Doctor of Healing

Di Yuhan said, looking at Ji Xiang.

Ji Xiang didn't answer, just smiled slightly.Zhao Mengmeng said, "Mr. Zhai, how is the patient's physical examination?"

"After the physical examination, the patient's muscle tone was grade 1, which was worse than before the operation. All the tests were positive, and he complained of pain when he touched it."

"Could it be a reaction after the nerve root was damaged and the edema subsided? Have you had an MRI?" Zhao Mengmeng continued to ask.

"MRI showed no hematoma and nerve compression, CT showed that the position of the screw-rod fusion was standard, and EMG showed no evidence of nerve damage." Zhai Yuhan spoke out all the main examinations.

Now Zhao Mengmeng was stumped, she had no idea what was going on with the patient.

The auxiliary examination is fine, but the patient complains that the symptoms are very serious. In layman's terms, the physical examination is contrary to the objective examination.

Seeing Zhao Mengmeng's blank face, Zhai Yuhan asked Ji Xiang, "Doctor Xiaoji, what do you think?"

"Teacher Zhai, the patient should pretend to be sick." Ji Xiang said calmly.

"Oh? Why?" Zhai Yuhan asked.

"Within a week after the operation, the patient was worried about the recovery of the disease and was very cooperative. After a week, when he knew that he was fine, he pretended to be sick and wanted to extort some money. Similar situations are not uncommon." Ji Xiang laughed.

"No way, how could a patient pretend to be sick?" Zhao Mengmeng frowned in puzzlement and retorted.

"I heard Director Bai from our hospital's medical department talk about a case where the patient had a tetracycline tooth and had root canal treatment in our hospital's stomatology department. After the treatment, he said that the tetracycline tooth was caused by root canal treatment."

"..." Zhao Mengmeng looked at Ji Xiang innocently, not understanding what Ji Xiang was talking about.

Zhai Yuhan knew very well that this talented student had been in an ivory tower all along, and he didn't know that the human heart was sinister, nor did he know how difficult it was to be clinical.

She looked at Ji Xiang with interest, but she didn't expect Ji Xiang to be familiar with the medical director of his hospital.

"How did you deal with this matter, or solve it." Zhai Yuhan asked.

"The patient's clothes were ragged and he looked very poor. When he came, he cried and said that his family's conditions were not good. Director Bai said that tetracycline teeth mainly appeared in the late 70s and early 80s. At that time, tetracycline was rare and affordable. Few people."

"So, this disease is a disease of wealth."

"Director Bai didn't believe that the patient was so poor, so he let people stare at him. Sure enough, once the patient came on a shared bicycle, chatted for a whole morning and left, rode out of the hospital, and drove away in an Audi A6. "

"..." Even Zhai Yuhan was a little confused this time.

Ordinarily, although the person who drives the Audi A6 will not talk about being rich, it is normal to have a little money.

This kind of person will continue to trouble the hospital with a ridiculous reason, just to extort a little money?

"No way." Zhao Mengmeng said in surprise.

"It's said to be like that. Later, Director Bai seemed to catch up with the clinical examination. A doctor made a mistake and went to the medical office to admonish him for a conversation. He put the patient in charge of that doctor."

"Responsible?"

"Just chat with the person who complained, even if he doesn't want to."

"This is a rogue way..." Zhai Yuhan didn't expect that Director Bai would come up with such a trick.

The person who complained was riding a bicycle. He definitely didn't want people to know that he was actually rich. He was pestered by a doctor all the time, so he couldn't drive an Audi A6.

When a rogue meets a rogue, he is more patient than anyone else.

How could a person who complained about the hospital be more patient than the doctor who was told to talk, Zhai Yuhan already knew the result.

Chapter 480 The Most Dangerous Situation

"Teacher Zhai, you can't." Zhao Mengmeng asked very puzzled.

"It's very possible." Zhai Yuhan said, "The chance of encountering similar patients in clinic is not high, but you can still encounter them after a long time. There is an old saying that if you often walk by the river, you can't get your shoes wet. this means."

"This..." Zhao Mengmeng still had an incredulous expression on her face.

From the perspective of the children in the ivory tower, the world is clean, beautiful, and full of vigor, just like the propaganda says.

And Zhai Yuhan, who has experienced being rubbed on the ground by the iron fist of society, has long since had no similar thoughts.

"In the emergency department, some people always say that they are uncomfortable and their symptoms are very similar, and they want to prescribe pethidine. I haven't experienced it a few years ago, but I have heard of it, and they went to the emergency department to get pethidine. of."

"..." Zhao Mengmeng was speechless.

"This is the simplest, and there are more difficult ones. For example, if a pregnant woman finds a stillbirth in a pregnancy test, she hides her medical history and goes to the emergency department for an IV drip, and then says that it was caused by intravenous administration of drugs." Zhai Yuhan was a little tired when talking about these things. , but say it anyway.

It is obvious that Zhao Mengmeng needs clinical experience. Recently, she has been working very hard. Zhai Yuhan hopes that she will know the dangers of clinical practice and outline a medical environment as complete as possible for her.

Otherwise, with Zhao Mengmeng's understanding of this world, he suddenly broke into it, and it is estimated that he would be rubbed off by the society soon.

What will happen then is hard to say.

This can be regarded as a small gain for Zhao Mengmeng to participate in the show.

"This... is too much." Zhao Mengmeng stammered.

"There are even more extreme things." Ji Xiang said, "I heard from Mr. Meng in the emergency department that a few years ago, before the eradication of evil, people traffickers abducted sick children and couldn't sell them. If you die, you will die, and you will be taken to the hospital to extort money."

"Extort money?! How to extort money?"

"Holding the child and talking about symptoms while busy, pretending that the child is asleep. Then refusing the physical examination, saying that the child has finally fallen asleep, don't disturb, just sleep quietly for a while, and just need an injection.

The doctors and nurses are busy and don't have time to check. If an injection is given according to their requirements, they will say that the child was killed by the injection in the hospital. "

"!!!" Zhao Mengmeng's face turned pale, pale and pale.

What Ji Xiang said made her shudder, and it was hard for Zhao Mengmeng to imagine that such a person existed.

In just a split second, she brought herself in.

If I encounter a similar situation clinically, I estimate that there is a high probability that something will happen.

The child was found to be "dead" shortly after the injection...the doctor couldn't get away with it anyway.

Zhao Mengmeng was terrified, tears were shining in her eyes, she almost cried.

"There are many similar things, Mengmeng, be careful in the future." Zhai Yuhan took a deep look at Ji Xiang and told Zhao Mengmeng.

Zhao Mengmeng was a little dazed, and nodded blankly.

"Doctor Xiaoji, what is the most dangerous situation you encountered in the clinic?" Zhai Yuhan asked.

"I have been trained for less than half a year." Ji Xiang shrugged, "I have never encountered a similar situation, I just heard about it."

Zhai Yuhan was speechless when he saw Ji Xiang talking about playing a scoundrel with an upright face.

"There are fewer medical troubles now, and I have never seen too unreasonable patients and family members. But I heard from Mr. Meng in the emergency department that there are several kinds of patients he is more afraid of. Patients with rib fractures."

"Fractured ribs?! Isn't it just pneumothorax? There's nothing to be afraid of. The next closed drainage will draw more than 1ml of dark red bloody fluid within 200 hour before you can go on stage." Zhai Yuhan said with a little disdain.

She has changed her attitude toward Ji Xiang now, but she still subconsciously thinks that the doctor Meng that Ji Xiang mentioned is a low-level doctor at the prefecture and city level.

"Mr. Meng said that he has worked for 20 years and has encountered 8 patients with rib fracture and aortic dissection." Ji Xiang said.

Zhao Mengmeng didn't understand what Ji Xiang meant, but Zhai Yuhan understood in seconds.

Aortic dissection is extremely dangerous. Although it may be confused with other diseases, it can always be seen from the severe tearing pain in the chest and back.

However, if the rib fracture is combined with aortic dissection, the pain of the fracture will cover up the symptoms, and the pain caused by the aortic dissection itself will be considered fracture pain.

Once taking analgesics or intramuscular injection of analgesics, the patient falls into a deep sleep, even if he does not die suddenly in his sleep, the moment the patient wakes up and sits up, the blood pressure rises, and it is very likely that the dissection will rupture suddenly and die in the ward.

By the time……

Facing the situation described by Ji Xiang, Zhai Yuhan immediately thought that the family members of the patient did not understand, the patient obviously walked in and spoke clearly, so why did he die.

This is different from coming to Pengci with a dead child in his arms. What Jixiang said was a pure disease, and it was a disease that the doctor who took over did not see it.

Reasonably speaking, if this kind of case is handled by the medical investigation committee, it is at least a liability accident.

Even the family members of the patients did not understand and did not cooperate, and parked the corpse in the ward without saying anything...

Di Yuhan was already sweating, and his palms were wet.

"This situation is the most dangerous, and there may be other situations, such as carotid intimal avulsion syndrome with a probability of one in [-], delayed cerebral hemorrhage, etc. But overall, Mr. Meng still I think rib fracture combined with aortic dissection is the most dangerous."

"Doctor Xiaoji, how did that teacher Meng deal with it? Can your hospital still do emergency 64-slice CT at night?" Zhai Yuhan asked.

"Teacher Meng said that he is not liked by patients, nor by inpatient doctors." Ji Xiang smiled slightly when he mentioned Meng Qingfei, thinking that he hadn't been with Meng Qingfei on duty for a few days.

"How to say?"

"But for patients with rib fractures, others can just do a chest X-ray. Mr. Meng insists that patients have a chest CT scan. He always laughs at himself, saying that he is the kind of crappy doctor who can't see a doctor without the machine."

"But chest CT may not be able to see it." Zhai Yuhan immediately pointed out the flaws in Ji Xiang's words.

"Mr. Meng means that as long as there is any doubt, he will definitely go to the general inpatient of thoracic surgery." Ji Xiang said, "He was a little too cautious, but I think Mr. Meng was frightened."

"Is it...a frightened bird?"

When Ji Xiang said the word frightened bird, Zhai Yuhan smiled bitterly.

As the general manager of the hospital, she knew very well what a bird of fright was, just like a patient with torsion of the gallbladder. If she encountered it, she could only say that she was unlucky.

"Teacher Meng often said that a doctor should be cautious and tread on thin ice. He also said..."

Ji Xiang talked endlessly.

Originally, Zhai Yuhan was going to teach Ji Xiang and Zhao Mengmeng, but after a few rounds, it became Ji Xiang teaching them.

Chapter 481

After Ji Xiang told a few stories about him and that teacher Meng, Zhai Yuhan suddenly woke up.

Why did I listen to an intern class?

The intern in front of me is different from others, this is what Zhai Yuhan can understand, and she also recognizes it.

But Ji Xiang is so young, judging from Zhai Yuhan's social experience and clinical experience, Ji Xiang should be extremely lacking in this aspect.

But Ji Xiang did not lose the slightest bit when talking about similar issues, Zhai Yuhan felt a little unconvinced.

But it's just unconvinced.

In just a few days, Zhai Yuhan has changed her attitude towards the interns participating in the reality show, but she hasn't realized it yet.

"Dr. Xiaoji, what impressed you the most when you first came to the hospital and came into contact with clinical practice." Zhai Yuhan asked, changing the subject.

She wanted to switch the chat to a rhythm she was familiar with.

"The deepest impression, of course, is that the internal medicine teachers write medical records and ask medical history; the surgery teachers perform operations and..."

"And what?"

"Drive." Ji Xiang scratched his head.

"I see that Director Yang is very serious when performing surgery." Zhao Mengmeng has never been to a clinic, so she doesn't know anything about it, and mistakenly regarded Director Yang's behavior when there is a program team as normal.

"Then tell me about the time that impressed you the most." Zhai Yuhan said.

"On the first day I went to clinical training, I heard teachers and patients say that scars are the most dazzling badge of a man, the most shining one... Hahaha."

Zhai Yuhan knew about this stalk, she frowned slightly, and gave Ji Xiang the same look.

Ji Xiang thought for a while, "I remember one time I went to the Andrology Hospital with two teachers for surgery. Usually, I was the assistant, and they took turns being the surgeon. Are there any holidays? There are more children undergoing purse surgery, more than a dozen a day. One operation, at most 22.”

"One day, Mr. Wang seemed a little tired. He didn't want to have the operation, so he just sat by the side and said nothing, and asked Mr. Mo to take the stage for him. Mr. Mo asked a few questions, and Mr. Wang said that this was a test for him."

"Test? What kind of test is there?" Zhai Yuhan asked.

"Whoever pays for each operation." Ji Xiang explained, "Ms. Wang said that this is to let you earn more money. The two of them are in a group, and they are used to joking, but they don't really want to work less. , Earn more money. Teacher Mo said he has enough money and doesn’t need it.”

"Make money." Zhai Yuhan hesitated for a moment, she really couldn't figure out what the problem would be here.Even Qiu Mingshan Rider, it is estimated that it is difficult to drive something that can be said.

"Teacher Wang said..." Ji Xiang imitated Colonel Wang, raised his hands and turned his head, "hongkongdoll, you can believe that a little rich woman with 500 million assets is filming at P Station. You look at them, you look again It's up to you. A little rich is safe, really useless."

"..."

"..."

Zhai Yuhan and Zhao Mengmeng were taken aback at the same time, Zhai Yuhan really didn't know about Station P, Zhao Mengmeng knew about it, but they didn't know who hongkongdoll was.

Ji Xiang also hesitated for a moment. Although Di Yuhan had brought up the matter of driving, it was still a bit inappropriate.

The joke was a bit too much.

How can an old hooligan like Mr. Wang speak casually.

"Emmmm..." Ji Xiang wanted to change the subject.

Zhai Yuhan took out his mobile phone and started searching according to what Ji Xiang said, and Zhao Mengmeng leaned his head over to watch along with him.