Since 1981 Health School

The main component of ketamine is ketamine hydrochloride, which has analgesic effect and is an intravenous general anesthetic, which can usually be used for anesthesia before minor operations.

If it wasn't for the fear of the patient being harmed, Chen Qi really wanted to fight poison with poison, and simply poison the cobra to death.

I don't know if the poisonous snake on the display is suffering from being stuck in the head, or is struggling with too much pain in the stomach acid environment, but it twists very badly anyway.

Those who are not afraid of snakes don't know, and those who are afraid of snakes are the most afraid to watch snakes wriggling. If someone touches Chen Qi's skin at this time, they will find that it is covered with goose bumps.

The clear and calm look on his face is all a fucking fake, in order to maintain the demeanor of a people's teacher.

The anesthesiologist quickly took the ketamine needle, Chen Qi put it into a special syringe, and the needle on the top of the gastroscope began to pierce the poisonous snake.

Where is the cobra so easy to pierce? They are not big sows, they can get injections with their eyes closed.

Snake animals are not slippery, and there is a thick layer of scales on the body surface, and the poisonous snake is still twisting and twisting and cannot be fixed.

So Chen Qi kept poking with the needle like Mammy Rong, poking, poking, but he couldn't get the poisonous snake, or the needle slipped away after being poked.

This made the operation next to me so anxious, everyone wished they could go forward and give the poisonous snake an injection, and they all complained in their hearts that their dean was stupid enough.

Zhu Jianwei, a postgraduate student, is from the mountains of Guizhou. He has been dealing with snakes since he was a child. He is not afraid of these cold-blooded animals, and he also knows the anatomy of snakes very well.

When he saw that his teacher couldn't hit the poisonous snake after working for a long time, he became anxious:

"Mr. Chen, you can't pierce the snake with such a short needle. You can either pierce the snake's mouth or the snake's anus. These two places are the weakest."

Snake anus?

The surgeon and the doctors next to him were all confused. What the hell is the snake's anus? where? What does it look like?

Zhu Jianwei looked confused when he saw the big eyes, so he quickly said to the screen:

"Look here, at the tail end of the snake, are there a few large scales here? Below this scale is the anus?"

Chen Qi and other students moved closer to the display screen. The display screen in this era is a picture tube TV, and the definition is not high. In addition, the poisonous snake is twisting and turning, and everyone is lonely watching it.

Zhu Jianwei was in a hurry: "That's it, that's it. You can't see such a big anus. I can see the scales lifted just now."

"Where? Is this it?"

"No, no!"

"here?"

"Oh, you are so stupid! Oh, Teacher Chen, I didn't mean you!"

Chen Qi was about to vomit blood at this time, so he directly handed the gastroscope operating handle to Zhu Jianwei:

"Come on, come on, do what you want, leave professional matters to professional people, you old cousin from Guizhou knows poisonous snakes better, come and give it an anal injection, oh my god, I'm so exhausted, my eyes are blurred .”

Zhu Jianwei did not refuse. He has been practicing endoscopic surgery for half a year, and there is absolutely no problem with basic skills.

Those doctors in the later generations went to higher-level hospitals to study gastroscopy, and it took half a year or a year at most. Before students like Chen Qi, each had an endoscope and let them practice day and night, they could leave Xinshou Village long ago.

So after Zhu Jianwei took over the handle, he immediately laughed:

"Thank you Teacher Chen for the opportunity!"

Guan Zelong patted his thigh: "Damn, let Jianwei get the first chance to perform surgery."

The students all laughed, although there was a little envy, but they wouldn't be so jealous that their eyes turned red. The workplace drama is quite far away from these students.

After Zhu Jianwei took the handle of the endoscope, his eyes were fixed on the display screen, and the needle was ready to be fired at any time.

Just when the viper twisted around and the scales lifted to expose the gap in the anus, Zhu Jianwei moved quickly and directly inserted the needle into the anus of the viper, and then quickly pushed the anesthetic in.

"Mr. Chen, how much is the anesthetic to push in?"

"Push it all out, not a drop left."

Seeing his teacher gnashing his teeth, Zhu Jianwei thought he was fighting for the patient, so he "violently" injected all the anesthesia into the snake's body.

"Good~~~"

Seeing that the anesthesia needle was finally injected, there was a burst of applause both inside and outside the operating room.

Zhu Jianwei proudly wanted to return the handle to Chen Qi, and Chen Qi waved his hand:

"You did a good job. Today's endoscopic surgery is simple and simple. I will guide you and you will be the chief surgeon."

Zhu Jianwei was stunned for a moment, then exulted: "Thank you, Teacher Chen, thank you, Teacher Chen."

Now the other students in the master's class are really a little jealous. This is a great thing to show their faces in front of professors and doctors, and they are also the first among their classmates to perform endoscopic surgery.

Who would remember the second highest mountain in the world?

In the end it was a snake. An adult's dose of anesthesia injection went in, and it stopped moving after a while. I don't know if it was dead or drunk.

The master students didn’t dare to talk much when the teacher was performing the operation. Now it’s not the classmates who are doing the surgery, so they all started to become chatterboxes, constantly urging:

"Old Zhu, hurry up, the snake is no longer moving, pull it out quickly!"

"I can't pull it out, this snake house is too fragile, and the endoscopic forceps can't hold it!"

"If you cut it into pieces, you still have to take it out piece by piece."

The classmates were chattering, making Zhu Jianwei's head hurt from the noise. After all, he is a rookie and he has no experience.

At this time, Chen Qi silently took out a special ferrule for endoscopy, "Use this!"

There is a condom, but it doesn't mean that this operation can be easily solved, and now I have another headache.

The snake did not move, and the ferrule was inserted through the tail of the snake. However, due to the limitation of the endoscope, the ferrule could not be tightened. Therefore, if the surgeon applied a little force, the ferrule would loosen and the snake could not be pulled out.

More importantly, the snake's head was stuck by the pylorus, and the snake's head couldn't be pulled out.

what to do?

Master students, you look at me, I look at you, and then look at the great professor Chen Qi together.

There was also a lot of discussion in the multimedia classroom, especially after seeing the ferrule kept slipping, they had lost confidence in endoscopic surgery.

Zhu Huoyan also signaled his assistant to prepare the operating room as soon as possible. The doctor will carry out disinfection work in advance and take over the operation at any time.

Chen Qi blinked: "Why are you all looking at me? Continue!"

Zhu Jianwei's face was as red as a monkey's ass: "Mr. Chen, I, I can't pull it out. The snake's head is stuck to death by the pylorus."

Chen Qi seductively said: "The pyloric circular muscle spasms and contracted rigidly. What would you do if you were a doctor?"

Jin Meng was the first to answer: "First, you should relieve the spasm and relieve muscle tension."

Chen Qi asked back: "Then how can I relieve the spasm?"

Teng Yuqin raised her hand: "I know, I know, you can use the 654-2 needle first."

Chen Qi shook his eyebrows: "It seems that you all know it, why can't you use it flexibly? Hurry up and take medicine."

654-2, also known as anisodamine, has obvious peripheral anticholinergic effect, can resist the contraction of intestinal and bladder smooth muscle and blood pressure drop caused by acetylcholine, and can reduce intestinal tension in vivo, and the strength of action is similar to that of atropine.

The nurse quickly brought out the 654-2 needle, and Zhu Jianwei quickly hit the circular muscle next to the pylorus, and the effect came out very quickly.

In less than 10 minutes, the pyloric muscle relaxes.

Chen Qi reminded again: "Just put the ferrule in the direction of the snake's head, yes, put it on a little bit, move it back a little bit, move it a little bit..."

Zhu Jianwei has been doing it for a long time, and the cold sweat that is visible to the naked eye has come down:

"Mr. Chen, it can't be done. The snake's scales are all along the line. Now I want to reverse the car, and the scales have turned into reverse scales. I can't pull them out."

Many doctors in the multimedia classroom are discussing:

"Look, I said that there are snake scales, and you can't pull them out if you pull them upside down."

"The head of the snake is also a bit thicker, and the muscles are not completely relaxed yet, so it is a bit difficult to pull it out."

"The endoscope is still limited. You can see the snake, but you can't get it out."

Chen Qi turned around in the operating room, and then said to a glass bottle on the shelf:

"Bring the brown bottle here."

Jin Meng reacted quickly, ran over immediately, and looked at the label, his eyes lit up instantly.

Chen Qi wanted to say something, but when he saw Jin Meng's appearance, he knew that the little girl had guessed her intentions, so he smiled and nodded.

Jin Meng gave the brown bottle to Zhu Jianwei:

"Zhu Jianwei, you are so stupid. You don't know how to adapt it. The snake's head is thick and big, and its neck is narrow here, which makes it stuck there and cannot move. Adding the barbs on the snake scales increases the friction, so we want to There is a way to reduce the friction force, here, this is a lubricant, after using it, you can enter and exit freely.”

oh~~~~

Only then did the master students suddenly realize: "Ah, why didn't we think of it, it has to be Teacher Chen."

Chen Qi raised his hands and smiled brighter than a chrysanthemum: "How else can I be your teacher, haha."

The application of lubricant and 654-2 needle quickly solved the two biggest problems.

I saw that Zhu Jianwei really pulled the poisonous snake out of the pylorus centimeter by centimeter.

Just when everyone was watching anxiously, Zhu Jianwei suddenly felt that the resistance in his hand was empty, and the snake's head was completely pulled out of the pylorus.

"Wow, come out, come out~~~"

"Pull it out~~~"

"It's so tight, you must use lubricating oil, and I learned another trick~~~"

"When you dial it out, it will be soft~~~"

"Looks like it won't work without medicine, no wonder Zhu Jianwei is useless~~~"

Chen Qi was shocked, his back was drenched: You fucking better talk about surgery!

The people in the operating room and multimedia classroom also breathed a sigh of relief.

Only the surgeons all looked annoyed: "Oh, there is no room for our surgery, what a pity."

Seeing the excited faces of the master students, Chen Qi also followed suit. Being with young people is a happy mood:

"Okay, now pull out the ferrule, put it on the snake's head, and then pull it out from the cardia, esophagus, and mouth. By the way, take this and keep the lower throat."

After speaking, Chen Qi took out another hollow cylindrical instrument made of plastic.

"This is the pharynx protector. After a while, a snake of this length has to pass through the throat, and there are scales. If it doesn't scratch the throat, then there will be a big problem."

The master students nodded repeatedly, and really felt that their teachers were all-round and careful.

Five minutes later, the Zhoushan cobra that Xue Xiaojuan swallowed was successfully taken out of her mouth.

When the snake was taken out, Chen Qi had already jumped away, pretending to watch the ECG monitor, but in fact he was afraid of snakes to the bone.

"Teacher Chen, come and see, come and see, the poisonous snake has been taken out!"

Zhu Jianwei's first endoscopic surgery was successful. At this time, he was very excited, and he took the cobra that had been dead for a long time and threw it at Chen Qi.

Chen Qi was almost scared out of his wits:

"Don't come here, don't come here, take it away quickly, Amitabha Buddha~~~~"

At this time, the live broadcast in the multimedia classroom was not over yet. When everyone saw that Chen Qi was frightened by a snake and hid and spoke incoherently in Tibetan, they burst into laughter immediately.

There was a burst of warm applause afterwards. Undoubtedly, Yuezhong People's Hospital created another miracle.

Only Xue Xiaojuan's father didn't laugh, he just looked at the screen and kept crying:

"My daughter doesn't have to die, Xiaojuan survived, you are really Bodhisattvas who save the suffering~~~~"

The doctors in Xijing Hospital are always looking at me and you at this time. The "arrogance" of visiting local hospitals in top hospitals before coming to Yuezhong has completely disappeared.

This time in Yuezhong, they really saw what it means to have someone beyond others and a sky beyond the sky.

He also really understood how big the gap is between the top doctors in China and the top doctors in the world. Chen Qi almost hit Xijing Hospital in all directions.

The only thing that made them feel ashamed was that there was only one doctor in Yuezhong Hospital, Chen Qi, who was strong, while Xijing Hospital was strong in all departments.

But with Chen Qi as a freak, how long can Xijing Hospital maintain this leading edge? At least the discipline of gastroenterology has been completely beaten.

The next day, a group of people from Xijing Hospital and the family of patient Yu Sisi were also preparing to return to Xi'an.

At the farewell station, Professor Tong patted Chen Qi on the shoulder heavily, and said with a smile:

"Xiao Chen, not bad, I hope that in the days to come, you will continue to win glory for our country's medical and health sector in the world, and let them see that it is not developed countries in Europe and the United States that can train top doctors and break their monopoly !"

Chen Qi patted his chest: "Professor Tong, don't worry, I will not only take the lead in gastroenterology, but also do things in other disciplines if I have the opportunity in the future."

Before boarding the train, Zhou Qifa and Liang Jingwen also came to shake hands with Chen Qi:

"Dean Chen, we are right to come to Yuezhong this time. No, we took two subjects with us before we left. We are also in your favor."

"It's easy to say, I hope you will take care of my employees."

Chen Qi decided to send 10 young doctors from various departments to Xijing Hospital for a one-year study.

At the same time, the two sides are also planning to carry out cooperation on two topics, "Abdominal Pain of Epilepsy" and "Abdominal Pain of Myocardial Infarction" in Xijing Hospital, and will publish papers signed by the two hospitals in the future.

This is also part of Chen Qi's plan, to send doctors from Yuezhong Hospital to major top hospitals across the country for advanced training as much as possible to learn their advanced clinical techniques.

If it weren't for the fact that most of the employees in the Yuezhong Hospital had graduated from technical secondary schools and could not pass the English test, he would have liked to send the employees abroad for further study.