Chapter 606 The surgeon’s request for help(1/2)
The morning is the day when Chen Qi sits in the "expert clinic".
Anyway, Chen Qi is the dean, and he can do whatever he wants, so he specially opened the first "Endoscopic Expert Clinic" in China, with one morning consultation every week.
In addition, he also goes to the "Cleft Lip and Palate Specialist Clinic" once a week at the No. 4 Hospital of Yuezhong Hospital, which is also half a day a week.
In addition, Chen Qi arranges one day every month to go to Huangtan Health Center for outpatient service, which can be considered as a trip to all tertiary hospitals in cities, counties and towns.
After all, he was the one who shouted the slogan of "two-way referral" in the first place. He can't just turn his back on others and stop going to lower-level hospitals for medical treatment after gaining political capital, right?
If you want to sign up for Chen Qi's expert account, you need to queue up a week in advance with a quilt overnight, and it will be done in an instant.
Nowadays, it is basically difficult to get the accounts of Chen Qi and Lan Lijuan. This is why Chen Qi insists on preventing the emergence of scalpers.
Patients come from all over the country. Those who could come from other places in the 1980s actually had difficult and complicated diseases like Yu Sisi. Therefore, Chen Qi's personal medical level is also constantly improving.
No, Chen Qi sat in the expert clinic today, and the scene was quite spectacular.
There are two students sitting next to him, one is writing medical records, and the other is responsible for writing out examination orders or prescription orders. Chen Qi only needs to be responsible for seeing the doctor.
This is the proper treatment of a great professor, which only veteran experts from top hospitals can enjoy.
In addition, behind Chen Qi, there are 8 master's students sitting. The teacher is in the clinic, so they must follow him. There are also 5 master's students who are studying with Lan Lijuan.
Chen Qi and Lan Lijuan are the first couples in China to teach students together, and they also major in medicine and surgery. You can imagine what level these 15 master's students can reach after graduation.
Next to the master's students was a visiting group composed of 20 doctors from Xijing Hospital.
The doctors from Xijing Hospital came to Yuezhong mainly because they wanted to see Chen Qi's best specialty, endoscopic surgery, to see if it was as magical as the legend says and could replace surgery.
Doctors in gastrointestinal surgery are obviously more concerned about this issue.
As a result, they came to Vietnam and saw several cases of difficult and complicated diseases, and they gained some knowledge. They were either epilepsy-type abdominal pain, myocardial infarction-type abdominal pain, or abdominal pain without the specialty of gastroenterology.
So today I learned that Chen Qi has an endoscopy clinic, and all 20 doctors from Xijing Hospital got up early and waited at the clinic.
Doctors are used to getting up early to go to the clinic anyway.
Even Professor Tong, an old man in his 70s and almost 80 years old, sat there politely, watching like a student how "Teacher Chen" carried out endoscopic diagnosis and treatment.
Chen Qi has many rules for treating patients. He does not allow a large group of patients to surround him. This not only lacks personal privacy, but also affects the doctor's mood.
Therefore, when Dr. Chen goes out to the outpatient clinic, there must be a nurse holding a table to stop him at the door, and then a manual call system is used.
For example, right now, Yang Xiuxiu is already shouting: "No. 15, Yuan Quan Lin, is Yuan Quan Lin here?"
At this time, a middle-aged and elderly man in his 50s came from behind the crowd. He wore glasses and looked like an intellectual. He smiled and said:
"Little comrade, my surname is not Yuan, my surname is Qi. The pronunciation of this character is the same, it is the Qi in 'Qi and hairpin are the same, after the hairpin official'."
Yang Xiuxiu blushed when she heard this. She only had a technical secondary school diploma and was unfamiliar with such rare words, so she quickly apologized:
"I'm sorry, I mispronounced your name because of my lack of education. Now it's your turn."
"Haha, it's okay. My last name is always mispronounced by people anyway. I've long been used to it."
The nurse outside was calling the patient's name, and Liang Wenwen, director of the Gastroenterology Department of Xijing Hospital, who was sitting inside, muttered:
"Hey, listen, why does Qi Quanlin's name sound so familiar? This voice also sounds familiar."
Next to him, Director of Gastrointestinal Surgery Zhou Qifa said casually:
"There is also a surgeon named Qi Quanlin in the First Affiliated Hospital of Jiaotong University. His surname is relatively rare and is often pronounced as Yuan. It's strange that the voice does sound like him. Could it be that Lao Qi is also getting into trouble?"
Director Liang was confused:
"That's not possible. Why did I come to Yuezhong? The train will take three days and three nights. Besides, what's the disease that they can't treat at the First Affiliated Hospital of Jiaotong University? Why do you want to come to Yuezhong?"
The best hospital in Xi'an is Xijing Hospital, followed by the First Affiliated Hospital of Xi'an Jiaotong University.
The quality of the two hospitals is not much different, and they are located in the same city, so the doctors are quite familiar with each other.
At this time, the door of the diagnosis and treatment room was pushed open, and a gentle patient came in, holding a briefcase with a red envelope, and his attitude was polite but neither humble nor overbearing:
"Dean Chen, hello, I am patient No. 15."
Before Chen Qi could speak, he heard a burst of exclamations from behind him: "Old Qi? Is it really you?"
Qi Quanlin was very calm just now, but when he was called out like this, he was completely confused. He thought that he had already run thousands of miles away in Yuezhong, how could anyone recognize him?
Take a closer look, "Hey, isn't this Teacher Tong? Why are Lao Liang, Lao Zhou, and the others also in Yuezhong?"
Liang Wenwen and Zhou Qifa stood up, with the surprise on their faces unable to stop:
"This is the right thing for us to ask. We are here to visit Yuezhong. How come your old guy is also here at Yuezhong? He even registered. Are you here to see a doctor?"
"Old Qi, you came to Yuezhong to see a doctor? What's going on?"
Liang Wenwen and Zhou Qiqi exchanged words with each other and asked a lot of questions at once. It was really a surprise to them.
Although Professor Tong didn't remember Qi Quanlin very much, it sounded like he was a fellow countryman and colleague of his, so he smiled and nodded.
Qi Quanlin looked at these 20 fellow countrymen and colleagues, and he couldn't laugh or cry at once:
"This world is so small. I didn't expect that I would meet you all when I came to Yuezhong. It's like meeting old friends in a foreign land. Haha, yes, I came to Yuezhong specifically to see Dr. Chen for medical treatment."
Qi Quanlin said it easily, but he couldn't hide the loss and embarrassment on his face.
This chapter is not over yet, please click on the next page to continue reading! After Liang Wenwen and Zhou Qifa calmed down, they also asked with concern: "Old Qi, what is your situation? If you can't cure it in Xi'an, you have to come to Yuezhong."
Qi Quanlin smiled bitterly: "Xi'an is really incurable. Looking at this, I guess only Dean Chen has hope."
When Chen Qi heard that he was a colleague, he was still the chief physician and professor of Xi'an Jiaotong University in his 50s. Although he was equally surprised, he still nodded politely:
"It turns out it is..."
"Qi Quanlin, surnamed Qi..."
Chen Qi was embarrassed and said haha:
"I'm sorry, Director Qi. This is the first time I've seen this surname. Thank you for trusting me and coming all the way from Xi'an. I heard Professor Tong say that they spent three days and three nights on the road to Yuezhong.
So I think Director Qi must have encountered a huge difficulty. We are all in the same industry, and you are also my senior. Anyway, if I, Chen Qi, can cure it, I will do my best and will never hold anything back. I will not let you down.
My trust.”
As soon as Chen Qi finished speaking, everyone here was either a professor or a director. Even the students had master's degrees and had sufficient IQs. Everyone understood that things were definitely not that simple.
Qi Quanlin would rather abandon Xi'an and go to Yuezhong, thousands of miles away, for treatment, which shows that he does not want the outside world to know what disease he has or where he is going.
Today it was really a coincidence that A Qiao's mother met A Qiao's father.
Qi Quanlin smiled bitterly:
"Originally, I really wanted to come and leave quietly alone. I didn't expect that we would meet so many fellow villagers by chance. Anyway, you are all gastroenterologists. I am the patient today. Please help me think of a solution."
After saying that, Qi Quanlin took out his medical records and related examination sheets.
Intellectuals do their work carefully. Each piece of paper is placed one by one in chronological order and held up with a clip so that those who look through it can see it at a glance.
After circulating the medical records, Zhou Qifa, the director of gastrointestinal surgery, frowned. He is a professional cutter of intestines and is quite expert and proficient in Qi Quanlin's disease.
"Old Qi, you have a lateral tumor. Don't you know how to treat it even if you are a surgeon? It needs to be surgically removed."
Laterally spreading tumor, referred to as lateral spreading tumor in English, is a special type of colorectal tumor originating from the intestinal mucosa.
This is because intestinal tumors can easily enter the intestinal lumen if they develop from the side. Once they enter the intestinal lumen, they will grow wildly without the restrictions of other tissues, leading to blockage of the intestinal lumen and the development of intestinal obstruction.
Compared with common adenomas, this tumor has a higher risk of local invasive growth and dysplasia.
Therefore, tumors that develop laterally in the intestine should be surgically removed as soon as possible.
When Qi Quanlin heard Zhou Qifa's question, his wry smile became even bigger:
"Lao Zhou, I understand everything you said. You see, I had a portion of my intestine removed last year. I thought the matter was over, but then the tumor obviously grew beyond my expectation and developed too fast.
If you look at this colonoscopy test sheet, it says that almost my entire rectum is covered with tumors. Now I not only have changes in bowel habits, diarrhea, constipation, blood in the stool or abdominal pain, but also incomplete intestinal obstruction.
We all are colleagues and we all know that the only way to treat this disease is surgical removal, but if I want to remove the tumor completely, it also means that I need to remove the entire rectum and anus. If there is no rectum and anus, what do you think I will have in the future?
mean?"
As soon as Qi Quanlin's words came out, it was like waking up a person in a dream. Every doctor present suddenly understood, and then they could understand why Qi Quanlin refused to remove the rectum and anus.
The length of the rectum is about 12~14cm. Its main function is to absorb water and electrolytes, and its other function is to store stool.
In addition, the rectum is anatomically connected to the anus and is quite close to the anal sphincter and other muscle layers.
Traditional segmental resection surgery is likely to damage the muscle layer of the sphincter, which will affect defecation function to a certain extent, and patients may suffer from sequelae such as fecal incontinence.
It is not said that if a person's rectum and anus are completely removed, the stool will no longer be controlled and can be pulled out at any time.
The best way is to wear a feces bag, and wear a feces bag for life.
This feces bag is not a birdcage for old bjers. I carry it in my hand and walk around, and then I meet someone and say: Have you pooped?
In addition, resection directly on the anus is prone to infection.
The anus serves as a door that blocks the human intestines from the outside world. Resection will increase the area of communication between the intestines and the outside world, which will increase the risk of intestinal infection. Even external viruses and bacteria will enter the blood through the gastrointestinal circulation, thus
Cause systemic infection.
Therefore, for an intellectual, if he really loses control of his bowels at any time and lives a life carrying a excrement bag every day, it is really better to die.
Everyone in the office was a doctor, so they immediately understood why Qi Quanlin did not want to seek treatment in Xi'an, but traveled all the way to Yuezhong.
To be continued...