Zhongshan Hospital is actually an affiliated hospital of Fudan University. Its comprehensive strength ranks among the top three in the country and is a top tertiary hospital in the country.

Such top hospitals are often superior. For example, the Vietnam-China People's Hospital wants to arrange for doctors to go to Zhongshan Hospital for further training. This is a once-in-a-century event, and it is almost impossible to have such an opportunity.

Another example is that the Vietnam-China People's Hospital wants to visit Zhongshan Hospital. They won't bother you. At most, they will send a deputy section chief to take you around.

When you go, it can only be considered "study," but when others come, it's called "visiting."

Now that such an awesome hospital has taken the initiative to ask to visit Yuezhong, Chen Qi can't help but be surprised.

"Zhongshan Hospital wants to visit our hospital? Then you are welcome. By the way, did they say which departments they want to visit? Gastroenterology or emergency department?"

In just a few months, these two departments have become famous.

Needless to say, the Department of Gastroenterology, a department with a 2 million US dollar project, has published no less than 5 international papers. It is definitely not bragging to say it is the first in the country.

As for the emergency department, although it is the second one in Haidong Province, it is possible to cause a sensation in Yuezhong City, but it is unlikely that it will become famous outside the province and attract top hospitals in Shanghai and Haizhou to visit.

He Jia opened the notebook, looked at the records on it and said:

"The people who came from Zhongshan Hospital were one of their vice presidents who led the team, and a group of doctors from the Endoscopy Center. They probably came here for your endoscopic fundoplication, Director Chen, right?"

Chen Qi was surprised, "Zhongshan Hospital already has an endoscopy center?"

This incident was beyond Chen Qi's expectation. He knew that gastroenteroscopy had been carried out in China, but he did not know that there were already hospitals in China that carried out endoscopic surgery.

If someone has already carried out endoscopic surgery, then the meaning of setting up a second endoscopic center in Vietnam will be half the meaning. After all, people only remember the first sentence and are unlikely to remember the second one.

From a hype point of view, it is very disadvantageous.

(Actually, this is a misunderstanding. This center is just a registered center and does not involve clinical treatment at all.)

However, Chen Qi thought again, he hadn’t established an endoscopy center yet, so people just came to visit it, and his level was probably limited. Otherwise, it would have been the other way around, and the Yuezhong People’s Hospital would have gone to Shanghai to visit it.<

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"Okay, let's give them a warm welcome when they arrive. What are the arrangements for this morning? If I don't have anything else to do, I'll go to the emergency department."

"There's something going on. Director Chen, you have two meetings in the morning. One is the hospital quality control inspection meeting, and the other is the nursing department's summary and commendation meeting."

Chen Qi exhaled helplessly:

"Oh, I know that being a bad dean requires you to hold meetings every day. It seems that we need to reform. From now on, we can't hold meetings all the time when there is nothing to do. Doctors are there to see patients, and meetings are not a waste of time."

He Jia quietly stuck out her tongue and ran away.

Chen Qi, who had been meeting for a long time, met his wife in the lunch canteen, so he kindly asked:

"The little girl I brought here this morning, her name is Lu Zhaodi. What do you suspect is the problem?"

Lan Lijuan joked:

"Of course, the patients brought by Dean Chen should be taken seriously. We have done a gastroscopy in the morning and found that the body of the esophagus is dilated and twisted to varying degrees. The cardia is very narrow and will soon be in a state of total atresia. The condition is still

It’s quite critical.”

"Is there something wrong with the cardiac cardia again? Last time, the Wu Agou had a cardiac cardia that was too loose. This little girl's cardiac cardia was too tight, causing obstruction. Is that what you mean?"

As mentioned before, the cardia is the junction of the esophagus and the stomach.

The stomach is equivalent to a bag with two openings, the upper and lower openings. The cardia is the upper opening and the pylorus is the lower opening.

If the cardia is too loose, the contents of the stomach, such as gastric acid, will flow back up to the esophageal cavity and even the lungs. This is called esophageal reflux disease.

But if the cardia is too tight, the food that the person eats will pass through the esophagus and then be blocked above the cardia, causing obstruction.

Therefore, the cardia cannot be too loose or too tight. It needs to be relaxed appropriately.

Lan Lijuan continued to explain while cooking:

"Yes, but we haven't found out yet why the cardia becomes narrow and is about to be blocked. Maybe this is another case of difficult and complicated disease."

What doctors like most is this kind of disease for which the cause cannot be found. Because it is difficult, it is challenging. Maybe you can set up a project and write a paper or something.

Cardia stenosis?

Chen Qi passed another article in his mind and thought of a common disease: achalasia.

It may not be right to say that it is common, because among the general population in China, there are only about 2 or 3 achalasia patients out of 100,000 people. In Europe and the United States, it is more common, usually one in 10,000.

But for a department of gastroenterology, achalasia accounts for about 10 to 20% of esophageal diseases, which can be called a common disease.

Clinical manifestations include intermittent food stagnation, sense of obstruction, non-progressive dysphagia, retrosternal pain, esophageal reflux and other symptoms.

Is it because I have difficulty swallowing, so I can only eat slowly and eat liquids, but I can’t eat well.

These days, there is no good milk powder to eat, and there are no nutritional shots. Therefore, as the disease progresses and the patient cannot eat normally for a long time, it will lead to symptoms such as malnutrition and vitamin deficiency.

Lu Zhaodi’s child vomits whatever he eats, and the gastroscopy shows cardia stenosis, which seems to be a perfect match for the clinical manifestations of achalasia.

However, achalasia, a common disease among doctors in later generations, was a rare disease for doctors in the 1980s.

After all, there are too few auxiliary examinations in this era, and many diseases cannot be verified. It is even a question whether achalasia has been written into textbooks. (I have to read the book again)

So Chen Qi decided to mention his wife:

"I will do a barium meal examination on this child later, and then do an esophageal pressure measurement. Forget it, I have nothing to do in the afternoon anyway, so I just went to the imaging department for an inspection. I will do the barium meal myself."

Lan Lijuan's eating movements slowed down a bit: "Do you have any guesses in your mind about what kind of disease it might be?"

"I suspect there is something wrong with the circular sphincter at the lower end of the esophagus. The specific details will depend on the test results."

"If this is what you said, can this disease be cured?"

"It may be easy to treat, or difficult to treat. Medical treatment can only be an auxiliary treatment, but if traditional surgical methods are used, the side effects will be very serious. Your husband also knows endoscopic surgery, don't worry."
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"Okay, I will go to the imaging department with you in the afternoon. I also want to study hard."

"Well, my wife is good at learning, and my husband comforts her very much."

"Get out!"

"Okay~~~ Do you want to add soup? Why is it that the cafeteria always makes vegetable soup? It hasn't changed for thousands of years?"

Chen Qi felt a little sorry for his wife. When Lan Lijuan was in school, in order to save subsidies, she had white rice and free vegetable soup every day. After five years of medical school, she really vomited.

Therefore, after the two got married and started a family, the Chen family never prepared dried vegetable soup.

As a result, the free soup in the cafeteria of the People's Hospital has always been dried vegetable soup. Although Lan Lijuan never said anything, she never touched it.

Chen Qi stood up and looked around, obviously looking for someone, and the smart little doctor next to him stood up:

"Dean Chen, who are you looking for? I'll call him for you."

"Call Li Jianqiang, the chief of the General Affairs Section."

Li Jianqiang was also eating in the cafeteria. As soon as he heard the dean's call, he put down his kuaizi and rushed over without daring to delay at all.

"Dean, are you looking for me?"

"Hey, Lao Wang, please tell the cafeteria that the free soup should be changed. Everyone is tired of drinking the dried bamboo shoot soup every day. They can serve anything from seaweed soup with shrimp skin to tomato and egg soup."

Section Chief Wang sweated after hearing this, but he also complained in his heart that you didn't want to open a small stove for your dean, but now you dislike the poor quality of the dishes.

However, even though I scold him in my heart, I still have to obey on the surface:

"Okay, I'll keep this in mind and I'll make adjustments tomorrow. Don't worry, Dean."

Only then did Chen Qi pat the veteran section chief on the shoulder:

"Okay, I'll leave this matter to you. You, the general manager, usually take the initiative in your work. If you find problems, you should rectify them as soon as possible. Don't wait for employees to put forward their opinions. This will make both parties unhappy. Are you right?"

"Yes, yes, Dean Chen is right in his criticism. I will definitely take the initiative and inspect every day!"

After Li Qiang left, Chen Qi continued to sit down to eat. Lan Lijuan next to her was still very moved, thinking that her husband still remembered what she didn't like to eat.

"Thank you, Dean Chen. I will finally stop making vegetable soup from now on."

"Thank you for nothing. I am also looking for an opportunity to hammer this Li Jianqiang. The section chief has been working for too long. He sits in the office all day and has no enthusiasm for work at all. I will change the director of the clinical department when the time comes.

It’s a cramp for the administrative department.”

2 p.m.

The junior doctors in the Department of Gastroenterology pushed the young patient Lu Zhaodi into the Imaging Department. Chen Qi, Chief of the Medical Department Zuo Liwei, and Director of the Department of Gastroenterology Lan Lijuan followed behind, discussing some matters regarding endoscopy.

Hong Tianxing, director of the Imaging Department, stood in the courtyard, waiting for the dean's arrival.

"Dean Chen, this is your first official visit to our imaging department since you took office. Welcome."

Chen Qi said with a smile:

"Hey, Senior Brother Hong is accusing me of not paying attention to the imaging department. This is really unjust. Look, I have bought two CT machines for our imaging department. They are ranked among the best in the country. You can't say that again.

I spoke ill of you."

"Hahaha, whoever says bad things will not be me, Lao Hong, who says bad things about you. Let's go, comrades are all waiting for you."

Hong Tianxing and Chen Qi have a very good relationship. On the first day of Chen Qi's internship at the People's Hospital, he accidentally discovered a skull base fracture that looked like a panda's eye in the corridor, so the two even collaborated on a paper.

When Chen Qi came to be the dean of the People's Hospital, Hong Tianxing was also a staunch supporter and helped Chen Qi gain votes and popularity in the auxiliary departments.

So the two of them met and joked. This kind of treatment is not just for everyone. The dean must maintain his dignity at all times, especially a young dean like Chen Qi, otherwise he will really be unable to control the situation.
To be continued...