Since 1981 Health School

A week later, Professor Tong Shanggao led a team of 20 people from the gastroenterology department and gastrointestinal surgery department of Xijing Hospital to Vietnam by train.

I have already contacted Yuezhong by phone in advance. This is a hospital-to-hospital visit. Xijing Hospital only needs to pay for its own travel expenses. When it arrives in Yuezhong, the local counterparts will receive board, lodging and travel.

This is also a major feature of the 1980s and 1990s.

Many large units have internal guest houses, and they pay "reception fees" for eating and sleeping, and they will also send souvenirs before leaving, which is very considerate.

You invite me today, and tomorrow you come to my site for a "meeting", and I will invite you again, hello, hello, hello everyone.

It is to let a top hospital ranked in the top 10 in the country take the initiative to visit a small local hospital. Many gastroenterologists don't say anything, but they are very upset.

Even if they knew that Chen Qi and Lan Lijuan from Yuezhong Hospital had made some academic achievements and were elected to the WGO council.

But how could the doctors in the established hospitals be so easily convinced? Perhaps these two opened some kind of back door to WGO?

Accompanied by these doctors, the girl with abdominal pain and her parents went to Yuezhong for medical treatment at the suggestion of Professor Tong.

Fortunately, the girl's abdominal pain comes and goes, and the pain is unbearable only when it occurs, and it will be relieved after a while. In addition, there are 20 doctors accompanying her along the way, so her health and safety are fully guaranteed.

It is not easy to go to Vietnam and China these days. According to the level of these doctors, they cannot take a plane.

So I had to take a two-day and two-night train from Xi'an to Shanghai, and then take a one-day train to Yuezhong City. The whole journey took 3 days.

When we got off the train, the doctors in Xijing Hospital had swollen legs, shaking, and pale faces.

No wonder the tourism industry was not prosperous at all in the 1980s. The traffic problem could not be solved, and the tourism industry could not develop at all.

Fortunately, because Professor Tong Shanggao is a member of the academic department, his salary has been improved a lot, and he can take a soft sleeper, otherwise the old man will fall apart completely.

Chen Qi and Lan Lijuan went to the train station to meet them in person.

Seeing Professor Tong getting off the train, Chen Qi hurried up and greeted him respectfully:

"Professor Tong, we meet again."

Old Tong is also happy,

"Xiao Chen, we are bothering you. By the way, I want to learn from you. Don't hide your secrets. Come, let me introduce you. This is the director of the Yuezhong People's Hospital, who is also a Chinese endoscopic doctor. Center director, deputy department level.

At the same time, he is also a director of the International Society of Gastroenterology, a director of the International Cleft Lip and Palate Society, and also the vice president of the International Endoscopy Branch, with a higher academic status than any of us.

And this lesbian is Comrade Chen Qi's lover, Comrade Lan Lijuan, she is also a member of the International Society of Gastroenterology, director of the National Key Laboratory of Gastroenterology, director of the Gastroenterology Department of Vietnam People's Hospital, and enjoys deputy director-level treatment . "

oh~~~~

The doctors of Xijing Hospital were dumbfounded when they heard this. Such a young couple, in their twenties, have already entered the International Medical Association.

The board member of the International Medical Association is too far away from everyone, and I don't feel deeply. But one at the level of deputy department and one at the level of deputy director. In a country where the official standard is serious, the doctors of Xijing Hospital who were present at the scene would stand up high.

After all, Xijing Hospital is only at the main hall level, and this Chen Qi is equivalent to the vice president level.

Director of the Department of Gastroenterology, Liang Ping An hurried forward, shook hands and said:

"President Chen, I have known you for a long time. I am Liang Wenwen from Xijing Hospital, and this is Zhou Qifa, the director of the Department of Gastrointestinal Surgery. In addition, these are my colleagues. This time we came here specially to ask Dean Chen for advice."

Chen Qi still wanted to be polite, but as soon as he heard the question, he thought of something serious.

"By the way, you said on the phone that there is a special patient who needs to be consulted by the Vietnamese and Chinese sides. What about the patient?"

Professor Tong pushed aside the crowd, and said to the curious three people behind him:

"This girl suffered from a strange disease. Abdominal pain, or paroxysmal abdominal pain. The pain would last for 1-2 hours each time, and it could be relieved by itself. We tried everything and did everything. The tests that can be done can't confirm the diagnosis, so I thought of you."

The girl's father is a small local leader in Xi'an, and he had a problem with Chen Qi's age at first, but when he heard that he was a deputy department-level cadre, he immediately corrected his attitude.

He took the initiative to step forward and bowed slightly:

"Hello, Dean Chen. I am a family member of the patient. My name is Yu Kejia. This is my daughter Yu Sisi. She has this strange disease. I will ask Dean Chen next."

The child's mother, Luo Zhen, is also an intellectual, and also came forward to shake hands:

"Dean Chen, my Sisi will trouble you!"

Chen Qi noticed that when the child's mother was speaking, the left corner of her mouth unconsciously pulled back. The movement range was not large, but it looked very unnatural.

So while dealing with the patient's parents, he looked at the timid little girl in front of him.

Then Lan Lijuan and Lan Lijuan glanced at each other. It seemed that there was nothing wrong with the "examination" alone. Both their mental state and complexion were normal.

To be honest, Chen Qi didn't know much about the difficult and miscellaneous diseases that Xijing Hospital could not handle.

If this turns over, it will probably become a laughing stock of the health system. The first referral patient introduced by colleagues will be a squib, which is unlucky.

"In this way, everyone has worked hard from a long distance. Let's go to the guest house to take a rest first, and Yu Sisi's child will go to the ambulance with our hospital to go through the admission procedures. Tomorrow, we will have a joint ward round in the two hospitals to learn from each other."

Face is given to each other, and Chen Qi doesn't want to be a "lonely person" in the health system, so there are still some scenes to say.

The doctors at Xijing Hospital are obviously very professional.

Professor Tong waved his hand:

"There is no need to rest. Tonight, we will hold a medical record discussion meeting to inform you of the situation we have. Starting tomorrow, we will humbly learn from the comrades in Vietnam and China how to diagnose and how to treat them. We also hope that the People's Hospital of Vietnam and China can also Teach us a good lesson."

Sometimes a few doctors from Xijing Hospital would pull on the old man's clothes:

"Master, we still need to meet."

"That's right, Master, you have to save some face for our Xijing Hospital."

Professor Tong didn't take it seriously: "The face is given by yourself, and you have to admit that you are inferior to others. It is not terrible to lose, it is terrible to be afraid!"

After hearing this, Chen Qi thought to himself, if domestic doctors with senior qualifications have such a mind, why worry that our domestic medical technology cannot surpass that of foreign countries? It is a pity that there are too few doctors like Professor Tong and Professor Wu.

In the evening, the doctors from Xijing Hospital and all the doctors from the Department of Gastroenterology and General Surgery of Yuezhong People's Hospital started an analysis session on the medical records.

On the way back at night, Chen Qi and Lan Lijuan walked, and this was also a rare leisure time for the couple.

"Chen Qi, what do you think is the biggest problem with this Xijing girl?"

Facing his wife's inquiry, Chen Qi was also thinking:

"Let's do the exclusion method first. B-ultrasound, X-ray, and CT have all been taken, and no obvious abnormalities are found. This means that it is not a substantive lesion. We can rule out female reproductive system diseases, as well as liver, gallbladder, pancreas, spleen, lung and kidney problems. Then the range is very small.

The first thing to consider is the problem of the intestinal tract itself. Why did Xijing Hospital transfer patients to our Yuezhong? It is because we are good at endoscopy that we can see what lesions have occurred in the gastrointestinal tract. This is our advantage and our characteristic. "

the next day.

When Yu Sisi saw such a long and thick gastroscope tube, she was frightened to death.

"Mom, I don't do gastroscopy, I don't want such a thick tube to stab me~~~"

Chen Qi smiled helplessly while holding the gastroscope, and the doctors from Xijing Hospital who were watching collectively also smiled helplessly.

This is the trouble for children to see a doctor. If they don't cooperate, they have to use sedatives even for a CT scan, and they can only be completed after the child falls asleep. It is very troublesome.

Therefore, many pediatric surgeons will give you general anesthesia no matter what disease you need to operate.

In the end, the child's parents persuaded and frightened her for a long time, and the girl reluctantly agreed to have a gastroscopy.

However, the endoscopy showed that at least everything from the esophagus to the fundus of the stomach, including the duodenum, was normal, which ruled out problems in the upper gastrointestinal tract.

Then a colonoscopy will be done.

Colonoscopy requires a tube to be inserted through the anus, which makes it even more difficult for the shy girl who loves beauty to accept, especially when the doctor is a man, surrounded by dozens of doctors, men and women.

"Don't do it, I won't do it~~~"

It's happening again.

Now the parents couldn't persuade her. The girl was very stubborn and refused to expose her chrysanthemum.

Chen Qi was also very helpless, so he gave a compromise plan:

"Little sister, let Aunt Lan next to me do the colonoscopy, and then all of us gays will go out and don't look at it, is that okay?"

Seeing that the little girl hesitated, Chen Qi stepped up and started to scare her:

"If you don't have a colonoscopy, we won't know what disease you have. If you often have stomach pains for no reason like this, you won't be able to find a partner in the future, and you won't be able to have children. You look so good-looking, do you want to be lonely forever?"

Chen Qi's words were half true and half false, but not only Yu Sisi was frightened, but her parents were also frightened.

The 1980s was a conservative society, especially in the Northwest. If a girl couldn't get married and have children, she was a useless person. What would happen when she got old? What about the family name?

Luo Zhen said firmly: "Sisi, good boy, this check must be done, you will be angry if you don't become a parent!"

Yu Sisi knew that she couldn't run away today, so she accepted Chen Qi's suggestion and asked the female doctor to complete the examination for her, and all the male doctors withdrew.

In the corridor, Professor Tong asked while he was free:

"Xiao Chen, what's the problem you suspect?"

"I suspect that it is still an internal intestinal problem. For example, Crohn's disease and tuberculous enteritis cannot be ruled out."

"Crohn's disease?"

The doctors of Xijing Hospital present nodded slightly, recalling the cause and characteristics of Ke's disease in their minds.

Although this disease belongs to the gastroenterology department, it is difficult to diagnose due to the limitations of examination methods and equipment, so it was a rare disease in the 1980s, and there were not many studies.

Crohn's disease, also known as Crohn's disease, Crohn's disease, Crohn's disease, Crohn's disease, and granulomatous enteritis, is an intestinal inflammatory disease of unknown cause that can occur in any part of the gastrointestinal tract, but Occurs more frequently in the terminal ileum and right colon.

Both chronic nonspecific ulcerative colitis and chronic nonspecific ulcerative colitis are collectively referred to as inflammatory bowel disease (IBD). The clinical manifestations are abdominal pain, diarrhea, and intestinal obstruction.

In this way, it seems that it is more in line with the characteristics of Yu Sisi's condition.

But Crohn's disease has a characteristic, that is, the onset is very slow and insidious, and it often takes months or even years from the appearance of early symptoms to the diagnosis.

Moreover, the clinical manifestations are not specific. Your doctor can’t suspect that it’s Crohn’s disease just because someone has abdominal pain and diarrhea, right?

Generally, a colonoscopy is required. If there is intestinal mucosal hyperplasia like cobblestone pavement under the microscope, Crohn's disease can be diagnosed after tissue biopsy.

Therefore, the diagnosis of this disease is very dependent on colonoscopy, and only a few people like Chen Qi who can play endoscopy in China dare to diagnose it.

The male doctor was chatting outside to discuss the condition. In the ward, Lan Lijuan also disappointed everyone after undergoing a colonoscopy.

No obvious abnormalities, no tumors, no colitis, no Crohn's disease, nothing.

This is troublesome.

Gastroscopy and colonoscopy showed no abnormal symptoms, and all previously assumed diseases were overturned.

At this time, Professor Zhang Weizhong raised a different opinion:

"The entire digestive tract is so long, the gastroscope can see the upper part of the digestive tract, and the colonoscopy can see the lower part, but the middle digestive tract (jejunum and ileum) cannot be seen. Could there be a problem here?"

Professor Tong sighed:

"The problem is that there is no way to check the digestive tract in the middle, unless it is an operation for diagnostic exploration, but the cost of this is too high. If there is no problem, the patient will suffer such a knife for nothing and will leave ugly scars. "

Sitting there, Chen Qi's eyes lit up, thinking that there is nothing you can do, but I can do it.

If you want to see the middle part of the digestive tract, in addition to the traditional gastroscopy and colonoscopy, there is a special inspection method in later generations, which is "capsule endoscopy".

Capsule endoscopy actually shrinks the camera and implants a medical capsule to help doctors diagnose patients.

A small capsule is a camera studio for exploring the human body, and may even become a "spaceship" for traveling the human body.

From the outside, it is not much different from ordinary capsule medicine, but it is a miniature camera, which is used to spy on the health status of the human stomach and esophagus.

After the patient swallows, the capsule runs along the direction of digestion with the movement of the gastrointestinal muscles, takes images, and then transmits the images to the data transmission device tied around the waist of the patient.

The doctor then downloads the images taken by the capsule to the computer, and the capsule is automatically excreted within 24 hours.

Moreover, the use of capsule endoscopy allows patients to maintain normal activities and lives, which is very convenient.

The problem is that capsule endoscopy did not exist in 1989, so Chen Qi could only rely on golden fingers to cheat.