"Coax~"

The crowd erupted into a loud noise.

Although Qin Chen's voice was not loud, the microphone in front of him faithfully delivered every word to people's ears.

Unpromising!

Qin Chen was scolding, but he wasn't scolding.

The feeling of lamenting his misfortune and anger overflowed in his words.

Almost everyone turned around and followed Qin Chen's gaze to Luo Hao.

Countless eyes fell on Luo Hao, Luo Hao's face did not change, but Chen Yong, who was sitting next to Luo Hao, couldn't bear it, and tried to stiffen his body and narrow the focus.

Chen Yong definitely didn't expect the big boss to reveal a blood bar as soon as he came up, pointing the finger at Luo Hao.

What is the difference between this and opening a small supermarket in Donglian, and Brother Dongzi and Brother Xiaoma take people to kill them directly!

"Director Qin is really optimistic about him."

"Yes, it's a great thing to be able to become Director Qin's closed disciple at such a young age! Why didn't he do it? Could it be that Director Qin wants to recruit a son-in-law? ”

"I don't understand, maybe it's really better to be a chicken head than a phoenix tail? Harm, people who think like this have brain diseases. What is the prestige in the regional hospital, but the majesty in the imperial capital is really powerful! ”

The whispers of everyone reached Luo Hao's ears, and he smiled faintly and didn't care.

When Luo Hao left the imperial capital, the pressure he faced was dozens or hundreds of times greater than the pressure in front of him, isn't it different?

Qin Chen only said a word, stared at Luo Hao for 3 seconds, and then began to lecture.

"Today, I am not going to talk about past cases, but I am going to share with you my views on the future of endoscopic surgery."

"First of all, I would like to state my opinion that in the next 50 years, through the efforts of two to three generations of gastroenterologists and gastrointestinal endoscopists, the vast majority of gastrointestinal surgery surgeries will be replaced!"

"We, we, replaced!"

"Coax~~~"

Qin Chen's words were like a stone smashed into a pond.

The doctors and experts who were still whispering just now instantly became excited.

Qin Chen's momentum was so strong that he even brought out background music.

All this seems to have invisibly increased everyone's confidence.

His words also invisibly drove the emotions of all the endoscopy experts present.

"Whoa~"

Applause rang out again.

People's eyes fell on Director Qin Chen and Director Qin again, and the applause was thunderous.

Chen Yong looked at Qin Chen enviously, the eldest husband should be like Qin Chen. Look at Luo Hao again, he was scolded and coaxed directly, and he didn't say a word.

"Luo Hao, Director Qin is really good! Why don't you stand there and say something like this? ”

"Director Qin himself is very powerful, both in terms of technical level and status. If I say what he says, it's called Dong Shi Xiaofeng. ”

"I don't even want to do a demonstration operation, I think you are capable of it. Usually I say three sentences to me, why didn't I look at you Qin Chen? Seeing him so arrogant, my fists were hard. ”

Luo Hao didn't explain, just smiled slightly, and listened carefully to what Qin Chen said.

After Qin Chen waited for the applause to be subdued, he immediately began to explain the sentence just now, including Qin Chen's research on gastrointestinal endoscopic surgery over the years and the possible future development direction.

His speech was not limited to China, but more about the new trends in the world and the conjecture of new research directions.

Every time Qin Chen spoke to the climax, there would be applause from the thundering class in the auditorium.

The stars hold the moon like the moon.

Director Qin really has dry goods in his stomach, which is the consensus of all the experts attending the meeting.

Gradually, someone remembered the young man behind him who rejected Director Qin.

They even began to pity Luo Hao, the young man is not sensible, if he can follow Director Qin, the green smoke of the ancestral tomb can catch up with the Australian wildfire.

Time was in a hurry, an hour passed in a flash, and Chen Yong was drunk and obsessed, and his sleepiness was gone.

Finally, Qin Chen pressed down with both hands and let the applause pause.

"I'm going to do two demonstration surgeries today." Qin Chen said loudly.

His gaze fell on Luo Hao.

"Luo Hao."

"You give me an assistant, and I'll show you what it means to go further; I'll let you know what a shame you've wasted two years! ”

Qin Chen's words were a little strange, but everyone knew the meaning.

Director Qin is already at the top level in China, but he is still making further progress, but the young doctor returned to his hometown, and two years were wasted.

Local hospitals have limited software and hardware, especially gastroenterology.

The gastroenterology department in a small place can do painless gastrointestinal endoscopy, not to mention the high-level minimally invasive surgery such as ESD.

Luo Hao originally didn't want to go on stage, but Director Qin ordered him on the spot, and he couldn't refuse.

Qin Chen didn't care about the other people's gazes, ignored them all, and strode to Luo Hao's side.

"Luo Hao, what the assistant should do, you don't know everything, right?"

"Don't worry, I'm just giving you a chance to go to the operating table to see the operation, so that you know what the operation has become in the past two years."

"No matter how bad your level is, it won't affect the operation, you just look at it honestly."

Qin Chen and Luo Hao passed by, threw down a few cold words, and went straight to the operating room.

Chen Yong didn't expect this to be the case, imagining that Luo Hao should be able to keep pretending to be forced and start the highlight moment.

But nothing happened.

Luo Hao was ruthlessly crushed by Qin Chen like a little Karami, without the slightest strength to resist.

Even Chen Yong began to wonder if Luo Hao wanted to avoid the huge pressure of the imperial capital, so he chose to return to Donglian City.

If this is the case, it is no wonder that Director Qin Chen and Qin are so angry.

In the venue.

On the stage, the big screen slowly rises.

In the audience, the experts attending the meeting began to discuss like crazy.

That's a lot of gossip!

Director Qin Chenqin, the top master of gastrointestinal endoscopy in China, came to participate in the provincial society, in order to teach the disobedient students a lesson, and use his own surgery as an objective fact to show that the student's choice was wrong.

Love and hatred, teacher-student friendship, perseverance to save, prodigal son turned back.

A series of blood-like strong feelings appeared out of thin air and echoed in everyone's hearts.

Everyone was also very restrained, and didn't say much about Luo Hao.

After all, although Director Qin's words were cold, his earnest feelings were beyond words.

Don't talk about being happy now, the master and apprentice reconciled afterwards, and the young doctor would immediately embark on the road of prosperity.

All the bad things I say today will probably be remembered, and they will be revealed in a few years.

Half an hour later, a light and shadow appeared from the lens of the projector and hit the screen.

The operation has begun.

All minimally invasive surgeries are a hundred times more convenient than surgical procedures.

The machine automatically records and, if necessary, transmits a copy of the data to the conference site.

And surgery involves too many things, and it is very troublesome.

The field of vision displayed on the screen after the operation begins is the surgeon's field of vision, which is particularly easy to replace.

The camera focuses on the lesion inside the esophagus, and the field of vision is clear.

The doctors at the meeting had hundreds of gastrointestinal endoscopies and it was immediately clear that it was a precancerous lesion.

ESD surgery clinically refers to endoscopic mucosal dissection, which refers to the minimally invasive technique of endoscopic complete detachment of the diseased mucosa from the submucosa.

Endoscopic mucosal dissection is an elective diagnostic or curative procedure with minimal trauma and a high quality of life.

Just like the patient in front of you, the diagnosis is a precancerous lesion of esophageal cancer.

Before the appearance of ESD surgery, it is either conservative observation and waiting for the cancer cells to grow, and then performing radical esophageal cancer surgery six months to a year later.

Or do radical esophageal cancer surgery now.

In conclusion, no matter what treatment modality is chosen, a portion of the patient's esophagus cannot be preserved; Part of the stomach is also cut off, and the rest of the stomach is anastomosed to the chest cavity and esophagus.

After surgery, the patient was removed because of the cardia, and gastric reflux became the norm.

Even if the cancer is cured, reflux esophagitis can plague people for the rest of their lives.

These are just the simplest, most basic complications, and there are many more serious ones.

However, the postoperative complications of subesophageal cancer are almost negligible compared with radical resection of esophageal cancer.

Once the location of the precancerous lesion is located, the surgeon begins to mark the area of resection.

The surgeon is skillful and every step is clean and neat.

Just like Qin Chen's hair covered with wax, every step of the operation is clear, almost the same as what is written in the textbook.

Typical textbook surgery.

Beautifully done!

Next, the surgeon begins to inject salt water to float the cut part.

This step is quite a test of the skill of the practitioner.

If it's deep, no, if you cut too much, you will have an esophageal fistula.

If it is shallow, it will not work, and if it is cut less, cancer cells will remain and grow, and it will recur after surgery.

Only when it is neither deep nor shallow, and just right, can the operation be said to be successful.

Almost all of the doctors who are watching the live broadcast of the surgery have performed ESD surgery, and there are more gastric surgeries than esophageal surgeries, because even a little more mucosa in the stomach will not have too serious consequences.

But in any case, it is prudent to do this step.

Every time the syringe is injected with saline, I am afraid that it will be in the wrong position. Even the slightest difference in strength can lead to the failure of the operation.

It can be said that this step is a surgical point of view, and it is extremely difficult.

But although Director Qin's movements are not fast, they are not the same as before, giving people the "illusion" of being at ease.

No, not an illusion!!

Qin Chen's surgery was indeed done with ease.

Even with this kind of embroidery effort, I can't see that he has any hesitation.

Cook Ding to solve the cow in general.

Then the endoscopic scalpel made a cutting line, and the lens was instantly covered in red.

Suction device suction, electric cautery to stop bleeding.

Those watching the operation were stunned by Mali's movements.

Qin Chen's surgery is awesome, and so is his assistant.

In that scene just now, everyone present asked themselves, and there were only a handful of people who could assist the surgeon to stop bleeding in the first place.

No wonder Director Qin would deign to come to a provincial annual meeting, and even pointed his nose at a young doctor back then.

The love is deep, and the responsibility is keen.

It's inevitable.

The cancer is then stripped and removed from the patient's mouth for intraoperative frozen biopsy.

Local hemostasis, irrigation, and the operation is over.

A difficult ESD surgery for early-stage esophageal cancer was completed in less than 20 minutes.

God!

Although Qin Chen was not there, there was applause in the conference room.

The surgery was beautifully done!

This is a demonstration surgery!!

Many doctors applauded and thoughtful.

Just watching the surgery touched them.

Many times, surgery with a stuffy head and no communication can lead to a blind spot in people's thinking. After communication and collision, cognition will break through and suddenly become clear.

This is also one of the reasons for the existence of the Society.

Qin Chen's surgery has benefited many experts, and they are thinking about the details of the operation, and they can't wait to go home and have an ESD surgery now.

The surgeon found no active bleeding, and the operation was declared over. But the next operation did not start directly, and the surgeon waited for the return of the frozen during the operation.

Nearly half an hour later, the result paid off - no cancer cells at the edge of the lesion were removed.

The surgery was perfect.

This proves that Qin Chen's surgery has exceeded the cognition of ordinary experts and has been perfected.

The return of intraoperative freezing appeared on the big screen synchronously, and all the participating experts were amazed, emotional, envious and admired.

In 20 minutes, an early esophageal cancer ESD surgery was completed in an orderly manner, and the intraoperative freezing showed that the operation was very good, and there was no future trouble.

The more knowledgeable people are, the more they know how difficult it is.

Director Qin Chen and Director Qin really deserve to be the top surgeon in China! It's worthy of a man with his own BGM!!

A man sitting in the corner walked out of the auditorium after seeing the frozen results of the operation, and no one noticed his presence.

The second operation began.

Colonoscopy retrograde removal of the appendix, the first expert of this operation was the Second Hospital of the Provincial Medical University, and later it was dug up to the central region by the largest hospital in the universe.

Qin Chen performed this operation in Bingcheng, with a provocative smell in it.

The experts present, including those from the Second Hospital of the Medical University, did not think there was anything wrong.

Even if you don't know Qin Chen and have seen the surgery he has done, you will extremely recognize his technical level.

The top level in China cannot accurately describe Qin Chen's level.

The second operation was also done cleanly, and in about half an hour, the appendix was cut off, and there was no active bleeding, and the operation was over.

in the operating room.

Qin Chen first looked at the appendix, and then looked at the side of the operation area.

After the operation was completely completed, Qin Chen turned around and stepped down.

"Luo Hao, I didn't expect you to be completely wasted in the past two years." Qin Chen had one thing to say.

Although he wanted to kick Luo Hao's ass hard and wake up this little thing who rejected his boss, Luo Hao gave him two surgeries, and Qin Chen knew that Luo Hao's skills were far deeper than he imagined.

It turned out that Luo Hao had been a bit serious in the past two years, and he hadn't completely laid down.

"Director Qin, you have also made great progress." Luo Hao also has a saying.

"Of course." Qin Chen said proudly, "The doctor's surgery is all piled up with the patient's volume. You yourself feel that you are highly gifted and can have an epiphany on your own, and you have an epiphany without surgical grinding. ”

"Not necessarily." Luo Hao smiled and began to carry the patient.

Qin Chen was just about to lecture Luo Hao when the door of the operating room opened, and Director Shi walked in.

"Director Qin, this is Dean Jin."

The man stretched out his hand and shook hands with Qin Chen.

"Director Qin, your surgery is really good." Dean Jin said sincerely.

"You're welcome." Qin Chen replied lightly, with arrogance in his words.

He has the capital to be proud of, as evidenced by the surgery just now.

"Director Qin, my father hasn't been in a very good state recently." Dean Jin didn't go around in circles too much, and the second sentence cut to the chase.

"Your father?" Director Qin Chen and Director Qin were slightly stunned.

Then he figured it out.

The elderly must be old and in poor health, and it is difficult to intervene with surgical treatment.

At this time, minimally invasive treatment such as gastrointestinal endoscopy is definitely needed.

But Director Shi's level can't reach it, and he can't do it, this Dean Jin still doesn't believe in his own level, and he has to see is believing.

After seeing the operation, he rushed to consult with him.

Although Qin Chen was arrogant and spoke ugly, he was also exquisite.

In just an instant, Qin Chen made all the details of this clear.

He didn't agree immediately, but subconsciously raised his hand and brushed his hair.

"Director Qin, it's my father. The old man is 84 years old and has had major surgeries before. ”

Qin Chen instantly understood what was going on.

The most difficult thing about endoscopic surgery is definitely not the appendix cutting, that operation belongs to Qin Chenlai's first provincial capital city in China to use endoscopy to cut the appendix to show off his skills, and it belongs to a small personal fetish.

The most difficult surgery, after gastrointestinal surgery, requires ERCP.

ERCP itself is a fourth-level operation, which is extremely difficult, and the doctors in the prefecture-level hospitals can count the simplest operations on one hand.

Patients who have undergone various gastrointestinal organ diversion surgeries need to do ERCP, and the difficulty increases geometrically, because the original anatomy will change.

Therefore, this type of surgery is praised by the industry as the crown jewel of endoscopic diagnosis and treatment.

"Roux-en-Y or something else?" Qin Chen pondered in his heart, and asked quietly.

The eyes of the leader of the hospital lit up all of a sudden, and the thief brightened.

Director Qin Chen and Director Qin are really big guys in the industry!

Awesome!!

As soon as he started speaking, he guessed that his father had done the Roux-en-Y technique before.

"Director Qin, it's the Roux-en-Y technique."

Qin Chen was silent, but his brain was buzzing.

Roux-en-Y procedure – includes choledochal cyst jejunostomy, choledochoejunostomy, and jejunostomy of choledochal cyst.

To put it simply, the patient's digestive tract has been changed into a mess, and the normal physiological and anatomical structure of the previous one has been lost.

"Who are you looking for?" Qin Chen asked.

"Demon City, Professor Zheng. He said that the operation is very complicated, and there may be various problems in our hospital, including insufficient instruments, poor equipment in the operating room, and so on. Dean Jin looked bitter, "Even the power of postoperative intensive care may not be able to." So, Professor Zheng suggested that I take my father to the magic capital. ”

"84, I'm really afraid of tossing on the road, people are already out of gas when they reach the devil."

"Director Qin, the industry says that South Zheng and North Qin ......" The leader of the hospital said this, paused, and embarrassedly began to buckle the soles with his toes.

I didn't look for Qin Chen, but I wanted to find Professor Zheng from the Demon Capital, because he thought that the northern surgery was rougher, and the minimally invasive surgery was definitely worse than that in the south.

If you don't look for Beiqin, who is leaving the imperial capital, go to Nanzheng, and you won't be able to come back anyway.

Everyone understands people, and the more you explain, the more wrong you are, and it's better to talk less.

"I'll take a break and go see the patient." Qin Chen said calmly, then turned around and reprimanded Luo Hao, "It's so slow to lift a patient!" Hurry up and accompany me to change clothes. ”

Director Shi looked at Qin Chen in a daze.

Qin Chen and Luo Hao met twice before, and he was extremely mean to Luo Hao, and even scolded Luo Hao for being "unproductive" in front of the experts attending the meeting.

But Qin Chen even called Luo Hao when he changed clothes, but the relationship was extremely close.

"Okay." Luo Hao helped carry the patient onto the flat car and accompanied Qin Chen to the locker room.

"Wait for me somewhere else." Qin Chen said coldly as he entered the locker room.

With that, he went into the locker room.

"Director Qin...... here" Luo Hao pointed to his finger and explained in a low voice, "The surgical cap flattens the hair, so it is difficult for outsiders to see it." After each operation, Director Qin had to clear the field. ”

“！！！”

“！！！”

Habits are good habits, clearing the field but only asking Luo Hao to enter, what does this mean?

Luo Hao smiled, bowed slightly, apologized for Qin Chen, turned around and followed into the locker room.

"Director Qin, smoke a cigarette." Luo Hao took out a cigarette and gave it to Director Qin.

Qin Chen sat under the [No Smoking] sign and put on his cigarette, waited for Luo Hao to light it for himself, and took a deep breath.

"Luo Hao, you didn't throw it away from the operation, how can you let me kick you?" Qin Chen squinted at Luo Hao.

"I definitely won't throw it away, and I've made tremendous progress in my surgery in the past two years."

"Cut." Qin Chen was disdainful.

"Really, I just cooperated with the operation, and I believe Director Qin has a feeling."

Qin Chen suddenly lost his mind, and stopped talking as he spoke.

Luo Hao knew that Qin Chen was pondering the patient.

"Director Qin, the experts in the Demon Capital refuse to accept it, and it is estimated that it is extremely difficult."

Professor Zheng of the Demon Capital did not come to the flying knife, and the person who invited him was still a certain dean of the first hospital of the Medical University, and it is said that there should be an inextricable connection between the two.

That's all, I didn't hesitate to refuse.

With this as a backdrop, the difficulty of the operation suddenly increased.

"It's not like I can't do it." Qin Chen wants to be faced, and he won't say no in front of Luo Hao.

"Try it, or what else you can do. And with me as your assistant, the success rate is always higher than that of Mr. Zheng. He doesn't have a good assistant like you. Luo Hao said softly.

Qin Chen suddenly raised his head, his eyes like a torch looking at Luo Hao.

Luo Hao and Qin Chen looked at each other, and countless invisible cremations burst out.

"The old people are used to you, but I'm not an old man."

"Don't doubt the old people's eyesight." Luo Hao scolded Qin Chen's words back.

Qin Chen was silent.

It's hard to push this matter yourself.

Nan Zheng and North Qin is a joking joke of the endoscopy major, which comes from Nan Murong and North Qiao Feng.

The deeper core lies in the fact that there is a high probability that there will be an academician of the Academy of Engineering within 5 years in the endoscopy profession.

In order to become an academician, Qin Chen has spent all his resources and energy in it over the years.

In the end, South Zheng and North Qin stood out.

As soon as he thought that Professor Zheng did not dare to take the surgery himself, Qin Chen's heart began to throb.

But what if you want to smash it?

As for Luo Hao......

Just now when he was working as an assistant for himself, Qin Chen could clearly feel that Luo Hao's surgical skills had improved by leaps and bounds compared to when he was in school.

Even if he doesn't leave the imperial capital and stays with his boss, he has been operating with himself for the past two years, and he shouldn't have made such a big progress.

What an unreasonable guy.

Now, Luo Hao took the initiative to ask for help.

Qin Chen didn't speak, stood up and went to take a bath.

After changing clothes, he took out the mirror, comb, and hair wax from his backpack, and carefully took care of his big back little by little.

Every strand of hair is finely groomed and flawless, just like his surgery.

"Can I trust you?"

Reborn in 1986, in this era when guns, hunting, and wildlife were not protected, and even because black bears and wild boars harmed the fruits of the people's hard work, the higher authorities encouraged and called on all villages to actively hunt.

As a small soldier of the Yong'an Tun militia platoon and a member of the hunter brigade, Zhao Jun walked to the mountains with a gun on his back and lived a life of leading dogs and hunting.

This story is purely factual, and if there are similarities, it is true!!

(End of chapter)