Doctor of Healing

Professor Shen has a quick mind. When encountering such a problem, he hesitated for a few seconds and said, "I think there is still a problem with Ji Xiang's judgment."

"There is a B-ultrasound image on the B-ultrasound report, but it is not dynamic, but a screenshot of an iconic picture selected by the doctor in the B-ultrasound room. Let's not talk about the fact that the B-ultrasound can reverse the entire bile duct tree. Is it possible, even if it is possible, MRI cholangiopancreatography should be done."

What Professor Shen said was very professional and involved profound content, and he couldn't explain it in plain language for a while.

Everyone in the comment room was in a fog.

"Then what does Mr. Shen think he will do next?"

Professor Shen shook his head slightly.

In reality, the opinion of a regular training doctor is like fart, which disappears in the air. If it is not too stinky, no one will care.

But I can't say that, and now it's a reality show, God knows what Dr. Zhai Yuhan Zhai will do.

If he were in Zhai Yuhan's position, Professor Shen didn't know how to deal with this little intern who didn't know what to do.

……

……

After Zhai Yuhan explained the Mirizzi syndrome after cholecystectomy, she was taken aback, and she became angry from embarrassment.

Ji Xiang, a junior doctor, dared to talk to himself like that!

The most important thing is that I actually... answered his question about Mirizzi syndrome after cholecystectomy in a fascinated way.

Originally, he wanted to give this arrogant little guy Ji Xiang a killing blow, but who knew that the stick would hit him in the end.

Zhai Yuhan didn't lose her mind, she quickly calmed down and smiled slightly, "Doctor Xiaoji, according to your logic, what should we do next?"

"Emergency MRI." Ji Xiang said with certainty, "If there is any problem, please contact the ERCP room of the Department of Gastroenterology tomorrow."

"Well, this task is entrusted to you." Zhai Yuhan said very gently, "As a clinician, you must have a strong ability to communicate with patients and their families. Ji Xiang, you are now a bed doctor, responsible for communicating with patients and their families. The family members explained the situation and persuaded them."

"it is good!"

Without hesitation, Ji Xiang straightened his white clothes after standing up, rubbed his face, and strode out after simple expression management.

There is a deep trap in Zhai Yuhan's words - the patients and their families are very stubborn.

If they are not stubborn, the first postoperative abdominal pain is accompanied by jaundice, and the relevant examinations have been completed when they come to the hospital for treatment.

However, because the patient's condition was relieved after symptomatic treatment with antibiotics, it took time to make an appointment for MRI. When the appointment was almost scheduled, the patient had no stomach pain and no complaints of discomfort.

He strongly refused to do other examinations. It was useless for Zhai Yuhan to do the work by himself, or even ask Director Yang to do the work. In the end, he could only let him go home.

I am the patient's bed doctor, and I am very familiar with the patient. Can Jixiang do things that neither he nor the boss can do?

What a joke!Zhai Yuhan thought to herself.

Let Ji Xiang do an impossible task, kill his prestige.

"The first set of cameras, keep up with Jixiang!"

Director Fan's voice came, and the first camera team hurriedly followed.

Zhai Yuhan smiled slightly, Ji Xiang couldn't solve the problem.

This young doctor has his own advantages—the theory is extremely solid, so solid that he doesn't look like a young doctor who has just entered the clinic.

And he can connect theory with practice, and propose the diagnosis of Mirizzi syndrome after cholecystectomy.

But the problem is also obvious.

The first is to lie, using B-ultrasound images to deduce the bile duct tree that can only be seen by MRI. Zhai Yuhan has never heard of such a thing.

The second is that Ji Xiang does not understand clinical practice at all.

It is extremely difficult to communicate with patients and their family members. Everyone has different temperaments.

For other people, Zhai Yuhan can be sure that they will listen to the doctor's advice and improve the relevant examinations.But the 12-3 patient didn't care at all, as long as the condition was milder, he would be discharged from the hospital.

This has nothing to do with status, money or not.

I still remember that a few years ago, the boss of a listed company went to the emergency department of the hospital because of chest tightness, shortness of breath and chest pain. He was diagnosed with myocardial infarction and recommended to be hospitalized.

But the boss refused to be hospitalized and posted a lot of complaints in Moments.Tragedy struck soon after and he died of a heart attack.

Patient 12-3 is also extremely stubborn, and this time he has been admitted to the hospital for 2 days, his abdominal pain has been relieved, and his liver function has also recovered. Want to persuade him to have an MRI?

Bullshit!

Zhai Yuhan thought about it again, and was sure again that Jixiang couldn't deal with patients with 12-3 beds.

Looking at Zhao Mengmeng, who was at a loss, with helplessness and numbness in his eyes, Zhai Yuhan smiled, "Mengmeng, it's just like this when you first entered the clinic. You have been doing basic research before, so it's normal if you don't understand."

"En." Zhao Mengmeng squeezed out a tiny voice from her nose, lowered her head, it seemed that she was about to cry.

"Go back and take a good look at the clinical practice manual, and follow the requirements above." Zhai Yuhan said.

"I see, Teacher Zhai."

Zhai Yuhan said a few words, barely coping with the second camera team staying in the office.She was silent immediately, curious in her heart, looking forward to Jixiang's return in disgrace, and complaining to herself.

If so, what should I say?Zhai Yuhan fell into deep thought.You can't speak harshly, after all, there are cameras, and you will appear on the Internet, so you must remain elegant.

While maintaining elegance and calmness, it is also necessary to teach this little guy Ji Xiang a lesson, let him recognize the reality, and know that clinical work is not as simple as dropping a book bag.

Suddenly, Zhai Yuhan had an idea.

She chatted with Zhao Mengmeng, taught Zhao Mengmeng how to write medical records, and passed the time.

After more than ten minutes, there were footsteps outside the door, and Ji Xiang strode in.

"Doctor Xiaoji, what's the result?" Zhai Yuhan asked with a smile.

Chapter 421 Talking

"Teacher, the patient agreed." Ji Xiang said.

"It's normal to disagree. The clinical work is extremely complicated, and you have to face all kinds of things..."

As Zhai Yuhan spoke, he was startled suddenly.

agreed?Who agrees?Agreed to what?

? ? ? , three huge question marks appeared above Zhai Yuhan's head.

"What did you say?" Zhai Yuhan was puzzled.

"The patient and the patient's family have agreed to have an examination." Ji Xiang said, "I don't know the diagnosis and treatment process of our hospital. If possible, Mr. Zhai, can you arrange an examination half an hour before going to work tomorrow?"

"..."

Zhai Yuhan looked at Ji Xiang like a monster.

How did he do that? !

And the plan proposed by Ji Xiang is also feasible.

……

……

In the review room, Ji Xiang was chatting with the patient on the screen.

"When I first got sick, I almost didn't think I had a heart attack. It hurts here, it hurts like hell. I'm usually in good health and basically don't get sick, but once it hurts, it's really terrible, and I hit my head against the wall."

Ji Xiang pointed to his upper abdomen and chatted with the patient.

"Many patients with myocardial infarction do not have chest tightness and shortness of breath, but have other manifestations, such as abdominal pain, and even some patients present with toothache, and then go to the stomatology department for thirteen times, and finally die because of myocardial infarction."

"What's the meaning of a slip and thirteen encounters?" The patient looked at the young doctor curiously and asked.

"Ah, it's our dialect in Northeast China. After a long time in the hospital, the stomatology department thought it was dental caries or some other disease, and prepared root canal treatment. Then the patient died of a sudden myocardial infarction."

"Later, all patients in our hospital who went to the emergency department had to have an electrocardiogram to check for myocardial infarction."

"Hahahaha, you really are..." The patient gradually let down his vigilance when he saw Jixiang's easy-to-understand words, like the boy next door.

"Do you think that the doctor won't see a doctor without the examination?" Ji Xiang said with a smile.

"This child..." A guest in his 50s scratched his head.

"The affinity is full, it doesn't look like a young doctor, but like the old doctors under me." Professor Shen said.

"During my internship, there was also a doctor who had strong communication skills with patients, just like Jixiang, and the problem was solved by chatting." Maomao added.

The guests commented briefly, and on the screen, Ji Xiang continued to "chat".

"To put it far, I was sick that time and almost crawled to the emergency room."

"Why crawling?" The patient was puzzled.

"I live in a student apartment in the hospital, less than 200 meters away from the emergency department, but within 200 meters, every step I take, I feel like a knife is inserted here. I can't climb, my legs are weak, and I can't even step against the wall. Move." Ji Xiang said, and patted the position of Murphy's gallbladder on his upper abdomen.

"Later, I met a patient with a knife wound. I asked him if it hurt after the operation, and he said it didn't hurt."

"It was only then that I realized that this disease hurts more than being stabbed with a knife."

The patient feels sympathetic.

"After walking less than ten steps, the clothes all over my body were wet with sweat. It's no exaggeration. What about you? Did it hurt like mine?" Ji Xiang asked.

"When I was sick, I endured severe pain and called 120 for emergency services. Out of breath and trembling, I told the location of my home, and then my wife went downstairs and waited for 120.

After the phone call, I was in so much pain that I didn't dare to move, my whole body was soaked, and I could only lie on the ground like shrimp. "

"It's cold on the ground, and the pain will be relieved a little by lying on the ground." Ji Xiang added.

The patient had suspected that Ji Xiang was making up stories to lie to himself, and when Ji Xiang said that it was cold on the ground and the pain could be relieved a little by lying on the ground, he immediately introduced Ji Xiang as a confidant.

"Yes, yes, yes, yes!" The patient said 4 times in a row, "In those few hours, I really wanted to die, it was too much."

"Me too, I went to the emergency department, and our emergency department teacher joked with me, saying that I had a terminal illness."

"Uh..." The patient was slightly taken aback when he heard the word terminally ill.

Not only the patient, but even the family members of the patient and the cameraman team were stunned. What kind of talk is this.

"I also know why the teacher said that." Ji Xiang explained, "Cholecystolithiasis is a terminal disease. I heard that there was an operation to remove gallbladder stones more than ten years ago, but the effect was not good, and then it was stopped."

"But we are terminally ill, as long as the gallbladder is cut off."

"Hahaha, that's what it is."

"There is another benefit after cutting it off, Brother Zhou, do you know?" Ji Xiang has already called the patient brother and brother.

"What's the benefit?"

"I have diarrhea when I eat something greasy, look at me!" Ji Xiang patted his chest, "I used to weigh more than 200 catties, but now I am around 160. I have lost weight successfully and I still look thin."

"I am not, I gained more than 20 catties after the operation." The patient said.

"I'm greedy. After the operation, I ate greasy food. I couldn't keep it after eating. My classmates even laughed at me and said that I have a rectum. I'm so envious of you gaining weight. Brother Zhou, look at me, I'm too thin."

Ji Xiang talked further and further away.

The photographer's team was a little confused.

"Jixiang is really familiar." A guest didn't know how to comment on Jixiang, so he could only think of this comment.

"It's not familiar, it's intentional." Professor Shen is very familiar with Ji Xiang's way of speaking, and he said firmly, "First get in touch with the patient and stand at the same angle as the patient, so that the patient can relax and stop being vigilant."

"It seems that he is very professional. Of these interns, only Ji Xiang is professional like an old doctor."

Old doctor?Professor Shen sighed in his heart.

Ordinary old doctors can't do what Ji Xiang does.

Especially the sentence lying on the ground, a little cooler will relieve the pain. This sympathetic description made Professor Shen feel that Jixiang's gallbladder was really cut off, rather than simply building a relationship with the patient.

For a while, Professor Shen was in a trance with this old clinician.

All kinds of reasonable but irrational thoughts appeared, and he couldn't tell whether Jixiang had his gallbladder removed so that he could feel pity for the patient or just talking nonsense, and he hit the point.

"I had two MRIs after the surgery, and it was the MRIs that really hurt me. I didn't know what claustrophobia was before, but..."

"Wait." The patient looked at Ji Xiang suspiciously.

"What's the matter, Brother Zhou, let me tell you, do you know what claustrophobia is?" Ji Xiang didn't seem to want to talk about "business" at all, and shifted the topic to claustrophobia.

"You said you had two MRIs after the operation. What's going on?"

"I have silt-like stones. They say it's the bile duct. There may be silt-like stones deposited in the part of the liver. My teacher worried that there would be problems after the operation, so he had to ask me to do it twice."