Chen Qi hid all the machines in the "tent operating room" before coming to the internal medicine ward.

By this time, there were far fewer people in the ward visiting patients or paying condolences. When Chen Qi came in, Cui Tongzhi was holding his wife's hand tightly.

Only those who have experienced life and death will know that the first wife is always the best at the critical moment. To put it bluntly, the beauties and misfortunes outside are just clouds. When one day you are down or about to die, these women will be the first to take the money and run away.

Apparently Cui Tongzhi has fully realized this.

Originally, this guy was eating and drinking out all day long, so it was inevitable that he would end up making a scene. I think he would definitely get off work early after get off work in the future and eat the food cooked by his wife.

Chen Qi just walked into the ward and saw the middle-aged couple having sex with each other, so he coughed lightly:

"Ahem, pay attention to the impact, there are children here."

Yang Yibing and Jin Meng both covered their mouths and chuckled. As Chen Qi's master's students, these students basically follow wherever Chen Qi goes.

Cui Tongzhi saw Chen Qi coming in and said with emotion:

"Dean Chen, I really don't know how to thank you. You saved my life. If you can be of use to me, Mr. Cui, just ask me. I will definitely be obliged to do so."

Generally, top doctors have extensive interpersonal relationships, know many people, and have many connections.

After all, knowing a famous doctor is a guarantee of life and health for everyone, and it does not mean that you will not die if you have money or power.

Cai Fengdi is more concerned about her husband’s prognosis:

"Dean Chen, is there anything else my old Cui should pay attention to after surgery? What can he eat and what can't he eat? When can he be discharged from the hospital?"

"After the operation, you need to pay attention to a light diet, including the same in the future. You must quit smoking and drinking. In addition, I have prescribed two medicines for you, which must be taken orally every day. The rest is not a big problem. You can stay here for a day or two.

You can go home and rest after being admitted to the hospital.”

"Ah? Just stay in the hospital for a day or two and you'll be fine?"

Cui Tongzhi and his wife were surprised. This was a myocardial infarction. Even if the patient did not die in another hospital, he would have to stay for ten days and a half for fear of a sudden recurrence.

Chen Qi said casually:

"Myocardial infarction. Myocardial infarction means that a certain blood vessel in the heart is blocked, causing myocardial ischemia and hypoxia. Now I have unblocked this blocked blood vessel and installed a stent inside, and the blood flowed smoothly. Anyway, in a short time

There is no problem inside.

But let’s talk first, these stents are not cheap, they are all imported from the United States, and our People’s Hospital doesn’t have many of them, so don’t feel bad when the bill comes out soon, after all, this is money to buy your life.”

Cai Fengdi waved her hands repeatedly: "We don't feel bad, we don't feel bad, as long as people are alive, it's fine. Dean Chen, you are really a miracle doctor."

Chen Qi smiled: "No, no, Lao Cui's life is better. Okay, you guys have a good rest, I'm leaving."

"Dean Chen~~~"

Cai Fengdi suddenly shouted, Yang Yibing and Jin Meng had done undergraduate internships and knew that it was time to give out red envelopes, so the two college students took the initiative to walk out of the ward and avoid it.

Sure enough, a thick red envelope was suddenly stuffed into the pocket of Chen Qi's work clothes.

"Dean Chen, thank you so much for your help today. I asked the doctors at the provincial hospital and found that very few people can be saved from a heart attack. You are our family's lifesaver."

Chen Qi touched the envelope and saw that it was quite thick. It was estimated that it contained at least two or three thousand.

This amount was definitely a huge amount of money in 1989.

Chen Qi actually doesn't care about this red envelope. In China, it is his rule not to accept red envelopes or to deduct medicines, and he will not break it.

But he is not the Holy Mother. He doesn't take it because he is not short of money, but he will not stop others from taking the red envelopes or block people's way of making money.

"Okay, thank you, but don't just give me one. Lao Cui's surgery today was done by me, Yi Zewen from the emergency department, and nurse Chen Li. We worked hard to complete it. During the surgery, we were all exposed to the sun.

Under x-rays,

I don’t know how much I’ve eaten in this over an hour, and each of us had to wear a 30-pound lead suit. We were all soaked, and the little girl almost fainted from exhaustion, so you should also thank them.

"

When Cai Fengdi heard this, she nodded repeatedly: "Sheng, they are all my family's lifesavers. I will thank them."

After Chen Qi left the ward, he handed the red envelope to Jin Meng beside him:

"In a moment, go to the inpatient department charging window and give all the money there to Cui Tongzhi, bed 15, to pay the hospitalization fee."

This was the first time Jin Meng saw a doctor rejecting a red envelope, and her eyes when she looked at Chen Qi were filled with stars.

"I know Teacher Chen, I'll do it right away."

Chen Qi saw the adoring eyes of his two students, so he was ready to pretend to be cool again:

"Remember, when you become a big doctor in the future, you will definitely get a lot of red envelopes and medicine deductions, but a gentleman loves money in a wise way. He must know which money should be taken and which money should not be taken. I don't want to go to prison in the future.

Looking for you.

Money is a good thing, but it would be boring if a person becomes a slave to money. Look at me, I don’t like money. Do you know when teachers are happiest? That is when they first start working and earn dozens of yuan a month.

When it comes to money, cough~~~”

After Chen Qi finished speaking, he left. Jin Meng's eyes continued to have little stars:

"Wow, Teacher Chen is so handsome, with cool sleeves, he is really a role model for our generation~~~"

Yang Yibing also nodded heavily: "We must also learn from Teacher Chen. We will not take any money except salary, and insist on eliminating red envelopes."

(Uh, it seems like Teacher Chen’s money is falling from the sky. Didn’t he receive it from red envelopes?)

…

Chen Laoshi, who has no interest in money and never accepts red envelopes, formally represented the Vietnam-China People's Hospital in the evening and welcomed the Xijing Hospital delegation.

However, the doctors at Xijing Hospital had no taste for the food at this banquet. When the banquet ended, these northwest men who loved drinking basically didn’t touch their glasses.

After the meal, while still at the dining table, everyone couldn't wait to ask Chen Qi to explain why a patient with abdominal pain was diagnosed as having a myocardial infarction?

"Dean Chen, and Teacher Tong, why do you think this abdominal pain patient may have a myocardial infarction?"

"Did you find any special signs during the physical examination?"

"Dean Chen, you can't hide your secrets, please tell everyone."

The atmosphere at the scene was very lively. In addition to the doctors from Xijing Hospital, the doctors from the Department of Gastroenterology in Vietnam and China were also very interested.

Because abdominal pain is a very, very common symptom in the gastroenterology department, or gastroenterology department, more than half of the patients we receive have complaints of abdominal pain.

If every abdominal pain could be caused by a myocardial infarction, this would be so scary that it would scare doctors away from seeing a doctor.

After all, not everyone is like Chen Qi, who can even complete cardiac interventional surgeries.

Chen Qi was quite surprised when he heard everyone's questions and looked at the young doctors present:

"No, when you were in school, didn't the teacher teach you the symptoms of atypical myocardial infarction?"

The young doctors all shook their heads in confusion: "I haven't learned anything before. I only said that there will be radiating pain in the chest or back during myocardial infarction."

Chen Qi looked at the professors and directors of Xijing Hospital:

"Teachers, don't you have such a clinical concept in clinical practice? For any pain below the nose and above the navel, the possibility of angina pectoris must be considered. After arriving at the hospital, an electrocardiogram must be done, and if necessary, myocardial infarction

Necrosis markers assist diagnosis.”

The doctors at Xijing Hospital also shook their heads blankly:

"No, we have not seen this suggestion from any literature or papers. At least our gastroenterology department rarely takes the initiative to ask patients to do electrocardiograms."

Chen Qi now understood in his heart that medical research in 1989 had not yet reached a deeper level.

Later generations of clinicians, especially emergency doctors, all know the iron rule that "any pain below the maxillofacial area and above the navel should undergo an electrocardiogram." This iron rule has not yet been promoted in this era.

The reasons may be various. One is that medical research in the 1980s lags far behind what it will be in 2023.

In addition, there are not many studies on myocardial infarction in China. We are so poor these days. Many grassroots hospitals do not even have biochemical tests. Many patients suspected of having myocardial infarction cannot be diagnosed because they do not have electrocardiograms and cardiac enzyme reports.

In other words, there are many patients who died of sudden myocardial infarction at home due to various factors such as lack of 120, inconvenient transportation, or lack of money to go to the hospital, instead of being sent to the hospital for funeral arrangements.

This also led to the fact that in the 1980s, doctors in China were both familiar with and unfamiliar with the disease of myocardial infarction.

What is familiar is that I have learned about it in books, and what is unfamiliar is because it is difficult to encounter in clinical practice, unless an inpatient has a myocardial infarction in the hospital, but the chance of this is too small.

When doctors are not even familiar with typical myocardial infarction, then they can only say that they do not understand atypical myocardial infarction at all.

No wonder Chen Qi had wondered before, why after a long-day checkup on a patient with abdominal pain, all the causes were found, but no one thought of myocardial infarction or coronary heart disease.

It turns out that this is the reason.

After all, Professor Tong is an expert at the level of Lao Taishan, with a broader mind, but he has some guesses, but he may not be able to explain the specific reasons clearly.

"Xiao Chen, since everyone is curious about why you diagnosed this abdominal pain patient with myocardial infarction in advance, why don't you explain it? Our gastroenterology department often encounters patients with abdominal pain, and we are really lacking in experience in this area.

ah."

Chen Qi did not hide his secrets, so he stood up directly:

"Okay, since everyone is interested, let me tell you. You have done all the auxiliary examinations you can think of before, and you have also done all the physical examinations yourself. Nothing was found, right? Then

The possibility of abdominal organic disease can be ruled out.

Then I found that everyone was very careless and casual during auscultation, and felt that abdominal pain had little to do with heart disease. So I would like to ask you first, when you were auscultating patients before, who heard anything abnormal?"

In the small restaurant of the People's Hospital cafeteria, all the doctors shook their heads.

As the head of the emergency department, Yi Zewen was the first to speak:
To be continued...