Since 1981 Health School

As soon as the door of the anatomy room was closed, Professor Bradley slapped Chen Qi with a smile:

"Hey, Chen, is it a surprise or a surprise? When we meet again, we become competitors, hahaha."

Chen Qi was also very surprised:

"Bradley, I was really surprised. Why did you come to the United States? How did they hire you, a great expert?"

Professor Bradley shrugged:

"I can't help it. Although my endoscopic skills are nothing compared to you, I'm considered the top expert in the United States, so my family members found me and gave me a check for 1 million dollars. I can only say that it's too much."

When Chen Qi heard this, he pretended to be upset:

"Damn, this is so unfair. Do you know how much money they gave me in Shenzhen City when I presided over this autopsy? There is only a 20 yuan a day travel subsidy, or RMB, and it does not exceed 5 yuan in US dollars. This gap~~~"

Chen Qi is famous for asking for money. He gets 5 yuan when others get 1 million. The gap is indeed too big.

"No, since you got so much, I must treat you to the bar tonight."

Professor Bradley is also very generous: "OK, no problem, the rice wine I drank at your house last time is very delicious, we will not go home without getting drunk~~~"

Chen Qi thought to himself: Who would drink rice wine when going to a bar?

Professor Bradley visited Yuezhong in person last time because of the illness of the Hollywood tycoon, and participated in an endoscopic operation, even though the operation eventually caused the patient to perforate.

When Chen Qi was elected as the director of the World Society of Gastroenterology last time, Professor Bradley had cheered for him, and the relationship between the two parties was very good.

Of course, only a few people know this. After all, doctors are not celebrities, and few people pay attention to their personal relationships in private.

So Angelia made an oolong, the top medical expert specially recruited from the United States, thinking that he could overwhelm the doctor in Hua, and the professor who could take good care of her, the two turned out to be good friends.

If Angelia knew about the relationship between the two parties, she would definitely scold black, really fucking black.

After finishing the chores, Professor Bradley also entered the working state:

"Chen, I heard that you were the one who did the previous medical appraisal. I also read the detailed report. Do you really think there is a high possibility of aortic dissection? I think the possibility of suffocation and cardiovascular and cerebrovascular stroke still exists."

After Chen Qi heard it, he found the CT film of the deceased from a pile of documents:

"Look here, the left ventricle comes out, can you see a bulging shadow at the root of the aorta, I suspect this is a dissecting aneurysm, and then during the endoscopic operation, it happened that the aneurysm ruptured and bleeds, and finally hemorrhaged and died."

If others say it, Professor Bradley may not believe it, but he still admires Chen Qi's medical skills.

"OK, I'll cooperate with you in the autopsy later on, but don't expect me to release the water. After all, there are two cameras working at the same time, and five forensic doctors from all over the world supervise the whole process. I hope your guess is right, otherwise you will be in trouble."

Although Angelia has big breasts and no brains, she can't hold back the dog legs behind her.

She also knows that this autopsy is related to who is more suitable to inherit Dakai toys, so she is also prepared.

For example, more than a hundred reporters from all over the world came, and all of these reporters were waiting in Ziguang Hospital, waiting for the autopsy report to be released.

For Chen Qi, the only thing that can "clear the grievances" for Ziguang Hospital is to prove that Chapman Webster died of aortic dissection.

This is the only possibility for the mother and son of Beata to win Dakai toys.

All the remaining options, that is, all other causes of death except aortic dissection, are all in favor of Angelia.

This is also one of the important reasons why Angelia finally let go of the autopsy, because she felt that she had the best chance of winning.

Otherwise, if she was killed, she would not perform an autopsy on her husband. She would rather procrastinate, sue the hospital, sue the ex-wife, mother and son, and finally use the huge and complicated judicial system in the United States to prolong the lawsuit and muddy the water.

Is Chen Qi under pressure?

What pressure does he have? A reborn person like him is no stranger to aortic dissection. When working in a hospital, especially in the emergency department, he often saw it in rotation.

Chen Qi had absolute confidence in his judgment, not to mention that both the clinical manifestations and auxiliary examinations of the deceased supported his judgment.

More importantly, what if the judgment is wrong?

He's just here to help, it's a big shame, the doctor's misjudgment is not a capital crime, and besides, it's not him who pays for the loss, the pressure is on the side of Qianzhen City.

So Chen Qi didn't feel burdened at all, instead he smiled and greeted the 5 forensic doctors from various countries.

Although the difference between forensic medicine and clinical medicine is still quite big, one deals with the dead and the other deals with the living, but both sides are "teachers from the same school" at any rate, and at least they have a kindred spirit, so they are quite friendly with each other.

Everyone is doing things with money. This is just a job. How could there be a brainless face-slapping session?

Expressing disdain to a double director of the International Medical Association, these forensic doctors are not pigs, they know the weight of a double director, and will never underestimate Chen Qi because of his age.

The body has been taken out of the freezer and "thawed" in advance.

Generally speaking, autopsy is best carried out within 48 hours, and it can be extended to a week under freezing conditions.

The body will stink later, and if the body rots, many characteristic manifestations will be inaccurate, which will affect the conclusion of the autopsy.

Mr. Chapman Webster, the rich man in the United States is lying quietly on the dissecting table now. No matter how good he was during his lifetime, he will become a lamb waiting to be slaughtered after death.

Life is short, enjoyment in time is the truth.

Chen Qi paid respects to Chapman Webster's corpse while everyone was busy preparing for work.

"Chapman Webster, we have a grievance and a debt, and we can only blame you for your bad luck. You have aortic dissection, but that quack doctor Li Huacheng ordered you a gastroenteroscopy, which caused the pressure in your blood vessels to suddenly increase and cause the aneurysm to explode.

So if you feel that you have died unjustly in the underworld, you must tell King Yama that the quack doctor who killed you is Li Huacheng, and I am here to avenge you. To announce the cause of your death is a very good citizen. If you take revenge in the middle of the night, don’t report the wrong person, Amen. "

Li Huacheng is actually responsible. If he had a higher level and saw the possibility of aortic dissection on the CT list, he would not let the patient go for gastrointestinal endoscopy.

Without this gastrointestinal endoscopy, the patient may still have hope of being rescued.

Even if he couldn't be rescued in the end, as long as he didn't die in Ziguang Hospital, his family members wouldn't lose their minds and bring so much trouble to their unit and the country.

So Chen Qi asked Chapman Webster to find Li Huacheng in the middle of the night.

Professor Bradley came over after putting on the surgical gown, and it was strange to see Chen Qi muttering words while saying goodbye:

"Chen, why don't you go change your clothes? Is this praying to Mr. Chapman Webster?"

Chen Qi twitched his face and nodded quickly:

"Yeah, I'm using the unique method of our country. I hope our great Supreme Lord and the Jade Emperor can forgive Chapman Webster's crimes during his lifetime, and his soul can go to the Western Paradise to enjoy the blessings after death, Amen."

Westerners still attach great importance to faith, and Professor Bradley quickly drew a sign of the cross: "May the Lord bless him."

The five forensic doctors also crossed themselves one after another.

Then all the staff on Huaguo's side suppressed their laughter and turned their heads away.

After Chen Qi put on the surgical gown and gloves and came over, everyone was ready.

"Are the units ready?"

"Ready!"

"OK no problem!"

The deceased, Chapman Webster, had been stripped of all his clothes and was lying there face up.

Chen Qi picked up the scalpel and looked at the snow-white corpse in front of him. What came to his mind was how he made extra money by making corpse specimens with Teacher Li Baotian in the health school.

In those countless nights, he was alone dissecting the corpse while checking whether the coal stove for cooking the bones had gone out? Has the water run out?

Thinking about it now, life at that time was quite difficult, and the key was not enough to eat.

In a flash, Chen Qi has traveled for almost 10 years.

Seeing Chen Qi holding up the scalpel in a daze, Professor Bradley thought Chen Qi couldn't figure out where to cut it, so he kindly reminded him:

"Chen, what incision are you going to make?"

There are generally three types of incisions in an autopsy.

Huaguo forensic doctors like to use the "one-line incision method", that is, the scalpel starts from the midline of the lower edge of the mandible, and cuts the skin and subcutaneous tissue along the neck, chest and abdomen midline around the left side of the navel to the upper edge of the pubic symphysis.

Let's describe it this way, it starts from your chin and cuts down until your penis is cut.

The biggest advantage of this anatomical cutting method is that it is trouble-free and fast, and it can handle most autopsies.

But there is a very bad thing. After the dissection is completed, even if the sutures are good, because the clothes cannot cover the neck, the sutures located in front of the neck will often be exposed, which is lacking in aesthetics.

Of course, in a certain country, there is no need to pay attention to this detail. Anyway, after the autopsy, there is no stitching, and the pieces are sent directly to the cremation furnace. The family members get only the ashes of "suspected" relatives.

However, foreign forensic doctors prefer the "Y-shaped incision method".

The tangents were from the left and right mastoids down to the shoulders, and then made an anterior medial incision to meet at the sternal notch. The thoracoabdominal incision was the same as above. The submandibular and anterior chest skin was peeled off, and the skin flap was folded over the face to expose the anterior cervical organs.

It is to cut obliquely from the protruding bones behind your ears, merge at the sternum, and then cut down in a straight line to the end.

This kind of dissection can better preserve the damage on the body surface when there are wounds or injuries on the neck. In China, the "Y-shaped incision method" is generally used when there are many and obvious neck injuries.

The Y-shaped incision method has less damage to the skin of the neck. When the deceased wears clothes with a slightly higher collar, the sutures can be covered, and the body can be more beautiful in appearance.

Therefore, the effects of the two cutting methods are the same, that is, the "one-shape" is more barbaric, and the "Y-shape" is more civilized.

Chen Qi took a look at this rich man, and decided to make him more respectable:

"Let's make a Y-shaped incision."

"OK!"

Chen Qi found the mastoid process behind the left ear of the deceased. From here, he cut the knife directly from the back of the ear to the middle of the sternum.

Then the same knife came from the right side.

Because the deceased has been dead for a week, there is no blood flowing out at this time. If it is a fresh corpse, it will start to slip and bleed at this time.

After making oblique incisions on both sides, Chen Qi pointed at the middle line again, and made a sharp stroke with his right hand, making a stroke to the end.

At this point the body has actually been disemboweled, but what you see is not viscera but yellow fat.

Especially the deceased was a big fat white man, the fat layer was quite thick, it would be a waste of strength to separate it.

Fortunately, it has been frozen. If the corpse is found in the wild on a hot day, then autopsy and dissection will kill people, because the fat is greasy and not slippery when grasped, plus the smell of corpse...

You taste, you fine taste!

After working hard for a long time, Chen Qi and Professor Bradley finally separated the fat and muscular layers of the deceased, exposing the abdominal omentum. This is the first step completed.

"Oh my god, you Americans are so good at eating. With so much fat, you are almost exhausted."

"Yeah, so body management is the most important thing, otherwise you will be rejected by the forensic doctor after death."

While chatting, Chen Qi and Bradley lifted the peritoneum with tweezers and made a small incision, and carefully cut open the lifted abdominal omentum with a knife.

During this operation, it is necessary to lift the abdominal wall with vascular forceps to avoid cutting and damaging the viscera in the abdominal cavity, and then cut off the muscles connected to the lower edge of the chest wall along the costal arch to expand the abdominal cavity.

At this time, the abdominal cavity, one of the three cavities, is opened, exposing the internal organs in the stomach.

Even if it was frozen, after all it had been dead for a week, the corpse still had a peculiar smell, especially the intestinal smell, and many onlookers took a few steps back.

The staff in charge of the camera pulled in the camera lens, first took a picture of the inside of the abdominal cavity, and took a preliminary look at the intestines and stomach, whether there was any damage or discoloration, all of which were superficial things.

The staff of the two countries who were in charge of taking pictures also stepped forward and began to take pictures from multiple angles.

On the contrary, the five forensic doctors just glanced at it and didn't look at it too much. With old experience, they could tell if there was any problem at a glance. Then continue to sit and wait beside, because the opening of the abdominal cavity is only the first step.

The easiest way to do an autopsy is to open the "three cavities", namely the abdominal cavity, chest cavity, and brain cavity.

Like the liver, lungs, and most of the stomach in your imagination, these organs need to be opened to see clearly.

Just like the little juggling girl who swallowed live snakes in front of the Yuezhong Hospital, if traditional surgery is to be performed, the chest cavity must be opened to operate on the stomach.

But opening the chest cavity is not just talking. This difficulty is much more difficult than cutting the stomach, because the ribs and sternum protect the chest cavity.

Therefore, to open the chest cavity, the bones must be removed first. The bones are very hard, and a scalpel is useless.

At this time, there are different approaches at home and abroad.

In China, it is preferred to cut directly from the junction of ribs and costal cartilage one by one, and then remove the ribs and sternum to expose the chest cavity.

The advantage is that the cartilage is easily cut off and the operation is simple.

However, the disadvantage is that the exposure range of the thoracic cavity is small, and the field of view in situ in the thoracic cavity is small.

Foreign forensic doctors prefer to use rib scissors directly to cut off the axillary ribs on both sides in order to fully expose the chest cavity.

The advantage is that the in situ observation of the thoracic internal organs has a large field of view, and the disadvantage is that the axillary ribs are hard and laborious to cut.

Bradley looked at Chen Qi again: "Chen, what tool do you want to cut bones?"

"Bring me the chainsaw..."

Comrades, I'm still in Qingdao, playing crazy every day, and I don't have time to code words, uh, forgive me.