Doctor of Healing
Page 348
"It's nothing serious to see the patient now. Have the results of the gastroenteroscopy come out?"
"Come out, it's okay."
"Strange, how did that thing come from?"
"I have explained to the patient's family that no matter how it came about, there is a tumor and it must be removed." The director of gastrointestinal surgery said, "Exploratory laparotomy."
"Okay, today is not my surgery day, let's go up and have a look."
"What do you think it is?"
"I don't know, cut it off for pathology."
The two directors went back to the doctor's office while talking.
Director Fan probably understands the bottom line of doctors. There is nothing taboo about recording their working environment, but patients cannot be recorded casually.
So the camera followed the two directors all the time, and they didn't stop them.
"The emergency form?"
"Well, I'll pick up the patient right away." The director of gastrointestinal surgery walked into the office, and he sat down in front of the computer with a carefree attitude, completely ignoring his own image in front of the camera.
"Lao Yang, this is the first time I've seen this kind of thing, you think it's probably a parasite."
"Should... probably not."
Director Yang didn't think about the parasite, but after thinking about it, the mass formed by the parasite would not be so large, nor would it be so uniform.
Besides, even if it is a parasite, it will not grow out of thin air.
As the name suggests, parasites are called parasites because they live in the human body and absorb nutrients from the human body.
"Well, Xiaoji, please tell me your opinion." The director of gastrointestinal surgery waited for the operating room to pick up the patient, bored in every possible way, he asked after seeing Jixiang.
Ji Xiang kept silent all the time, like a transparent person, and didn't reach out during the physical examination just now, just like a standard junior doctor standing aside and watching.
At this time, the director of gastrointestinal surgery asked a question, and he smiled slightly.
"Teacher, I think it's a hyaline loose body."
"The hyaline loose body?" The director of gastrointestinal surgery was startled, and Ji Xiang not only gave the diagnosis, but even the pathological results.
"Why, tell me." The chief of gastrointestinal surgery, Dasheng, was curious. He bent down and pulled a chair, patted it, "Sit down and talk."
Ji Xiang bowed, "Teacher Yang, sit down."
Director Yang sighed inwardly, and sat down without being too polite.He turned the chair around to block Jixiang behind him.
"Intra-abdominal hyaline loose bodies are relatively rare, and there have been about 14 cases reported on the Internet in the past few decades."
"!!!"
"!!!"
"!!!"
Director of Gastrointestinal Surgery, Director Yang, and Director Fan froze at the same time.
Jixiang not only gives pathological diagnosis, but also gives relevant case data searched on the whole network.
If it's not talking nonsense, it's... no, it must be talking big, bullying everyone that they can't search for information online now.
But when everyone thinks about Jixiang's performance in the previous episodes, they feel that it is impossible.
It's impossible no matter how you think about it, a dozen doubtful eyes cast on Ji Xiang's face.
"In the report, the largest glass-like loose body is only 8cm, and the exfoliated loose body of the patient in front of me is about 12cm, which is extremely rare."
"Boom, boom, boom~" the director of gastrointestinal surgery knocked on the table.
"Doctor Xiaoji, wait a moment."
"Teacher, please tell me."
"The glass-like free body is also an organic structure, which needs arterial support to complete the metabolism of the new city. Looking at the video, there are no blood vessels connecting the tumor. Are you sure what you said is correct?"
The director of gastrointestinal surgery raised questions.
This question is also a question for everyone to deny tumors and parasites. Although Ji Xiang threw out a sensational data, he did not convince everyone.
The air in the office was sombre.
Chapter 517 There Are and Really Only 14 Papers
"As for the causes of intra-abdominal free matter, it is generally believed that it is caused by the torsion of intestinal fat, acute inflammation, adhesion and shedding; or the formation of peritoneal mesothelial hyperplasia caused by chronic inflammatory stimulation.
Due to the complex formation mechanism of intraperitoneal free matter, there is still no clear basis for its diagnosis clinically. "
"However, the reported pathological diagnosis of free bodies is all hyaline degeneration, and we can preliminarily determine that it is this type of disease."
Regarding the experts' doubts, Ji Xiang didn't seem to be nervous or anxious. He talked eloquently, with a calm and focused expression.
Dao Fan recalled how other interns behaved when they were questioned by directors and experts, and he really felt that Ji Xiang was different.
"Really?" The director of the gastroenterology department wanted to refute, but Ji Xiang's words were impeccable, and he didn't know how to ask the question for a while.
"Guess." Ji Xiang said calmly, "Whether it's true or not depends on the pathology. Teacher, you made an appointment to freeze it during the surgery."
"A regular appointment." A professor leading the group replied.
"Can you communicate with the pathology department as soon as possible?" Ji Xiang asked.
The director of the gastroenterology department looked up at Ji Xiang and nodded, "I'll make a call before the show starts."
After Ji Xiang finished speaking, he turned his body slightly, and quietly "hid" behind Director Yang, like a "thug" brought by Director Yang.
The voice of the nurse in the operating room came from outside the door, checking the patient with the hospital chief.
"Let's go to the operation!" The director of the gastroenterology department stood up actively and took a deep look at Ji Xiang.
Director Fan recorded all this and felt very satisfied in his heart.
What is the free vitreous body in the abdominal cavity, Director Fan doesn't know at all, including the diagnosis, including the words Ji Xiang said, Director Fan can understand every word, but together, Director Fan really doesn't know what Ji Xiang is talking about.
All he knew was that Ji Xiang was awesome, standing in front of the two directors and talking eloquently, making them dizzy.
This is what the show needs.
Although it is too different from the program that Director Fan imagined, it can even be said to be completely different, but Director Fan thinks it is better.
However, when he thought of editing, Director Fan became a little dizzy again.Ji Xiang's performance is very good, but if compared with the previous episodes, it is a bit mediocre.
Director Fan felt a little distressed, and followed him all the way to the operating room.
He knew he would not let himself and the camera crew in, so he simply stood in the fire escape to see what useful content he could capture.
……
……
In the review room, the guests were not all present, and the time was too early, so many people couldn't get up.
The work and rest time in the entertainment industry is different from that of doctors. To the doctor, it is unshakeable to turn over early.
Compared with the entertainment industry, people in the medical industry are more disciplined and professional.
The bald host let out a breath, "Mr. Shen, what is abdominal dislocation..."
Although he is skilled in business, he can only remember this step.
"Free hyaline change in the abdominal cavity... To be honest, I have never heard of it." Professor Shen said helplessly, "Hyplin change is relatively common in clinical practice.
In the diseased cells or interstitial tissues, homogeneous, unstructured, translucent protein accumulation appears, and it appears eosinophilic homogeneous in HE-stained sections.
Divided into intracellular hyaline degeneration, hyaline degeneration of fibrous connective tissue, hyaline degeneration of arteriolar wall. "
"But intra-abdominal and free, with these two attributives, I don't know what it is."
"There are only 14 cases reported in the world, is it true?" a guest asked.
"I can check it now." Professor Shen said.
The bald-headed host immediately realized that this was a point of delay. He didn't sleep too much yesterday, and he lacked energy.
"Look for it. I always feel that Dr. Ji Xiang's explanation is too detailed, and Fan Er can't believe it." The bald host followed Professor Shen's words and pushed the work to him.
Professor Shen wanted to find information, he was interested in the change of free hyaline in the abdominal cavity.
After moving the laptop, Professor Shen logged on to the professional website and started searching.
"There it is! In March 2018, a similar paper was published in the European Journal of Gastrointestinal Surgery, and this is the most recent one."
Soon, Professor Shen found a recent paper.
"Yes, yes, let me see." A guest leaned his head over.
But what he saw was English on the screen.
His English proficiency is not bad, but there are too many professional vocabulary in professional English journals that are not usually used, and he is confused.
"Don't say it, it's very similar to what Dr. Ji Xiang said." Professor Shen glanced at it hastily and continued to search.
2013
2006
Each article spans a long time, with the oldest article being published in 1967.
14 papers, a total of 14 papers, one is not many, one is not.
Professor Shen looked at the screen in astonishment, and counted again.
He is considered a professional doctor, and he is also an academician. Professor Shen has the most basic understanding of this.
For the academic himself, it is impossible to know everything about the voluminous literature, but Ji Xiang has it at his fingertips, and when he encounters an extremely rare case, he gives a diagnosis casually, and even knows the number of papers published by the medical field in the past few decades.
This is even more surprising than Ji Xiang's amazing surgery.
For decades, with millions and tens of millions of medical papers, Jixiang can explain them like a few treasures. What kind of ability is this?
Is it super power?
"Mr. Shen, there are really 14 articles!"
"Yeah, do you have so few papers in the medical field? Dr. Ji Xiang seems to be Gui Peisheng, how can he remember so clearly."
"Amazing, amazing. I didn't expect that what Dr. Jixiang said was right. There are actually only 14 related papers."
The guests present expressed their surprise in every word.
Recalling what Jixiang said in front of the director of gastrointestinal surgery and his own thoughts at that time, the guests all blushed.
It turned out that it was all true, people had reason and evidence, but I was guessing wildly.
Professor Shen stared blankly at the computer screen, speechless for a long time.
"Mr. Shen, how do you say that Dr. Ji Xiang knows such details. Although I don't understand the medical industry, it seems difficult to do it based on my experience." Seeing that the bald host was a little cold, he threw out a topic.
"I don't know." Professor Shen said shyly, "If you give me a computer... I don't think I can do it either."
The bald-headed host just scratched his head, what did he say.
Is there a team behind Jixiang, or a large team that can call supercomputers anytime and anywhere?
Impossible, absolutely impossible.
"The number one in the country with a full score is really unusual. It seems that we can't look at Dr. Ji Xiang with ordinary eyes." The bald host added himself.
Chapter 518 Gossip While Waiting for the Intraoperative Freezing
Director Fan silently stared at the door of the operating room in a daze at the door of the fire escape.
It's really hateful, why can't these doctors cooperate?
Not too much, as long as the doctor who performs the operation talks to the patient's family, it is estimated that 90% of the patients and the patient's family will cooperate with their recording.
But they!
One by one guarded themselves like thieves.
"Director Fan, are you busy?"
Just as Fan Dao was spying on everyone at the door of the operating room, judging their inner activities from their micro expressions, and seeing if he could have a chance to do something, Zhao Zhe's voice came.
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