Chen Qi really had to take action not because of money, but because of the friendship between the two countries. Vomiting

Chen Qi, who received US$50,000, went to the Freetown National Hospital in person the next day. There was absolutely no fuss and no sloppiness.

Mrs. Mbeki and President Bagri personally greeted Chen Qi at the entrance of the hospital.

When Chen Qi came here this time, his style came out.

Yi Zewen personally served as the driver, Zhang Xing served as the assistant, and Chen Li and Yang Xiuxiu served as team secretaries and nurses.

As for the eldest Ho Fule, he naturally plays the role of housekeeper and looks stable.

When Chen Qi got out of the car, Zhang Xing hurriedly jumped out of the passenger seat and opened the door for Chen Qi. Chen Li stood aside handsomely holding a briefcase, while Yang Xiuxiu held a surgical tool kit.

Is it Shanghai-style enough? Does it look like an authority?

This is what Chen Qi and the others have discussed. We are a team and we want to come together. How dare this big African dog owner not give a red envelope? At least 1,000 US dollars, enough to enjoy the hot food after returning to China.

"Dr. Chen, hello, hello, you have kept us waiting for a long time."

Mrs. Mbeki was smiling all over her face at this time, and she could not see the domineering look before. Changing her face is a compulsory course for official wives.

Chen Qi also shook the fat lady's hand and said: "Hello madam, I am honored to accept Mr. Mbeki's invitation. I will do my best to serve you."

"Haha, okay, please, Dr. Chen."

"Madam please!"

The two of them were hypocritically polite, exchanging business boasts, and a group of people filed into the ward.

As soon as he entered the ward, and before he had time to say hello, Chen Qi saw Mbeki on the bed and quickly entered working mode, turning on the "visual" in the visual, touch, percussion diagnostic mode.

I saw that Mbeki's face was very yellow, sallow.

Not only is his face yellow, but his whole body is also yellow, making him a standard minion.

This "yellowness" may be obvious on white or yellow people, but it is not so obvious on black people.

Fortunately, Chen Qi is a professional "hepatobiliary and pancreatic specialist" doctor, so others couldn't tell, but he could tell something was wrong at a glance.

What does the "minion" represent? As a country with a lot of liver disease, even ordinary people know that it is either a liver problem or a gallbladder problem.

The patient now has fever, upper abdominal pain, and yellowish skin, so the diagnosis can be quickly narrowed to the biliary tract.

So where is the problem in the biliary tract? This requires a series of auxiliary examinations to confirm the doctor’s suspicion.

"Dean Bagri, please quickly arrange for someone to measure Mr. Mbeki's jaundice index."

"Okay, we'll draw blood right away."

Taking advantage of the process of being sent to the laboratory for examination, Chen Qi began another full physical examination.

Upon palpation of the abdomen, the tenderness point was very fixed, located at the junction of the right midclavicular line and the costal arch. This location has an academic name called "Mo's point". It is a typical location of the gallbladder. No wonder it was diagnosed as "cholecystitis".
p>

However, cholecystitis generally does not cause jaundice unless the symptoms are very severe.

However, Mbeki's pain symptoms and systemic symptoms were not that obvious, which was also a point of doubt for Chen Qi.

The laboratory report will be sent immediately.

Mbeki became nervous when he saw the latest report arrived: "Dr. Chen, I, what's going on with me?"

Chen Qi looked at the sponsor in front of him with a smile:

"Mr. Mbeki, the examination report just showed that your jaundice index is 10 times higher, so we have ruled out the possibility of stomach disease. Now I have reason to suspect that there is something wrong with your biliary tract, and it is blocked by something.<

/p>

Now the B-ultrasound is not very clear. Why is there obstruction in the bile duct and why the bile does not flow smoothly? There are usually two reasons. One is bile duct stones, which block the outlet, and the other is something bad, such as

Bile duct tumors."

Mbeki held the bed sheets tightly with his hands: "Can bile duct tumors be understood as bile duct cancer?"

"Oh my God!"

Mrs. Mbeki suddenly slumped down in her chair with a look of disbelief on her face.

After all, Mbeki is a high-ranking official. He still has some dignity in front of outsiders, but his face has become very gloomy.

"Dr. Chen, if it is cholangiocarcinoma, what is the chance of survival? Can it be cured through surgery?"

Chen Qi doesn’t dare to laugh now.

It's hard to be a doctor, even if you smile or don't smile, you can only adapt to circumstances.

"Chole duct cancer is a very dangerous cancer. You must have heard that bile duct cancer and pancreatic cancer are the kings of cancers. Cholangiocarcinoma is only slightly better than liver cancer. If diagnosed, the chance of successful surgery is very small, even if it can

Even with surgery, the survival rate is very bleak."

"Oh my God, why am I so miserable? I can't live."

Mrs. Mbeki suddenly burst into tears.

Of course, she was crying in the local dialect, and Chen Qi couldn't understand it. Think about it, a woman's crying only has a few words, right? Full marks for translation

Mbeki's mind was actually blank at this time, but he knew that he must not show any weakness in front of outsiders.

"Dr. Chen, you are just guessing now, right?"

"Yes, this is my guess as a doctor. I will tell you both possibilities. But you and your wife don't need to worry too much. It is not necessarily a biliary tract tumor. It may also be other problems? For example, inflammation, or stones, etc.

Wait..."

"I'm sorry, can I interrupt?"

Before Chen Qi finished speaking, suddenly among several white coats, a black doctor stood up.

Everyone in the room looked over in surprise.

Dean Bagri became anxious and pulled the black doctor who was talking: "Fake, Kalima, don't talk nonsense."

Doctor Kalema obviously did not care about the dean's attitude, but bravely stood up:

"Mr. Mbeki, Madam, I am the deputy director of surgery at the Freetown National Hospital. I graduated from the Medical College of Pennsylvania in the United States. I studied with the greatest surgeons in the world for 5 years. I have very rich medical knowledge and clinical experience.

.

I have already judged Mr. Mbeki's condition as abdominal pain and fever caused by biliary obstruction. Although the results of B-ultrasound are not satisfactory, my rich experience can still tell that the biggest problem is the biliary tract.<

/p>

Moreover, the B-ultrasound shows no strong echo, which can rule out the possibility of stones; it is also not the kind of low echo, or no echo, which can also rule out the possibility of inflammation. The only remaining possibility is a tumor, which is exactly what Dr. Chen said.

It also supports my judgment."

Kalama's remarks sound reasonable and convincing.

Chen Qi scratched his head, not knowing what to say.

There are quite a lot of "technical geeks" like this in the hospital. They have high IQs but low emotional intelligence, and they are very accepting of death and get into trouble.

It is estimated that Kalama's judgment on the condition did not attract the hospital's attention, so he simply raised it in person today.

He looks brave, but he is actually reckless. Didn’t you see that Mr. Mbeki’s face is as dark as black carbon?

Well, when the vice president is happy, his face should also be dark, right?

People who are sick know best. Who wants to be sentenced to death? As long as there is a life-saving straw and a glimmer of hope, patients are not willing to listen to those bad results.

This is also the case for many patients with terminal diseases who invest a lot of medical resources and money in unnecessary treatment even though they only need hospice care.

"Enough!"

Dean Bagri howled lowly:

"Dr. Kalema, how can you be so presumptuous in front of Mr. Mbeki? Now that nothing is conclusive, you swear to tell me what kind of tumor it is. Shut up!"

Mbeki ignored the eager-to-show black doctor and closed his eyes for a while to calm down.

"Dr. Chen, you are an expert, what do you think?"

Chen Qi had no choice but to explain:

"As doctors, we will tell the patients the best and worst results, so that the patient's compliance will increase. I can't deny Dr. Kalama's judgment, but I need more tests to determine the cause."

"What check?"

Everyone in the ward asked in unison.

Because the National Hospital in Freetown only has these examination equipments, what other tricks can your Chinese doctors do?

Chen Qi raised two fingers: "I also want to do a B-ultrasound, and if possible, I also want to do a CT scan."

Mrs. Mbeki stood up when she heard this: "Then what are you waiting for? Hurry and continue the inspection."

Dr. Kalama curled his lips after hearing this. He is a doctor trained in European and American countries. He has a strong sense of superiority and does not think highly of Chinese doctors. This is why he dared to interrupt Chen Qi just now.

Dr. Bagley is a little embarrassed:

"This, Mr. Mbeki, we have already done B-ultrasound, but our machine is too old, the image is not clear enough, and B-ultrasound also has certain limitations. In addition, our country currently does not have a CT scan

."
To be continued...