Doctor of Healing
Page 201
"Some people don't think so." Ji Xiang said, "For example, if you go to the Bronx Science High School, you can go directly to the Ivy League school after graduation. The patient's mother is a bit exaggerated, but it's okay, and not all Ivy League schools accept her. Choose. It’s really not good, the grades are very poor, and you can still go to Qingbei when you come back.”
"!!!"
"There are some formalities to go through, but it's not difficult."
Hearing Ji Xiang's explanation, Zhao Zhe suddenly understood.
If what Ji Xiang said is true, the child's bottom line is Qingbei.
In an instant, Zhao Zhe understood the woman's persistence.
But in the face of acute appendicitis and what kind of science high school, how should I choose?Zhao Zhe was a little confused all of a sudden.
"Nonsense." Meng Qingfei curled his lips, "Bet on whether the inflammation of acute appendicitis will go away? Once the perforation occurs, I still have to go to the emergency room in New York. I don't know how much it will cost. Without insurance, the savings of ordinary people's life is probably not enough to treat the disease. "
"Yes!" Zhao Zhe thought of something, "I met a patient when I was in the emergency department in Yuanliao City. He was working in Dubai. He should be a construction worker working overseas.
When he was pushed in, he was almost dying, his heart rate was 150, and he had mild symptoms of infectious and toxic shock.I put my hands up, and I have never touched such a hard belly in my life, especially the typical plate-shaped belly. I guess real wooden boards may not be so hard. "
"Intestinal perforation or gastric perforation?" Meng Qingfei asked.
"Later, the diagnosis was gastric perforation, and I was sent directly to the General Surgery Department for an exploratory laparotomy." Zhao Zhe said, "The man's expression relaxed a lot when he saw me. The common people are still willing to trust doctors. After my physical examination, I followed He explained the situation. He said that it was too expensive to have an operation in Dubai and he couldn't afford it.
So he asked the doctor there to prescribe a lot of painkillers, and took the medicine all the way back to China for surgery.When he was admitted to the hospital, he threw the medicine box into the trash can, and I felt very uncomfortable at that time. "
"You..." Meng Qingfei smiled and wanted to say something unpleasant, but suddenly realized that he and Zhao Zhe were not familiar with each other, and these words were a bit exaggerated, so he stopped there.
"Mr. Meng, what should I do with this patient?" Ji Xiang asked.
"Xiaoji, what would you do?" Meng Qingfei asked back.
Ji Xiang thought for a while, then shook his head.
"We must respect the opinions of the patient's family and the patient. They are the guardian and the patient's mother, and we are just doctors." Meng Qingfei said, "The diagnosis is correct. If you want to leave, you can sign and leave. All we can do is pray. gone."
"What if you don't sign it?" Zhao Zhe asked, "I've met people who refused to sign even if they said they were dead, and beat people when they were in a hurry."
"Isn't it that you two are here?" Meng Qingfei laughed, "If I don't sign, I will keep everything and write down the medical records clearly. If you are not here, I will drag the nurse in to listen and make a proof.
If it doesn't work, stop my job. Is the emergency doctor very popular? "
"It's not easy." Zhao Zhe was very clear about the deep meaning contained in Meng Qingfei's words.
"Doctor Xiaoji, when you encounter such things in the future, don't force yourself. What we think is right is different from what the patient thinks is right." Meng Qingfei warned.
Ji Xiang nodded, this may also be regarded as clinical experience.
After waiting for a long time, I helped Meng Qingfei deal with three traumas, but the woman and the patient did not come back.
Meng Qingfei found the laboratory report on the computer, ruled out kidney stones and ectopic pregnancy, and determined it was acute appendicitis.
Because the patient did not come back for a long time, Meng Qingfei finally wrote an extremely detailed medical record, printed it out, wrote the time, signed it, and carefully put it in the locker in the duty room.
Ji Xiang took a look and saw at least twenty similar medical records in Meng Qingfei's locker.
"Teacher Meng, so many?" Ji Xiang was a little surprised.
"Actually, I know it's okay, but as a doctor, you still have to be careful. If you encounter an unreasonable patient or patient's family, you can't argue with it."
Chapter 264 Devolution
Today in the emergency department did not encounter difficult and miscellaneous diseases, but Ji Xiang has a new experience.
After returning home, Jixiang opened the door and saw the silly roe deer wagging its tail to welcome him.
This feeling is quite special, the house has always been deserted, and now there is a silly roe deer who will wait for him to go home.
It gave Jixiang slippers, and Jixiang was surprised, "Father, did you teach?"
"I didn't teach it. I guess it was taught by the former master." Ji Yongchang's voice came.
Ji Xiang twisted the head of the silly roe deer, really wondering how such a smart dog could be caught.
Chatted with the old man for a while and talked about what happened today.
After all, he won No. 1 in a surgery competition. Although Ji Xiang was calm, he still had to report to the old man.
It's been that way since childhood.
But Ji Yongchang was not surprised, he just smiled and encouraged Ji Xiang to continue.
Wash up, lie down and go to the system operating room for training. The next morning, Jixiang took the silly roe deer to run a half marathon.
When he came to the hospital, Ji Xiang saw Director Liu standing in the corridor chatting with Lu Gang.
Seeing Ji Xiang coming, Director Liu waved.
"Xiaoji, I heard Director Bai said that he participated in the competition yesterday with the operation video of the last huge hydronephrosis, and won No.1." Director Liu said with a smile, "Old Bai really has vision."
"Yes." Ji Xiang didn't know how to be "modest", so he just replied flatly.
"Good job!"
Director Liu didn't say much else, but his attitude towards Ji Xiang changed unconsciously.
After finishing the shift, Ji Xiang went to the interventional department for surgery. Today's patients will undergo interventional embolization first, and then resection will be performed on weekends.
Although the bed was pressed, Director Liu still generously supported the work.
"Director Liu!"
After finishing the shift, Lu Gang suddenly appeared in the urology department.
"Old Lu, why are you here?" Director Liu was puzzled.
I didn't even seek a consultation, why did Lu Gang come here? Could it be that a night owl came to the door and came for nothing?
Lu Gang said with a sullen expression, "I made a bet with Director Bai, but I lost. I don't want to clean up. Director Bai asked me to come and see Xiaoji... the doctor takes care of the patients he admits."
"!!!" Director Liu was stunned.
Although the balding man in his forties had low EQ, his IQ was extremely high, and his clinical diagnosis was in place. Director Bai regarded him as a treasure.
Unexpectedly, in order to prevent Ji Xiang from being too young and having problems at work, Director Bai actually "exiled" him to Ji Xiang's side.
Laobai seems to be more optimistic about Jixiang and support him than he is.
"Simple kidney cancer, I need to look at it. Director Bai is really... overqualified." Lu Gang muttered.
But no matter how unhappy he is, he still came, willing to admit defeat.
"Xiaoji has an embolism operation today, and you, Lu, are here to help check it out." Director Liu said with a smile.
Although he was full of reluctance, Lu Gang still seized the time to read Jixiang's medical records, and followed him to the operating room for surgery.
Lu Gang watched Jixiang's embolization operation all morning and was a little surprised.He was surprised that Jixiang not only performed well in urology surgery, but also entered the room in interventional surgery.
But that's all. Lu Gang was born in internal medicine, and all operations were based on information obtained from reading papers. He naturally felt that operations should be flawless.
He was even more curious about the effect of the partial resection, and he couldn't wait.
Lu Gang's position in the department was a bit awkward. The whole hospital knew that he had a very high level of diagnosis, and he was Director Bai's trump card.Now it has been transferred to the lower levels, so that no one in the office said a word when writing the medical records after the operation.
And Lu Gang didn't know whether he should write the medical records or not.
Fortunately, Zhao Zhe is diligent and proficient in clinical business, and he undertakes most of the work.
When it was time to get off work, Lu Gang wanted to leave, but he was a little embarrassed to see Ji Xiang and Zhao Zhe both working.
Lu Gang himself didn't know how many years he hadn't done basic clinical work, such as writing medical records, and this day made him feel like he was sitting on pins and needles.
"Director Lu, sit down." Mr. Wu walked in, saw Lu Gang standing behind Ji Xiang, who seemed to be a supervisor, and chatted with Lu Gang with a smile.
"Mr. Wu, come down." Lu Gang said, "Did the operation go well?"
"Successful, is the laser crushing stone?" Mr. Wu said proudly.
"I took a look, and you are so proficient in finding the ureter with the zebra guide wire." Lu Gang said, "Why don't you say that the position of the hospital always trains people."
After speaking, Lu Gang found a place to work and chatted with Mr. Wu.
"Hey." President Wu is a little proud, but he can't brag in front of Ji Xiang.
Although that damned sense of familiarity didn't appear for some days, so Mr. Wu missed it a little bit, but there was nothing wrong with him, so it would be good if he didn't appear.
"Are there many emergency departments in our department?" Lu Gang asked casually.
Mr. Wu's face changed, and he said to Lu Gang sadly, "Director Lu, you can't go to the emergency room on duty."
"..." Lu Gang was stunned for a moment, and then laughed, "It's all feudal superstition. When I was on duty..."
Before finishing speaking, the nurse shouted at the nurse station, "Mr. Wu, emergency consultation in the operating room!"
Mr. Wu was quite helpless, "Professor Zhou, my emergency department is very busy. Others don't see a few cases of testicular torsion in a year. I have been in the hospital for a total of 8 months, and I have encountered 22 cases."
Lu Gang looked at Mr. Wu with pity.
This child is so pitiful. Many years ago when I was still on duty, I occasionally consulted with him. All the medical staff in the clinic extremely despised this kind of doctor who had an emergency fate.
Their status in the hospital is not much higher than that of dogs.
There are even dogs that are licked twice. This kind of emergency doctor is annoying to anyone.
"Mr. Wu, what are the general situations of emergency consultation in the operating room?" Ji Xiang asked suddenly.
"At this point, it may be that the laparotomy of the tumor patient was not done, and the bladder was broken or something." Mr. Wu was also very helpless, and explained to Ji Xiang.
"Then there is the trauma, you have to go and have a look to find out."
"Ding dong~"
The voice of the system task came.
Ji Xiang was taken aback, the surgery competition system hadn't given any tasks these days, so he came here unexpectedly.
[Emergency task: [-] out of [-] possibilities.
Task content: Correctly diagnose and treat an emergency patient.
Task time: 3 hours.
Task reward: 10000 experience points, 12 surgery points. 】
Three ten thousandths?
What kind of mission is this?
Ji Xiang frowned slightly, held his breath and came to the operating room of the system.
"teacher."
"Received the mission?" the system NPC asked.
"Well, teacher, what does three ten thousandths mean?"
"It's a very rare type of trauma." The system NPC said, "Go and see the situation first, and then do surgery training."
Is it so perfunctory?Ji Xiang scratched his head.
Chapter 265
"Mr. Wu, I'll take a look with you." Ji Xiang turned around and said.
"It's probably nothing to us." Mr. Wu smiled, "Trauma patients have a laparotomy and see retroperitoneal hematoma, and sometimes they ask us to take a look. It can't be opened, and it will be more troublesome after opening. The pressure of retroperitoneal hematoma It is relatively high, and bleeding from small blood vessels can be stopped by itself.”
Ji Xiang got up and followed Mr. Wu. Mr. Wu did not hide his secrets and told Ji Xiang all his clinical experience.
"There are few emergency departments in our department. The most annoying thing is that the nurses in other departments don't even try when they encounter patients with dysuria, and the elderly men call when they have a urinary catheter. I am used to stinky problems. I usually encounter this kind of thing. Scold them for being hospitalized."
"It's the same on my side. It seems to be a common problem." Zhao Zhe followed up and started talking, "When I was on duty, I basically had to go to other departments to have a catheter in every shift. There was really no way, and I couldn't do the most basic operations. , Sometimes I can't wait to smash the book of Sanji operation in the face of other doctors.
But when I thought about it, I would not do closed chest drainage, cerebrospinal fluid puncture, or..."
Mr. Wu glared at Zhao Zhe, who was he speaking for?
Zhao Zhe chuckled and didn't continue talking.The matter of the hospital is a bad debt, who can tell clearly.
Moreover, he has a gentle temper, and he is already used to being shouted and yelled at by others. Mr. Wu just gave him a glare and didn't say anything unpleasant. This is already a blessing for Zhao Zhe.
Seeing the three of them walking away, Lu Gang hesitated for a moment, but followed.
"Director Lu, you are not going home." Mr. Wu asked.
"Go and take a look." Lu Gang said in a low voice.
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