Professor Tong took the medical record report handed over by Chen Qi, put on his reading glasses and read it for a while, then pursed his lips.

The other doctors from Xijing Hospital nearby didn't dare to say anything after seeing it. Everyone knew that Teacher Tong's mouth was usually closed when he encountered a problem.

Professor Tong handed the medical records to the students behind him:

"You should also take a look and let everyone share their opinions."

Several of Cui Tongzhi's colleagues started talking after seeing this. Because these doctors were obviously from outside the country, why did they suddenly interfere with the patients at the People's Hospital?

Intellectuals are somewhat particular about the "right to privacy".

One of the staff members knew Chen Qi, so he asked softly: "Dean Chen, who are these..."

Chen Qi laughed and joked:

"You are too blind to recognize the truth. This is a great professor at Xijing Hospital. Look at the doctors behind him. They are almost at the level of professors and directors. Just for this Professor Tong's number, you will have to wait for seven days to go to Xijing Hospital.

Qiye’s team won’t be able to win at all.”

The staff member was shocked: "Xijing Hospital? The one in Xi'an? This hospital is awesome."

"Yes, so the great professors are treating you for free today. Do you think Lao Cui is just lucky?"

Several post office staff nodded repeatedly, and then looked expectantly at these professors from the northwest.

As a result, the doctors who came from the northwest had a headache.

Everyone gathered together to study the medical records and then took out all the examination reports. Many doctors even took the initiative to do a physical examination and auscultate the patient's heart and lungs.

The result was nothing.

Doctors generally trust the results of auxiliary examinations.

The diagnoses came out from their mouths one by one, and then were overturned one by one by their colleagues. Everyone's eyebrows were furrowed.

Some people are already complaining: "This Yuezhong is really evil, why are there all these difficult and complicated diseases?"

"Organic diseases can be ruled out. There seems to be no problem with the stomach, pancreas, gallbladder, liver, and spleen at present. The test results do not support that there are lesions in these parts. So, does the problem still lie in the intestines themselves?"

“Could this also be epileptic abdominal pain?”

Chen Qi's performance just now was so amazing. He solved a problem that could not be found in the Gastroenterology Department of Xijing Hospital with just a few details, which is admirable.

Professor Tong also looked at Chen Qi: "Xiao Chen, I see that you are confident. Do you have any ideas for diagnosis and treatment?"

An expert would ask without speaking, do you know what is wrong with him?

This is too difficult. The doctor can only say that he is doubtful...

Just like when Chen Qi diagnosed Yu Sisi's epileptic abdominal pain before, he did not identify it right from the beginning, but verified his diagnosis and treatment ideas based on reasoning.

For example, when he saw the girl's mother's mouth twitching, he thought about the possibility of epilepsy.

If a mother has epilepsy, will the disease be passed on to her children?

If it can be passed on to girls, will epilepsy cause abdominal pain?

If you suspect that the abdominal pain is caused by epilepsy, what tests should be done to verify it? What medications should be taken to treat it?

This set of diagnosis and treatment ideas is just like doing a math problem. The steps are listed one by one, and finally a result is obtained.

Medicine is the same as mathematics. The results are very important, but the process is also very important. During the medical exam, the problem-solving ideas have step-by-step scores just like mathematics.

Explain the process, or the importance of ideas.

This problem-solving process is the "clinical path". As long as the diagnosis and treatment ideas are correct, it can provide other doctors with a brand new clinical path. This is the characteristic of empirical medicine.

Chen Qi asked: "Professor Tong, what do you think?"

"Now we can only do the elimination method. Trauma can be ruled out because there are no relevant records in the medical history. Inflammatory causes such as acute gastroenteritis, coccitis, various perforations and peritonitis, currently there are no relevant records according to the inspection report, so it is possible

Excluded.”

Chen Qi nodded slightly and continued to listen to Professor Tong’s analysis:

"So is it possible that it is secondary pain? The patient's abdominal pain is just a symptom, which means that the real cause is not in the abdomen, but in other surrounding parts. This is also something that everyone ignores."

"Oh, it seems that Professor Tong has the same idea as me."

At this time, Professor Tong lost his temper: "Well, Xiao Chen, let's take a bet and see who can guess correctly which part has the problem."

Chen Qi is not stable by nature, so he became interested when he heard about the bet:

"Okay, let's compete with Professor Tong today. Let's write down the parts we guessed on paper, and then show them to see who is more accurate."

"Okay, it's settled, get a pen and paper."

Both Professor Tong and Chen Qi are mostly joking. Of course, there is also an element of "not giving up" to their peers.

Although Professor Tong Shanggao wants his disciples and disciples to come to Yuezhong to receive some stimulation and lessons, as Liang Wenwen said, do we still want the Xijing Hospital’s reputation?

In the case of Yu Sisi, Xijing Hospital can be said to have lost all face this time. Although the trip to Vietnam and China was a good thing for the patient, because the cause of the disease was found out for her.

But in terms of reputation, if word of this spreads out, the Gastroenterology Department of Xijing Hospital will become a laughing stock in the national health system.

So Professor Tong wanted to use this kind of joke to win back the situation.

Cui Tongzhi's illness can be regarded as a difficult and complicated disease. If Chen Qi guesses wrong, Tong Shanggao guesses correctly based on his decades of experience. It can be regarded as a one-to-one tie.

The face of Xijing Hospital has been somewhat saved.

When they heard that their ancestor was going to make a bet with Chen Qi, the doctors at Xijing Hospital were secretly encouraged and all of them blushed.

The medical staff at the People's Hospital had a confused look on their faces. Even Director Chen, the president of the hospital, had taken action. How could there be any incurable disease?

Anyway, among the more than 1,300 employees of the People's Hospital, except for a certain deputy secretary, almost everyone else is a fan of Chen Qi.

After a while, the little nurse brought a pen and paper. Chen Qi and Professor Tong wrote a random word and handed in the paper.

The two people put the white paper on the desk together, and the people around them eagerly gathered around them, and then made a series of "ooh~~~~" sounds.

I saw that Chen Qi and Professor Tong both wrote one word on the paper: heart

Chen Qi and Professor Tong looked at each other and smiled, saying nothing.

Yi Zewen, the chief of the emergency department, was the first to ask:

"Teachers, why did you answer that there is a heart problem? This is obviously a patient with abdominal pain."

The doctors at Xijing Hospital also had doubts. Except for the veteran Director Liang, Director Zhou was thoughtful and seemed to be reasoning about this possibility.

Cui Tongzhi just had abdominal pain, not dead or unconscious. He was no longer surprised when he heard this answer. Instead, he touched the left side of his chest and was scared to death.

Good guy, what can I do if my stomach hurts again? If there is something wrong with my heart, it will really kill me.

"Doctor, help, help me~~~"

Other doctors also wanted to ask their own questions, especially the doctors at the Vietnam-China People's Hospital. Chen Qi has always advocated this open and warm academic atmosphere. Anyone can ask questions, and there is no need to be afraid of authority.

authority.

"Dean Chen, what's going on?"

"Dean Chen, why do you think there is something wrong with your heart?"

But Chen Qi waved his hand,

"Now is not the time to explain. If the diagnosis and treatment ideas of Professor Tong and I are correct, then the patient is already very dangerous. Zhang Xing, you should do an electrocardiogram immediately. Chen Li, go to the laboratory in person and ask them to expedite the examination immediately.

Cardiac enzymes, and troponin, need to be fast."

When everyone saw Chen Qi's face became serious, they all started to take action.

Professor Tong saw Zhang Xing running over with an electrocardiogram and grabbed it: "I will do this electrocardiogram myself."

Zhang Xing was still a little afraid: "Professor Tong, how can I let you do such rough work..."

"Okay, there's no time. Now that we have a guess, let's race against time!"

After saying that, Professor Tong had already started to install the leads on the patient himself, and several young doctors nearby were so frightened that they hurriedly helped.

The electrocardiograms at the Vietnam-China People's Hospital are all imported from the United States. Although they are second-hand, they are still very sensitive. When the switch is pressed, the electrocardiograms will spit out.

Everyone, including Chen Qi, gathered around him, and many doctors even stood on stools to see the electrocardiogram results.

Suddenly some doctors at the front of the crowd exclaimed:

"Inferior wall myocardial infarction!"

When they heard about myocardial infarction, everyone trembled. Cui Tongzhi almost fainted when he heard about it. Several colleagues nearby were also obviously anxious.

Myocardial infarction was almost a fatal emergency in the 1980s, and everyone avoided it.

In fact, even in 2023, when medicine is highly developed, the out-of-hospital mortality rate for myocardial infarction has reached more than 30%. Note the "above".

Because in many remote areas, many patients apparently died of myocardial infarction, but because there was no autopsy or timely help, the mortality rate was over 70% or even higher.

Even in "hospital infarction" with complete medical equipment, the mortality rate has reached about 13%, which can be described as "notorious".

Chen Qi stared at the electrocardiogram while introducing the presbyopic Professor Tong:

"The ST-segment elevation in leads ii, iii, avf, the ST-segment depression in leads i, avl, and the combined ST-segment depression in leads v1~v3 is greater than or equal to 0.1 millivolt. It is indeed an inferior wall myocardial infarction, and the infarct area is relatively large.

It is large, the posterior lateral wall, and the posterior and lower 1/3 of the ventricular septum are all involved.”
To be continued...