Since 1981 Health School

Zhongshan Hospital is actually an affiliated hospital of Fudan University. Its comprehensive strength ranks among the top three in the country, and it is a top tertiary hospital in China.

Such top-level hospitals are often superior. For example, Yuezhong People's Hospital wants to arrange doctors to go to Zhongshan Hospital for further study.

Another example is that the Yuezhong People's Hospital wants to visit the Zhongshan Hospital on the other hand, and they will not ignore you. At most, they will send a deputy section chief to take you around and it will be over.

You can only be regarded as "study" when you go, and "visit" when others come.

Chen Qi had to be surprised that such an awesome hospital offered to visit Yuezhong.

"Zhongshan Hospital wants to visit our hospital? Then welcome. By the way, did they say which departments they want to visit? Gastroenterology or emergency department?"

In just a few months, these two departments have become famous.

Needless to say, the Department of Gastroenterology, a department with a topic of 2 million US dollars, has published no less than 5 international papers alone. It is definitely not bragging to say that it is the first in China.

As for the emergency department, although it is the second one in Haidong Province, it is possible to cause a sensation in Yuezhong City, but it is unlikely that it will be famous outside the province and attract the top hospitals in Shanghai City to visit.

He Jia opened the notebook, looked at the records on it and said:

"The ones who came from Zhongshan Hospital were their vice president who led the team, and a group of doctors from the endoscopy center. They probably came here for your endoscopic fundoplication operation, President Chen, right?"

Chen Qi was taken aback, "Does Zhongshan Hospital already have an endoscopy center?"

This matter was beyond Chen Qi's expectations. He knew that gastrointestinal endoscopy had been carried out in China, but he didn't know that there were hospitals in China that carried out endoscopic surgery.

If he has already carried out endoscopic surgery, then the meaning of setting up a second endoscopy center in Yuezhong will be less than half. After all, he only remembers the first sentence, and is unlikely to remember the second place.

Very bad from a hype point of view.

(In fact, it was a misunderstanding. This center is a listed center and does not involve clinical treatment at all.)

But Chen Qi thought again, he hadn't established an endoscopy center yet, so people just came here to visit, and his level is probably limited. Otherwise, it should be the other way around, and the Yuezhong People's Hospital went to Shanghai to visit.

"Okay, let's give him a warm reception when he arrives. What are the arrangements for this morning? If it's nothing to do with me, I'll go to the emergency department."

"There is something to do, Dean Chen, you have two meetings in the morning, one is the hospital quality control inspection meeting, and the other is the summary and commendation meeting of the Nursing Department."

Chen Qi exhaled helplessly:

"Well, I knew that this poor dean had to hold meetings every day. It seems that there must be reforms. In the future, we can't keep holding meetings when we have nothing to do. Doctors go to see a doctor, and they don't hold meetings to waste time."

He Jia stuck out her tongue quietly, and fled away.

Chen Qi, who had a half-day meeting, met his wife in the cafeteria at noon, so he kindly asked:

"The little girl I brought this morning is called Lu Zhaodi. What do you suspect is the problem?"

Lan Lijuan joked:

"Of course, the patients brought by Dean Chen should be taken seriously. We had a gastroscopy in the morning and found that the body of the esophagus was dilated and distorted to varying degrees. The cardia was very narrow and it was about to be completely closed. It's very urgent."

"There is a problem with the cardia again? Last time, Wu Agou's cardia was too loose. This little girl's cardia is too tight and blocked. Is that what you mean?"

As mentioned earlier, the cardia is the junction of the esophagus and stomach.

The stomach is equivalent to a pocket, with upper and lower openings, the cardia is the upper pocket opening, and the pylorus is the lower pocket opening.

If the cardia is too loose, the contents of the stomach, such as gastric acid, will flow up to the mouth of the esophagus or even the lungs, which is called esophageal reflux disease.

But if the cardia is too tight, what the person eats will pass through the esophagus, and then it will be blocked above the cardia, causing obstruction.

Therefore, the cardia should not be too loose or too tight. It needs to be relaxed.

Lan Lijuan continued to explain while grilling rice:

"Yes, but we haven't figured out why the cardia becomes narrow, and it's even about to be blocked. Maybe it's another intractable disease."

What doctors like most is this kind of disease that cannot be found out, because it is challenging if it is difficult, and maybe it can be set up to write a paper or something.

Cardia stenosis?

Another article went through Chen Qi's mind, and he thought of a common disease: achalasia.

It may not be correct to say that it is common, because among the general population in China, there are only about 2 or 3 achalasia patients out of 100,000 people. There are more in Europe and the United States, generally one in 10,000.

But for a department of gastroenterology, achalasia accounts for about 10-20% of esophageal diseases, which can be called a common disease.

The clinical manifestations are intermittent food stagnation, sense of obstruction, non-progressive dysphagia, retrosternal pain, esophageal reflux and other symptoms.

Also, is it because of difficulty in swallowing, so I can only choose slow food and liquid food, and I can’t eat well.

These days, there is no good milk powder to eat, and there is no nutritional injection, so the course of the disease is long, and the patient cannot eat normally for a long time, which will lead to malnutrition and vitamin deficiency.

Lu Zhaodi's child vomited whatever she ate, and her gastroscopic examination had a narrow cardia, and she felt that they all perfectly matched the clinical manifestations of achalasia.

However, achalasia, a common disease for doctors of later generations, was a rare disease for doctors in the 1980s.

After all, there are too few auxiliary examinations in this era, and many diseases cannot be verified. It is even a question whether achalasia has been included in textbooks. (I have to flip through the book again)

So Chen Qi decided to mention his wife:

"I'll give this kid a barium meal test later, and then do an esophageal manometry. Forget it. Anyway, I'm fine in the afternoon. I just went to the imaging department for an inspection. I'll do the barium meal myself."

Lan Lijuan ate her food slowly: "Did you have a guess in your mind, what kind of disease might it be?"

"I suspect that there should be a problem with the circular sphincter at the lower end of the esophagus. It depends on the results of the examination."

"If it's what you said, is the disease curable?"

"If you say it's easy to cure, it's easy to treat it, and it's difficult to treat it. Internal medicine can only be an auxiliary treatment, but if you use traditional surgical methods, the side effects will be very serious. Isn't it because your husband is also good at endoscopic surgery, don't worry."

"Okay, I will go to the imaging department with you in the afternoon, and I have to study hard."

"Well, my wife is good at learning, and my husband is very comforting."

"roll!"

"Okay~~~ Do you want to add soup? Why is there always dried vegetable soup in the canteen, which has not changed for a thousand years?"

Chen Qi felt sorry for his wife. When Lan Lijuan was in school, in order to save subsidies, she had rice + free dried vegetable soup every day. After 5 years of medical school, she really vomited.

So after the two got married and started a family, the Chen family never prepared dried vegetable soup.

As a result, the free soup in the cafeteria of the People's Hospital is always dried vegetable soup. Although Lan Lijuan never said anything, she never touched it.

Chen Qi stood up and looked around, apparently looking for someone, when the clever little doctor stood up beside him:

"Dean Chen, who are you looking for? I'll call for you."

"Call Li Jianqiang, chief of the General Affairs Section."

Li Jianqiang was also eating in the cafeteria, and when he heard the dean's call, he put down his chopsticks and rushed over, without daring to delay at all.

"Dean, are you looking for me?"

"Hey, Lao Wang, please tell the cafeteria that the free soup should also be changed. Everyone is tired of drinking bamboo shoot soup every day. You can serve seaweed soup with dried shrimps and tomato egg soup."

Section Chief Wang was sweating when he heard this, but he also complained in his heart that you don't want to cook a small stove for your dean, but now he dislikes the poor quality of the dishes.

But in my heart I scolded, but on the surface I still have to obey:

"Okay, I've taken this matter to heart, and I will adjust it tomorrow. Don't worry, Dean."

Chen Qi then patted the veteran section chief on the shoulder:

"Okay, I'll leave this matter to you. You, the big manager, take the initiative in your work and rectify problems as soon as you find them. Don't wait for the employees to give their opinions. In this way, both parties will be unhappy. Are you right?"

"Yes, yes, Dean Chen's criticism is correct, I must take the initiative and inspect every day!"

After Li Qiang left, Chen Qi continued to sit down to eat, and Lan Lijuan, who was next to her, was still very moved, thinking that her husband still remembered what she didn't like to eat.

"Thank you, Dean Chen, finally don't dry vegetable soup in the future."

"Thank you, I'm also looking for an opportunity to beat this Li Jianqiang. The section chief has been working for too long, sitting in the office all day, and has no enthusiasm for work. I will change the director of the clinical department again. Give the administrative department a cramp."

2 p.m.

The little doctors from the Department of Gastroenterology pushed the little patient Lu Zhaodi into the Imaging Department, followed by Chen Qi, Zuo Liwei, Chief of the Medical Affairs Department, and Lan Lijuan, Director of the Department of Gastroenterology, discussing some things about endoscopy.

Hong Tianxing, the director of the imaging department, stood in the yard, waiting for the visit of the dean.

"Dean Chen, this is your first official visit to our Imaging Department after taking office. Welcome."

Chen Qi said with a smile:

"Hey, Brother Hong is accusing me of not paying attention to the imaging department. This is really unfair. Look, I have already bought two CTs for our imaging department. This is ranked first in the whole country. You can't say that again. I speak badly."

"Hahaha, whoever speaks ill, it won't be my old Hong who speaks ill of you, let's go, comrades are waiting."

The relationship between Hong Tianxing and Chen Qi is very good. On the first day of Chen Qi's internship at the People's Hospital, he accidentally found a case of a skull base fracture in the corridor that manifested as a panda's eye, so the two even wrote a paper together.

Chen Qi came to be the dean of the People's Hospital, and Hong Tianxing was also a staunch supporter. He often helped Chen Qi canvassing votes and popularity in the auxiliary departments.

So the two met and joked. This kind of treatment is not available to just anyone. The dean has to maintain his majesty at many times, especially a young dean like Chen Qi, otherwise he really can't control the situation.

Several people were chatting and laughing. As soon as they entered the gate of the Imaging Department, they heard arguing inside.

"You doctor is really bullying us. We don't understand. Others have to do an ECG for a minute or two in a row. You just posted this thing here and said it's done. Aren't you making a fool of yourself!"

Then the voice of a male doctor sounded, and said indifferently:

"Who told you that it must be done for a minute or two? I said it's fine, do you understand or I understand?"

"You're so smart, what can you tell? I'm here to heal illnesses, not to just go through the motions!"

"If you want to see it well, go to other hospitals. Our People's Hospital is like this. If you want to see it or not, if you don't see it, you will go away."

"You, you really don't make sense."

Hong Tianxing's face turned green when he heard it. The director repeatedly emphasized that medical staff should not only have high clinical skills, but also a good service attitude. As a result, the director's first official inspection today gave him such a good fight?

Chen Qi's face also turned down a little bit, what do you mean if you like to watch or not? Get lost without looking? Treat patients like this? Is there any business doing this?

Hong Tianxing has already rushed into the department and scolded his mother:

"It's you again, Jiang Aiguo, I'm telling you to treat patients with a better attitude, you just ignored it? Did you quarrel with patients like this? You are pushing patients away, do you want to get subsidies in the future?"

Chen Qi and Lan Lijuan glanced at each other, yes, they were still old classmates.

"Director Hong, I can't be blamed for this matter. This patient is making trouble for no reason. He must do an extra ECG. It's not like it's going to be cheap."

Both the patient and Hong Tianxing were shaking with anger, but Jiang Aiguo remained indifferent.

Chen Qi strode in at this moment.

When Jiang Aiguo saw Chen Qi and Lan Lijuan, the pupils of his eyes shrank obviously, and he knew in his heart that it would be bad luck for him to be caught today.

It can be said that the two are deadly feuds, and the knot can't be broken. Jiang Aiguo knows that Chen Qi will definitely take the opportunity to "revenge" him.

But how could people from cadre families be caught without a fight?

"Jiang Aiguo, when I first became the director of the People's Hospital, I emphasized that you must treat patients with a good attitude. Even if you have a serious attitude, you can't point at the patient and push the patient out. Are you afraid of being punished?"

Jiang Aiguo sneered:

"President Chen, who in the health system doesn't know that I have a bad relationship with you, and I also know that you will definitely retaliate against me if you become the president of this people's hospital, and avenge your personal revenge. Why, are you going to take revenge today?"

This sentence is a typical confusion. It is obviously a doctor-patient dispute, and it is a contradiction between Jiang Aiguo and the patient.

But after such a transfer by Jiang Aiguo, it seemed that Chen Qi really wanted to retaliate against Jiang Aiguo, an employee. If this spread, it would also tarnish Chen Qi's personal reputation and prestige.

Lan Lijuan was upset when she heard her old classmate smear her husband like this:

"Jiang Aiguo, you are the one who is violating the hospital's rules and regulations. What personal grievances are you talking about?"

"Hey, everyone, come and have a look, the dean's wife is in charge of politics, what's the matter, this hospital is your husband-and-wife shop? Then we employees will be your husband and wife's slaves in the future, do you want us to meet the master?"

The needle in the video can be heard.

Chen Qi thought to himself, yo, this kid is really fucking smart and talented. This is putting him, the dean, on fire, and he can't be punished. If he is punished, it will be public revenge.

Just as Hong Tianxing was about to go mad, Chen Qi stopped him.

"Okay, let's talk about today's matter later. Today I am here as the dean to officially inspect the imaging department. Now I want to conduct a business assessment on you, random checks, please listen to the questions!"

Jiang Aiguo was dumbfounded when he heard it, you, Chen Qi, don't play your cards according to the routine.