No one interceded for Jiang Aiguo. Everyone watched Jiang Aiguo being taken away by people from the security department.

Jiang Aiguo is also the first employee in the history of the People's Hospital to be taken away by the security department of the hospital. Now it is no longer a question of whether he can keep his job, but a matter of possible criminal offenses.

500 US dollars was enough for Jiang Aiguo to have a drink.

Even Lan Lijuan didn't even raise her eyelids and didn't intercede for her old classmate.

When Chen Qi was assigned after graduation, he was assigned by the Jiang family to the most remote Huangtan Mountain District in the city. He went to the People's Hospital under his own name. The two sides were already bitter enemies.

The Jiang family clearly wanted to kill Chen Qi. This matter was not news to the upper echelons of the health system.

Lan Lijuan watched with her own eyes as Chen Qi bought building materials, built his own house and built an operating room step by step. She also personally begged her grandfather and grandmother to get a batch of second-hand surgical instruments, so that the surgery was established.

If Chen Qi feels a little discouraged in the middle, then he must still be eating cornbread in Huangtan Mountain today.

It was impossible to say that Lan Lijuan was not angry when her husband suffered such unfair treatment.

So regardless of whether you are an old classmate or not, Chen Qi’s enemy is her Lan Lijuan’s enemy, so she has no intention of interceding for Jiang Aiguo.

Seeing that the atmosphere at the scene had cooled down, Hong Tianxing quickly smoothed things over:

"Everyone has dispersed. What's there to see? The dean is here for a formal inspection today, so everyone should cheer up."

Only then did everyone come back to their senses from the scene where Jiang Aiguo had just been taken away, and they all ran back to their jobs, scared like chickens.

Can it not be scary? Just send an employee to the security department. This dean is too scary, even scarier than the original dean Guo.

Chen Qi has returned to his smiling face.

"Yes, everyone, work hard and don't be as half-hearted as Jiang Aiguo. I will still ask questions later, and I will be embarrassed if I can't answer them."

As soon as Chen Qi said these words, a group of young doctors were so frightened that they trembled.

Who are the top academic doctors to come to the imaging department? Half of them here are graduates of imaging majors from medical schools, and the other half are graduates of clinical majors.

Now that Chen Qi said he wants to continue asking questions, will he be called to the security department if he can't answer?

Many young doctors are already calling daddy to save me.

Chen Qi began to inspect the imaging department.

Lan Lijuan has already taken Lu Zhaodi, who has a minor illness, to start the examination.

By the time Chen Qi finished his walk and came to the X-ray room, the film had already been developed.

In front of the film reader, Chen Qi knew at a glance that his previous guess was correct, because a "bird's beak sign" clearly appeared on the film.

The so-called bird's beak sign is caused by the dilation of the esophageal lumen after swallowing barium and the obstruction of barium passage. The normal peristaltic wave in the middle and lower esophagus disappears, and the distal end gradually becomes thinner, showing a bird's beak-like change.

If the beak sign appears in the gastrointestinal area, it may be sigmoid volvulus, congenital hypertrophic pyloric stenosis and other diseases.

But if it appears in the esophagus, the most likely disease is achalasia.

"Achalasia?"

Upon hearing Chen Qi's diagnosis, both the gastroenterology and imaging doctors at the scene felt strange because they had never heard of this disease.

Chen Qi has already looked through the internal medicine book, and there is indeed no introduction to this disease in the book. It is understandable that everyone does not know about it.

They didn’t understand, but Chen Qi understood, so he introduced:

"Achalasia of the cardia, the English name is achalasia ofcardia, is already mentioned in foreign textbooks, and the principle is very simple.

It is a disease in which esophageal dysfunction is caused by neuromuscular dysfunction in the esophageal cardia, causing the lower esophageal sphincter to relax incompletely, causing food to be unable to pass smoothly and be retained, thereby gradually reducing esophageal tension, peristalsis and esophageal dilation.

Its main characteristics are lack of peristalsis in the esophagus, high pressure in the lower esophageal sphincter and weakened relaxation response to swallowing movements. Clinical manifestations include dysphagia, retrosternal pain, and food regurgitation.

Gastroenterology comrades, do you think this disease is the same as gastroesophageal reflux disease? The clinical symptoms are the same, even the weight loss of the patients is exactly the same, and they all show symptoms of vomiting after eating.

The clinical symptoms are indeed similar, but the causes are completely different. One is that the cardia is too loose, and the other is that the cardia is too tight, so the treatment methods are also completely different."

Lan Lijuan looked at the film thoughtfully:

"How should this situation be treated? The last gastroesophageal reflux disease was caused by the cardia being too loose, so you had a fundoplication to increase the pressure on the cardia.

So Lu Zhaodi's current disease is due to the inability of the lower esophageal sphincter to relax. Is it possible to interfere with the sphincter to relax the muscles and finally relieve the obstruction of the cardiac region caused by tight muscles?"

Chen Qi clapped his hands:

"Thanks to my Lijuan, you are right to the point. The mainstream treatments in the world now are endoscopic balloon dilation and stent implantation, endoscopic injection of botulinum toxin type A and endoscopic microwave incision.

and three methods of sclerotherapy injection.

However, these three methods treat the symptoms rather than the root cause and do not fundamentally solve the problem of muscle tightness. Therefore, patients often fail to recover and will relapse after a period of time.

There is another more direct method, which is to use traditional surgery and perform a myocardial myotomy, which is to cut off all the muscles. This relieves the problem of muscle tightness and eliminates cardiac obstruction.

.

But this surgery also has a very big side effect, that is, your cardiac cardia is too tight. After the surgery, the muscle function in the cardiac area is completely lost, causing the cardiac cardia to be too loose again, aggravating the occurrence of esophageal reflux disease.

."

Ma Xiaona next to her whispered:

"What can we do? This won't work, that won't work either, it won't work if it's too tight, it won't work if it's too loose. It's troublesome not to have surgery, and it's even more troublesome to have surgery. Isn't it possible that Lu Zhaodi can't be cured?"

Knowing a husband is better than a wife, Lan Lijuan glanced at her proud husband, smiled and said to Ma Xiaona:

"That's not necessarily true. Your old classmate doesn't know this yet. He must have a good idea before he comes to teach us this lesson. If he doesn't know how to treat it, he won't take over this patient at all. This guy is bad."

Ma Xiaona looked at Chen Qi suspiciously, then nodded firmly:

"Lijuan, I think you are right. Your Dean Chen just has his legs crossed, a cigarette in his mouth, and a look on his face like everyone is coming to ask me."

Having said this, Ma Xiaona whispered in Lan Lijuan's ear: "I'm so sorry!"

When Lan Lijuan heard this, she burst into laughter.

Chen Qi was unhappy: "Hey, hey, Ma Xiaona, I respect you as a man. If you have the ability, you can tell me in front of the dean. What's the point of whispering?"

Ma Xiaona snorted: "I'm not a man to begin with."

As a result, Hong Tianxing next to him couldn't help it:

"Dean Chen, do you really have a way to treat this achalasia? Since endoscopy and surgery can't work, what other methods are there?"

So flattering.

Dean Chen gave Chief Hong a thumbs up in his heart. Next time, the deputy dean can be chosen to focus on this senior from the Health School.

"No, no, no, if you want to have few side effects, have a quick recovery, and have a definite curative effect, treating both the symptoms and the root cause, then of course you have to undergo endoscopic surgery."

Ma Xiaona's eyes lit up: "Hi, Chen Qi... Dean, do you have any new techniques?"

Just as Chen Qi was about to answer, Director Liu Huichun from the hospital office broke in:

"Dean Chen, you are here. The visiting delegation from Zhongshan Hospital has arrived. Guo Shuji is already waiting for you. Please hurry over."

"Okay, I'll be there right away."

Other visiting groups usually arrive in the morning and leave in the afternoon. Everyone has a meal in between and picks up some local souvenirs before leaving.

There is nothing we can do about why Zhongshan Hospital arrives in the afternoon, because at this time, there are only two trains a day from Shanghai City to Yuezhong City, one local train and one express train.

Express trains generally only stop at county-level railway stations. They depart from Shanghai in the morning. The old locomotive is used to burn firewood, and its speed is only tens of kilometers per hour. It can reach Yuezhong in the afternoon, and the whole journey takes about 7 hours.

The slow train has to stop at every town train station. Within a few minutes of driving, there is a platform. It stops until the end of time, until you doubt your life, and it has to stop temporarily to give way from time to time.

So starting from Shanghai City in the morning, you have to get to Yuezhong City after dark at night, and the whole journey takes 12 hours.

Unlike later generations, the high-speed rail has a speed of more than 350 kilometers per hour, and it only takes more than an hour from Shanghai to Vietnam.

Seeing that Chen Qi was about to leave, Hong Tianxing suddenly grabbed him and said with a smile:

"Dean Chen, look at this, achalasia has not yet been included in textbooks in China, and you also said that barium meal X-rays are a new auxiliary examination, so can our imaging department set up a research group on this disease?

?"

"Hey, Senior Brother Hong, you are very discerning. This suggestion is good, but I think it can be expanded a bit. Director Lan is also here. You two departments can work together on this achalasia topic. I will handle the treatment.

Then the three of us can complete several international-level papers."

Chen Qi is now more satisfied with Hong Tianxing.

Taking the initiative to ask for research projects and participating in medical papers is in line with Chen Qi's requirements for a "teaching hospital".

His constant requirement is that doctors should not only be able to see patients, but also be able to do scientific research. Not only should you be able to treat, but you should also know why you treat the way you do? Can you draw inferences from one example?

In this way, individual doctors can make progress, and the hospital can also make rapid progress.

Lan Lijuan was very stressed after hearing this, because Chen Qi had already given him several new projects.

For example, the "Refractory Gastroesophageal Reflux Disease Research Group", "Fundoplication Surgery to Treat Reflux Disease and Hiatal Hernia", and now there is "Achalasia", and there is also a Helicobacter pylori research group.

Not completely finished.

With so many research groups entrusted to her, Lan Lijuan felt that the task was too arduous even with her head and six arms.

Other doctors are troubled by not being able to find good topics, but Lan Lijuan is troubled by having too many topics. How can this be justified?

But fortunately, she is an iron lady. She will probably have to work overtime on research again, and she will not be able to take care of her family.

But it’s not possible to do it this way. If you don’t do research, then the research results will belong to doctors from other countries, and you are not the only one doing research. What a pity.
To be continued...