Doctor of Healing
Page 231
After entering the door, Zhao Xiangming glanced at the patient, and smiled, "Probably not. I watched the NBA draft more than ten years ago. There was a big, tall, long-armed and long-legged Spider-Man. I think if his belly was a little bigger, he must be Buga. Syndrome."
Is it KD?Ji Xiang smiled, and what Director Zhao said was really similar.
Even though he said so, Zhao Xiangming went to check up immediately.
In addition to no symptoms of abdominal pain and chronic ulcers, the patient had thick and meandering distended veins on the chest and abdomen, pigmentation in the boot area, and a small amount of fluid on percussion in the abdominal cavity.
"I took the patient away. Budd-Chiari syndrome is not common, but the operation is very simple." Zhao Xiangming comforted the patient.
"That……"
"Go with Director Zhao." Deng Chaohong personally sent the patient and Zhao Xiangming away.
This disease belongs to the interventional department, and Deng Chaohong is also very pleased to have found a suitable department for treatment for the patient.
Chapter 314 Communicating More with the Hospital
"Xiaoji, how did you see that?"
After returning, Deng Chaohong asked suspiciously.
"Mr. Deng, I didn't see it." Ji Xiang said nonchalantly, "I just saw that the color of the patient's feet was a bit wrong. As for the Budd-Chiari syndrome, I thought it was written in the book. Don't joke."
"Really?" Deng Chaohong looked at Ji Xiang seriously, looking up and down, as if meeting him for the first time.
The situation of the patient just now is quite special. Budd-Chiari syndrome rarely manifests as symptoms of orthopedic spinal canal stenosis.
In my memory, there was a patient in the anorectal department who had hemorrhoids cut and relapsed again and again, and finally he was diagnosed with Budd-Chiari syndrome after a physical examination.
Similar situations are the most troublesome, but it is difficult to get a definite diagnosis. The symptoms of the patients are not typical, and it is difficult for anyone to replace them.
If Ji Xiang were not here today, I would have misdiagnosed him.
Thinking of Chun Chun's teachings to Ji Xiang before, Deng Chaohong blushed even more.
"Let's go to eat." Deng Chaohong said.
"Mr. Deng, how many patients do we see in an outpatient clinic?" Ji Xiang didn't mention Budd-Chiari syndrome, and chatted with Deng Chaohong about the daily life while packing his things.
Deng Chaohong has always been very interested in Jixiang, and he knows that this young man has unlimited potential.
After dinner, I went back to the hospital, and went out to the outpatient clinic for another afternoon. When I got off work, Deng Chaohong said to Ji Xiang, "Dr. Xiaoji, I have time to communicate with Mr. Xu. The emergency operations of our orthopedics department are all performed by the inpatient boss, and the boss is mixed with him. It won’t hurt to do more surgeries when you’re familiar with it.”
"Thank you, Teacher Deng."
Ji Xiang also feels that he should spend more time in the clinic. Although there is a systematic operating room, that is not all.
The operating room of the system is more similar to an army training ground. Whether it is a mule or a horse, it has to be pulled out to practice.
He went back to the ward without changing his clothes, but went to see Xu Leyu, the chief resident of the orthopedics department.
"Mr. Xu, how much is our orthopedic emergency room at night?"
Ji Xiang walked to the door of the office and heard Lu Kai chatting with Mr. Xu Leyu and Mr. Xu.
Lu Kai's communication skills are really strong, like in the Department of Urology. After coming to the Department of Orthopedics, he used the shortest time to get along well with the hospital manager.
Listening to the familiar and natural tone of his chat, this little fat man has a natural affinity.Moreover, he has a thick skin and familiarity, which Ji Xiang does not possess.
Ji Xiang smiled and walked into the office.
"It's okay, not too much, not too little, I really want to have an operation so I can turn around." Xu Leyu glanced at Ji Xiang and replied simply.
Xu Leyu was fair-looking, with a bookish air, and looked like a popular niche.
"It doesn't matter whether you are in a hurry or not, the main thing is that nothing happens." Mr. Xu Leyu and Lu Kai said, "Did you hear what the director said earlier in the morning?"
"Understood, it's a good thing. I went to inquire about it today. I guess the boss of Gastrointestinal was busy going to the emergency room that day, so he missed a few words, and the family of the patient misunderstood." Lu Kai said.
"Misunderstanding, it's a trivial matter." Mr. Xu smiled charmingly, and looked at Lu Kai, "Do you know what is the most important skill to be a hospital manager?"
"Surgery? Diagnosis?" Lu Kai replied.
"No, the most important skill is face-to-face."
"!!!" Lu Kai was stunned.
Ji Xiang also found it interesting, so he sat down and listened carefully to Mr. Xu's words.
"I'm just saying that I'm afraid you don't understand, so I'll give you an example." Mr. Xu said, "A few days ago there was a complaint from the gland department. The needle prick almost killed her son."
"Uh, it's impossible, how strange this kind of thing sounds..." Lu Kai lowered his voice as he spoke.
"It was really rumored at the time. I went to have a look, and the patient's family members even took photos. I saw that it was not the location of the carotid artery at all. It should be the scar after the removal of the drainage strip left after the thyroidectomy."
"I'll go, can you complain about this? Are you talking so evil? Is it crazy from the media?" Lu Kai was surprised.
"This kind of patient's family members obviously don't understand, and they scare themselves. I don't think there is any other intention. If you really have to be thoughtful, which medical records in the hospital can't find any faults? You can only write medical records all day long, but can you still perform operations?"
"Mr. Xu, you are right." Lu Kai said flatteringly.
"So, face-to-face is very important." Mr. Xu lay lazily on the armchair, lazily as if he was going to sleep, "Especially when we admit emergency patients, sometimes there is no way, but the patients and their family members Whether there are many or not, whether there will be complaints against us out of nothing, you have to know."
"Mr. Xu, tell me what examples you have encountered." Lu Kai asked with a smile.
Because he was not familiar with him, he was more polite when talking to Mr. Xu, calling you by name.In the Department of Urology, Lu Kai and Mr. Wu have long talked like buddies, and the little fat man knows it well.
"There's nothing to say." Mr. Xu smiled, "Emergency visits happen every day, and you'll know it when you see it. It's definitely not written in textbooks, but it's the most important part of the clinic."
"most important?"
"You don't need to see a doctor, you don't need to have an operation. After all, there are superior doctors here." Mr. Xu said, "If you have something to do, ask for instructions and report more. The Second Affiliated Hospital is different from other hospitals. The superior doctors...for example, are on duty today. My second-line professor, I asked him for surgery in the middle of the night, he will not damage my nose or eyes or eyes."
"Uh, there is such a thing?! Shouldn't second-line doctors see difficult patients?"
"Of course." Mr. Xu said, "Doctor is a profession. Healing diseases and saving lives is the result rather than the goal. Don't be brainwashed and immersed in the sense of superiority before going to work. If you only improve without mentioning money, that's all hooliganism."
"..."
"..."
Neither Ji Xiang nor Lu Kai knew what to say.
"Okay, let's order food. What do you want to eat?" Mr. Xu asked.
"Eat meat!" Lu Kai said with a grin.
"What about you, Doctor Xiaoji?" Mr. Xu asked Ji Xiang.
As soon as the words were finished, there was an ouch from the elevator entrance, followed by soft scolding.
Mr. Xu's lips moved, with an unhappy expression on his face.
"I've been unlucky lately, and I came to the emergency department whenever I mentioned eating." Mr. Xu said with a resentful face, "It's probably an emergency department, alas."
With that said, he stood up and looked outside the door.
"Doctor, the emergency department sent us here." A young man said cautiously.
"Where's the film? Let me take a look." Mr. Xu saw the patient behind the man, holding his left arm with his right hand, and his left shoulder sank heavily, as if a weight had fallen.
"Here, here." The man immediately handed over the film.
Mr. Xu took the film, looked at the female patient, took out the film and inserted it into the film reader without asking her about it.
The left clavicle was fractured, and the fracture was quite serious, even ordinary people who don't know how to watch movies can see it at a glance.
"How did you get hurt?"
"Car accident."
Chapter 315 Don't Pay Attention to Him
"Ahhhhh~~~"
The female patient let out a scream.
She seemed to have suffered trauma to her lower limbs, and she couldn't even stand still. She leaned against the wall and supported her body on her right back to squat down slowly.
But she didn't squat down either, she was stuck in half, and the posture of half squatting and not squatting was very weird.
While crying and howling, she maintained her original position and dared not move, as if moving would kill her.
The man hurried to help her up.
But I don't know where I met her, the woman yelled like crazy, startled the man, and didn't know what happened.
Ji Xiang was speechless, and Lu Kai was also dumbfounded.
"Fix it first." Mr. Xu was not surprised, and asked the nurse to fix the clavicle belt for the woman first.
Although the woman was cruel to her boyfriend, she did not abuse Mr. Xu. Although the pain was the same, her desire to survive forced her to endure it.
Mr. Xu first arranged a hospital bed, and then issued a hospital admission order for the man to go through the hospitalization procedures.
After a while after the admission procedures are completed, there will be emergency surgery, so Mr. Xu is no longer polite when he returns to the office, and hurry up to order food on the APP.
It doesn't matter if you are hungry for surgery. The key is whether the ward will be admitted to the emergency department during the surgery. Filling your stomach first is also a big deal.
"Mr. Xu, that's what you said to meet." Lu Kai lowered his voice and said, "I don't think that woman is unreasonable, and she just has a fractured clavicle, a minor problem, she's about to die..."
"Shut up, no one would say that about a patient." Mr. Xu scolded seriously, "This doesn't count. Fractures, minor injuries, and hypocrisy are normal."
"No? I think she's pretty unreasonable."
Ji Xiang felt that Lu Kai was right.
Just now, the man wanted to help the patient, but it was obviously on the right side, but the woman started to curse in a strange posture.
Strange temper, easy to catch fire, these labels have been stamped on the patient in Jixiang's heart.
But with a thought, he came to the system space with concentration.
"Teacher." Ji Xiang greeted the system NPC respectfully, and talked about his situation.
"Oh, broken clavicle, even though it's a minor problem, it's quite uncomfortable. Everyone's tolerance for pain is different. Would you like to try it?" asked the system NPC.
Fracture, this kind of empathy will definitely not make Ji Xiang feel more scared than surgery for cancer.
The purpose of Ji Xianglai is to give it a try, because he doesn't understand the behavior of the female patient.
He nodded, "OK."
The system NPC took Ji Xiang to the next surgery room, the light and shadow flickered, Ji Xiang didn't open his eyes, and there was a sharp tearing pain from his left shoulder.
There was a burst of cold air below him, and Ji Xiang quickly recalled that he had been in a car accident and was lying on the ground.
Passers-by have already called 120 for emergency services, and the sound of 120 ambulances from afar pierced the night sky.
Lying on the road, with severe pain in his left shoulder, Ji Xiang found his body bent and curled up into a strange posture.
He tried to move, not to curl up into a prawn, how hypocritical he looked.More or less, don't be so embarrassed, and be seen as a joke by others.
But with a slight movement, the left shoulder seemed to be cut off by a chainsaw, and for a moment Jixiang felt that he had been cut in half unconsciously.
"Ah~~~" Ji Xiang couldn't hold back, and screamed out.
Jixiang also experienced the pain of urinary stones before, but the two kinds of pain are fundamentally different, at least in Jixiang's feeling.
The pain in the urinary system is also heartbreaking, but there is always a posture that can relieve the pain a little.
But the pain of clavicle fracture is more "hard". The forced position to relieve the pain is only a very small "angle".
It was like a dagger was stirring back and forth in the body, the sour taste was indescribable.
Xu Leyu said it was a hard injury, and this hard word is really appropriate.
Jixiang instantly recalled his evaluation of the female patient, feeling a little ashamed.
The 120 emergency doctor rushed over, and Ji Xiang felt that he was finally saved.Although it was just empathy, the pain that the dagger stirred in the flesh and blood was very real. Ji Xiang just wanted to hurry up and perform the operation.
but!
120 The emergency doctor ran down, took a look at Ji Xiang, heard his screams, saw his position, turned around and left, "Leave him alone and look at other people."
"Take me to the hospital!" Ji Xiang shouted.
The sound seemed to stimulate the broken bones in the body, making the broken bones stir gently in the flesh and blood, pain +1.
"It should be fine, let's test the one who doesn't speak first!" the 120 emergency doctor shouted.
"..." Ji Xiang fell into despair.
He heard from Meng Qingfei that the most noisy patients in the emergency department should not be taken care of at all. Generally speaking, they are all fine.
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