Haishi, Ruiji Hospital, Endoscopy Center.
In the clean and spacious ward, there are blue beds neatly placed, white blinds, and sunlight shining through the glass, giving people a warm and bright feeling.
Outside the ward, in the long corridors on both sides, there are 16 examination rooms, each of which is equipped with brand-new electronic endoscopy and surgical equipment.
Zhou Ruping was leading a group of doctors among the equipment, concentrating on diagnosing and treating patients. The blue surgical clothes could not hide the bookish look on his body, and the black-framed glasses made him look stable and elegant, making him feel at ease with the patient at first sight. A sense of peace of mind.
As for the doctors following him, they came from all over the world and were of all races. There were blond doctors from Eagle Country, dark-skinned Filipino doctors, Latin American doctors with curly hair and black eyes, and East Asian doctors from Sakura Country and Stick Country. .
These people, without exception, are all sent to study by top hospitals around the world. No matter how respected they are in their own countries, in front of Zhou Ruping, they are all humble and courteous students who are seeking to learn the truth. , learn China’s most exquisite endoscopic surgery techniques.
At the end of the crowd, He Shengcai stood there, inconspicuous, but his spirit of learning was not slack at all.
It was now morning, and Zhou Ruping started a routine gastroenteroscopy. When he came to one of the examination rooms, there was an old man with gray hair and wrinkles on his face.
He took the case, took a look at the CT, raised his eyebrows, and then smiled: "Old man, you are 101 years old. You are really a rare old man."
"But don't worry, you have typical achalasia. I'll check it out for you and you'll be able to have a minimally invasive surgery soon."
Zhou Ruping patiently consoled him: "The operation is very simple and can be completed in half an hour. It has minimal trauma, few complications, and quick recovery. You will feel better after the operation."
The old man was tortured by difficulty in swallowing and could only nod vigorously.
The family members' hearts dropped and they smiled with joy, feeling that they had come to the right place.
Centenarian patients are rare, so Zhou Ruping personally performed an endoscopy on him to further confirm his condition, and quickly chose the most effective POEM surgery plan.
"CT showed dilation of the esophagus with fluid accumulation, and an endoscopy was performed. It was found that the cardia was stenotic, and the resistance to the endoscope was large. Food could not pass through, and it was easy to reflux, vomit, and remain in the esophageal cavity."
After Zhou Ruping completed the inspection, he explained to the students around him.
"So far, the cause of this disease is still unknown. It is usually thought to be caused by neuromuscular dysfunction. The internationally accepted solution is POEM surgery."
"To put it simply, POEM surgery requires us to incise the esophageal mucosa under an endoscope, separate and establish a tunnel along the submucosal surface, expose the lower esophageal ring sphincter, then cut off the ring sphincter to relieve spasm, and finally seal the mucosal layer with titanium clips With a small incision, the surgery is complete.”
"The elderly face three major difficulties when undergoing surgery: First, the elderly have declining organ function and poor tolerance to surgery and anesthesia; second, there are many underlying diseases; third, postoperative recovery is slow and prone to complications. These are all problems for doctors. We must deal with severe challenges with greater caution."
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The doctors who came for further training listened attentively and nodded.
Zhou Ruping moved his steps towards the next patient.
This turned out to be a baby who was only 25 days old and weighed only 3.5 kilograms. Due to congenital pyloric hypertrophy, which led to pyloric stenosis, he would vomit when he was fed.
The symptoms of this type of children are repeated vomiting, skin like a little old man, dark and wrinkled, and may even be life-threatening due to malnutrition and electrolyte imbalance.
However, because the stomach wall of babies is delicate and as thin as paper, most ordinary endoscopists do not dare to try endoscopic surgery. Therefore, children can only choose surgery that is very harmful. Even if it is cured, it will cause great harm to the body. .
Only people with superb skills like Zhou Ruping dare to use endoscopes to operate on babies.
After the examination, he decided to use the method of tunneling under gastroscopy to open the digestive tract of the world's smallest baby.
It was not until 12 noon that the gastrointestinal endoscopy that started at 7:30 in the morning came to an end.
In the afternoon, there was surgery. The students looked at his flawless surgical skills and all showed intoxicated expressions.
"It's so perfect. His surgery is as beautiful as a Picasso painting." The doctor, who had brown skin and curly hair that seemed to have been kissed by the sun, spoke fluent Chinese and couldn't help but sigh.
"This is the first time I have connected surgery with art. I came to the right place for this training." The blonde female doctor exclaimed, her eyes shining like stars.
"Amazing, unbelivable, OMG..." The dark-skinned doctor's mouth was filled with exclamations that kept pouring out.
He Shengcai also nodded secretly, thinking: "Professor Zhou described minimally invasive resection surgery as a trilogy of skin peeling, tumor digging, and hole drilling. It is really vivid. His technology has reached the advanced level. How many years will it take for me to catch up? .”
In this way, he followed Zhou Ruping to do endoscopy in the morning, surgery in the afternoon, and practiced skills hard in the evening.
In order to hone his ESD skills, he went to the vegetable market every day to buy a pig stomach and practiced in the hospital until midnight.
Since this is the best hospital for POEM and ESD treatment in China, patients from all over the country flock here, and even some overseas patients come here. He has received a lot of opportunities to practice, and his skills have improved rapidly.
On this day, he carried a pair of pig stomachs and walked to the practice room.
I happened to pass by the examination room and vaguely saw bright lights in one of them, and the sound of someone operating equipment came from inside.
"It's already eight-thirty in the evening, and all the patients are gone. Who will be inside?"
He became curious, stood at the door and took a look inside, and happened to see a smiling face.
"Come in, what are you looking at at the door?"
He Shengcai scratched his head and walked in with some embarrassment: "Professor Zhou, um, you haven't gone back yet."
Zhou Ruping looked at the plastic bag in his hand and raised his eyebrows: "You are quite hardworking and you have the same drive to study as I did back then."
He Shengcai hurriedly waved his hands and said with a face full of shame: "I dare not compare with you. You are a world-class endoscopy expert in your thirties. I am in my forties and I am still a student."
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Zhou Ruping looked at him seriously and said: "I didn't get to where I am today for no reason. As long as you are not stupid and dare to try, you will achieve the same achievements as me sooner or later."
"There are hundreds of students who come to me for further study every year, but students in their 40s are rare. Many people at your age have already given up on technical requirements and rest in their comfort zone, waiting to be ranked according to their seniority. The promotion of seniors.”
"You can come here to study, whether it is for promotion or to make money. It shows that you still have certain pursuits and are not willing to settle for mediocrity."
"From this point of view, you and I are not much different."
He Shengcai smiled bitterly in his heart: "Isn't this being targeted by the director? In order to get promoted, there is really no other way."
However, he was still deeply moved to be so favored by the teacher and quickly thanked him: "Thank you for your encouragement. I will definitely follow your footsteps and keep improving on the road of endoscopic surgery."
Zhou Ruping nodded, but did not let him go. He reached out and pointed at the table and said, "It's been a while since I've been here. Come, let me see how you're doing."
"What you are holding is a pig stomach? Then show me endoscopic submucosal dissection (ESD) here."
"Okay." He Sheng agreed immediately. After more than a month of training, after practicing hard day and night, he was no longer the rookie he was when he first came here.
Because the pig stomach is an isolated part, it does not require an endoscope and only requires surgical instruments.
He placed the pig's stomach on the operating table, and the scalpel seemed to be alive. It danced a gorgeous waltz in his hand and removed the entire tissue under the gastric mucosa like a sod shovel.
He performed this set of movements with great skill and fluency, without any lag or unnecessary movements. It was as smooth and pleasing to the eye as a piece of music.
"Okay!" Zhou Ruping couldn't help but cheer: "Great job."
He seemed to have remembered something and asked: "You are from Kunshi, right? It was recommended by Lao Jian and his daughter. Her vision is beyond words. You do have a good talent in this area."
"Of course, in this industry, you can't continue without talent. The most important thing to continue is hard work, and the mentality of continuous improvement and daring to be the first."
"This is how I came along 20 years ago."
Perhaps it was seeing the hard-working and promising juniors that reminded Zhou Ruping of some past events, and he suddenly became prosperous.
"I am a child from a rural area. After graduation, I was assigned to the general surgery department of the hospital. But at that time, I did not operate every day. I operated every morning and went to bed in the afternoon. It wasted two years of my time. Later, I saw that something was wrong, and sooner or later I would have to do away with it. It requires me to study in the endoscopy department and master one more technique."
"At that time, there was still no endoscopic minimally invasive surgery in China. I got the opportunity to go to Sakura Country to learn endoscopic ultrasonography and began to explore ESD surgery."
"At that time, Olympus endoscopes were not available in China, so I made my own and found a worker to use a vise to bend the tip of the needle knife into a sickle shape so that I could practice this surgery."
"In those years, life was about constant learning and further training. Not long after, I went to the hospital in Yingguo to learn laparoscopic techniques. My English was not good, and I had to memorize vocabulary every night after surgery."
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"But two years later, because my surgery was pretty good, when I went abroad to give surgery demonstrations, I didn't need to speak English, but directly spoke Chinese. Because they started to provide me with a translator, haha."
Having said this, Zhou Ruping showed a trace of complacency on his face. It could be seen that it was very satisfying for him to be able to speak without using foreign languages.
"Chinese doctors have no one to guide them in the beginning, so they all rely on themselves. So every time you encounter an opportunity, you must seize it and excel, and only then will there be a second or third time."
Then, he warned with a serious look on his face, his tone full of encouragement for his juniors.
He Shengcai was immediately flattered and almost stuttered when he spoke: "You, do you think I have a chance to go out?"
Zhou Ruping laughed: "Didn't you sign up for the Endoscopy World Cup?"
"You actually know this?" He Shengcai looked shocked.
"This is what the girl from the Jian family told me, but I am also the referee of this year. I hope you can go further."
"By the way, no one in China has won the championship yet, and the best result is second place." Zhou Ruping said with a smile: "If you really participate in the competition at the conference, you might have a chance to win the championship."
"Win the championship?" He Shengcai murmured to himself: "I am very satisfied to be selected to represent China."
"You always have to have dreams, what if they come true." Zhou Ruping said with a smile.
"Yeah." He Shengcai said nothing more, nodded, and buried this idea in his heart.
He is quick to act but slow to speak. He will not speak out about things he is unsure about. Naturally, he cannot brag in front of the teacher and pat his chest and say that he will work hard to win the championship.
"What did I just say? Let's go out." Zhou Ruping continued: "Over the years, thanks to the efforts of our generation and proving our strength, foreign doctors have gradually changed their view of Chinese doctors."
"Especially the Endoscopy World Cup 10 years ago. It was not an ordinary competition, but a competition where I officially represented the country, represented the doctors of China, made an international appearance, and gained recognition from all over the world."
Zhou Ruping's face was calm, but excitement flashed in his eyes.
"I remember very clearly that that time I performed POEM surgery, which was my unique skill. I performed half of the 5,000 POEM surgeries in the world."
"So I was very confident. Even though I was fourth on stage, I finished the fastest."
"In 5 minutes, I completed the construction of a 12-cm esophageal submucosal tunnel. The wound surface was clear and not a single drop of blood came out."
"However, a smooth start does not mean that the process will be smooth. When the operation reached a critical step, an accident occurred, and there was massive bleeding from the laryngeal artery."
"I was so nervous at the time that I could even hear everyone in the venue taking a breath. The audience was applauding wildly, but fell into silence in an instant."
"When encountering this kind of situation, the most important thing is not to be timid. No matter how nervous you are, you can't show it on your face. You must always have a smile on your face. During the operation, the explanation cannot be paused."
"Fortunately, I did all these and stopped the bleeding in the shortest time."
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"So, I heard thunderous applause from the audience again."
"The chairman of the conference is a big fat man from Europe with a very sharp voice. I can hear him shouting, 'Camera, stare at Dr. Zhou's hands.' At this time, I feel more relaxed and can still joke and say, I too Just like ordinary people, I only have 5 fingers, but I don’t have 6 fingers for you to stare at.”
"After 20 minutes, I successfully completed the game. As expected, I heard 'incredible' cheers from the audience."
A faint smile appeared on Zhou Ruping's face again: "Five minutes later, the patient regained consciousness and stretched out his right hand to make a 'V' gesture with me. We looked at each other and laughed together. At that time, the cheers of the audience almost made us laugh. The roof is off."
"When I came out, the chairman of the conference ran over to check my surgical gown to see if there were any sweat stains on my back. He said he had made a bet because my expression was too calm and everyone was not sure whether I was nervous or not. , can only be judged by the sweat stains on the clothes."
"Haha, this guy's expression of disbelief when he discovered that there were no sweat stains on my clothes was truly unforgettable. I still remember it clearly, and I tease him about it every time we meet."
"In that competition, I finally made the whole world remember my name and the strength of Huaxia doctors. Since then, doctors in China have participated in the competition every time, and they have achieved good results."
"However, I only made it to the finals that time and finished second, but just missed the championship."
"I still remember that that summer, China Football lost to Siam 1:10 at home for the first time in China. It was called the biggest tragedy in the history of national football, and was called a tragedy by netizens. Because it was broken, the national football team continued to decline. The competition was all zeros, and there was no better result than this one.”
"Chinese football is not good, but endoscopy is." Zhou Ruping concluded.
"That year was a humiliating moment for the national football team, and it was also a moment for us to win glory for the country."
"There was nothing left to say after that. The next year I was asked to be a referee. I could no longer play by myself. There was no hope of winning the championship in this life."
Zhou Ruping sighed, with a look of regret on his face. The subtext seemed to say, I still want to win the championship, but it's a pity that the competition is too stubborn and didn't give me the chance to kill everyone.
He Shengcai listened silently, his heart racing, and he didn't know where to start with so many things to say.
It was also the first time that he heard the story of the Endoscopy World Cup from the person involved, and it was so vivid and brilliant.
Zhou Ruping was very satisfied with his attitude and patted his shoulder gently with encouragement and blessing in his tone.
"The trials are about to begin. You should prepare the surgery video carefully. If you have anything you don't understand, you can ask me."
"Remember, if you can stand on the field in any international competition, it means that you are not only representing yourself, but also the motherland behind you and the millions of medical colleagues behind you."
"Promise me one thing, you must go all out and leave no regrets!"
He Shengcai nodded heavily.
