collar can cover the stitches, the body can be more beautiful in appearance.

Therefore, the effect of the two incision methods is the same, that is, the "one-shaped" barbaric point and the "Y-shaped" relatively civilized point.

Chen Qi glanced at this rich man, and was ready to let him be decent:

"Let's make a Y-shaped incision."

“OK！”

Chen Qi found the mastoid process behind the deceased's left ear, and from here he began to go under the knife, cutting directly from behind the ear to the position of the median sternum.

Then the right side also came with such a knife.

Because the deceased has been dead for a week, there is no blood coming out at this time, and if it is a fresh corpse, it will start to slip and bleed at this time.

The oblique incisions on both sides were drawn, and Chen Qi faced the middle line again, and his right hand drew down hard, cutting to the end.

At this point, the corpse has been effectively disemboweled, but what you see is not the internal organs, but the yellow fat.

Especially since the deceased is still a big white fat man, this fat layer is quite thick, and it is still a waste of strength to separate it.

Fortunately, it has been frozen, if the corpse is found in the wild on a hot day, then the autopsy will kill people, because the fat is greasy and greasy, and it is slippery on the hand, plus the smell of corpses......

You taste, you taste!

Chen Qi and Professor Bradley worked hard for a long time, and finally separated the fat and muscle layers of the deceased, exposing the peritoneum, which was the first step completed.

"Mom, you Mi people are too good at eating, so much fat is so exhausting that you are tired."

"Yes, so body management is the most important, otherwise you will be disliked by the forensic doctor after death."

While chatting, Chen Qi and Bradley lifted the peritoneum with tweezers and made a small incision, carefully cutting the lifted peritoneum with a knife.

In this operation, the abdominal wall needs to be lifted with vascular forceps to avoid cutting and damaging the abdominal organs, and then the muscles connected to the lower edge of the chest wall are cut along the costal arch to expand the abdominal cavity.

At this time, the abdominal cavity of one of the three chambers is opened, revealing the organs in the stomach.

Even if it is frozen, after all, it has been dead for a week, and the corpse still smells, especially the intestinal odor is particularly obvious, and many onlookers have taken a few steps back.

The staff in charge of the camera pulled the camera lens in, first took a picture of the inside of the abdominal cavity, and initially looked at the intestines and stomach, whether there was any damage or discoloration, all of which were superficial things.

The staff of the two countries who were in charge of taking pictures also stepped forward and began to take pictures from multiple angles.

On the contrary, the 5 forensic doctors just glanced at it, and they didn't look at it much, they had old experience, and they knew if there was a problem at a glance. Then I went on to sit next to it and wait, because opening the abdominal cavity was only the first step.

The simplest autopsy is to open the "three chambers", which are the abdominal cavity, the thoracic cavity, and the brain cavity.

Like the liver, lungs, and most of the stomach in everyone's imagination, these organs need to open the chest cavity to see clearly.

Just like the little girl who performed juggling in front of the Viet Chung Hospital, if she wanted to perform traditional surgery, she had to open her chest cavity to perform surgery on her stomach.

But opening the ribcage is not to say anything, and this difficulty is much more difficult than cutting open the stomach, because the ribs and sternum are protected by the ribs on the chest.

So to open the ribcage, you first have to remove the bones, the bones are very hard, and the scalpel is useless.

At this time, there are different approaches at home and abroad.

In China, it is preferred to cut directly from the junction of the ribs and costal cartilage one by one, and then remove the ribs and sternum to expose the rib cage.

The advantage is that cartilage cutting is easy and simple to operate.

However, the disadvantage is that the chest cavity is less exposed and the field of view in situ within the thoracic cavity is smaller.

Foreign forensic doctors prefer to directly use rib scissors to cut off the axillary segments of the ribs on both sides in turn, so as to fully expose the chest cavity.

The advantage is that the field of view of the chest viscera is large when viewed in situ, and the disadvantage is that the axillary ribs are hard and the cutting is laborious.

Bradri looked at Chen Qi again: "Chen, what tool do you want to cut bones?" ”

"Bring me a chainsaw......"

Comrades, I'm still in Qingdao, and I'm playing crazy every day, and I don't have time to code words, uh, forgive me.

(End of chapter)