Doctor of Healing

It's time to go out to the clinic again.

The last time I went out to the First Affiliated Hospital to find my own doctors and nurses to pretend to be patients, which caused many problems for the interns.Especially Jixiang, it can even be said that Jixiang encountered difficulties.

This time is different, it is a real outpatient clinic.

Obviously, actually going out to the clinic is boring and boring. I don’t know how many times the program has been edited before I can barely cut a piece of content for everyone to watch.

The jerkyness of the young doctors who are new to the clinic is vividly displayed. After each consultation, the teachers who teach will ask a lot of questions, and some teachers even speak harshly, almost making the interns cry.

But when the camera came to Ji Xiang and Director Zou, the painting style changed.

Ji Xiang sat down to ask a doctor, Director Zou then gave a diagnosis, and Ji Xiang began to type on the keyboard to prescribe medicine and check.

Because it is a variety show, the number of patients arranged and not many patients who can accept the appearance are not many, so the two are talking and laughing.

Since the first episode of the program, there have been many similar scenes, and the huge tearing feeling has become more serious as it goes on.

"The purpose of the program has changed." Director Liu looked at Ji Xiang with a smile and said, "The last two seasons of the program showed the characteristics of a certain industry through interns. To be honest, the content of this program is quite attractive. But wait If Jixiang goes, the whole show will change."

"Xiao Ji is already an experienced old doctor, and he is still a very slippery doctor. He will be clear about all kinds of rules after he touches them once." Director Bai said.

"It's really fast. In less than half a year, he has become an old doctor." Director Liu said with emotion.

In the screen, the harmonious scene between Ji Xiang and Director Zou stops, and a male patient walks in.

"Hi, Director."

The patient has been told that Director Zou's temporary clinic number is needed for participating in variety shows, and there are cameras inside.

He walked in very cautiously, his face was a little pale, and he looked a little weak.

"Why are you uncomfortable?" Director Zou asked.

"I'm from Xinglong Town." The patient said, "I've had blood in my stool for five years, once or twice a month."

He was a little embarrassed when he said this.

"Blood in the stool for more than five years?" Director Zou frowned, and his expression became serious. "Have you been checked locally? Let me see."

The patient handed over the past information to Director Zou.

The hemoglobin was 70, no abnormalities were seen in the gastrointestinal endoscopy, and there were no abnormalities in the organs in the B-ultrasound.

When Director Zou was looking at the test sheet, Ji Xiang suddenly asked, "How was your health before the first bleeding five years ago?"

"It's okay, I have abdominal pain occasionally, I've had a checkup, and there's nothing wrong with it."

"What inspection did you do?"

"Gastroenteroscopy."

"Capsule or regular?"

"All of them." The patient answered Jixiang's question in every detail.

"Is it okay to do a capsule gastrointestinal endoscopy?" Ji Xiang asked calmly.

"fine."

"Did the capsule come out smoothly?"

"good."

The patient did not show any impatience in the face of the young doctor's inquiries. After all, there was a camera behind him, and everyone tried to show enough elegance in public.

Director Zou listened to the conversation between Jixiang and the patient while reading the report card.But he didn't say anything, but let the patient lie down, closed the curtain and started the physical examination.

This paragraph was not shown on the screen, after all, it was a physical examination. Although it is fine for a middle-aged man to show his stomach, the program team was very careful not to overstep the threshold.

After the inspection, Director Zou pressed the hand sanitizer to disinfect his hands.

"There is a slight tenderness in the right middle abdomen, and there is nothing wrong with the gastroenteroscopy report..."

He said to himself, then looked at Jixiang.

"Doctor Xiaoji, what do you think?"

"I think it is necessary to take a CT scan."

"CT?" Director Zou frowned slightly.

Liver, gallbladder, spleen and other solid organs can be done with CT, but intestinal CT is basically meaningless.The patient had undergone gastrointestinal endoscopy, and the possibility of tumor was preliminarily ruled out, and CT was even less meaningful.

However, Director Zou has the most basic respect for Jixiang. He doesn't treat Jixiang as an ordinary intern, as long as he can type and give doctor's orders, he can be his own hand.

In Director Zou's view, Ji Xiang is the same chief physician as himself, a clinical boss.

Even if I have opinions on Ji Xiang's diagnosis and treatment, I can only raise them in private.

"Let's have a CT scan." Director Zou said.

Jixiang quickly issued a CT order and handed it to the patient, and explained in detail where the CT room is and how to do it the fastest.

Judging from what he meant, if it weren't for the presence of a film crew, he would have taken the patient for an examination.

When the patient left, Director Zou glanced at him and saw that there was no next patient for the time being, so he said to Ji Xiang, "Dr. Xiaoji, what do you think about asking the patient to do CT? It should not be a tumor."

"The tests done by lower-level hospitals are not reliable," Ji Xiang said.

"!!!"

"!!!"

Director Bai and Director Liu expressed shock after seeing this scene.

Is Ji Xiang's sentence wrong?That's right.

Many large tertiary hospitals do not recognize local inspections. The more subjective the inspection, the more they will not recognize it. They have to do another one at home.

But few people will say this sentence in front of the camera lens.

Chapter 572 The Ability to Substitute Yourself

The bald host looked sideways at Professor Shen, and asked with a crooked mouth, "Mr. Shen, I have also encountered similar problems. The examination done in a small hospital is not recognized by a large tertiary hospital, and I have to do it again after I arrive at a higher-level hospital. "

"I don't think it's necessary to do this. Why would Dr. Jixiang say that the examinations in small hospitals are unreliable?"

Professor Shen looked at Ji Xiang on the screen and hesitated for a moment, "Like CT and MRI, the resolution varies with different machines. Some high-resolution machines can see the slightest signs of diseases, and ordinary machines can see them." It's blurry."

"Let's put it this way." Professor Shen saw the confused face of the bald host, and he said directly, "Many CT machines and MRI machines in small hospitals or private hospitals are old machines that have been in use for more than ten years. Buy it back in some way and use it for a while.”

"This is still a relatively objective imaging examination. If it is replaced with a more subjective examination, similar to gastrointestinal endoscopy and bronchoscopy, the gap will be even greater."

Professor Shen began to gossip based on his many years of clinical experience, nodding frequently at what other guests said, with little stars in his eyes.

After all, Professor Shen is more professional, and he speaks eloquently and clearly.

……

"Xiaoji really dares to say anything." Director Liu smiled, "Old Bai, what do you think?"

"It doesn't matter, what Xiaoji means is that the gastrointestinal endoscopy is not complete." Director Bai said, "Dazhi, what do you think the patient's diagnosis is?"

Director Liu waved his hand, indicating that he didn't want to waste his brain here.

When he used to play with director bai, he liked to make riddle-guessing diagnoses, but now director liu has long lost his temper.What does a gastroenterology disease have to do with the director of the urology department?

Director Bai didn't ask any more questions, but looked at the screen with interest, looking at Ji Xiang who was out of the clinic.

……

In the review room.

The bald host enliven the atmosphere.

In this step, you can directly release the ct report, but in order to reflect the sense of time, the guests in the comment room need to chat a few words.

"Mr. Shen, what do you think of Dr. Ji Xiang's diagnosis?" the bald host asked.

"Great." Professor Shen praised.

Several guests were taken aback, especially Mao Mao, who was considered half a medical practitioner.He scratched his head, not understanding where Professor Shen's greatness came from.

"Mr. Shen, when a patient comes to the hospital, it's normal that the doctors at the higher-level hospital don't approve of the examination at the lower-level hospital. What do you mean by saying it's great?" Maomao asked.

"How should I put it?" Professor Shen hesitated for a moment, then said with a smile, "I like to listen to cross talk, what do you think of it?"

"Praise." Maomao was stunned.

"Praise is very important, but there are not many good ones." The bald host said.

"Let me give you an inappropriate example. You can see the difference in level if you give the same joke to Lao Guo." Professor Shen said, "Time flies, like a fleeting moment. After a while, water will come out with a pinch."

"Gao Feng can also be regarded as the chief instructor, with solid basic skills, but when he was flattering, he said by the way-I was so juicy when I was young."

"Here, this baggage didn't make noise or explode."

The bald host and other guests looked at Professor Shen with question marks on their foreheads.

"Wait for Sun Yue, he said - I was prettier than Zhang Yunlei at that time."

"When I watched that performance, many fans of Zhang Yunlei booed and booed. The baggage rang, but it didn't explode."

"It's really nice for Sun Yue to be a fan, otherwise he would arrange it for Xiao Yueyue."

"What about Uncle Qian?" a guest asked.

"It was the same joke that happened in Beizhan. Mr. Yu Qian asked with a puzzled face——Did you pinch the water pipe?"

"The scene immediately boiled, not only the audience, but even Lao Guo was amused to laugh."

"Under the support of Mr. Yu Qian, a burden that can be heard or not, and all the ignorance becomes colorful." Professor Shen recalled the scene of watching the performance at the Beijing Exhibition, and said with a smile, "Instead of seeing a doctor, It's the same. The same disease, different people see it, and the effect is completely different."

Hearing what Professor Shen said, the bald host gave a crooked smile.

Professor Shen went off topic, and ran a long way.

No wonder, after all, it is not a professional person, and it is common for people to digress when chatting.At this time, you have to show your skills and bring the topic back.

but!

Before the bald host could speak, Professor Shen continued on his own.

"I thought about it later, and Mr. Yu Qian's praise is good because he can put himself into a certain plot."

"..." The bald host was taken aback.

"For example, a small group of commercial actors..."

Professor Shen spoke with great interest. The bald host first wanted to find an opportunity to interrupt, but when Professor Shen talked about the joke about Yu Qian and Gao Feng eating shit, he gave an example to illustrate the gap between the two. In order to eat shit, the other said Guo Degang, you can't grow up, let me tell you.

Hearing this sentence, the bald host was stunned.

When Jixiang sees a doctor, he can always put himself into it. He seems to understand the nature of the disease better than the patient himself.

Substituting myself in, not only the host and guests, but Professor Shen who said this was also taken aback.

Inadvertently, he uttered the most true thoughts in his heart that had been vague all along.

"Mr. Shen, do you think this is a kind of ability?" the bald host asked.

"It must be." Professor Shen said, "I'm just thinking about it. For example, the patient who was about to jump off the building in the last episode, if I were on the scene, there is really nothing I can do. But we have witnessed everything that Dr. Jixiang has done. , the key is that he succeeded. Looking back now, I am still amazed."

"At the beginning of the program, an intern entered the department, and there seemed to be a patient who was unwilling to do MRI." A guest answered, "Dr. It seems that everything he said is quite right. His perspective is different from mine, and Dr. Ji Xiang has always been thinking and doing what to do from the patient's perspective."

"Mr. Shen is right. One of the great things about Dr. Ji Xiang is that he can put himself in it."

Distinguished guests chatting with each other.

In front of the TV, Director Bai smiled slightly.

"Old Bai, Professor Shen really got to the bottom of it." Director Liu said, "Xiaoji's advantage is that he can put himself into it."

The two have talked about this topic many times, but Director Bai didn't answer this time, he was still recalling Ji Xiang's sudden "stuck".

When he was in the Second Affiliated Hospital, Director Bai also saw Jixiang "stuck", but he didn't pay attention at that time.Director Bai has a superb memory, and he can recall strand by strand.

Chapter 573 Free is the most expensive

When the screen changed, the patient came back, Director Zou spoke to Ji Xiang, and Ji Xiang opened the software system to directly see the CT image just completed on the computer.

Generally speaking, abdominal discomfort is not suitable for CT.

Even if there is a tumor, as long as it is not too large, it will be difficult to see it on the film because of the superimposed intestinal tract and gas accumulation in the intestinal tract.