Doctor of Healing

Page 291

"Doctor Xiaoji, although it is not impossible to invite experts to come to the First Affiliated Hospital of Hangzhou Medical University for surgery, but you have to show your strength." A doctor said jokingly.

He was joking and didn't take what Ji Xiang said seriously.

A young intern wants to perform surgery in the First Affiliated Hospital, and also publicize and promote new surgical techniques. What is the difference between this and dreaming.

"Good teacher."

Next, the interviewing doctor asked several questions related to the arrangement of the program group. Otherwise, what Ji Xiang just said would not be edited into the program at all, and there would be empty windows.

Faced with routine questions, Ji Xiang gave very peaceful and well-behaved answers.

After the interview was over, the professors who led the interview left quickly, and Zhai Yuhan began to arrange for the internship.

"Ji Xiang, you and Zhao Mengmeng are going to the Department of Hepatobiliary and Pancreatic Surgery," Zhai Yuhan said.

It doesn't matter whose group you are with, but why is it hepatobiliary and pancreatic surgery instead of urology?

Ji Xiang raised his hand.

Zhai Yuhan took a hard look at Ji Xiang, "Dr. Xiaoji, this is the result of the interview."

Ji Xiang frowned slightly, looked at Zhai Yuhan's badge and asked, "Mr. Zhai, are you the chief resident of the Department of Hepatobiliary and Pancreatic Surgery?"

"Yes, start the internship, I will bring you and Zhao Mengmeng to the clinic."

Saying that, Zhai Yuhan smiled slightly, "Doctor Xiaoji, I hope you don't let me down."

"Okay, teacher." Ji Xiang didn't seem to hear Zhai Yuhan's impatience. He was still the same as before, with his iconic smile and bland answers.

After arranging everything, several doctors were sent to neurosurgery, circulatory medicine, and hepatobiliary and pancreatic surgery.

Asking Ji Xiang and Zhao Mengmeng to familiarize themselves with the operating system first, Zhai Yuhan walked out of the office and came to the director's office angrily.

"Boss, such a show can't be done!"

Chapter 417 Soft Knife

"Who are you angry with?" The director of hepatobiliary surgery was in his 50s, with gray hair and gold-rimmed glasses. When he saw Zhai Yuhan coming in angrily, he lowered his head and looked over the glasses.

"Boss, Ji Xiang, the student with the highest full score in the country, is so arrogant! He really thinks that he can do well in the clinic with a full score in the exam. Didn't you see, he seems to think that he has been in the clinic for more than ten years. , and even said that the purpose of participating in the show is to promote a new technique." Zhai Yuhan said angrily.

"Hehe." The director of hepatobiliary surgery smiled, "The effect of the program must reflect a growth. Only growth and contrast will attract people's attention."

"Growth? Boss, didn't you see how arrogant that Gui Peisheng named Ji Xiang is, and he turned in the written test in 10 minutes!" Zhai Yuhan mentioned the word "arrogant" again.

Director Yang didn't understand why Zhai Yuhan and Mr. Zhai lost his composure. He looked at her quietly for a few seconds and said calmly, "The program team decided to temporarily arrange him in our department. He will be rotated for a few days before going to the urology department."

"Still rotating?!" Zhai Yuhan was surprised.

"In the hospital contacted by the program group, there is a large amount of sponsorship money. One of the requirements is that if conditions permit, this little guy named Ji Xiang must be allowed to perform two surgeries in our hospital."

"!!!" Zhai Yuhan was a little surprised.

The program group actually has such a lot of energy, and is so used to that arrogant little guy!Zhai Yuhan expressed his incomprehension.

You know, this is a hospital!

Perhaps it was possible for this variety show to go to a law firm last season and let the interns participate more or less, but would it be a bit hasty to want to have an operation in the hospital? !

"Take them to the clinic and see the patients casually." The director smiled, "I just took a look at the medical records, and the 12-3 beds are old patients. I have already told the patients that the situation is more complicated. You can take them to see them." look."

Di Yuhan looked at the smirk on the director's face, and immediately knew that the director was deliberately embarrassing the two young doctors.

The patient was diagnosed with acute ascending cholangitis. After being hospitalized for cholecystectomy 2 years ago, he suffered from pain once or twice a year.

His symptoms were not severe, so he was admitted to the Department of Hepatobiliary and Pancreatic Surgery anyway.

There is no way for this kind of old patient to be forced out, after all, it is postoperative pain.

The headache for the patient in the department is that he doesn't want to do more examinations. He takes antibiotics for a few days every time he is hospitalized, and he is discharged without pain.

Taking Ji Xiang and the others to see this patient, Zhai Yuhan thought about it, and immediately thought that the patient's countless laboratory indicators were abnormal.I have a headache looking at it, not to mention that one is an undergraduate student in regular training, and the other is a doctoral student doing basic experiments.

Without any clinical experience, they must be confused when encountering difficult patients.

What the director meant was to let them know how difficult the daily work of clinicians is, and he also told them to give a blow to a doctor first, and give them a few blows.

The patient is an old patient, so it is easier to talk. Recording a reality show is hard to talk about, and many emergency patients can't communicate at all.

It's still the boss who is experienced in handling things, and Zhai Yuhan admires him deeply.

"Boss, okay, then I'll take them there."

"Xiao Zhai, pay attention to the scale, don't speak too bluntly."

"I know." Di Yuhan nodded, turned around and went out, readying a soft knife.

Back at the doctor's office, Zhai Yuhan was a little annoyed when he saw the camera shooting.

Is this still a hospital? Who the hell thought of such a reality show?Although it will not disturb the patient's treatment, but I am very bored looking at it.

Thinking so in her heart, Di Yuhan still made psychological adjustments, showing a kind smile, "Mengmeng, where did you see the medical records?"

Zhao Mengmeng was a little dazed, the clinical stuff was completely different from the basic research she did.

"Teacher, I saw the second patient. The patients in our department are all typical, such as cholecystitis, pancreatitis, and liver cancer." Zhao Mengmeng replied with some joy.

Zhai Yuhan knew that this person should have a blank space in his heart, and he was using words to relieve his tension.

As for the typical ones, Zhai Yuhan sneered in his heart, and immediately showed you the atypical ones.

"Put down what you're doing." Zhai Yuhan said, "The director has contacted a patient and can record the whole process."

Zhao Mengmeng stood up subconsciously, and Ji Xiang closed the computer interface before getting up.

It's very annoying, Zhai Yuhan had the idea of ​​picking faults in his heart, and originally wanted to teach Ji Xiang a lesson about this action, but Ji Xiang did it flawlessly.

According to regulations, the working interface on the computer must be closed after people leave, otherwise other doctors and even patients and their family members will use it.

But in reality, few people can turn off the lights when they walk away.

Sometimes just go out to ask a medical history, there is no need to close the interface at all, like now.

Zhai Yuhan has already thought up a few cases, and is ready to give the arrogant Xiaogui Pearson a blow.But Ji Xiang's actions blocked everything she wanted to say.

So annoying.

Did Jixiang know that he was going to find fault?Zhai Yuhan thought about it.

She took Ji Xiang and Zhao Mengmeng to the ward, and the camera followed behind her. Zhai Yuhan didn't show that she wanted to target Ji Xiang, but told the two little doctors about the past history of the patient in a soft-spoken manner.

"Two years after the operation, the patient has been in pain." Ji Xiang frowned after hearing Zhai Yuhan's words.

"Not all the time, but occasionally, it was diagnosed as acute ascending cholangitis, and the symptoms were relieved after intravenous infusion of cefoperazone and tazobactam."

"Teacher, have you done other tests?"

"Hehe, this requires you to communicate with patients." Zhai Yuhan entrusted Ji Xiang with this "difficult" task.

The patient firmly refused to do other examinations. From the patient's point of view, infection often occurred after gallbladder removal, and it was not impossible to treat it. Why did so many examinations.

Both the director and Zhai Yuhan had communicated with the patient, but the patient was as stubborn as a rock.

Ji Xiang didn't know how to live or die, he was afraid that his face would be covered in blood.

After entering the ward, Zhai Yuhan began to communicate cordially with the patient.At this time, the smile on her face was much more real, not as perfunctory as when facing Ji Xiang.

Inquiring about the medical history, Zhai Yuhan deliberately left a few loopholes. Seeing Ji Xiang and Zhao Mengmeng taking notes carefully, she found it interesting in her heart, and really wanted to see what kind of ignorance these two rookies would face their own questions for a while. Overwhelmed.

After chatting with the patient, Zhai Yuhan felt a little tired. After all, there was a camera behind him, so he had to be extremely professional.

After Ji Xiang and Zhao Mengmeng asked a few more questions, Zhai Yuhan took them away.

Back in the office, Zhai Yuhan asked, "Look at the medical records and tell me what you think."

Seeing that Jixiang was about to speak, she paused and asked, "Mengmeng, tell me what you think."

Chapter 418

Zhao Mengmeng was a little confused, looked at the computer to find the patient's test sheet, and said dryly, "The patient's alanine aminotransferase is 325 U/L, aspartate aminotransferase is 104 U/L, and alkaline phosphatase is 165 IU/L. Total bilirubin 140μmol/L..."

"The patient was admitted to the hospital for high transaminase and high bilirubin, and acute liver injury is considered." Zhai Yuhan interrupted Zhao Mengmeng's scripted narration, "Now, let me ask you this."

"I'm the doctor in the emergency room, and you are the chief resident."

"The medical history is that the patient started to have pain after 1 o'clock, and has been in pain for 2 hours since arriving at our hospital. After coming to the hospital, he had a B-ultrasound, and then, what else do you want to know?"

Zhai Yuhan's speech was fast and oppressive, almost leaving Zhao Mengmeng no time to think.

She looked at Zhai Yuhan with a blank face, carefully thinking about the question just now.

"Uh..." Zhao Mengmeng was a little confused, seeing Zhai Yuhan looking at her, she replied timidly, "I will first ask the patient if he has any abdominal pain."

"Yes, the patient underwent surgery 2 years ago, and the laparoscopic scar can be seen on the abdomen." Zhai Yuhan said very quickly, "What's next?"

"I will ask the patient if he has a history of high blood pressure or diabetes."

"I have high blood pressure and diabetes." Di Yuhan looked directly at Zhao Mengmeng, and Ji Xiang from the corner of his eye.

"Then... I want to ask the patient what other discomforts he has besides abdominal pain." Zhao Mengmeng said subconsciously.

"It is said that the abdomen is uncomfortable, but the patient's gallbladder has been removed 2 years ago."

"Does he have any other diseases? For example, a family history of genetic diseases."

"No."

Zhao Mengmeng was a little dazed. She looked ahead, not knowing what to ask.

"Teacher." Ji Xiang broke the awkward silence.

"Tell me, Doctor Xiaoji." Zhai Yuhan smiled slightly.

Ji Xiang is finally about to jump in.

"Why do I not do MRI and ERCP examinations after admission to the hospital according to the past medical records, but just intravenous antibiotics?"

"..."

Zhai Yuhan didn't expect that Ji Xiang didn't answer his own question, but started to ask questions like a senior doctor consulting with the whole hospital.

It's fine to ask questions, but Ji Xiang's questions are like a knife, hitting the nail on the head.

……

……

In the review room.

"It's so serious."

"Maomao, are all doctors like this? Dr. Zhai's speech speed and attitude just now scared me enough."

"I feel that Zhao Mengmeng doesn't know what to do anymore, and Ji Xiang is the same. He actually started asking questions instead of answering them."

Among the guests, the only serious doctor frowned.

"Mr. Shen, what do you think?" the host asked.

"Ji Xiang is right. Dr. Zhai's question and answer just now are not on the point." Professor Shen said, "I also find it strange."

"Wow."

"Wow."

After hearing professional opinions in the review room, I was amazed.

Although they didn't know what Professor Shen meant, they thought it was very powerful.

Dr. Zhai asked a lot of questions, and Ji Xiang and Zhao Mengmeng hadn't read the medical records for a long time, but Ji Xiang was able to get to the point, which was the same as Professor Shen's point of view.

This is undoubtedly a surprising thing.

……

……

"You finally got to the point." Zhai Yuhan was a little helpless, she looked at Ji Xiang seriously, and now she had a feeling in her heart - this young regular trainee not only got full marks in the exam, he also has certain clinical experience, It's not easy.

"When the patient had abdominal pain for the first time after surgery, we suggested doing an MRI. It took 2-3 days to make an appointment for an MRI. During this time, the patient's condition had improved, and he was then required to be discharged from the hospital.

Therefore, there is no chance to give him a more comprehensive examination every time. "

"Doctor Xiaoji, not bad." After Zhai Yuhan finished explaining, he praised casually.