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Chapter 514 The First Endoscopic Surgery(1/2)

 Chen Qi took the CT film and looked at it carefully.

Speaking of this CT machine, Chen Qi had the foresight and sold two units to the Yuezhong People's Hospital at once, making the Yuezhong People's Hospital the first municipal hospital in the country to own two CT machines.

It is even ranked among the best in the country.

After the People's Hospital got the CT machine, its clinical level has made a qualitative leap, and it has also attracted patients from all over the province to come for treatment. Both CT machines work without interruption, creating a lot of examination profits every day.
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Now that the peach is ripe, the peach grower Chen Qi picked the fruit himself. It feels as good as you want.

After watching the CT scan, Chen Qi thought to himself that the fish bone was indeed a bit troublesome. The fish bone was stuck sideways in the esophagus. It was difficult to move up and down, causing obstruction of the esophagus.

Thinking of this, Chen Qi said to the head nurse next to him:

"Please help me get an esophagoscope again. I'll take a look inside first."

As soon as he heard that Director Chen was about to take action again, the head nurse winked, and the little nurse next to him hurriedly ran over and pushed the endoscope over.

Chen Qi took a look and shook his head:

"That's not enough. Get all the complete set of endoscope accessories I gave you. I'll choose some tools myself. Today I'll teach you a small operation on the spot, using the esophagoscope to remove fish bones.

This surgery is very simple. After putting down the endoscope, use a special clip to clamp the fishbone and take it out. There is no need to use traditional surgery. This is to cut the skin, open the sternum, and then dissect the esophagus.

Get the fish bones."

As soon as these words came out, the young doctors nearby were all excited.

Yang Caisheng hurriedly asked: "Dean Chen, is this kind of surgery mature? Is it caused from abroad?"

Chen Qi didn't know how to answer this question, so he could only say ambiguously:

"Endoscopic technology has just emerged abroad. The use of endoscopes to perform some simple surgeries is currently only performed in top hospitals, but you should remember that this is a general direction for the future.

In the future, surgical operations must be minimally invasive, especially our gastrointestinal surgeries. They no longer have to cut open this and that like traditional surgeries. At that time, it will just be done by drilling a few holes in the abdomen and inserting the tube.

All surgical steps are also called laparoscopic techniques."

In the 1980s, endoscopic technologies such as gastroscopy and colonoscopy were available in China, but they were only used for examination rather than treatment.

What Chen Qi wants to do is to make Yuezhong People's Hospital one of the first hospitals in China to carry out laparoscopic surgery.

With this step alone, the Vietnam-China People's Hospital can become one of the first-class hospitals in the country and one of the leading hospitals in the world. With Chen Qi's political achievements, the People's Hospital can do surgeries that others cannot, so why is it afraid of losing business?

After a while, the nurse brought all the endoscope accessories.

Although these instruments are only second-hand tools, the instruments used by Mayo, the No. 1 company in the world, are still several years ahead of ordinary hospitals in this era.

Chen Qi picked and selected and finally found the endoscope tube he needed.

After simple preoperative preparations, Chen Qi took the tube and was ready to start his performance.

At this time, doctors from various departments were already standing inside and outside the ward, especially the other five departments of the internal medicine department. I heard that the dean was planning to use a new technology that would allow internal medicine and surgery to be used. Now everyone became interested.

.

Which physician wouldn’t envy the money he makes from surgery?

In the past, internal medicine was very frustrating, because internal medicine was often scolded by surgeons as: cowards who only know how to talk but not do anything.

If a physician can also perform surgery, then he is a typical person who can move both his mouth and hands. Wouldn’t he be an invincible surgeon in the world?

So when several directors of internal medicine and chief physicians heard that Dean Chen was doing something in the internal medicine department, they all hurried over to watch the fun.

This pity the young doctors in the ward. They originally wanted to follow the director and witness with their own eyes how endoscopic surgery is performed.

Good guy, now a large group of directors and deputy directors are here. They can only stand at the door and stretch their necks very long. How dare you, the little doctor, stand in the ward so carelessly?

So the intern doctor was "invited" out of the ward by the old doctor first.

But the ward was too small and there wasn’t enough room. What should I do? So all the junior doctors, except for the doctor in charge of the bed, were cleared out.

When Chen Qi looked up, he found that a group of doctors had been quietly changed in the ward.

Just now they were a group of young and energetic young beauties, but suddenly their style changed and they all turned into a group of old bacon.

Cai Fengyao, director of the first internal medicine department, Zhang Yuanming, director of the second internal medicine department, Xia Hua, director of the third internal medicine department, Peng Xingli, director of the fourth internal medicine department, Song Xuewen, director of the fifth internal medicine department, all five directors of internal medicine appeared.

Even Jia Liangcai, director of the Department of Internal Medicine who was originally at the outpatient clinic, rushed over.

The ward was already packed like a sardine can, and even Lan Lijuan and the head nurse had to stand close to the wall.

Not to mention the corridors, even the windows were covered with little doctors. There was no way they could be squeezed out.

Fortunately, the doctor still lived in a bungalow at this time, so it was safe to squeeze in the window.

"Hey, Director Jia, Director Cai, Director Zhang, Director Xia, Director Peng, Director Song, why are you all here?"

Fortunately, Chen Qi is an intern doctor at the People's Hospital and knows all these big-name department directors. Otherwise, he would not be able to recognize all his subordinates on his first day at work.

Director Jia said with a smile:

"I heard that Dean Chen is planning to come up with an international new technology. We all want to come and have a look. Who doesn't know that by following Dean Chen, we can learn the best technology?"

"Director Jia is right, Dean Chen, you can't hide anything."

"That's right, when you and Lijuan came to the Department of Internal Medicine for internship, I didn't bully you. Today, you can't just focus on the Sixth Department of Internal Medicine and forget about our Second Department of Internal Medicine."

"What's wrong with internal medicine? We in the internal medicine department are like a family. We learn skills together and excel in surgery together. Everyone thinks it's right or not."

"Director Song is right~~~~"

The atmosphere in the ward is obviously much livelier than before, but the patient is a little nervous.

Good guy, he just has a stuck fishbone. Is it necessary for all the internal medicine experts in the hospital to gather together? Is there something hidden from him?

So the old man grabbed his son's hand tightly and asked seriously with his last bit of strength:

"Son, tell me, am I going to die?"

"Dad, what are you talking about? The director wants to perform a small operation on you to take out the fish bones."

"Fart, it costs so much for the dean and director to get a fish bone? It's over. It seems that this fish meal will be the last meal in my life."

Oh, by the way, there is another person at the scene who is very nervous right now, and that is bed doctor Wang Fang.

The little girl is about to cry again now. Now not only the dean, the chief of the medical department, but also so many directors of internal medicine are here, and then she is asked to report the medical records by a junior doctor.

She really wanted to shout: I can't do this.

It seems that the misdiagnosis just now had a huge impact on her.

After seeing this, Lan Lijuan patted Wang Fang's shoulder gently and encouraged:

"It's okay, feel free to report. It's normal to feel pressure, but this is also an opportunity to show your face in front of everyone. And what you represent now is not you personally, but the face of our Internal Sixth Division, come on."

When Wang Fang heard that the honor of the department was tied to her, she felt like she had been given a shot of chicken blood, and she immediately became energetic.

These days, collective honor is above all else, and Wang Fang is ready to fight.

While the dean and directors were still chatting, she quickly opened the medical records quietly and carefully read the conditions of the patients in the next few beds to make sure she was sure.

At this time, Director Jia saw the tube in Chen Qi's hand and asked:

"Dean Chen, are you planning to use this endoscope for surgery?"

Chen Qi was now wearing an isolation gown, put on his hat and mask again, and said confidently:

"Okay, since everyone is here, let's take a look at this minor surgery, the removal of esophageal foreign bodies. Of course, this involves gastroenterology. If you want to learn, I will formulate a learning direction for you in other departments in the future.

Target, now let’s seize the time.”

Several directors are like interns. Although they are old enough to be Chen Qi's parents, they are not very motivated to study.

As Chen Qi's esophagoscope slowly entered the mouth, followed the base of the tongue and throat to the esophagus, everyone's eyes focused on the TV screen.

After a while, a thick yellow-white fish bone appeared in front of everyone on the screen.

I saw that this fish bone was like a sharp blade, with both ends particularly sharp. Moreover, the fish bone penetrated deeply into the patient's esophagus, and one end had already pierced the esophageal wall and was about to pass through the mediastinum.

In addition, the patient has been coughing hard and wants to vomit from time to time. This behavior causes the esophagus to shrink continuously, and the fish bones tend to stick deeper and deeper.

Director Xia from the Internal Medicine Department became a little anxious when he saw this:

"Oh, this position is too dangerous. Look at the head of this fish bone. If it goes deeper, it will pierce the thoracic aorta. It will be life-threatening and it will be too late to rescue."

How dangerous is this?

There are three strictures in the human esophagus:

The first stenosis is located at the entrance of the esophagus. When swallowing, there will be pain near the esophagus, causing difficulty in swallowing.

The second stenosis is about 7 cm behind the entrance. This is the most dangerous place because the outside of the esophagus here is close to the thoracic aorta.

The third stricture is also the esophageal outlet, and there are fewer problems here.

Now when this patient's fishbone is located at the second stenosis, it is easy to damage the thoracic aorta.

Note that what is mentioned here is "aorta". As long as these three words appear, it means crisis and red alert.

The thoracic aorta is the largest arterial blood vessel in the human body. The pressure in the blood vessel is very high. If a breach occurs, the bleeding will be like a fountain, and there will be no chance of rescue.

This is like fighting with a gangster. You get stabbed several times in the stomach, and you can be saved by rushing to the hospital. It's not like what you see on TV, where you die with just one stab.
To be continued...
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