Since 1981 Health School

The three-lumen two-capsule tube was taken out soon.

Chen Qi checked it carefully, giving people the feeling that the dean is very careful in doing things.

In fact, no one knew, and Chen Qi was so panicked that he had to get acquainted with how this thing works first.

Although he knew the working principle of the three-chamber and two-capsule catheter and the general method of use, except for one operation during the medical license exam, he had never touched it at all.

Fortunately, Chen Qi is a professional doctor, just like an antique expert, he knows the general idea from the very beginning.

"Do you think it's strange? Why do I need this three-chamber two-capsule tube to take fishbone?"

Many doctors in the ward nodded repeatedly.

Chen Qi smiled enigmatically (actually it was a forced smile):

"It's actually very simple. Let's open our minds and think about it. Now that the fishbone is stuck horizontally at both ends of the esophagus wall, and has penetrated into the cavity wall and cannot be removed, can we expand the esophagus cavity and let the fishbone automatically If it falls off, it will be convenient for our doctor to take it out?"

As soon as Chen Qi finished speaking, Director Jia and Director Cai slapped their thighs and shouted excitedly:

"Yes, yes, that's the way of thinking."

"Yeah, that's what I thought just now. It seems that this idea is okay."

The other directors also suddenly realized at this time, thinking that the three-chamber and two-vesicle tube can still play like this? This is really more difficult than difficult.

In the profession of a doctor, it is not enough for you to be able to analyze, distinguish, and have new ideas. After all, what you say is theoretical. Whether it is effective or helpful to the disease depends on practice to prove it.

Didn’t the old man in the circle say: practice is the only criterion for testing truth.

The same applies to medicine.

After explaining the principles, Chen Qi began to prepare for the endoscopic surgery, and Lan Lijuan stepped forward at this time and volunteered to become Dean Chen's assistant.

I saw that she first used paraffin oil to lubricate the three-chamber and two-capsule tube, and then slowly put it into the patient's mouth.

It was the same as the path of the gastroscope, through the esophagus to the stomach, stopped at the mark of the tube, took a suction with the needle, and found that the gastric juice could be drawn out, Lan Lijuan nodded to Chen Qi.

Chen Qi then supported the esophagoscope with his right hand, and sent the tube into the patient's esophagus again.

Except for the occasional retching of the patient in the ward, everyone held their breath and watched how the first endoscopic fishbone removal operation in the country was completed.

On the display screen, the three-lumen two-capsule tube has been stretched deep along the wall of the esophagus, bypassing the fishbone.

The esophagoscope stopped above the fishbone.

Chen Qi said softly: "Lijuan, I'm going to clamp the fishbone and not move, you slowly inflate the esophageal sac, pay attention to the slow movement."

Lan Lijuan nodded: "Got it, ready to inflate the esophageal pouch."

The head nurse quickly handed over a 20CC glass syringe, and Lan Lijuan began to slowly push air into it. Gradually, the esophageal sac on the three-chamber two-sac tube was slowly inflated like a balloon, visible to the naked eye on the display.

The esophageal wall is elastic, and as the air sac inflates, the esophageal wall slowly begins to stretch.

At this point, many doctors in the ward have fully understood the brilliance of Dean Chen's new idea, and all of them admired it deeply.

But no one said anything, and the only way to test whether this method is feasible is the success of the operation.

Lan Lijuan was still slowly inflating, and when the esophagus expanded to a certain extent, the fishbone completely fell off.

At the moment when the fishbone suddenly hung in the air, several directors in the ward exclaimed, "Oh, oh, oh!", and the little doctors at the door and the window whispered excitedly:

"Look, it's done, the fishbone is not stuck."

"This method is really feasible, Dean Chen is too powerful."

"It seems that there is no need for surgeons to operate on foreign bodies in the digestive tract in the future, and we can all remove them."

After the fishbone was clamped, Chen Qi began to slowly pull out the esophagoscope. When passing through the last narrow place, the esophagoscope was completely pulled out of the mouth.

At the very front of the tube, a small clip clearly shows the fishbone on the screen just now.

A little nurse took a tray with a piece of white gauze on it. Chen Qi put the fishbone on it, and the directors beside him immediately gathered around.

"Wow, it really came out."

"It turns out that endoscopy is so simple to remove foreign bodies. If it goes well, the problem can be solved in a few minutes."

"Great, this really solves our internal medicine problem."

So there was a burst of warm applause in the ward.

The directors can already imagine that this brand-new technology may eventually change the new pattern of medical treatment, which is definitely of epoch-making significance.

The happiest person in the ward is the patient himself.

Anyone who has been caught by a fishbone knows that this level of discomfort is really ecstasy, extremely irritating, and the whole person will be in pain and anxiety.

But the effect of removing the fishbone is immediate. As soon as the fishbone is removed, the patient will immediately recover and no longer feel pain.

The same is true for the old man in front of him. Just now Chen Qi and Lan Lijuan inserted two tubes into his esophagus and stomach, and also stimulated the largest throat.

The pain made him break out in a cold sweat, making it difficult to breathe.

How uncomfortable it was just now, but now that the fishbone is removed and the tube is removed, it is so comfortable.

Even though his throat still hurt, the old man couldn't wait to cup his hands into fists, cupped his hands at Chen Qi, and said in a hoarse voice:

"Thank you, thank you~~~"

The patient's son was also excited. He originally thought that his father would be troubled if he really wanted to have an operation. It's not a joke for an old man in his 70s to have a thoracotomy, and he might die.

It's all right now, it's just a simple treatment, and the fishbone in the stomach is actually taken out, which is also a kind of miraculous medical skill for the family members.

"Dean Chen, thank you so much, thank you so much, you saved my father's life."

Chen Qi smiled and waved:

"No matter how high the level of the doctor is, the cooperation of the patient and his family is needed. You are very good. We work together to make this endoscopic surgery successful. But after this lesson, I still want to remind you that you need to be cautious when eating fish. Be more cautious:

For example, take a bite of fish, chew it slowly before eating, and avoid mixing the fish with other foods, otherwise it will be difficult to distinguish the fishbone wrapped in the food.

In addition, when eating fish, you should concentrate and try to talk as little as possible while eating. Most of the fish bone stuck in the throat occurs when you are in a hurry to eat, listen to the radio, chat, etc. when you are not concentrating.

Also, you must check carefully when feeding fish to children. Even the fish balls in Yuezhong may have fish bones in them. If a child gets stuck, he will suffer a great crime. "

At this time, a family member of a patient on the next bed couldn't help asking:

"Dean, you just said that it was wrong for them to induce vomiting and inject vinegar. Then can you tell us, what should we do if the fishbone is stuck in our house?"

Obviously the common people are pragmatists, and you have a lot of medical principles, so it is better to tell them how to deal with it and it is useful for them.

Chen Qi was also in a good mood, thinking that it would be good to take the opportunity to do science popularization, so he said patiently:

"It depends on the situation. For example, you can try to remove the fishbone at a shallower position by yourself. Let's ask your family to shine a flashlight on the throat. If the fishbone is stuck at a shallower position visible to the naked eye, you can try to use tweezers to remove it.

But if you can’t get out the fishbone, don’t take it out forcibly, and don’t use your fingers to buckle it. If you can’t get it out, it will only make the fishbone deeper and deeper. So at this time we have to go to the hospital and find the ENT department.

Remember, I’ll repeat it again, don’t engage in those local recipes, such as swallowing rice, drinking vinegar, stuffing steamed buns, and eating youth, these methods are not only ineffective, but will add fuel to the fire and make the pain worse Pain, this old man is the best lesson learned. "

There was another chuckle in the ward, and the old man on the bed also smiled awkwardly.

Only Qi Damin took a deep breath, feeling very complicated in his heart.

On the one hand, he is a member of Vice President Wu, and he has already been labeled. He is naturally the opposite of Chen Qi, whether he wants it or not.

Another way, as a doctor, he really admires Chen Qi's medical skills now, and really wants to give him a thumbs up.

At the same time, he, Qi Damin, also knew in his heart that through this endoscopic surgery, Chen Qi might have conquered these medical directors by using this new technology.

Considering that surgery has always been Zhu Huoyan's territory, by then, the most important departments of internal medicine and surgery, these two hospitals will be the "basic base" of the new director.

What Qi Damin is worried about is that in the future, doctors will only listen to the dean, and will no longer listen to him, the chief of the medical department.

Originally, he wanted to trip up the new dean, to show him off, good guy, but in the end, he copied his old lair, how can this be reasonable?

Director Cai suddenly thought of something at this time, looked at the new director and asked:

"Dean Chen, besides removing foreign bodies, can this endoscope be used for other minor operations?"

"Director Cai asked a good question. In fact, endoscopy, oh, for example, gastroenteroscopy for gastroenterology, foreign body removal is only a small aspect, and many other operations can be performed.

For example, if the stomach is bleeding, some drugs can be injected through the gastroscope to stop the bleeding, and even electric heating can be used to stop the bleeding, so that there is no need for surgery like before.

In addition, it can also remove gastrointestinal polyps, high-grade intraepithelial neoplasia, early cancer, submucosal tumors such as ectopic pancreatic metastases, leiomyomas, stromal tumors, etc.

When the technology becomes more mature in the future, a kind of surgery called "laparoscopy" can be done, which is to make a few holes in the stomach, and then the doctor can operate through several surgical handles like tubes, and most of the surgery can be done by looking at the screen. Operation. "

The director and the little doctors in the ward opened their mouths wide in surprise as if they were listening to a bible.

It's really hard for everyone to imagine that in the future, there will be no need to cut the stomach open for surgery? Can it be done with just this endoscopic tube?

"Minimally invasive surgery" is actually the latest medical revolution. At present, not many doctors can see this level, especially domestic doctors, who are still in the traditional concept of surgery.

It’s not that the traditional surgical methods are wrong and outdated, but that most of the elective surgeries are done by minimally invasive new surgeries, which is the trend of the times.

Director Jia joked at this time:

"Okay, surgeons will lose their jobs in the future, and that's all our physicians' world. Let's see if these rough surgeons dare to get scared in front of our physicians in the future."

Hahaha~~~~~

Chen Qi laughed embarrassingly: "This, Director Jia, I'm also a surgeon. You're scolding me too."

Director Jia almost choked to death on the saliva, and apologized again and again:

"Ah, I'm sorry, I'm so excited that I can't speak anymore, just kidding, just kidding, hehehe."

Director Xia of the third internal department is also a woman, and she has a carefree personality to be a strong woman. I saw her comforting:

"Old Jia, don't be afraid, the dean also has to listen to our physicians, and there is no way to get over it."

Everyone couldn't react at first, but when they suddenly saw Lan Lijuan beside her, everyone burst into laughter.

It made Lan Lijuan's face turn red again, no matter what, she was only a 26-year-old girl, even if Yuezhong people like to use imaginary age to indicate that she is only 27.

27 years old, if in later generations, just got a master's degree in medicine, you can still pretend to be tender on Douyin, calling yourself a "girl girl"...

After the rounds in the morning, Chen Qi had already had a heated fight with several directors of internal medicine.

One side intends to solicit, and the other side intends to seek refuge. Both parties have interests and needs, so it is natural that they hit it off.

Liu Huichun was naturally optimistic when he saw it. He originally thought that Lao Guo would ask her to help him more, but now it seems that the new dean is capable enough.

Qi Damin, on the other hand, felt that something was wrong, and turned around to think about how to report to his master, how to deal with the new dean, at least a strategic adjustment was needed.

After the house inspection, when Chen Qi left the Sixth Internal Medicine Department, he intentionally asked the others to leave first, leaving only Qi Damin behind.

This made Qi Damin's heart skip a beat.

As Chen Qi walked slowly towards the depths of the flower bed, he said slowly to the chief of the medical department following behind:

"Chief Qi, we are old acquaintances. During my internship in 1981, you were the chief of the medical department at that time. You helped arrange our internship positions. Eight years have passed in a blink of an eye."

Qi Damin couldn't figure out what kind of medicine the new dean was selling in the gourd, the original intern, so he could only flatter him casually:

"President Chen is young and promising. He became an international dual director in just 8 years. The president of the People's Hospital and a deputy director-level cadre are definitely the youngest directors of tertiary hospitals in China. All of us learned from it." A role model, hehehe."

"Chief Na Qi, there is an opportunity in front of you now. There is a vacancy for the director of Yuezhong ENT Hospital. Are you interested?"

Facing Chen Qi's direct attack, Qi Damin's heart skipped a beat.

Although the Yuezhong ENT Hospital is a specialized hospital, the scale of the hospital is small, and the level is only at the departmental level, but it is the director, the leader who has the final say.

This had to make Qi Damin very excited, he was in doubt for a while, what kind of tricks was this Chen Qi playing?