Doctor of Healing

Mr. Wu said politely, "Mr. Lu, do you think you can get in?"

Lu Gang was a little annoyed, but he couldn't show it. He shook his head silently, and then nodded again.

He kept staring at the slightly rough CT image on the screen, feeling more and more awkward.

Jixiang's luck is really good, there is a [-] out of [-] probability that he will meet him, Lu Gang expressed his dissatisfaction in his heart.

As for the operation, Lu Gang hesitated for a moment, and there must be something wrong. Although he didn't think it was a ruptured ureter, he was right after a quick look.

Seeing him nodding, Mr. Wu was not polite, and greeted Ji Xiang for surgery.

He was straightforward, sanitized his hands after brushing, and made the bills by himself. He didn't mean to treat Ji Xiang like a regular trainee at all.

Angiography showed that both ureters were completely ruptured, and it was impossible to implant a ureteral stent.

The objective basis of clinical examination proved the correctness of Ji Xiang's statement.

"The bilateral ureteropelvic junctions were completely ruptured." Mr. Wu said softly.

Just like what Jixiang said just now, once he resigned according to the diagnosis of kidney contusion, he found that he could not urinate...

Then fuck it!

The patient has to be tossed again.

The hemorrhagic shock in the forefoot happened just a little bit, and he was about to undergo another anesthesia, another operation, and another blow.

This is very different from doing it now and causing trauma to the patient.

Mr. Wu let out a sigh of relief. Although there is a high probability of misdiagnosis, it is obviously more at ease to have a correct diagnosis with Dr. Xiaoji here.

Lu Gang's eyelids kept beating.

Facts proved that what Ji Xiang said was indeed true. He didn't understand it very much, so he turned around and took the emergency film to read carefully.

After carefully watching it many times, Lu Gang still thinks that the image is an artifact, and definitely not something like a urocyst.

If there is no re-examination and contrast CT, if you give him a hundred chances, this patient will be wrongly diagnosed.

It's okay for Lu Gang to refuse to accept it, the iron-like facts are in front of him, if he has an iron head, he will die miserably.

Moreover, Lu Gang belongs to the academic school, and if he is wrong, he is wrong. The objective evidence is there, and he didn't think about how to save his face.

He just couldn't figure it out, and he couldn't figure out why Jixiang was so sure that the patient's bilateral ureters were broken.

Ji Xiang didn't know, and didn't care about Lu Gang's feelings.He is Old Lu from the medical office, not the Professor Zhou I met in Empathy.

After a few polite words with Mr. Wu, Ji Xiang stood in the position of the surgeon refreshed.

The operation is not difficult, at least for Ji Xiang.

Coupled with the fact that more than a dozen units have been trained in the operating room of the system, Jixiang can take it down perfectly.

Jixiang cut the ureter transversely at the lower end of the stenosis, then cut a section of the stenosis ureter for pathological examination, and ligated the stump.

The distal ureter was placed behind the abnormal blood vessel and an oval incision was made at the lowest position of the renal pelvis, and a ureteral stent and renal pelvis drainage tube were placed through the renal parenchyma.

Then Jixiang made a flap-shaped anastomosis of the ureter and renal pelvis.

"Xiaoji, you do a good job of matching the petal shape." Mr. Wu helped Jixiang tie the knot, seeing the needle holder in Jixiang's hand shuttle up and down in a narrow range, sometimes reflecting the light of the shadowless lamp, looking extremely handsome .

Ji Xiang smiled, and he could do such a small operation as petal anastomosis with his eyes closed.

"Xiaoji, I really didn't see what the problem was at the time. How did you diagnose it?" Mr. Wu asked humbly.

"The density is different. Although it looks blurry, considering that the patient suffered from hemorrhagic shock after being injured, the blood volume is insufficient..."

Ji Xiang "reported" everything the system NPC said to Mr. Wu, and Mr. Wu and Lu Gang, who was facing each other with the film reader, were taken aback for a while.

They are all old clinicians. Although their level of watching movies is average, they understand whether what Ji Xiang said makes sense.

Unexpectedly, Jixiang was so good at watching movies, Mr. Wu was convinced.

He deeply lamented that his fate was good. Fortunately, he did not hesitate to choose Ji Xiang's side in the "dispute" between Ji Xiang and Lu Gang.

Otherwise, although it is not a medical malpractice, it will inevitably be opened again, and I will feel somewhat uncomfortable.

Being a doctor is like this, there are not hundreds of misdiagnosis cases behind any famous doctor.But within the scope of our ability, we must do our best.

Dr. Zhan Xiaoji must be right!

Mr. Wu once again strengthened his point of view.

Although Ji Xiang didn't use [The Gaze of Superior Doctor], Mr. Wu directly caught the skill in nothingness and took the initiative to become a lower-level doctor.

All worries aside, Mr. Wu is still very good at being an assistant.

He helped with thread cutting, suction, and hemostasis, and the operation went very smoothly.

After Ji Xiang completed the valve-shaped anastomosis, a rubber tube was placed around the renal pelvis and beside the anastomosis for drainage, and the stent tube and the renal pelvis drainage tube were fixed with absorbable threads.

"Warm salt water." Ji Xiang stretched out his hand.

The equipment nurse was startled, "So fast?"

"Uh..." Ji Xiang was also taken aback for a moment.

Recently, Tang Yan cooperated with her in the surgery. Tang Yan gradually figured out which steps she took in the surgery and what kind of cooperation she needed. Although the surgery was not as smooth as in the operating room of the system, it was much more comfortable than cooperating with others.

If Tang Yan was here, she would be able to send warm salt water as soon as she raised her hand.Like an old married couple, they don't even need to look at each other.

"It's over, wash off and step down." Ji Xiang didn't complain, just a little grudge.

Tang Yan was more comfortable.

"Doctor Xiaoji, you are amazing." The equipment nurse said with a smile on her face, "I thought it would take at least three hours to come down, and it only took more than 40 minutes, so don't delay eating."

"The diagnosis is correct, and the operation is actually not difficult." Ji Xiang smiled.

The itinerant nurse trotted to get warm salt water, thinking about eating, and Ji Xiang was very serious and basically didn't drive, so everyone didn't have much interest in chatting.

After washing and exploring, Ji Xiang started to close his abdomen without active bleeding.

"Xiaoji, thank you for discovering it." Mr. Wu let out a long breath, "The rate of nephrectomy in patients with early diagnosis and treatment is 4.5%, while in patients with delayed diagnosis, the data is as high as 32%. Is that so?"

"Yes."

The data Mr. Wu said is very accurate, and the basic skills are solid. After Jixiang sewed the last stitch, he threw the thread into Mr. Wu's hands.

"Generally 50% of patients are misdiagnosed, but I feel the misdiagnosis rate is higher than that, maybe even 90%."

Mr. Wu didn't think that Ji Xiang was boasting, but this passage had a different meaning in Lu Gang's ears.

90% of patients are misdiagnosed, so what then?Is this kid yin and yang himself?

Ji Xiang can give the correct diagnosis, he is not showing off or something!

In an instant, Lu Gang, who claims to be professional and academic, almost entered the inner mode, and almost didn't go berserk.

It's too much, isn't the diagnosis correct once, what's there to show off!

Lu Gang stared fiercely at Ji Xiang's back.

It's just that the shadowless lamp's light is a little cold and dazzling.

Chapter 268 A Familiar yet Unfamiliar Feeling

After the operation, Ji Xiang sent the patient to the ICU, while Lu Gang was restless.

He hesitated for a long time, and after Ji Xiang left, he took Mr. Wu to the CT room to copy the patient's image data.

"Director Lu, this is..."

"I didn't understand everything from the diagnosis to the operation, so I went back and learned by myself." Lu Gang didn't hide anything, and said straight to the point.

"Your spirit of assiduous study is really, no wonder your diagnosis is so good and powerful." Mr. Wu praised sincerely.

However, Lu Gang lost the secret duel with Ji Xiang today, and his mental state was not right. Mr. Wu's words seemed to be mocking to him, which made Lu Gang very unhappy.

Mr. Wu also found it strange, since the diagnosis was correct, the operation went well, and the patient was sent to the ICU without further troubles, why Director Lu Gang Lu was so unhappy.

There is a huge gap between people and it is impossible to empathize with them.

Lu Gang copied the materials, returned to his residence and sent the materials to a classmate of his family.

"Monkey, I sent you a video file." Lu Gang called his classmate after sending the file.

"Oh? You asked me for a diagnosis?" Lu Gang's classmate asked with a smile.

He was very clear about Lu Gang's temper. He was also surprised that a person with eyes above the top would take the initiative to ask him to watch a movie.

"Isn't it normal to find a group of relatives and friends when you encounter something you don't understand?" Lu Gang recounted what happened today, "Monkey, I sent the patient's video data to your mailbox, please help me take care of it." One glance."

"You didn't see it?"

"Well, I didn't see it at all." Lu Gang was distressed, but he told the truth.

At home, Lu Gang no longer maintained the professional demeanor of the hospital. He had a cigarette in his mouth, stepped on the chair with his right foot, unbuttoned his pajamas a few times, and frivolously made a phone call.

"Then let me see." Professor Hou became serious.

"Monkey, to be honest, if it was me at that time, the liver and gallbladder would have been shut down." Lu Gang said, "There is no sign at all, but on my side... the little doctor insisted that both ureters were broken. It's very strange. , very strange."

"I'll take a look at the film first."

After hearing so much from Professor Hou, Lu Gang hung up the phone.

He put down his phone, lit another cigarette, and silently recalled the whole process of today's consultation in the operating room.

It is common sense that patients with blunt trauma do not consider ureteral rupture.And there are images, which do not support ureteral rupture.

Just relying on those two "artifacts"?

Lu Gang thought silently, feeling extremely unconvinced.

But he couldn't find any reason to slander Ji Xiang. It turned out that he was not good enough, and he lost if he lost.

According to Lu Gang's prediction, Professor Hou will call himself in 10 minutes.

But he smoked one cigarette after another, and he smoked half a pack of cigarettes. More than an hour passed like this, and the phone was still quiet as usual.

Did the boss not find a problem?

Should I send Ji Xiang for an autopsy? Lu Gang thought to himself that there was something wrong with this little guy.

Suddenly the wechat video bell rang, startling Lu Gang.

He just wanted to dissect Ji Xiang, but this kind of gloomy thought could not see the light of day, it was ridiculous.

"Monkey, what do you think?" Lu Gang answered the phone.

He suddenly discovered that it was a video call from a WeChat group. In addition to Professor Hou, Jiang Huaiming, the deputy director of the CT room, was also there.

"Old Lu, I watched the film, but I didn't see any problems, so I asked Xiao Jiang to take a look." Professor Hou said truthfully.

"..." Lu Gang was speechless.

Didn't even Professor Hou see it?

"Old Lu, you have experienced a lot there." Deputy Director Jiang Huaiming said with a smile.

"It happened to be an emergency room."

"I didn't expect there to be such a master of watching movies on your side. The capable people in the CT room happen to be here." Jiang Huaiming asked.

"No, it was diagnosed by a urologist...a young doctor."

"Is it so powerful? It is difficult to diagnose the film, and it has to be calculated by the attenuation of the rays." Jiang Huaiming, who is engaged in imaging, gave an extremely professional evaluation.

Deputy director Jiang Huaiming started talking about technical matters, and he talked for a full 10 minutes before he explained the film clearly.

"This is beyond the scope of your Department of Urology or Rheumatology and Immunology. Even if you take this film to our hospital, only two or three people can understand it, including me." Deputy Director Jiang Huaiming is sure Said.

"..."

Lu Gang thought of Ji Xiang's young face.

"Yes, I heard from Professor Hou that the operation was not delayed, right?"

"Yes, the operation has been completed, and the double J tube was left." Lu Gang said, "Send it to the ICU after the operation, and I will go to see it again tomorrow morning."

"I really didn't expect it." Deputy Director Jiang repeated his emotion again, "There are such powerful people on your side. It is said that grass-roots hospitals hide dragons and crouching tigers. There are often some powerful people. I didn't believe it before."

Professor Hou chatted with Deputy Director Jiang Huaiming for a few words, expressed his gratitude, and ended the three-person dialogue mode.

Immediately a phone call came.