Chen Qi performs endoscopic surgery, which takes about 50 minutes on average.

At the end of the morning, five operations were completed easily. Chen Qi showed these American colleagues what "Chinese speed" means.

When the foreigners were having lunch, their mentality was actually broken. Many people were sitting in twos and threes and talking softly:

"John, are you surprised? This is how endoscopic surgery can be done?"

"I'm not surprised, I'm just scared. I feel like I've learned a lot of shit after studying endoscopy for so many years."

"It seems that things are going to change in the future. The United States is no longer the most developed country in endoscopic surgery. This is so frustrating."

"It seems that this amazing Chen's mentor is so awesome. It would be great if I could also become his student."

"Who says it's not? This level is better than Professor Bradrick's."

"Keep your voice down, idiot!"

Compared with the surprised, unwilling and shocked moods of other doctors, Professor Grace, who is the president of the World Society of Gastroenterology and Histology, feels much more complicated.

On the one hand, as the leader of an international medical organization, he should be happy to see the success of new technologies and procedures for gastrointestinal diseases invented around the world, and actively promote them.
p>

But on the other hand, as a white man and a top doctor in the United States, Professor Grace originally had a very strong sense of superiority in his heart, but now this sense of superiority is gone.

What was the Chinese medical community in the past? They were all low-end existences that would never catch his eye when he looked up.

Every time WGO holds a conference, when those Chinese doctors see him, they all nod and bow, showing as much humility as they need.

But Professor Grace takes this for granted, even meeting doctors from third world countries and giving them a few words is a gift.

As a result, a young doctor from China gave him a hard slap today.

Medicine is the same as competitive sports, the first place is the first place, the second place is the second place, there is no middle ground.

Chen Qi can do surgeries that others cannot do, and he is No. 1.

Even if Grace is the president of the WGO organization, an academician of the National Academy of Sciences, the dean of the Duke University Medical Center, the director of the gastroenterology department, a senior professor, and a series of other positions or titles.

But if he cannot perform such complicated endoscopic surgery, then he can never say that he is the best doctor in the field of gastroenterology.

Professor Grace never dreamed that he would be defeated by a young doctor.

Of course, he is not a petty person. As the president of WGO, he has a bigger picture. After all, he is not the president of the American College of Gastroenterology.

Therefore, Professor Grace did not intend to attack Chen Qi. He would affirm Chen Qi's achievements with tears in his eyes. Who said that his bounden duty is to promote the development of gastrointestinal medicine? This is a professional ethics.

Compared with Professor Grace's inner sadness, Professor Bradrick from Sid Sinai Medical Center is thinking about his baby.

He had repeatedly studied Chen Qi's surgical video tapes in the United States before, and he also saw the entire process of Chen Qi's surgery with his own eyes this morning.

For a senior doctor like Professor Bradrick who has been engaged in gastrointestinal specialties for more than 20 years, POEM surgery does not seem to be that difficult.

If...

If Bradrick himself also learned poetry and tunneling techniques, would the Hollywood tycoon's huge bounty be able to keep the money from going to outsiders?

The possible reward of millions of dollars, even if Bradrick himself is a top doctor, is still full of temptation.

Who doesn't like money?

Thinking of this, Professor Bradrick coughed a few times and pretended to be dignified and suggested:

"Chen, the POEM surgery you invented is so powerful. You also know that I came all the way to China just to learn this new technology. Do you think you can let me try a POEM surgery this afternoon?

”

As soon as Professor Bradrick finished speaking, Professor Grace next to him gave him a meaningful look.

But obviously Chen Qi still lacks experience in the world of martial arts and has never seen the insidiousness of Americans. He thought he could help this foreign colleague purely from the perspective of promoting medical technology.

Another important reason that did not arouse Chen Qi's vigilance was that the poetry technique was plagiarized to him, so he did not cherish it that much.

"Mr. Professor, do you mean that you want to perform an endoscopic surgery for achalasia yourself?"

"Yes, Chen, I want your permission. I can do it under your guidance."

Seeing that the professor from the National University of America spoke so modestly, Chen Qi shrugged and said indifferently:

"Okay, this is not a problem. I will leave the surgery to you this afternoon."

Professor Bradrick saw that Chen Qi took the bait so easily. He was excited and nervous for a moment, and he was eager to try. At the same time, he was a little happy inside.

In the afternoon, in the operating room, the patient was already under general anesthesia.

Professor Bradrick held the endoscope operating handle and slowly inserted the gastroscope catheter into the patient's mouth until it reached the esophagus.

Then he followed Chen Qi's technique and injected saline under the mucosa 10cm above the cardia, and then incised the mucosal layer longitudinally. Up to this point, Professor Bradrick had done it very steadily.<

/p>

To become one of the most famous gastroenterologists in the United States is because of two skills.

Then the "tunnel opening" begins. In this step, the doctor needs to separate the esophageal submucosa and muscularis.

This separation is completely dependent on the surgeon operating the gastroscope operating rod and using a hook knife to cut off or melt away the submucosal tissue, so that there is no connection between the mucosal layer and the proper muscle, and a tunnel is formed.
p>

It is equivalent to making a long hole in the wall of the esophagus.

This process seems simple, but for a doctor who has not practiced, the brain understands it, but the hands may not understand it.

Surgical medical operations require millions of trainings to be performed, which is an important reason why medicine is called "empirical medicine".

After Professor Bradrick successfully completed the first few steps, he felt that this operation was nothing more than that. After explaining the principle, it was actually quite simple, so he became a little confused for a while.

I was even in the mood to joke with the doctor next to me. At this time, if nothing else, an accident occurred.

When Professor Bradrick was manipulating the hook knife to dig the tunnel, he failed to master the strength. When he pushed down with a little force, the muscular layer and adventitia of the esophageal wall were opened at once.

.

It was too late for Chen Qi to stop him.

Esophageal perforation.

"Hiss~~~"

"Oh God~~~"

The onlookers were all doctors from the Department of Gastroenterology, and they all took a breath of air. This esophageal perforation is no joke. If you don't do it right, you will die.

Professor Bradrick was stunned on the spot. He even forgot to retract the gastroscope and kept it perforated.

Professor Grace's face suddenly darkened and he cursed: "Idiot, you have caused great harm to an innocent patient."

This old white man is really angry, because he knows Bradrick’s little thoughts, and now that his operation failed, this makes Professor Grace very angry.

There is an important principle in medical ethics, which is the principle of "do no harm".

If the American media knew that this well-known doctor at Sid Sinai Medical Center was using patients as experiments, not treating patients as human beings, and even piercing his esophagus, he would be sprayed until he could no longer take care of himself.

Professor Bradrick came here on behalf of the WGO organization this time. When outsiders and the media knew about it, the WGO organization was criticized and criticized.

The older the doctor, the less courageous he is.

Chen Qi had no time to blame the American doctor for his three-legged cat kung fu.

Now this patient is nominally his, Chen Qi's, surgeon. People trust him, Chen Qi, and that's why they waited so many days for all the foreign doctors to arrive before doing this teaching surgery.

As a result, my achalasia was not cured, but instead I suffered an esophageal perforation. How can I explain this?

After Professor Bradrick was pushed away by Chen Qi, he knew that he was in trouble. As a gastroenterologist, he also knew the dangers of esophageal perforation.

In particular, the POEM surgery involves making a hole in the esophagus. Once the hole is made, the outside and the inside are connected, which becomes a "fistula", which is also known as an esophageal fistula.

That is even more dangerous.

"Chen, I'm sorry, I didn't know it would be pierced."

Professor Bradrick apologized profusely and was completely panicked. If this kind of medical accident happened in the United States, he would not be able to get it back without millions of dollars in a lawsuit.

It may also cause huge reputational damage to his career.

Chen Qi did not mean to blame the American doctor. An accident occurred during the operation, which is a normal thing in clinical practice. Moreover, this was the first time for the American professor to perform POEM surgery.

But how to solve this esophageal perforation has become the top priority.

Fortunately, in order to welcome department leaders and foreign friends, all staff of the People's Hospital have to go to work these days and are on standby.

So Chen Qi yelled:

"Head nurse, please call Guo Shuji and Director Zhu of the Department of Surgery and ask them to come to the operating room immediately. There is a patient with esophageal perforation who needs thoracotomy immediately."

"Okay, Dean Chen!"

The head nurse in the operating room was relatively experienced. Seeing that the director rarely shouted at anyone, he knew that these foreign doctors might have messed up the endoscopic surgery and might cause serious harm to the patient, so he ran to the office in two steps.

In less than 5 minutes, Lao Guo’s loud voice came from outside:

"What's going on? What's going on? Chen Qi, you brat, I've told you to take this reception seriously. Why are you making such a fuss? Why did you perforate someone's food for no reason?

?"
To be continued...