A young doctor reacted and was the first to say: "This may be gastroduodenal ulcer."

Chen Qi clapped his hands and said, "Yes, gastric ulcer is very likely, so what your department studies is gastric disease. Can you tell me what gastric ulcer and gastroesophageal reflux disease have in common?"

"Stomach acid or other stomach contents!"

"Okay, now that we know that these two diseases have something in common, let's check according to this idea, so that we can find out the cause, right? So I'm going to do a gastroscopy first in the afternoon. If others don't dare to do it, it's because they are cowardly.<

/p>

You, President Chen, I am an international director. Not to mention a gastroscopy, even gastrectomy is done with eyes closed. In addition, you need to do such an examination, one is continuous p-impedance monitoring, high-resolution esophageal manometry and gastric function

Test.

In particular, esophageal p monitoring can quantify gastroesophageal reflux and evaluate the relationship between symptoms and reflux events. I know that not many doctors currently do this monitoring in clinical practice. I tell you that this is not possible. You will be replaced by the times.

Eliminated."

Maybe leaders like to train people at all times. Even if Chen Qi is more easy-going, he can't change this bad habit.

"Now you know that Wu Agou is a treasure patient, right? Let me tell you, there are two gold mines hidden in this patient. Come on, Director Lan, record it. From Wu Agou, we can now do two big topics.

One is whether gastric content reflux can cause chronic cough? What is the mechanism? What is the clinical proportion? How should we treat it?

Another topic: What are the complications of refractory gastroesophageal reflux disease? What is the mechanism? What are the treatment options?

Successful research on any of these two topics can be published in the four top international medical journals, and can bring you great personal reputation, and can even rewrite textbooks."

"Wow, our internal medicine department is getting rich again"

"It's more difficult for others to find a topic than to reach the sky. Our topics are one after another, and they are all world-class. It's amazing."

The little doctors below were more and more excited after hearing this.

Having a topic means there are funds, and having funds means that participants can receive an additional subsidy.

Even if junior doctors do not have the right to sign for the time being, this is a time to accumulate valuable experience. When they become senior doctors, they can also apply for big projects.

Lan Lijuan looked at the contents of her notebook and couldn't calm down for a long time.

Although the Helicobacter pylori project is not completely over yet, she has already published 5 top international papers as the author.

And it also brought her an additional income of more than 1 million US dollars, and the total sponsorship of the project reached 2 million.

Good guy, before the previous topics were finished, her husband immediately gave her two more topics, which made her feel like she was dreaming.

When did such international-level topics that could rewrite textbooks become like Chinese cabbage, one after another?

In fact, no one knows that what Chen Qi just said, regardless of the topic, will be the content of textbooks decades later. He is just taking advantage of the difference between two generations to intercept other people's research.<

/p>

Others were reborn as copycats, either copying novels or songs. Only Chen Qi stood on the shoulders of his predecessors and tried his best to copy medical knowledge.

For doctors, it is not enough just to see patients and perform surgeries.

For a hospital that only focuses on clinical practice and not on scientific research and teaching, it will always be a popular hospital.

Chen Qi wants to bring the People's Hospital to a new level. It must become a "teaching hospital" and a "scientific research hospital". Only then can the People's Hospital stand out among many peers.

Chen Qi either doesn’t want to be the dean, or if he wants to do it, he must do his best.

In the afternoon, Wu Agou was already under general anesthesia in the operating room.

"Dean Chen, the anesthesia is complete."

Chen Qi nodded, and with the personal assistance of Lan Lijuan, he took out a child-sized thin gastroscope and began to slowly insert the tube.

Oral ulcers were all over my mouth, and they were so densely visible on the screen that everyone in the operating room felt goosebumps.

As the gastroscopy continued, everyone's eyes widened, and they saw that the esophageal mucosa was severely damaged and eroded, covered with ulcers, and due to edema, many places were almost blocked due to swelling.

Chen Qi slowly put down the tube while observing. He turned his right hand left and right, trying to make the gastroscope bypass the obstruction point and reach the connection with the stomach.

If it were another doctor, he would not dare to do this kind of gastroscopy even to death. If his hand shakes a little, he will end up with an esophageal perforation. Then the fun will be great, and it will be a serious medical accident.

Chen Qi didn’t care, he’s so bold as an expert, he didn’t forget to teach at the critical moment:

"Have you seen that the esophageal mucosa is damaged and the esophageal diameter is at least 75mm? This has reached level D, which is very serious. The lesions from the mouth to the throat to the esophagus can definitely be caused by reflux disease.

Now let's check out the condition of the stomach and duodenum."

Lan Lijuan glanced at her husband, with a little admiration in her eyes.

A patient who couldn't be diagnosed in the major hospitals in the capital city of Shanghai could be diagnosed by Chen Qi with just a gastroscopy.

Not only can it confirm the diagnosis, but it can also predictably put forward various hypotheses and explain the truth. The current gastroscopy has further confirmed the correctness of Chen Qi’s previous hypothesis.

Sometimes she really doubts that her husband is not from Earth. Otherwise, he just graduated from a technical secondary school like her, and barely took classes well as an undergraduate or graduate student. How could he know everything?

Is it really because of long-term reading of foreign English medical journals?

Outside the operating room, Wu Agou's family members were waiting impatiently.

In fact, in their minds, including many doctors, they believed that Wu Agou must have contracted a malignant tumor somewhere and would die soon.

Including Wu Agou himself thinks so. He can be one of the first batch of business trendsetters, so how could he be a fool? On the contrary, he is smarter than the average person.

This chapter is not over yet, please click on the next page to continue reading!

But this is the mentality of patients, that is, an "escape mentality", always looking forward to a miracle, so they don't give up and will run to various hospitals if they don't get a diagnosis.

Chen Qi walked out of the operating room after the examination and was immediately surrounded by family members.

"Dean Chen, how is my dog?"

"Dean Chen, does my father have some kind of cancer?"

Chen Qi looked at Wu Agou's eldest son in surprise:

"Hey, why do you think your dad has cancer? Don't be too pessimistic. The cause of your dad's disease has been found out. In fact, there is something wrong with a place called the cardia at the top of the stomach. It used to be tied tightly like a pocket, but now it has changed.

Gotta relax.

In this way, all the gastric acid, pepsin, and bile in the stomach escape. Let me tell you, these gastric acid and other things are very powerful. They can even corrode some metals. If they run into the esophagus, the esophagus will become rotten; if they run into the throat, they will

My throat is rotten, and everything in my mouth is rotten.

The key is that after the stomach contents come up, they are sucked into the lungs. Well, this is the reason why Boss Wu keeps coughing and suffers from repeated pneumonia. In a word, in the final analysis, it is still a problem with the stomach."

As a doctor, Chen Qi's explanation is easy to understand, but for family members who have no medical knowledge, it is difficult to understand.

But they know that at this time, even if they don’t understand, they have to pretend to understand.

"Oh, so that's what happened. Hey, no wonder Dean Chen is an international director and his level is so high."

"Yes, great. Now that the cause has been found, Dean Chen, can my dad still be cured?"

Just as Chen Qi was about to answer, Wu Agou's son stuffed a thick envelope into Chen Qi's pocket.

Who is Chen Qi? He is known internationally as "the man who wants money to death." A quick touch revealed that this wallet contains at least 5,000 yuan. I'll give you a thick answer.

A red envelope of 5,000 yuan is not a small red envelope even in 2023, not to mention that this was 1988, when the average employee income was more than 1,000 yuan.

The 5,000 yuan red envelope can be described as shocking. I am afraid that 99% of families in China will not be able to afford this huge sum of money.

Chen Qi likes money, but he doesn't accept any money, so he grabbed Wu Agou's son's hand and returned the envelope to him.

"Take it, don't push it around. It's ugly. We are fellow villagers after all. Your father also helped us back then, so I will definitely not accept this red envelope. And I can clearly assure you that your father's surgical bag is with me."

He will definitely be discharged from the hospital in good health."

"Dean Chen, this, how can this be so embarrassing? I've asked, it costs at least 50,000 US dollars to treat people abroad. My 5,000 yuan can only be regarded as meaning..."

"Since you know how expensive my purchase is, you know that I am not short of money at all, so take this money back and buy some delicious food for your father in the future. Also, be filial to your father, he is a good person, and a good person must

There will be good rewards."

After Chen Qi finished speaking, he waved his hands and left quickly, regardless of the expressions of his family members.

Wu Agou's eldest son held the envelope in his hand and shed tears after rinsing it:

"Good man, what a good dean. Second brother, hurry up and make banners. Third brother, go buy 50 bacon chickens and 50 sauce ducks immediately. I heard that Dean Chen especially likes to eat bacon. He doesn't

Collect the money and we’ll give away some souvenirs.”

Well, no wonder the Wu family can get rich. They are so smart and have extremely high emotional intelligence. They have figured out both of Chen Qi's "hobbies".

If the east is not bright, the west is bright. Since Dean Chen does not charge money, but he does collect "local specialties", then we should find another way to continue sending them, and we must satisfy Dean Chen.

Are Dean Chen satisfied or dissatisfied?

At this time, he was standing outside the ward, peeking in quietly through the crack in the door.

Bai Xue has been rearranged to a single ward. In fact, there are two beds in the ward, but the other bed is not occupied by patients. It is equivalent to a private room.

There was no one else in the ward at this time. Bai Xue was lying on the hospital bed, tilting her head and listening to Yan Shifan talking about his life in a mountain village when he was a child.

For Bai Xue, who grew up in the city, every plant and tree in the mountains, even a wild boar, is so rare.

Yan Shifan also changed from his previous boring look, and slowly opened up his heart, becoming much more cheerful.

Two young men and women who have been emotionally hurt in the past seem to be slowly attracting each other, at least they don't hate each other. This is a good start.

Chen Qi looked at the two people in the room, and the "aunt's smile" on his face never disappeared.
To be continued...