Doctor of Healing
Page 297
The film crew thought they saw an emergency room and could record some emergency scenes.Unfortunately, it's all a pity.
Director Fan sighed, this part will definitely be cut off, if there is an emergency, you can record Dr. Zhai Yuhan Zhai and the interns' rescue, it is best that Zhai Yuhan scolds the interns in a hot temper during the rescue, then How nice it should be.
The hot spot of the show is here, but it's a pity that I didn't meet it.
Back at the doctor's office, Zhai Yuhan continued to eat.She barely swallowed a few mouthfuls of the raw rice, and seeing Ji Xiang took out her mobile phone, "Mr. Zhai, I'm going to make a call."
"Call, are you calling your family? Just call here." Zhai Yuhan said.
"Uh..." Ji Xiang hesitated for a moment, he didn't call or go out, but put his phone away.
"After dinner, you continue to familiarize yourself with the medical records. Take a look at the patients in our group. The boss will ask a lot of questions during the rounds tomorrow morning. If you can't answer them at that time, the boss will not have a seizure in front of the patients. But you will definitely be scolded when you come back.”
"Can you still curse?" Zhao Mengmeng asked timidly.
She has always had no sense of existence, as if she is wandering.
"Of course, if you don't know anything about your patients, you can tell if the superior doctor will be angry." Zhai Yuhan's attitude has begun to be a little aggressive.
Chapter 427
After eating, Zhai Yuhan went back to his duty room to be quiet for a while.
The existence of the program group broke the normal life in the past. Although it confiscated any serious problems, it made Zhai Yuhan mentally and mentally exhausted.She doesn't like to show her face, and being a star is even more of a burden.
As for the little intern who pushed his nose on his face...
After a while, he will test them first, and Zhai Yuhan made up his mind.
Especially Ji Xiang, he "solved" a chronic patient by mistake, did he really think he was a veteran clinician?
joke!
I don't believe that his basic clinical skills are so good that he can know everything about patients.
After resting for half an hour, Zhai Yuhan walked out of the duty room to the doctor's office.
In the office, only Zhao Mengmeng was "face-to-face" with the computer screen, lonely and silly.
"Zhao Mengmeng, where's Jixiang?" Zhai Yuhan asked.
"Doctor Ji Xiang said he was worried, and went to the emergency department to see the patient just now." Zhao Mengmeng replied timidly.
Zhai Yuhan frowned, Ji Xiang is crazy, as long as he has a camera, he has to play tricks.
Isn't it just looking for trouble?
Then she noticed that the film crew had also left, and she became more and more sure of her guess.
Zhai Yuhan was a little angry.
This is a hospital, not a running man's recording site, so you can't play however you want!
"Emergency Department?"
"Yes, Mr. Zhai, the film crew followed suit." Zhao Mengmeng gave Zhai Yuhan an affirmative answer.
Zhai Yuhan turned around angrily and left, striding straight to the emergency department.
In the corridor of the emergency department, Zhai Yuhan saw Ji Xiang standing in front of the patient, seeming to be talking about something.The camera crew is far away, but they are filming.
Isn't this fooling people!Di Yuhan thought contemptuously in her heart.
Do you record advanced personal data?Zhai Yuhan became more and more unhappy about how he learned this set of fake things at such a young age.
She strode over and asked with some stern words, "Doctor Ji Xiang, what are you doing?"
"Teacher Zhai is here." Ji Xiang turned his head and gave Zhai Yuhan a warm smile, "I'm here to see the patient just now."
"Is there a problem with the patient?" Zhai Yuhan sneered.
"The stomach started to hurt. I just had a physical examination. The patient has tenderness in the middle abdomen. I suggest the patient get a CT scan."
"What organs are there in the middle abdomen?" Zhai Yuhan asked sternly.
She knew that the camera had followed her, but Zhai Yuhan was not going to bear it any longer.
No matter how bad Ji Xiang's temper is, no matter what he has done before, and no matter what PY deal the program group has with the hospital, within the scope of his ability, he will definitely not let them mess around.
"Generally speaking, the middle abdomen is the stomach area, and it is not ruled out that there may be intestinal problems." Ji Xiang replied.
He is not worried about the recording of the program group, but he does not want the patients to hear it and cause panic.
Zhai Yuhan immediately felt the meaning of Ji Xiang's actions, but she was still very unhappy and asked, "Doctor Ji Xiang, do you mean gallbladder torsion?"
"Probably yes." Ji Xiang replied like an old doctor, "Intermittent abdominal pain, there is obvious tenderness in the stomach area during the pain, it is definitely surgical pain."
The surgical pain mentioned by Jixiang is a common saying in clinical practice.
Abdominal pain can be divided into two types, one is the pain when you press it up, which is the surgical pain mentioned by Ji Xiang, which means there is inflammation or other diseases.
The other is to relieve the pain by pressing it up. The patient presses the stomach hard, which can make them feel better.Similar situations are generally considered gastrointestinal spasm, which is an internal medical disease, and this situation is also called hi pressing.
"Is there obvious tenderness in the stomach area?" Zhai Yuhan asked.
"Yes." Ji Xiang immediately replied, "The stomach area and upper abdomen, the emergency physician prescribed a CT of the upper abdomen and mid abdomen for the patient, but the patient didn't want to do it, and I was doing the patient's work."
Zhai Yuhan was taken aback for a moment, she didn't continue to talk to Ji Xiang, but went into the emergency department and consulted with the physician about the physical examination at that time.
"Doctor Lin, what happened to the patient at the door?" Zhai Yuhan and other emergency physicians asked immediately after seeing a patient.
"I still have to ask you," said the emergency physician. "Who the hell is that young doctor? Is he new here?"
"Our hospital put on a reality show..." Zhai Yuhan reluctantly began to talk about his bitter experience.
"Ah? A doctor from a reality show? I thought it was a new doctor in your department. He is quite high-level, and the physical examination is very neat." The emergency physician said doubtfully.
"Just an undergraduate."
"He is very experienced in speaking and doing things, and looks like an old clinical doctor." The emergency physician gave a high evaluation.
Zhai Yuhan still agrees with the evaluation of emergency physicians.
"Doctor Lin, have you seen that patient?"
"Look, there is tenderness in the stomach area, take blood first, and then..."
Just as he was talking, Ji Xiang walked in, "Mr. Lin, hello."
The emergency physician looked at Ji Xiang with a smile, "Dr. Ji, have you done the work of understanding patients?"
"Well, the patient has agreed to have a CT scan." Ji Xiang replied with a smile.
"Doctor Ji Xiang." Zhai Yuhan's tone was serious, "Do you know what a hollow organ is?"
Hollow organs refer to organs such as the stomach and intestines. Most of these organs need to be examined by gastrointestinal endoscopy alone. Subtle lesions cannot be seen with B-ultrasound and CT, unless the malignant tumor is large enough to a certain extent.
The patient's stomach area is uncomfortable, and Jixiang wants to do a CT scan for the patient, which sounds like nonsense to Zhai Yuhan.As for the gallbladder, it is even more nonsense.
Doctor Lin from the emergency department was a little surprised, but she asked kindly, "What kind of disease do you feel like?"
"do not know."
Doctor Lin from the emergency department smiled, "Call the patient's family."
"Okay!"
"Doctor Lin, are you going to have an examination?" Zhai Yuhan asked in surprise.
"Yes." Dr. Lin from the emergency department has already started the operation.
"Why do you need to check the abdominal CT?"
"I think it might be a torsion of the gallbladder. During my physical examination, I felt that it was a disease of your department. You just came here." Dr. Lin from the emergency department said with a smile, "Although I'm busy today, I'm lucky. Mr. Zhai, you are ready to go to the hospital." , It is estimated that the emergency department will be on stage."
Gallbladder torsion!
Zhai Yuhan was speechless.
This disease is very rare, she has only seen one case.
If Jixiang said it, Zhai Yuhan would definitely not believe it; but the emergency department doctor Lin said so firmly and was ready to issue a bill, which made Zhai Yuhan fall into deep thought.
"Ms. Lin, the patient's family is here."
"Oh, you agree to do the examination?" Dr. Lin from the emergency department asked.
"Doctor, what could be the disease?" the patient's family asked.
"The biggest possibility is that there is no problem, but I suggest that you still do an inspection. In case, let's say in case, in case something goes wrong, it will be of great benefit to you to be able to find out as soon as possible."
The emergency doctor said three things in a row, with a heavy tone.
Chapter 428 Profession is defeated again and again by good luck
The patient's family members hesitated, and Dr. Lin from the emergency department emphasized, "I'm busy here. If you're not afraid of accidents, you can sign and leave first. You don't have to force it."
"Do."
When it came to signing the refusal, coupled with Dr. Lin's slightly impatient tone, the patient's family immediately agreed with her statement.
This is normal, especially when there are more than a dozen or No. 20 patients outside the emergency department, who has time to chat with a patient's family for half an hour.
And in that impatient tone... there was a sense of professional contempt, although it was not heavy, it was very clear.
The card was placed on the card reader, and Dr. Lin from the emergency department immediately issued a bill to the patient.
"Go to the CT room for an examination." Dr. Lin from the emergency department finished talking to the patient's family without looking up, and then called the next patient in.
Because this patient was delayed for too long, the next patient and his family were already on the verge of collapse. Dr. Lin, an emergency department physician, knew the severity.
Seeing that Dr. Lin didn't have time to explain to him, Zhai Yuhan had no choice but to leave.
She called Corey, and the nurse said that the existing patients were fine, and Zhai Yuhan told her to go to the CT room, and call herself immediately if something happened.
When she came to the CT room, Zhai Yuhan saw Ji Xiang and the patient's family members whispering something, so she leaned over.
"It's good to find the problem, so it won't hurt in the future. By the way, your girlfriend can bear it, and she hasn't come to the hospital to take a good look for so many years."
"She is most afraid of coming to the hospital. As long as she is a little better, she will rush to leave, and I can't help it." The patient's family said with some embarrassment.
"Check it out, it's best if there's nothing wrong. Solve the problem if there's any problem, it's a small problem." Ji Xiang comforted with a smile while squinting his eyes.
"Doctor, is there a big problem?"
"It could become a big problem if left untreated, but it's still early days."
"Doctor, don't scare me. I think of cancer when I talk about early stages."
Ji Xiang raised his head and patted the family members of the patient, "Say something nice, what cancer is not cancer. What I said in the early stage is that the gallbladder has not been necrotic. If it is necrotic, it is called gangrene in clinical practice. Surgery can be done, but the risk is extremely high. Big."
Zhai Yuhan watched Ji Xiang and the patient's family members talking and communicating like old friends for many years, and she felt a little complicated.
Although what Ji Xiang said were very common words, and other doctors communicated with patients and their families in the same way, the ability to talk about the topic of terminal cancer with the family members of the patients in such a short period of time, and the family members of the patients still accepted it, proved that Ji Xiang's ability.
Zhai Yuhan has never seen such a strong communication ability.
Thinking of this, Di Yuhan even faintly felt that Ji Xiang's judgment was correct.
There must be something I don't know, after all, I didn't participate in the physical examination of the patient's abdominal pain.
Zhai Yuhan just watched from a distance, and when the patient went in for an examination, she walked into the operating room.
"Mr. Zhai, why are you here?" The doctor in the CT room was familiar with her and greeted her.
"Come and see a patient with abdominal pain." Zhai Yuhan said, "Central abdominal pain, how much gallbladder torsion did you find?"
"Ha, Mr. Zhai, you are really getting better at telling jokes." The doctor in the CT room chatted with Zhai Yuhan while operating, "Isn't all gallbladder torsion sent to your department, you don't know how much. Are you Test me?"
As he said that, the doctor in the CT room was stunned for a moment, as if thinking of something, "What? This patient is suspected of gallbladder torsion? Does he have a fever?"
"Do not burn."
"It's unlikely that the gallbladder is reversed. You don't know much more than I do." The doctor in the CT room was relieved. She didn't talk about the patient and Zhai Yuhan, but talked about other things.
Abdominal CT was performed quickly, and the examination was completed in 2 minutes. The patient went out first, and Zhai Yuhan stared in front of the machine.
The images appeared frame by frame, and soon reached the gallbladder fossa.
There is nothing, the gallbladder that was supposed to appear here is "invisible", and I don't know where it went.
The doctor in the CT room was surprised, "Mr. Zhai, it's amazing, the gallbladder is really gone! It doesn't look like it has undergone a resection operation, it should have fallen off."
Her praise was like a whip on Zhai Yuhan's back, and it hurt like hell.
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