Doctor of Healing

Chapter 580 Strong

Director Fan was a little confused.

He also noticed that in the process of observing the situation in the consulting room, he forgot the existence of Lin Jiuze many times.

Either because Director Liang asked for a referral, or because the patient handed over the film, he forgot about Lin Jiuze after diverting his attention for various reasons.

Damn, I saw a ghost, Director Fan cursed in his heart.

He stared at the continuous recording on the A4 paper, and looked up at the patient Lin Jiuze from time to time.

Director Fan did a lot of psychological construction this time, no matter what happened, he had to keep an eye on Lin Jiuze.He also knew that the cameraman had encountered the same difficulty as himself - as long as he looked at Lin Jiuze, his eyes couldn't focus and ignored him.

"That... By the way, Dr. Lin, what do similar patients do in your hospital?" Director Liang was about to speak after handing over the hospitalization form to the patient, when he suddenly looked up and saw the camera, then remembered what he was doing, and asked in a low voice road.

"Our hospital." Lin Jiuze turned over a page and quickly wrote something on it, without directly answering Director Liang's question.

Director Fan's gaze followed Lin Jiuze to Director Liang's face. This was a habit, and he looked at Director Liang's reaction when Lin Jiuze was not "polite" and didn't answer the question.

But a few seconds later, Director Fan shuddered.

How the hell did I treat Lin Jiuze as a transparent person, forgetting his existence.

Turning his gaze back to Lin Jiuze, he was flipping through the A4 paper and writing something quickly on it.

That's weird, is there something wrong with this person?

The patient got up, seeing that Director Liang seemed to have something to say, he didn't dare to leave, he hesitated in place.

Lin Jiu, on the other hand, lowered his head and wrote something on the A4 paper, then looked up at the patient, and continued to lower his head to write.

Director Fan had never seen a doctor look at a patient like Lin Jiuze, so he didn't know what he wrote on the A4 paper.

Do American doctors treat patients like this?impossible.

"Doctor Lin?" Director Liang was also stunned for a long time. It was only when he saw the camera out of the corner of his eye that he remembered that he had just talked to Lin Jiuze. He didn't answer himself, so he called out again.

Lin Jiu wrote on the A4 paper and looked up at the patient for the last time with a comfortable smile on his face.

"Director Liang, what will happen to the patient after he is admitted to the hospital?" Lin Jiu asked rhetorically.

Director Fan's mind froze for a moment, as if Lin Jiuze was the superior doctor, and Director Liang was his junior doctor.

"I can enema, and observe the changes of the condition. I saw that intestinal obstruction is not serious, so..."

"I suggest to check... what does our hospital do to check blood vessels? Is it 64-slice CT?"

"Uh, yes. Where's the blood vessel?"

"It's from the superior mesenteric artery." Lin Jiuze said with a smile.

Although Lin Jiu is very peaceful and low-key, Director Fan has a very strange feeling - Lin Jiu looks peaceful, but in fact he is extremely arrogant and professional.

At this moment, although Dao Fan didn't understand medicine, he firmly believed that Lin Jiuze's judgment was correct.

Treasure found!Director Fan felt joyful.

"Go and tell the film crew, if there is another shot missing, get the fuck out of the crew." Director Fan and his little assistant said.

"Huh?" Director Fan's assistant was taken aback.

"Don't mess around in this circle from now on, go and take on the wedding job." Director Fan stared at Lin Jiuze viciously, and said in his mouth.

Director Fan's assistant rarely heard his director speak in such a harsh tone, so he quickly walked over to the cameraman and whispered a few words.

The cameraman woke up like a dream, and quickly reversed the camera position.

Sure enough, I guessed it right, Director Fan thought to himself.

What the hell, that young doctor from Massachusetts General Hospital has a weird magic of his own, which makes people unconsciously think of him as Little Transparent.

Director Fan didn't know if his guess was right or not, he could only stare at Lin Jiuze intently, not daring to move, for fear that he would forget Lin Jiuze in the next second.

"Superior mesenteric artery, superior mesenteric artery..." Director Liang babbled a few words, put Lin Jiuze behind his head, muttered softly, and watched the film carefully again.

The upright abdominal plain film has air-fluid level and obvious intestinal obstruction. How to identify the problem with the patient's superior mesenteric artery?

"It doesn't seem necessary, you should go to the hospital." Director Liang forgot about Lin Jiuze, and after reading the film again, he put the film in the film bag.

"Director Liang, I suggest doing a 64-slice CT first to determine if there is a problem with the patient's mesenteric artery."

The moment Director Liang was about to hand over the tablet bag to the patient, the bag was pressed on the table, and Lin Jiu said in a deep voice.

"..." Director Liang was taken aback.

Director Fan and the cameraman were also taken aback for a moment.

Lin Jiuze, who was as gentle as jade just now and didn't exist like a little transparent, appeared like a fierce tiger at this moment.

"Lin...Lin...Doctor Lin, are you sure?" Director Liang asked stammeringly.

"determine."

Director Liang was so overwhelmed that he had difficulty breathing. He was a little annoyed, but he didn't dare to say a word of nonsense. After thinking about it, he said, "Then ask the gastrointestinal surgeon for a consultation."

Lin Jiu didn't say much, he didn't know the process very well, and kept engraving it.

Director Liang went out to make a phone call, leaving Lin Jiuze and the patient in the consulting room.

Director Fan asked the little assistant to tell the cameraman not to miss Lin Jiuze's shots, and followed Director Liang out.

Director Liang turned around after finishing the phone call, panting heavily angrily.

"Director Liang, calm down." Dao Fan was a ghost, so naturally he would not add more fuel to the raging fire.

"Director Fan, who are you recruiting for the film crew?" Director Liang said angrily, "Is it a professional doctor? You still have to go to Massachusetts General Hospital and have your own medical team. What nonsense!"

"I don't know either. It was introduced by an expert from Shanghai to participate in the show. Calm down, don't be like a child. Maybe... Maybe... Don't be angry."

While persuading, Fan Dao observed the situation.

Director Liang was obviously overwhelmed by Lin Jiuze's force just now, he lost his mind for a moment, and now he took all his anger on himself.

"Director Liang, who will come to the gastrointestinal surgery department soon?" Director Fan changed the subject.

"Mr. Miao."

"Oh, I've seen it before. It's the chief resident of the gastrointestinal surgery department. When I first came to the hospital, I was not used to hearing people say that the boss is the boss. Also, the professor and the director are called the boss."

"It's all nonsense." Director Liang said casually, with an angry tone, it was obvious that he was still brooding over what happened just now.

While persuading Director Liang, Director Fan learned a little about Lin Jiuze from him while looking at the corridor of the emergency department.

Soon, Mr. Miao appeared at the end of the corridor.

Director Fan didn't see Ji Xiang, and was a little disappointed.

The expected collision of Mars with the Earth did not happen.

Chapter 581 He Was Right

"Boss Miao, go in and have a look yourself." Director Liang said angrily, not even going into the consulting room.

"Director Liang, what's the matter with you." Mr. Miao was a little puzzled, and saw the camera again, so he asked in a low voice in advance for fear of making a mistake.

"The program team found one...you can ask Director Fan for details."

Director Fan rubbed his hands, "Mr. Miao, where is Dr. Ji Xiang?"

"I'm writing medical records, you can find him." Mr. Miao asked.

"No, no, I came to see you for a consultation." Director Fan briefly introduced Lin Jiuze's identity and said, "He looks very gentle and doesn't talk much, but he seems to be very firm in medical matters."

"The firmness of the fart is just nonsense!" Director Liang scolded, "The film is there, typical intestinal obstruction, I have to do a 64-slice CT. I know the American Federation of Physicians, and they are willing to do various examinations."

"I'll go and have a look." Curious, Mr. Miao strode into the consultation room.

Director Fan threw Director Liang aside and went to the door to examine Lin Jiuze again.

He was gentle and calm, and there was no sense of oppression between his brows just now.Director Fan didn't know if he had imagined it, or if the dispute just now left a deep mark on him. Looking at Lin Jiuze now, he could feel the deep pride in his bones.

Standing at the door and watching, Director Fan soon saw Mr. Miao and Lin Jiuze arguing.

"In most cases of MVT with ileus, there are two stages of presentation.

The initial patient was diagnosed with MVT because of abdominal pain, anticoagulant therapy was initiated, and the patient subsequently presented with intestinal obstruction.

Intestinal obstruction in our patient was the initial manifestation of superior mesenteric vein thrombosis, which was asymptomatic in the early acute phase, probably due to persistent mild intestinal ischemia, which eventually led to intestinal fibrosis, stenosis, and obstruction. "

"In addition, the clinical manifestations of MVT are usually non-specific. Abdominal color Doppler ultrasound examination of mesenteric blood flow, peritoneal effusion volume, and intestinal wall thickness is helpful for diagnosis.

This inspection is more difficult, I don't know if you can do it.

Compared with CECT, the sensitivity of diagnosing MVT is more than 90%. In addition, CECT can also evaluate intestinal ischemia and provide help for selecting patients who meet conservative treatment conditions.

Scanning for the presence or absence of collateral circulation helps differentiate acute MVT from chronic MVT.Although our patient was screened for common thrombotic states, the cause of MVT remained unclear. "

Lin Jiuze still seemed transparent when talking about professional issues, Mr. Miao was a little confused, it seemed that he didn't know who was talking to him after more than ten seconds.

But a series of professional vocabulary and the habit of strengthening CT called CECT made Mr. Miao feel that he was in the scene of a thriller, and there was a mysterious force talking to him nearby.

"But..." Mr. Miao wanted to explain.

"It's nothing to worry about, follow the doctor's order." Lin Jiuze said firmly.

"Ok."

Mr. Miao didn't struggle at all, and was directly defeated.

Director Fan was confused. Is this the end?Shouldn't it be Enter the Dragon?Why did Mr. Miao disarm and surrender in just a few words?

Mr. Miao contacted the CT room, made an appointment for emergency 64-slice CT, and then took the patient for examination.Lin Jiu didn't follow, and Director Liang refused to shoot. He greeted the crew and left to go back to rest, just like an old man.

Director Fan saw that Lin Jiuze seemed to hesitate for a moment, looked around, and finally tore up the paper and threw it into a ball in the wastebasket.

He picked up the waste paper and hid it like a thief.

A few hours later, the results came out. Sure enough, as Lin Jiuze said, the patient did not have simple intestinal obstruction, but intestinal obstruction caused by embolism of the superior mesenteric artery.

Mr. Miao took someone to the operation, and Director Fan fell into deep thought.

The newcomer Lin Jiuze had a lot of weird things on him, and he really found it strange.

"Director, take a look." Director Fan's assistant approached him and whispered.

"What's wrong?" Dao Fan asked uneasy.

"There seems to be some problem with the video data left behind by the film crew."

"An accident happened again! What the hell happened again, let's go to the wedding in the future! What's the use of raising him, he can't do a fart well!!"

Director Fan was furious and began to curse.

When he came to the cameraman, the cameraman looked terrified and kept saying sorry.

The team of cameramen who can follow Director Fan to record the stormy variety show is also well-known in the world, and the level is first-class, and Director Fan does not rub sand in his eyes.

But today I don't know what's wrong, there are always problems.

"Not recorded again?" Director Fan asked with a straight face.

"It was recorded, but the effect is not good." The cameraman was about to cry, and he said with a mournful face, "Guer, it's all my fault, my fault. But I tried my best, and I don't know how to do it."

"take a look."

Director Fan also knew that the situation was special, he sighed deeply after watching the video materials recorded later.

He didn't criticize the cameraman too much, because the content recorded by the cameraman basically matched his impression.

Director Fan didn't say anything, and went back to the car by himself, saying he wanted to be quiet.

After unpacking the paper that Lin Jiuze had torn up and thrown into the trash can, Director Fan saw that it was written in very rough words.

Both in Chinese and English, Director Fan didn't understand anything after reading it for a few minutes.

He remembered a joke - when the doctor wrote the prescription by hand in the early years, the pharmacy department didn't understand it, and the patient took it back and asked, the doctor said why didn't you come back earlier, I forgot what I wrote.

During this passage, Director Fan always thought he was mocking the doctor, but he didn't expect to meet him in reality.

He smoothed the paper as much as possible, took a photo and sent it to a doctor he knew well.

Ten minutes later, Director Fan received a call.

"Director Fan, is this a quiz project in your variety show?" The doctor on the other side asked with a smile after answering the call.