Doctor of Healing

Thoracoscopy probably won't work.

"Get ready to open the chest." Director Yang said, "I'll follow, don't worry."

"Old Yang, can you not open the chest?" the patient's father asked while sobbing.

"How can I take it without opening the chest? Didn't I try it in the hospital in my hometown? It was stuck tightly, and it has already caused a tension pneumothorax." Director Yang said angrily.

"If you don't open the chest..." Director Zhang of the Department of Thoracic Surgery hesitated, "Director Yang, it's not impossible, I guess it was a bronchoscopy done by the Respiratory Medicine Department of the local hospital, isn't it?"

He spoke the first half of the sentence to Director Yang, but the second half to the patient's father.

The patient's father nodded, his eyes filled with hope.

"If the bronchoscope can't be taken out, it doesn't mean it can't be done. Try it, I don't want to do it either." Director Zhang of the Thoracic Surgery Department said, "Go to Director Li of the Interventional Department. If it works, the patient has no secondary injuries, and we will save trouble. Right The main bronchi can move, try not to move."

Chapter 499

Director Yang didn't say much. Although he didn't think the interventional department could solve the problem smoothly, he also didn't want a 16-year-old girl to have a thoracotomy.

If the thoracic surgeon handles it, even if the laparoscopic surgery cannot be removed and the thoracotomy is required, the operation is indeed not large. The problem lies in the huge surgical scar.

Since it is here, life will not be in danger, so there is nothing wrong with giving it a try.

I consulted Director Li Mingli of the interventional department. He pondered for a long time after seeing the patient's video data.

"Director Li, do you think it can do it?" Director Yang asked.

"Try it. I have removed similar foreign bodies in the trachea. Some have succeeded and some have failed." Director Li said, "It's similar to the patient's situation. It was our turn to play after the failure of the respiratory bronchoscopy."

"Just say yes or no."

"Try it, it's hard."

Director Li watched the film and said something that was expected and reasonable.

It's not appendicitis, and it's not liver cancer interventional embolism that Director Li routinely does. Who knows if it will work.

There is no hesitation in this matter. Director Li communicated with Director Zhang of the Thoracic Department, and went to the hybrid surgery room in the operating room of the foreign hospital to try interventional surgery first. If it failed, he would directly open the chest.

The staple is in the right main bronchus, and it will not come out for no reason. Surgery is certain, and it depends on whether it can be removed without damage.

The chest doctor sent the patient up, and Director Li dragged Director Yang to smoke.

"Director Yang, why don't you see Dr. Ji Xiang?"

Director Yang was taken aback.

He stared at Li Ming carefully, trying to identify whether Li Ming's words were joking or serious.

"What kind of look is that in your eyes? What I said is true." Director Li Mingli said, "Have you watched the third episode of the program? Many people asked me what was the communication during the operation. Let me tell you the truth. , In fact, Dr. Jixiang's level is a bit higher than mine."

"Really? To be honest, I don't understand much."

"I said it during the interview."

"I thought you were being polite." Director Yang shrugged.

"You're welcome, just kidding." Director Li said, "I'm just telling the truth."

"It's not like you are a human being. You are the stubborn type." Director Yang made a joke.

"You don't know Jixiang's level if you don't do interventional surgery. There is an old saying, it is a crime to refuse to accept the superior." Director Li Mingli said lightly, "It's true, Jixiang's level is very high. To be honest, I also Doubt, how do you think he practiced? Could it be possible to achieve that level in a year of interventional surgery?"

"Is Ji Xiang's teacher very powerful?" Director Yang asked.

"I asked, and the Interventional Department of Bai Medical University was basically emptied out. There were four doctors who performed well in surgeries, and they were called the Four King Kongs. Later, three of them went to the south." Director Li said, "The remaining one, The age is the oldest, and the level is the same."

Director Yang felt strange, and he told Li Ming what had just happened on his side.

"In fact, I agree with the high level of technology." Director Yang said, "But Director Li, you said that the most difficult thing in clinical practice is to communicate with patients. Ji Xiang first persuaded a patient that I couldn't handle, and yesterday he made side-effects. Let’s resolve disputes together.”

"Indeed, it's a bit confusing." Director Li frowned and said, "I have seen talented young doctors, but they were all on the operating table. Off the operating table, the relationship between treatment and patients Relationships, there are always some problems. The higher the talent, the more proud they are, and they deal with the relationship with patients very bluntly."

"It takes time to grind, but Jixiang... is so slippery that I can't even catch up." Director Yang added.

"Who knows, it has nothing to do with us."

Director Yang looked at Li Ming, and suddenly a smirk appeared on his face.

"What's your expression?"

"Li Ming, tell the truth, what do you mean by blowing Jixiang in front of the camera?"

Director Li knew that his little thoughts had been exposed, so he laughed.

"Aren't you afraid to offend Boss Qin yourself, and then push Ji Xiang forward?"

"Your words are a bit embarrassing. Let me tell you about Director Yang. If you see through, you can't tell the truth. If you tell the truth, you have no friends." Li Ming smiled and said lightly, "Everyone talks about how to make money by harmony. Boss Qin has his own staff at the local hospital. In such a situation, it would be inappropriate for me to say anything casually."

"Then you are going up with Dr. Xiaoji?" Director Yang asked jokingly.

"I don't like to hear your words. I don't hate you." Li Ming curled his lips, "At that time, I saw Doctor Xiaoji pointing at Qin Chu's nose and scolding, Lao Yang, you didn't see it, and now I occasionally dream about it. I can dream about that day."

"..."

"How should I put it, when I see Ji Xiang, it's like seeing the old director. I'm really afraid that this kid will be reprimanded if he sees that I don't do well."

"And then?" Director Yang thought of the brief confrontation with Ji Xiang just now, and it was difficult to understand Li Ming's real thoughts.

"But I cooperated with him in two surgeries. He has a very gentle temper, and Typhoon was in a mess. When he embolized the superior mesenteric artery, he suggested whether he could have a superselection. The question was very polite, and I even felt a little begging attitude.

You know, it's like Gui Peisheng begging you, the director, to let him sew the skin.Sometimes, I really don't quite understand Dr. Ji Xiang. "

Director Yang pondered.

"However, it turns out that Dr. Xiaoji can successfully complete the operation." Li Ming sighed, "I'm not flattering and killing Dr. Qin, or seeing Boss Qin's displeasure, I praised Dr. Xiaoji and scolded Boss Qin secretly. Let me face to face Scolding, I dare not, but I always have the courage to say something secretly."

"You."

"I'm afraid, but I didn't dare to face off against Boss Qin when I started the school. He has his status in the world, and it's good that everyone doesn't interfere with the river. But Xiaoji dares, so it doesn't matter if I praise him if he dares.

From now on, as long as the school starts, I can treat Ji Xiang as my senior brother in front of Qin Chu. "

Director Yang was very aware of Li Ming's whims, and after thinking about it, it seemed that what he did was not too much.

"Director Li, did you say you can take out the staples?"

"That's enough." Director Li told the truth, "Let's try it. Anyway, there is a chest department on the side, and the chest bottle is also lowered. There is no risk of tension pneumothorax. As long as the person is fine, I will try it. If it works, it will be the best." but."

"What if it is changed to Jixiang?" Director Yang asked another heartbreaking question.

But Director Li Mingli did not hesitate, and said directly, "If Ji Xiang is the practitioner, I think he will be fine."

It is hard for Director Yang to imagine that Li Ming gave Ji Xiang such a high evaluation.

He thought vaguely of Ji Xiang's judgment last night that the titanium clamp had worn out the duodenal bulb, causing the patient's gastrointestinal bleeding, and he helped solve the problem in advance.

This series of things made him feel that Ji Xiang was not like an intern at all.

Chapter 500 Content that cannot be photographed

The patient was under general anesthesia, ventilator assisted breathing, and Li Ming started the operation wearing a lead suit.

JR-4's 6-Fr catheter was lowered, and the guide catheter protruded from the side hole of the bronchial tube to reach the foreign body. He tried to remove the staple.

But no matter what method he tried to catch the staples, Director Li Ming couldn't do it.

The staples are too small, and the movements that need to be completed to remove them smoothly are too delicate for his level.

After trying 3 times, Director Li stopped stepping on the line, kicked open the airtight lead door and walked out, saying bluntly, "Lao Yang, call Ji Xiang and ask him to try it."

……

……

Ji Xiang is teaching Zhao Mengmeng to write medical records.

Although Zhao Mengmeng is a high-achieving student, she has no contact with the clinical field, which is a blank slate.

But the advantage is that Zhao Mengmeng is obedient, no matter what Ji Xiang says, Zhao Mengmeng can do it almost perfectly.

She has no negative emotions such as jealousy towards Jixiang, but enjoys Jixiang's "teaching" very much.

"Mengmeng, you have a very high understanding." Zhao Zhe watched Zhao Mengmeng's medical records written out, reviewed it and then let Ji Xiang take a look, he praised.

"It's not bad." Zhao Mengmeng had glittering sweat on the tip of her nose, and she smiled happily when she heard Zhao Zhe, an old attending doctor, praise herself.

"Speaking of which, what subject are you doing in the laboratory?" Zhao Zhe asked casually.

Zhao Mengmeng was a little proud, and smiled, "The protein biopeptide transformation of single-celled organisms at different temperatures."

"It's so profound." Zhao Zhe stared blankly.

"Brother Zhao, Mengmeng is joking with you." Ji Xiang said while looking at the medical records.

"joke?"

"The protein biopeptide transformation of single-celled organisms at different temperatures means—boiled eggs." Ji Xiang glanced at Zhao Zhe and said helplessly.

"..." Zhao Zhe was speechless.

Is Zhao Mengmeng so high-end just kidding?

"Mengmeng, you are not kind, bullying me for not studying enough." Zhao Zhe complained with a smile.

"Hey, Brother Zhao, we're used to joking like this." Zhao Mengmeng gave a smirk.

"Are you kidding?" Zhao Zhe asked.

"The chemical qualitative change of the protein of single-celled organisms is salted duck eggs."

"..."

Zhao Zhe couldn't understand these lofty nouns piled up to describe a common thing in life.

"It's different to be educated, and to talk in a roundabout way." Zhao Zhe said with a smile.

"What is beating around the bush?" Zhao Mengmeng asked.

"Emmm, the dialect of Northeast China." Zhao Zhe said after thinking for a while.

"It's a very cultured sentence." Ji Xiang suddenly added.

"Culture? Hahahaha, Xiaoji, you are so funny."

"In ancient times, the alleys were narrow, and for the convenience of the neighbors, when people built houses at the corners, they would take the initiative to erase the corners of the walls to make it easier for pedestrians and animals to walk. Therefore, the meaning of 'beating around corners' originally meant comity, but now it has a slightly different meaning, but it is conceivable. .” Ji Xiang explained.

"..."

Zhao Mengmeng was taken aback.

Ji Xiang seems to be urging his words, but he seems to be talking about some remote explanations in ancient Chinese.

It sounds reasonable, but I always feel that something is wrong.

"Hello, Doctor Xiaoji."

Director Fan stood at the door, knocked on the door, and greeted with a smile.

"Hello, Director Fan." Ji Xiang got up and stretched out his hand, "Have you decided what to shoot for the fourth episode?"

Speaking of this, he was directly "stabbed" by Ji Xiang, and Director Fan was full of sorrow.

"Doctor Xiaoji, you really don't have any suggestions? We had a meeting all night, and no one could do anything."

As he said that, Director Fan hesitated for a moment, sighed and said, "Director Lu said that the introduction of the elimination system and the replacement of a batch of better interns will be interesting if there is competition. We haven't adopted this one yet, let's take a look first."

Director Fan looked at Ji Xiang, feeling a little bitter in his heart.

Find again?It seems completely impossible to find Ji Xiang.

Ji Xiang shrugged, indicating that he didn't know either.

"Say what you want, say what you want."

Ji Xiang glanced at Director Fan, smiled and said, "There are many things in the hospital that can't be on the show. For example, when I was practicing in the gynecology department, I came to the emergency room at night."

Fan Dao concentrated on it. Just as he was about to raise his hand to signal the camera crew to turn on, Ji Xiang pressed his hand down.

"Let's chat casually, don't record it."

"Well, gynecology, it's really not suitable to be on the show." Director Fan said helplessly.

"An 86-year-old lady said that her lower body hurts. My teacher checked the body and saw that the HY was torn."