Haishi, gastrointestinal endoscopy room of Ruiqi Hospital.
A young man was sitting on the bed with a dull expression, being questioned by the doctor.
He was surrounded by several doctors in white coats, all of whom had serious expressions and listened intently to his story.
"Tell me a detailed medical history." A middle-aged doctor sitting in front of the bed said.
"I had a gastroscopy last year and was told that I had chronic gastritis. Then at the beginning of this year, my stomach started to feel bloated again. I had a painless colonoscopy and found a 0.4cm polyp. After it was removed, I felt relieved. "
"Last month, the feeling of bloating started again, and it was worse than last time. Because I just had a colonoscopy and resection surgery, I suspected there was a problem with the small intestine."
"However, the doctor said that the small intestine is much longer than the large intestine. Currently, there is no enteroscopy that is very mature and can completely examine the small intestine. Capsule endoscopy is one of the best methods, so he recommended me to do this."
"I still remember that it was nine o'clock in the morning that day. I got up at 4:30 in the morning and took laxatives to be fully prepared."
"Swallowing the capsule went smoothly. Then the doctor brought me a backpack and put it on my back. He turned on the signal receiver and said that the image of the capsule in the stomach could be observed at any time through the screen of the receiver. He asked me to wear it for 11 hours. You can only take off the backpack when the battery of the capsule is exhausted.”
"I also read some information at that time, saying that the capsule lens could not be excreted after being swallowed and remained in the body. However, the doctor said that the possibility of this situation was only 1%, which is relatively small. If it really happens, it means that the intestines There must be problems, and they will be dealt with based on the actual situation."
At this point, the young man's numb expression finally changed, revealing a hint of pain.
He paused for a while before continuing.
"I never expected that capsule retention did not happen, but instead encountered another unexpected problem."
"Normally, once the capsule endoscope reaches the stomach, it should go down to the small intestine in time for small intestinal examination. Then I can go back with a backpack. After seven or eight hours, it will be fine after entering the large intestine. It will not affect my work and work. Life."
"As a result, after the doctor asked me to walk in the hospital for an hour, I looked at the receiver screen and found that the capsule was still in the stomach and stuck at the entrance of the stomach and small intestine."
"The doctor told me to climb the stairs and walk again to see if the capsule can go down."
"So I walked around the hospital building, climbed up and down, and worked like a fool for an hour. I saw that the capsule was still stuck in place."
"I collapsed at that time, and the doctor had no choice but to do a gastroscopy in a hurry and put the capsule into my small intestine."
"After I got home, the receiver alarmed at 8pm, and then the power went out. I finally took off the damn backpack."
"Before the power outage, I looked at the screen myself and observed images of the capsule sliding in the small intestine."
"Fortunately, before the power was cut off, the capsule had completed the examination of the small intestine and entered the large intestine, completing the original purpose of the examination."
"Didn't it stay in the stomach for two hours before? So I was a little worried that the capsule failed to complete the examination of the small intestine and I was suffering in vain."
"So I relaxed again and went to the hospital the next day. As a result, the doctor said that my small intestine examination showed no abnormalities, but because capsule endoscopy was not effective on the stomach and large intestine, he did not issue me an examination of these two parts. result."
The young man said with a displeased look on his face: "So this capsule endoscope is a waste. I spent all this time in vain. Not only did I spend five thousand yuan, but I didn't find any problems."
The middle-aged doctor was silent for a moment, raised his glasses, and asked, "So you still felt unwell and made an appointment for another colonoscopy?"
The young man said with a grimace: "Yes, I have been feeling distended in my abdomen, and there is a sinking feeling when I walk, so I'd better take a look and be reassured, otherwise I will always feel panicked."
Having said this, he suddenly asked worriedly: "Doctor, do you think I have intestinal cancer? That's what I read on Qiandu."
The middle-aged doctor was stunned for a moment, and suddenly he couldn't laugh or cry: "I said you are young, so don't think so much, okay? You are scaring yourself."
He exchanged glances with several colleagues and said, "Well, we just got a capsule endoscope, why don't you do this first?"
When the young man heard the words "capsule endoscopy", he suddenly looked panicked and waved his hands repeatedly: "No, no, I won't do capsule endoscopy even if you kill me. Just spare me and give me a normal electronic colonoscopy." Ok?"
The doctor said kindly: "Don't worry, didn't the capsule lens you did last time cost 5,000 yuan? This time it's free, how about it? Do you want to consider it?"
The young man looked a little moved and hesitated: "What if the examination fails again?"
The doctor chuckled: "Don't worry, this is different from what you did last time. It's more like an electronic colonoscopy, and the effect is much better. If it doesn't work, just do an electronic colonoscopy."
The young man gritted his teeth and said, "Okay."
"Have you taken the laxative? Is your intestines empty?"
"Um."
"Okay. Lie down on your left side and wait a moment."
"Doctor, why don't you give me a painless one? Give me some anesthetic. I'm afraid of pain." The young man suddenly shouted again.
"It's okay, it won't hurt. Don't worry." The doctor patiently reassured the patient for a while before letting the patient relax.
Soon, the young man heard the sound of the cart and faintly felt a device placed next to him.
Following the doctor's instructions, he took off his pants. Not long after, he felt his anus tighten and a small foreign object was stuffed inside.
Later, he was surprised to find that he could no longer feel any foreign objects.
At this time, the doctors gathered around, looked at the screen hanging on the wall, and started talking in various directions.
In addition, there is also a screen on the cart. This one is for the operating doctor to see. It is an original screen with higher resolution, clearer display images and better color reproduction.
"No abnormalities were found in the rectum."
"We are still moving forward. The diameter of the large intestine is 6.5 centimeters, and the diameter of the capsule endoscope is only 1 centimeter. The space feels quite large."
"It's 50 centimeters in. The speed is OK."
"It is estimated that the entire 1.5-meter large intestine will be tested in another ten minutes."
"The magnetic capsule is still powerful. If the intestines move by themselves, how long will it take?"
"Okay, now we've entered the small intestine. The diameter here is only 4 centimeters, and there are many folds. The space seems very narrow, and the speed has also slowed down."
"You have to be careful here, but the field of view is still quite wide and the image is very clear."
"As you can see, the mucosa on the intestinal wall is red in color, with many signs of congestion, and a slight erosion. You can't really see it without magnification."
"Zoom in and look."
"Very good, take pictures of these places."
"Everything goes well. As expected, the controllable capsule can do more operations."
"Okay, now that I've finished reading, let's start back the way we came."
More than half an hour later, the young man finally felt another movement in the chrysanthemum.
A complicated feeling came over him. He put on his pants silently and sat up.
The doctor asked with a smile: "How is it? Doesn't it feel uncomfortable?"
"Fortunately, I didn't feel anything during the whole process, just like a physical examination." The young man was a little embarrassed, lowering his head and not daring to look into the doctor's eyes.
"By the way, is there any result this time?"
The doctor nodded and began to explain: "The results of this examination are very clear. There may be a slight inflammation of the intestines. The situation is not very serious. You can get the report in half an hour and prescribe some medicine."
"Situations like yours are more likely to be caused by dietary problems. In the future, you should pay attention to a light diet for a period of time, eat more easily digestible food, try to avoid drinking and smoking, avoid eating cold, spicy and greasy food, and have a regular work and rest schedule."
The young man listened carefully and showed an expression of sudden realization.
"Maybe it's because I always liked to drink cold water, eat hot pot, stay up late, and eat snacks in the middle of the night. Khan, I will pay attention to it, thank you doctor."
"As long as you know what's going on. Next one!"
After the young man left, a 70-year-old man came in.
What this old man wants to do is to examine the entire upper and lower digestive tract.
So, the middle-aged doctor brought a glass of water with a smile and asked the old man to swallow the capsule.
Other doctors gathered around again, carefully observing the images on the screen.
"The stomach erosion is a bit serious."
"There are also bleeding spots in the intestines and the mucous membrane is red and swollen."
"Patients have coronary heart disease and take antiplatelet drugs. Eighty percent of the cases are small intestinal bleeding caused by the drugs."
The endoscopy was clear, and no one had any objections to the old man's illness, and a conclusion was quickly drawn.
After the old man left, "Next!"
Another middle-aged man in his forties walked in outside the door.
This time, the doctors looked at the screen, their expressions slowly becoming serious.
"Chronic superficial atrophic gastritis with erosions."
"Wait a minute, this is the image taken in the esophagus when the capsule came out."
"There is a raised cyst in the esophagus, which looks a bit like intraepithelial neoplasia."
"It seems that we need further gastroscopy and endoscopic resection."
…
Time flies as patients come and go.
At the end of the day, more than 30 cases of capsule endoscopy were performed.
The doctors also have a new understanding of the Sanqing prototype.
"Okay, it's all done. How do you feel?" The middle-aged doctor stretched and stood up from the chair.
He walked to the printer and asked while waiting for the report to be printed.
The doctors who were watching the whole process laughed and expressed their opinions one after another.
"It's really easy to use. At least you don't have to worry about the capsule staying in the body."
"The man in the morning was quite pitiful. It took him two hours and a gastroscopy to put the capsule into the small intestine. Haha, I just want to laugh when I think about it."
"That's an Olympus capsule. It's really troublesome. If he had done a Sanqing capsule endoscopy, he wouldn't have suffered like this."
"That's right. The dozens of patients who reported today all reported very good experiences, with basically no complaints or negative reviews."
"Sanqing is still very powerful. It achieves all the functions mentioned without discounting at all."
"That's right. You said you need a gastroscopy to put it into the intestines. It's also called capsule endoscopy? Isn't it funny?"
"Haha, so, other manufacturers' capsule endoscopy is an immature technology, treating patients as guinea pigs, and the price is still so expensive."
"We told the director that we should switch to Sanqing capsule endoscopy in the future. It is convenient and fast, and patients also like it."
"Yes, Director, what do you think?"
Everyone's eyes suddenly became eager, and they all looked at the director next to the printer.
The middle-aged doctor was Director Xiao of the Department of Gastroenterology. When he saw this scene, he couldn't help but laugh. He shook the report in his hand and said, "That's what I had in mind. Isn't it necessary to type out the case and report it to the dean?" ?”
Everyone shouted in unison: "The director is wise."
Director Xiao smiled, took the report, and went straight to the dean's office.
As soon as I entered the door, I found that there was already a guest inside. He looked familiar. It was Ichiro Takeuchi from Olympus.
Dean Gu smiled and said: "Director Xiao, you came just in time. I am discussing capsule endoscopy with President Takeuchi. You have had Sanqing's prototype at your place for a few days. How are you using it?"
Director Xiao quickly handed over the report and said: "This is a summary of all patient examination reports. Many symptoms such as chronic gastritis, erosive gastritis, bulbar ulcer, early cancer, small intestinal polyps, enteritis, small intestinal Behcet's disease, etc. were diagnosed, which made Patients were treated promptly.”
"In general, it has played a very positive diagnostic role, and the feedback from patients is also very positive, and they feel better."
"Oh? How about compared with Olympus capsule endoscope? Which one is better?" Dean Gu asked with interest.
"This..." Director Xiao looked embarrassed and glanced at Ichiro Takeuchi.
Takeuchi Ichiro showed an awkward yet polite smile and said nothing.
"Let me tell you, as a clinical front-line staff, you must have a deeper understanding of the use of equipment. Come on, let me listen to your opinion." Dean Gu urged.
Director Xiao was heartbroken and said: "I think Sanqing's equipment is better. At least there will be no problem of capsules staying in the body, and real-time images can be seen immediately without waiting for several hours. As for specific examples, Please also take a look at the detailed inspection report.”
"Haha, that makes sense." Dean Gu chuckled, opened the report and browsed through it quickly.
While reading, he nodded and said: "Okay, let's keep this report here. If you have nothing to do, you can go first."
Director Xiao secretly breathed a sigh of relief and turned around to leave. He was so quick that he seemed afraid that the dean would keep him here.
After reading the report, Dean Gu put it aside and smiled at Takeuchi Ichiro: "President Takeuchi, you are making things difficult for me like this. Did you hear that your equipment is no better than Sanqing's? The price is too expensive, so I have no reason to choose you.”
Ichiro Takeuchi maintained his smile and said slowly: "Dean, if you are worried about the price, this is easy to negotiate. We can lower it to the same price as Sanqing, or even lower."
"No, you misunderstood me." Dean Gu shook his head: "I'm not talking about the price of buying the equipment, but the price of a capsule endoscopy. After all, Ruiji is a tertiary hospital, so you can afford even the most expensive equipment. As long as the product is good enough, price is not an issue.”
"But patients are different. A capsule endoscopy costing RMB 5,000 a time can still produce no results. They must be complaining. If it is done more frequently, it may damage Ricky's reputation."
The corner of Takeuchi Ichiro's mouth twitched: "What do you mean?"
"I'm sorry, President Takeuchi, I can't tell you anything about capsule endoscopy."
Dean Gu looked solemn and said seriously: "Rui Ji's new procurement contract can only be handed over to Sanqing."
When Ichiro Takeuchi heard the bad news, his vision suddenly darkened. He regained his composure, squeezed out a smile, bowed his head respectfully, and said.
"I understand, it's okay. My skills are not as good as others. I understand your choice. However, Sanqing's capsule endoscopy can only perform inspections and cannot perform endoscopic resections. Please leave other endoscope orders to us. .”
Dean Gu smiled slightly: "I have purchased a batch of high-end endoscopes with 4K imaging before, but I have no purchase plans for the time being."
"But don't worry, if you want to make a purchase, I will naturally consider you first."
Ichiro Takeuchi stood up and bowed deeply: "Thank you, please."
After leaving Ruiji Hospital, he immediately returned to Haishi's headquarters.
As soon as he entered the office, Ichiro Takeuchi's expression instantly became extremely gloomy.
He sat down at his desk, turned on his computer and prepared to write a long email, reporting all this to the headquarters of Sakura Country as soon as possible.
Suddenly, an email appeared in the lower right corner, attracting his attention.
Just reading the title made Ichiro Takeuchi almost scream.
"What? Sanqing has reached an in-depth cooperation with domestic CMOS supplier Kewei?"
After reading the entire content, his eyes suddenly lit up and he couldn't help laughing loudly.
"Hahaha, God help me."
"Sanqing, I want to see what you can do to fight me if there is no CMOS chip!"
(End of chapter)
