Doctor of Healing

Zhao Zhe was very diligent, and there was no problem with his attitude.For an old attending doctor, this is not a problem, as if eating and drinking are normal.

Seeing Zhao Zhe looking for Zhai Yuhan, Ji Xiang took the patient and the patient's family to the pharmacy for a physical examination.

Along the way, Jixiang briefly asked about the patient's condition.

Patient female, 53 years old.Laparoscopic cholecystectomy was performed for gallstones with chronic cholecystitis.I don't know how the operation was done, but the postoperative recovery went smoothly, and the patient had no complaints of discomfort.

He was discharged from the hospital 4 days after the operation, and there was no abnormality after discharge.

This afternoon, that is, one month after the operation, the patient developed right upper abdominal pain without obvious incentives.So the patient and the patient's family members remembered the operation one month ago, and came to the First Affiliated Hospital again to ask Mr. Zhai to have a look.

It seems that there should be no problem, Jixiang thought.

Zhai Yuhan was resting in her duty room. Zhao Zhe said that an old patient came to see a doctor, so she put on white clothes and came out.

After the meeting, the patient and the patient's family members almost didn't cry as if they saw their relatives.

Ji Xiang recognized Zhai Yuhan in his heart.

During the recent period of hepatobiliary surgery, Zhai Yuhan has been kind to the patients, so it is no wonder that the patients treat her like a family member.

After a simple questioning and physical examination, Zhai Yuhan said with a smile, "I think it's not a disease of our department. Black stools for 3 days may be delayed stress ulcers. I should go to the Department of Gastroenterology. If you are worried, get a B-ultrasound. One glance."

Delayed stress ulcer?This is quite rare, Ji Xiang thought to himself.

He held his breath and came to the operating room of the system.

"Doctor Zhai, why is there still gastrointestinal bleeding." The patient's family said sadly.

"Nervous." Zhai Yuhan explained, "Due to the stress of severe trauma, infection, burns, and critical illness, hemorrhage caused by necrosis and erosion of the gastric and duodenal mucosa."

"Ms. Liu was very nervous before the operation, which may also cause stress ulcers, but it is not common in clinical practice. Based on Ms. Liu's past history, I judged that it was caused by stress ulcers. The problem is generally not serious. Go for a B-ultrasound , if there is no problem with the liver and gallbladder, go to the gastroenterology department for hospitalization."

Ji Xiang's lips moved, trying to say something, but he didn't speak in the end.

Zhai Yuhan gave the patient an outpatient examination order and asked the patient to go for the examination.

Ji Xiang was very enthusiastic. He picked up the checklist before the patient's family members reached out, "I'll take you there."

Zhai Yuhan glanced at Ji Xiang. In terms of familiarity with the hospital, Ji Xiang seemed to be behind the patients and their families.

Is he going to be busy again?

Zhai Yuhan looked Ji Xiang up and down, saw that there was nothing unusual about him, and thought that Ji Xiang was pure enthusiasm, and didn't think much about it.

Ji Xiang asked the nurse for a wheelchair, and pushed the patient for the examination. Zhao Zhe wanted to follow, but Ji Xiang drove him back.

"Doctor Zhao, is Doctor Xiaoji so enthusiastic with you?" Zhai Yuhan asked with a smile when he saw Ji Xiang leave.

"Doctor Xiaoji is very good to patients." Zhao Zhe said seriously, "It's not too much to say that he treats patients like family."

Zhao Zhe said, looking at Ji Xiang's leaving direction full of doubts.

Chapter 494 I Have Had Surgery Too

"Doctor Zhao, what do you think?" Zhai Yuhan asked.

"President Zhai, Dr. Xiaoji... I always feel that something is wrong with him today." Zhao Zhe said suspiciously.

"Is something wrong?" Zhai Yuhan suddenly became nervous.

Ji Xiang is "a lot of things", he can always make waves on the ground, and troubles often happen in corners where no one notices.

Coupled with Zhai Yuhan's complicated thoughts, she felt that she had to be wary of Ji Xiang.

Recalling the physical examination and consultation, Zhai Yuhan felt that there was nothing wrong with it, so she smiled, "Doctor Zhao, what do you think is the problem?"

"Surely there is something wrong with the operation. It's been a month. It's just a minor operation like gallbladder removal." Zhao Zhe looked honest and honest, but in fact he was a ghost, and he guessed the moment when Zhai Yuhan was silent just now. Find out what's on your mind.

"The strongest thing about Dr. Xiaoji is that he understands patients very well. In fact, I don't know why he knows so much. When I was in the Second Affiliated Hospital, I once heard him communicate with a patient with a fractured clavicle, talking about the patient. Wept straight away, holding Dr. Xiaoji's arm, and being closer than relatives."

"what?!"

"Dr. Xiaoji said that he also had fractures and was lying on the road in winter, alone. The doctor thought his condition was mild, so he didn't take him to the 120 ambulance immediately. I felt sore nose when I said that."

"Has he ever broken a bone?" Zhai Yuhan asked in surprise.

"No, I saw it when we were changing clothes in the locker room before the operation. He didn't see any surgical scars on his bilateral clavicles, nor did he see any fracture deformities." Zhao Zhe smiled, "Maybe this is the ability, he Always able to put myself into the patient's perspective."

"Harmful." Zhai Yuhan breathed out, she was startled by Zhao Zhe's words just now.

Suddenly, Zhai Yuhan remembered something, "Doctor Zhao, has Ji Xiang had his gallbladder removed?"

"No." Zhao Zhe has watched the previous episodes of the program and knows what Zhai Yuhan means. "Dr. He drives fast."

"..." Zhai Yuhan sighed.

Before Jixiang communicated with patients after cholecystectomy, he always thought that he had undergone cholecystectomy.

Ji Xiang not only deceived the patient, but also deceived himself, you bastard!

Lie without blinking an eye!

"It may be that Dr. Xiaoji feels that the patient is uncomfortable, and wants to push the patient to go for a check-up as soon as possible, so that the patient will suffer less. I am thinking too much, thinking too much." Zhao Zhe guessed.

He didn't tell the truth either, Jixiang must have other intentions when he left himself just now.It's just that Zhao Zhe couldn't figure it out for a while.

Twenty minutes later, Zhao Zhe's cell phone rang.

"Brother Zhao, tell Teacher Zhai that the patient's liver and gallbladder are fine. Please ask me, a few titanium clips were used during the operation."

"Mr. Zhai, Dr. Xiaoji asked how many titanium clips were used during the operation."

"Titanium clamp?" Di Yuhan was taken aback.

Does this thing make sense?

The operation was cholecystectomy, and the titanium clip must have been placed on the cystic duct and cystic artery.

No matter which one it is, it seems that it has nothing to do with gastrointestinal bleeding.

"I forgot." Zhai Yuhan couldn't recall a certain operation a month ago at all, she said casually.

Zhao Zhe frowned, but did not express his dissatisfaction, but went out clutching his phone to communicate with Ji Xiang.

Di Yuhan felt contemptuous for troublesome things.

Although the delayed stress ulcer is not necessarily correct when judging the patient by yourself, it must not be directly related to the operation.

The liver and gallbladder area is far away from the intestinal tract.

Even though he thought so, Zhai Yuhan didn't express his displeasure and wrote them on his face.

In just a few days, Jixiang still conquered everyone in the First Affiliated Hospital with his professional ability.

Forget it, let Ji Xiang toss it.

Zhai Yuhan yawned, silently implying that Zhao Zhe was sleepy, then got up and went back to his duty room.

Zhao Zhe couldn't figure it out either. He turned on the computer, searched the past medical records, and found 5 hospitalized patients according to the names Ji Xiang said.

There are many patients with the same name and surname. Zhao Zhe found the medical record of the hepatobiliary surgery hospitalized a month ago, checked the patient's age, name, medical history and the doctor in charge, and confirmed that it was the medical record. Zhao Zhe clicked in to find the surgical record.

During the operation, one medium-sized titanium clip was placed in the cystic duct, and two medium-sized titanium clips were placed in the cystic artery.

He called Ji Xiang to explain the operation.

"Then I know, Brother Zhao. Hang up first, I have something to do here." Ji Xiang hung up the phone.

Three titanium clips were used in the operation, but only two were seen on the B-ultrasound.

The problem should be here as the system npc said.

"There is nothing wrong with the gallbladder area." Ji Xiang communicated with the patient and the patient's family while pushing the wheelchair, "I will send you to the Department of Gastroenterology."

"Little doctor, is it really gastrointestinal bleeding?" The patient's family asked worriedly.

"It should be. After all, there is black stool, and it has been 3 days. If the stool is red and fresh blood, it may be bleeding from a lower place. But if it is black..."

While walking, Jixiang popularized the common sense of upper and lower gastrointestinal bleeding to the family members of the patients.

"It's not fatal." The patient's family asked worriedly.

"It's okay, after all, you came to the hospital as soon as possible." Ji Xiang smiled, "It's just bleeding, don't worry. I had a similar situation after my cholecystectomy."

"You? Have you ever had a cholecystectomy? Doing so at such a young age!" the patient's family members asked in amazement.

"No, no, I mean I'm a patient, lying on the operating table and being operated on."

The family members of the patient looked at the young doctor in surprise.

Ji Xiang is so young, it seems that such things as surgery have nothing to do with him.

"Oh, don't mention it. When I was in college, I was playful and didn't eat breakfast all the time. As a result, I got gallbladder stones early." Ji Xiang sighed, "When the gallbladder stones attack, it hurts, I can't even breathe Come up, keep a posture and not move, as soon as you move, you will feel black in front of your eyes."

"..."

What Jixiang described was exactly what the patient felt at that time, and she tried to look up at Jixiang.

"However, the current laparoscopic surgery does not cause much damage. It was Friday when I was sent to the affiliated hospital by my classmates. On Sunday, I went to the Internet cafe to play. On Monday morning, there was a big round of ward rounds. I played all the way until after [-] o'clock. Back to the ward."

"You... How could you run away just after the operation." The patient's family members' affection for Ji Xiang increased greatly. Hearing him say this, they complained as if they were complaining about their own children.

"Playful, ignorant." Ji Xiang talked, "But about a month after the operation, I developed black stools."

Hearing Jixiang talk about black stools, the ears of patients and their families perked up.

Chapter 495 Communication Between "Patients"

"I was terrified at the time." Ji Xiang said in a gentle and joking tone as he pushed the wheelchair, "Our doctors actually often made jokes. For example, one of my teachers at the time got up to have a bowel movement one morning. , I took a look after the toilet, and there was a piece of red in the toilet."

Patients and their families listened to Ji Xiang's "storytelling" very carefully.

"My teacher was terrified. He didn't even do the early shift. He said he recalled that he hadn't eaten dragon fruit recently, so he ran to the colonoscopy room early in the morning to prescribe medicine and prepare for colonoscopy."

"Dragon fruit? Why." The patient's family asked.

"Dragon fruit is rich in anthocyanins, dietary fiber, and minerals. The juice in red dragon fruit itself is red. After taking more dragon fruit, the stool will also turn red, which is a normal phenomenon."

"That's it!"

"Well, so my teacher recalled the first time and found that I didn't eat dragon fruit, so I was even more afraid. I couldn't do a colonoscopy right away, but I could only make an appointment for the next day..."

"Why can't it be done?" the patient asked in a low voice enduring the pain.

"It is necessary to prepare the bowel before doing a colonoscopy, otherwise it will be filled with feces and nothing can be seen." Ji Xiang explained patiently.

"What happened later?" The patient and the patient's family members asked in unison.

Because it involves blood in the stool, both the patient and the patient's family members are very concerned and can't wait to ask.

"The teacher was worried and had other considerations. I went to the anorectal department for a look and the diagnosis was internal hemorrhoids."

"..."

"..."

The patient and the family members of the patient let out a sigh of relief.

"But my teacher was still worried. He had a colonoscopy the next day to make sure he was fine, and asked for leave to have internal hemorrhoid surgery."

Ji Xiang said with a smile.

"But I was in a worse situation."

"How bad? Bleeding a lot?"

"No, I'm black stool. I didn't pay attention at first, but later I found something wrong, so I took a routine sample of stool and sent it for inspection. You don't know, I was in a state of anxiety at the time, afraid that I might have other diseases.

You know about other diseases. "

Of course the patient knew what kind of mood it was. Every word Jixiang said was like a bullet, hitting the bull's-eye and delivering a critical blow.

"It was routinely positive, so I asked my teacher to do a colonoscopy. But, my teacher asked me to have a gastroscopy."

"Uh... Dr. Xiaoji, I remember you mentioned upper gastrointestinal bleeding." The patient's family members were very puzzled, and he recalled with a frown.

Although Ji Xiang explained it again, he is not a professional after all, and it is impossible to understand it so thoroughly in a short time.

The patient's family members thought there was something wrong with what they understood.

"It's not the same. I had a gastroscopy. I used to think it was a pain to do a gastroscopy. Think about it, you two. Such a thick tube is inserted into your throat. Just thinking about it makes me feel uncomfortable."

The two nodded.