Doctor of Healing

"But it's actually uncomfortable to look at. It's really not that uncomfortable. The teacher who did the stomach and duodenoscopy was very gentle. But it's not uncomfortable at all. After the examination, it was found that it was a duodenum. There's a problem with the enteric bulb."

"You are so young."

"Oh, who told me not to eat breakfast, and always stay up late to make trouble." Ji Xiang sighed deeply, full of remorse.

"This doesn't seem to have anything to do with staying up late."

"Of course there is a relationship, and there is a certain probability that there will be problems with the operation. I was admitted to the hospital, the bleeding was stopped first, and then another operation was performed when the condition stabilized. But I will be fine after that operation, and now I have to run a half-marathon every day. "

"Running zebras?! What does that mean?" The patient's family did not understand.

"Half marathon." Ji Xiang explained, "Run [-] kilometers every morning."

"Your body is really good."

"Isn't it scary?" Ji Xiang said with a smile, "I know I'm afraid after suffering once, otherwise I would have to stay up late every day or something."

"When I was sick, it was really hard. I still feel my heart beating when I think about it."

The family member of the patient suddenly thought of something following Ji Xiang's words, and he said worriedly, "Little doctor, do you think my wife has the same disease as you?"

"I don't know, I'm doing an internship here." Ji Xiang said with a smile, "It's okay for me to run errands, but I can't do diagnosis or something. For details, ask Teacher Zhai."

The patient's family members nodded.

"Then tell me, do you see that often?"

"Not much, but not too little. After surgery, there must be various sequelae, just like I wrote in the pre-operative explanation of this disease. But I have never experienced it once, and I have never understood it carefully. After the experience, every time This matter should be emphasized in the preoperative explanation with the patient every time."

"Several patients were told by me that they did not dare to undergo surgery, and I was reprimanded by the teacher again."

"Teach you what?" The patient and the patient's family members asked in unison.

"The patient does not undergo surgery, but the disease will not get better without surgery. Especially if the stones are stuck on the neck of the gallbladder, it will cause local ischemia and necrosis after a long time."

"Surgery is also risky, but it is controllable. It is absolutely impossible not to do surgery. I explain to patients before surgery and exaggerate postoperative complications. It is a delay."

Jixiang chatted all the way and sent the patient to the Department of Gastroenterology.

Zhai Yuhan had already contacted the Department of Gastroenterology, and the general manager of the Department of Internal Medicine received patients smoothly. Ji Xiang didn't close the wheelchair until he sent the patient to the hospital bed, and waved goodbye.

"Don't be afraid, just take the medicine for a few days." Ji Xiang said goodbye to the patients and their families with a smile.

Back to hepatobiliary surgery, Ji Xiang didn't say much else, Zhai Yuhan imagined that Ji Xiang would say a lot of "fallacies" did not happen.

After he finished writing the medical records, he left with Zhao Zhe, and Zhai Yuhan was a little messy.

Could it be that Ji Xiang is really just kind-hearted, afraid of the patient walking pain, so he pushes the wheelchair to send the patient for examination and hospitalization procedures?

Zhai Yuhan thought about it for a long time but didn't understand it, and finally simply forgot about it.

The program team took a day off temporarily, and Zhai Yuhan guessed that they were thinking about some new tricks.

But after three episodes, the show got better and better, and the hostility in Zhai Yuhan's heart became much less.

The program team is still reliable, not the kind of third-rate team that uses the hospital to gain some traffic and then leaves the blame to the hospital.

Zhai Yuhan checked around the room, and then prepared to rest.

While half asleep and half awake, there was another thought in her mind—is Ji Xiang really just kind-hearted?

But if you just have a kind heart, you won't be able to work in the hospital for long, and you will be exhausted to death.

The next morning, the day continued.

Because there is no film crew, the atmosphere in the department is much more relaxed.

Jixiang didn't show anything special either. He wrote the medical records steadily and followed the ward rounds. He was no different from an ordinary intern or Zhao Mengmeng.

It was close to lunch when Zhai Yuhan's cell phone rang.

"Xiao Zhai, what are you doing? That patient had a problem yesterday."

Chapter 496 The Rare Reasonableness

Zhai Yuhan was slightly taken aback when he heard this, his hands were a little numb.

But she didn't know why, she always felt that this was coming sooner or later, and she wasn't too surprised, but her heart that had been hanging all along fell down.

This is a very strange feeling, and Ji Xiang's figure flickered in front of her eyes, lingering.

Di Yuhan didn't rush to ask what happened, but glanced at Ji Xiang beside him.

Ji Xiang was explaining the clinical consultation to Zhao Mengmeng, his logic was clear and organized, and his explanation was better than his own, so he didn't notice that he was looking at him.

"Xiao Zhai?"

"Sister Cui, I'm here, what's going on."

Zhai Yuhan asked.

"Do you still remember the postoperative patient who was sent last night?"

"Remember." Zhai Yuhan looked at Ji Xiang deeper and harder.

"I had a mirror this morning and saw the duodenum was perforated and there was a foreign body."

"Foreign object?!" Zhai Yuhan was taken aback.

"It seems to be a titanium clip. When I was making a mirror, I clipped it and found that it couldn't be clipped. I didn't dare to pull it hard. Come down and tell you."

Titanium clip?

Titanium clips!

The memory of last night began to flash back in Zhai Yuhan's mind, and her hands were numb and cold, as if they were not her own.

"I'll take a look. Sister Cui, have you explained to the patient?"

"No, let me tell you first, you and Director Yang."

The voice on the other side of the phone was serious, for fear that Zhai Yuhan was inexperienced, or was trying to fool this matter.

If there is a problem, and it is not someone else's problem, it will never be concealed.

It is already very righteous to be able to make a time difference and say hello to yourself first if you have something to do, Zhai Yuhan knows this.

She took a deep look at Ji Xiang, and seeing that Ji Xiang didn't seem to know about it, she went to Director Yang suspiciously.

"Boss." Zhai Yuhan walked into Director Yang's office and told what happened last night.

Director Yang frowned more and more as he listened.

"Boss, what do you think?" Zhai Yuhan finally got rid of the delicate state of mind before, and began to panic.

This is a proper accident. Although it is not a liability accident, there is always a problem.If you catch up with a patient and family member who is not forgiving, the consequences will be disastrous.

Zhai Yuhan didn't dare to think about what happened next.

"There is a case where the titanium clip that clamps the cystic duct or cystic artery after a cholecystectomy comes off, following the peristalsis of the bowel.

When one end of the titanium clip is pressed against the intestinal wall of the duodenum bulb, the local tissue is compressed, and after a certain period of time, the tissue is gradually necrotic, resulting in intestinal perforation, the titanium clip enters the digestive tract, and the titanium clip stimulates the surrounding intestinal mucosa, making it Ulcers develop around.

But because the process is slow, adhesions have formed around the perforation, so the signs and symptoms of peritonitis will not be manifested. "

"The other is that due to the low position where the cystic duct joins the common hepatic duct, or the anatomical variation of the cystic artery, the titanium clip that clamps the cystic duct or cystic artery directly bears against the duodenal bulb, resulting in perforation."

"The cystic artery... the patient's cystic artery was indeed low during the operation..." Zhai Yuhan followed her boss's words and recalled the operation process at that time, and she found the problem.

"That's the perforation caused by the clip clamping the cystic artery hitting the duodenal bulb."

After Director Yang figured it out, Huo stood up all of a sudden, and asked with a serious expression, "Didn't the gastroenterology department tell the patient?"

"No."

"I'll go talk."

Zhai Yuhan burst into tears of gratitude.

My boss still takes care of me about this kind of thing. If I let myself talk about it, there is a high probability that something will go wrong.

But the boss did not ambiguously take this problem to the next level.

It is a kind of luck to meet such a boss who can help his junior doctors and students with their affairs.

Zhai Yuhan tremblingly followed Director Yang all the way to the Department of Gastroenterology.

When entering the ward, hospitalizations from the Department of Gastroenterology always follow.

Director Yang saw that the patient was lying half-lying on the bed, and his face looked okay, neither pale nor weak, so he was a little relieved.

"How about it, is the stool still black?" Director Yang tried his best to speak softer.

"Director Yang, why are you here?"

The patient tried to sit up from the bed, but Director Yang quickly stopped him.

"Come and see you."

"No, no, director." The patient's family member said, and after he finished speaking, he felt that something was wrong with his words, and scratched his head, "Thank you, director."

"I heard blood in the stool?" Director Yang asked sideways.

"Oh, maybe it's about the titanium clip. I just took a look in the mirror, and I haven't had time to ask Dr. Cui yet."

Director Yang and Di Yuhan's hearts sank suddenly.

The patient even knew about the titanium clip...

The inpatient in the Department of Gastroenterology was also stunned, she rarely saw such an educated patient.

In fact, it has nothing to do with culture, but professionalism.

If it was a few years ago, Cui always thought they were medical troubles and knew about the related possibilities in advance.Or there are doctors in the industry who are picky and picky, and tell the patient everything in advance.

But these years, there have been fewer medical troubles, and the patient's attitude towards Director Yang is very kind and courteous... She was a little confused.

"Cholecystectomy requires the use of titanium clips to clamp blood vessels, and there is indeed a small probability that problems may occur." Director Yang began to communicate with the patient's family.

He has his own judgment on this matter, and hopes to reduce the big thing to the small one.

But even if he did it himself, Director Yang wasn't very confident.

"It's all right, Dr. Zhai told us before the operation that similar complications may occur." The patient's family members said repeatedly, "But we can't let it go, we are mentally prepared. You can rest assured when you come to the hospital, Director Yang They all came in person, it’s all right.”

The family members of the patient were a little nervous and spoke incongruously, but several doctors could understand the content.

They looked at each other, no one thought that something similar would happen.

Whether it's Director Yang, Zhai Yuhan, or the chief resident of the Department of Gastroenterology, they all think this is a big deal, a big deal.Once there is a slight mistake in handling, it will inevitably lead to irreparable consequences.

but!

Patients and families know everything and seem to understand.

Director Yang held back his stomach and wanted to say something, but when he met such a "reasonable" patient, he didn't need to say a word.

There is no need to explain, although it is worry-free, but Director Yang's emotions brewing all the way are like a heavy punch in the air, shaking him a bit, feeling empty and uncomfortable.

"This kind of situation rarely happens to my wife, because the anatomical structure is different from normal people, and I know it all." The patient's family member said, "Director Yang, don't worry, I will definitely cooperate with the treatment."

Director Yang glanced at the chief resident of the Department of Gastroenterology, and President Cui shrugged, indicating that he didn't know anything, and he definitely didn't tell the patient earlier.

Chapter 497

"Director Yang, Dr. Zhai has explained to us before the operation that similar complications may occur, I know." Seeing that Director Yang was in a daze, the patient's family persuaded, "Don't worry, I am not unreasonable." People, neither you nor Dr. Zhai want to encounter such a situation."

"Do you know how to continue the treatment?" Director Yang frowned and asked cautiously.

He always felt that life had already taken out the corkscrew and the thermos bottle in the dark, and smiled coldly at himself.

It's not that Director Yang thinks too much, but it's hard for Zhai Yuhan to know these details, that is, he has many years of clinical experience to protect himself, so he can know what happened in the first place.

But the patients and their family members are not aware of these things, how can Director Yang not have doubts.

"Yes, let's raise it for a few days, and then go for surgery to remove the clip."

"..."

Director Yang was speechless at this moment.

He can be sure that this is definitely not what Zhai Yuhan or the hospitalized patient in the Department of Gastroenterology said. Even Director Yang had a hallucination - he had explained to the patient in advance.

Ulcers and hemorrhage caused by titanium clips grinding through the duodenal bulb are extremely rare, and the patient can tell what Zhai Yuhan didn't know.