Since 1981 Health School

  Chapter 568 Deliberately changing patients temporarily

  Outside the multimedia classroom, Shunta Nishigan had just walked out when he was dragged to the stairs by Tsukasa Sakuta.

  Shunta Nishigan didn't know what was going on, so he asked strangely: "Director Saku, why did you ask me to come out?"

  Sakuta gritted his teeth, looking very anxious:

"We were careless. We didn't expect this doctor from Huaguo to have such a high level of endoscopy. The scientific research of surgery has far surpassed that of our Dongda Hospital. Where is the face? We will become the laughing stock of the whole Japan, oh no, the whole world.”

  Tokyo University Medical Center, as the top hospital in the world, invests a lot of money every year to support the research of doctors.

  For example, in order to support the endoscopy project of Dongda Hospital, Nipro Corporation sponsors up to 5 million US dollars per year.

  In addition, the funds for the hospital come from donations from patients, and the scientific research expenses that can be carried out in the Department of Gastroenterology alone reach tens of millions of dollars every year.

  If you want to maintain a leading position in the world and the country, you must persist in scientific research, and scientific research must require financial support.

  It’s all right now, I gave you so much money, but your endoscopic surgery project actually can’t manage a Huaguo hospital.

  The city of Yuezhong, Huaguo, is generally known to the Japanese, because the Japanese favorite "Lanting Preface" and the ceramic product "Yue Kiln" come from Yuezhong.

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

   It turns out that such a small hospital that the Japanese look down on, the level of endoscopy and endoscopic scientific research are far superior to their Dongda Hospital, who will not laugh at this?

  I’m afraid even those rich people who have sponsored more than N money have to ask one more question: Is our money fed to dogs?

  Sikuta Tsukasa can now see that these Hua Guo doctors are not coming to study, this is clearly coming to kick the gym.

  The Japanese, it’s really bad. Before, Chen Qi showed his power because he underestimated the enemy, so now it’s time to make trouble.

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

  Shunta Nishigan instantly understood what his director wanted to do, so he looked around vigilantly when there was no one around, and then whispered:

   "Director, what you mean is that the fourth CIS resection is not difficult enough, and it is better to let Dr. Chen fail in the operation with a more difficult operation, and then we can make up for it, so that our face can be saved."

"Yes, although this is against medical ethics, I really can't explain it to the hospital in front of so many colleagues across the country. What's more, Professor Grace from WGO also came here in person. This will affect our Dongda Hospital. status in the WGO field.”

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

  Tokyo University Medical Center, as the top hospital in Japan, is naturally the most authoritative hospital in the field of endoscopy, which is famous all over the world.

  Professor Sakuta Tsukasa's idea is very simple, if you have a hospital in the United States that surpasses Dongda Hospital, then forget it.

  But your Huaguo Hospital wants to surpass Dongda Hospital. This is unbearable. It is not only a matter of face, but also a matter of your own wallet.

  Nishan Shunta nodded heavily: "Okay, I'll listen to the director, so which patient shall we arrange next?"

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

   "So, isn't the mother of the Second Prime Minister of Dazang suffering from esophageal tumor? We are still discussing the treatment plan these days. Isn't this Dr. Chen omnipotent? Then hand over this patient to him."

  Shunta Nishigan trembled when he heard this:

   "Director Saku, is there any problem with this? After all, the patient's status is special!"

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

  Da Zangxiang’s mother, 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 and the stomach is perforated and the esophagus is perforated, then the fun will be great.

   At that time, Chen Qi's reputation will no longer be a matter of discredit, but may become a major issue of disputes between the two countries, and Chen Qi will even be legally responsible.

   Don’t forget, Chen Qi is not qualified to practice medicine in Japan, because the incident happened suddenly, and the teaching surgery has not passed 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 Dongda Hospital, or Sakuta Tsukasa himself will definitely be blamed, this kind of blame is obviously easier to bear than losing face.

"It's okay, just follow my orders, but in order to show that we are not making things difficult for Dr. Chen, all the medical records must be given to him in full. It would be best if he retreats in spite of the difficulties. Our goal has been achieved, and the patient will also be spared a medical examination. Danger."

  Sikuta Tsukasa and Nishigan Shunta were discussing how to make trouble, and Chen Qi's operation was easy and happy.

  When the third POEM operation was over, the discussion in the venue had reached its peak.

  Drilling a tunnel on the wall of the esophagus, and it was successful, overturned everyone's understanding, and everyone immediately realized how wide the scope of POEM can be applied.

   This link has been opened up, and many diseases that were previously restricted by endoscopy have suddenly become a state of allowing surgery, and the thinking is smooth.

  This is a very huge progress for gastroenterology, or gastroenterology.

  In the operating room:

  While disinfecting, he asked his wife next to him: "Lijuan, are you tired? It's been three surgeries."

  Lan Lijuan smiled: "I'm not tired. Your operation can outperform others' three or four operations. People in the world are called quick shooters. How can I be tired?"

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

   Lan Lijuan blushed a little: "Bah, hooligan, this is a foreign country, be careful."

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

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

  What the doctor is most afraid of is that there will be a mistake in the connection work, and then your waist on the left side will become the waist on the right, which is a serious medical accident.

   "Doctor Xi'an, this patient doesn't seem to match the case we discussed yesterday. Could it be a mistake?"

  Shunta West Bank smiled harmlessly:

   "Dr. Chen, the patient we discussed yesterday heard that he was going to undergo a public teaching operation. He was afraid of privacy leaks, so he suddenly refused the operation. We had to temporarily change a patient. Please forgive me."

  Chen Qi and Lan Lijuan looked at each other, and felt that there was something wrong with the decision to change the patient.

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

  If the patient is unable to cooperate due to special circumstances, the general teaching operation will be canceled directly instead of changing the patient temporarily.

  Chen Qi had a vague guess in his heart. It seemed that Dongda Hospital did not want his teaching operation to go too smoothly.

  But now 300 Japanese doctors and Professor Grace are watching the live broadcast. If he asks to stop the operation, the reputation of the previous 3 operations will be ruined in half.

  Because doctors may encounter emergencies at any time, if you can't handle them, it means that your doctor is not qualified, or you can only perform operations that have been arranged in advance.

  So even if Chen Qi felt that something was wrong, it wasn't his temper that he wanted him to admit defeat.

   "Oh, temporarily changing the patient, then you can report the condition to me in detail, and also bring over the inspection report, I need to review it myself."

  Dr. Shunta West Bank thought to himself that this Hua Guo doctor took the bait, so it depends on how you die.

"Hi, female patient, 82 years old, came to our hospital for treatment in January because of upper abdominal discomfort. Gastroscopy showed a submucosal bulge near the left wall of the cardia in the lower esophagus. The surface was smooth and the size was about 2.5X3.5cm. CT showed the lower esophagus And the structure of the cardia area is not clear, the wall of the tube is thickened, and strip-like dense shadows can be seen around it..."

  The condition is actually very simple. The old lady had a tumor at the lower end of the esophagus near the cardia, which caused the mucous membrane to bulge out and obstructed the esophagus.

  The nature of the tumor has not been determined, and its malignancy and benignity are unknown.

  Same as the symptoms of achalasia, because of esophageal obstruction, food cannot pass through the cardia smoothly, which leads to severe vomiting and malnutrition of the patient.

  Combined with the fact that the old lady is over 80 years old and has poor physical tolerance, a thoracotomy and esophageal incision may not be affordable. Endoscopic surgery seems to be the best solution.

  Chen Qi, Lan Lijuan, and Zhang Weizhong, regardless of the fact that they had already been sterilized, picked up various inspection reports and began to review them.

  Zhang Weizhong is quite 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 not been blood transmission, so the difficulty of the operation has plummeted."

  Zhang Weizhong has never seen such an operation, and he is a little worried:

   "President Chen, is such a tumor resection endoscopically feasible? What should we do?"

"How to do it?"

  In fact, Chen Qi already has a complete treatment plan in his mind, which is another operation derived from POEM.

   Endoscopic submucosal tunnel tumor resection, the English full name submucosaltunnelendoscopicresection, referred to as STER.

   "STER technique?"

  Zhang Weizhong was excited when he heard it. Following Dean Chen, he was able to come into contact with a new surgical method from time to time, and they were all original, which gave him great satisfaction in his heart as an endoscopic technician.

   "Yes, the STER operation is actually similar to the POEM operation at the beginning. It also drills a hole through a tunnel to reach the middle of the mucosal layer, and then removes the entire tumor through the tunnel, esophagus, and out through the mouth. The operation process is not complicated."

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

   "It seems that the Japanese side wanted to set the difficulty for us, but it turned out to be your reputation."

  Chen Qi shrugged:

"As the song sang, there are no guns or cannons, and the enemy built them for us. We should also thank the captain of the transportation team. But it is also good luck. If they arrange a more complicated one, or it is already an advanced tumor, today This endoscope is definitely not going to last.”

  Shunta West Bank couldn’t hear Chinese, but when he saw that the serious doctor Hua Guo suddenly relaxed his expression, he instinctively felt that things exceeded their expectations.

   But now that the arrow is on the string, it has to be launched. These hundreds of people are staring at it, and even if it is to make a stumbling block, it can't be too much.

   "Doctor Chen, is the operation possible?"

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

   "The operation is ready, you prepare for anesthesia first, and then we go to disinfect."

  Suji Sakuta, who was sitting in the multimedia classroom, and Shunta Nishigan, who was in the operating room, both thumped in their hearts, wondering if this kind of tumor resection and endoscopic surgery 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 take the tumor out of the patient's mouth, everyone applauded enthusiastically, whether in the operating room or in the multimedia classroom.

   This time, most people are convinced.

  Surgery is not just a matter of bragging and spanking. If you know how to do it, you will do it;

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

  Professor Grace was also applauding, and at the same time told the assistant next to him:

   "You immediately ask Dongda Hospital to copy the videos of the few operations just now, and they will be broadcasted at the International Gastroenterology Society in a few days. The technological innovation I have been looking forward to watching has finally made a major breakthrough, and we should attach great importance to it."

  As for the 10 graduate students including Chen Shu, Chen Hua, Jin Meng, and Yang Yibing, because they are young people, they are as excited as they were nervous before.

  When the host Professor Tsukasa Sakuta announced that the four operations had been successfully completed, all of them jumped up.

  In this scene, those who don’t know think that Hua Guo 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, all 300 Japanese doctors stood up collectively and burst into applause again.

  Professor Sakuta Tsukasa forced a smile even though his face was cloudy:

"Congratulations to Dr. Chen, you showed us a wonderful teaching operation, which benefited all of us a lot, and opened up our clinical thinking at once, letting us know that in addition to traditional surgery and conservative medical treatment, there is also There is a possibility of a third treatment option.

  And the third treatment plan based on endoscopy, compared with the other two plans, has less trauma and is easier for patients to tolerate. It can not only completely resect the diseased part, but also preserve the normal function of the digestive tract, avoid the decline in the quality of life of the patient caused by surgery, and recover quickly after surgery.

  I can only say, Dr. Chen, you are really 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 Gastroenterology Society in Houston. Maybe you will have a surprise."

  (end of this chapter)