That's right, it's worth a look.

Ji Xiang didn't rush in directly, and couldn't wait to get close to the patient's mouth to smell the smell of rotten apples, but stood at the door and watched.

This involves the psychological state of the emergency patients and their family members. You can't go on the rampage just because you want to accumulate a little clinical experience, no matter what people think.

When the physician went out, Ji Xiang stopped her.

"Teacher, how is the patient?"

"It's okay. I've been admitted to the hospital. The boss who is seriously ill will come and push the person back. It will take about 3 days of treatment before being transferred out. It should not be life-threatening."

"Can I take a look?" Ji Xiang asked in a low voice.

The emergency physician smiled. She and Ji Xiang were familiar. After all, as long as he was in Meng Qingfei's class during this period, Ji Xiang would come back to "join in the fun".

"Go ahead and smell rotten apples," said the emergency physician. "I even think it smells good."

"Hey." Ji Xiang smiled and walked in.

To Ji Xiang's surprise, the patient was very young, only about 20 years old, and seemed to be a college student.

Several "patient family members" are also of the same age, and they should be classmates in the same dormitory.

The patient was a little sluggish, lying on the emergency flat car, and Ji Xiang came over.

Take a deep breath, and the act of breathing brings the ketoacidosis smell into the nasal cavity.

The absorption of the epithelial mucosa spreads to the cilia of the olfactory cells. There is a special olfactory receptor on the cilia that combines with the olfactory substance of ketoacidosis, and then further produces the second messenger substance to open the calcium channel.

Sodium ions and potassium ions enter the cells, and the olfactory cells are depolarized at the same time, and action potentials are generated, which are transmitted to the olfactory bulb and then to the olfactory center, thus triggering the sense of smell in Jixiang's brain.

It really smells like rotten apples!

Chapter 684 The Accumulation of Clinical Experience

Ji Xiang took a breath, wanting to engrave this taste deeply in his mind.

But he didn't suck enough, and took another deep breath.

There are not many such opportunities. Although there is a systematic operating room, Jixiang still wants to grasp every opportunity in reality.

"Change me, change me."

Doctors from other departments crowded behind him and pushed Ji Xiang away.

Ji Xiang smelled it twice, and after being squeezed away, he stood in the distance and sniffed "greedily" a few times, and then reluctantly left.

The patient's classmates looked surprised, but they were students after all, and they were a little cautious in the hospital, and they didn't know what these doctors were doing.

They looked at each other.

"Are you the patient's classmate?" Ji Xiang felt that it was strange for a group of doctors to surround the patient, and subconsciously wanted to appease the patient's family first, so he walked over and asked.

When several female students saw the tall and handsome Ji Xiang approaching, their first impression was good to the bone.

A girl replied positively, "We are classmates. Xiao Fei has recently lost weight and has been on a ketogenic diet. We have seen her responding a little slowly these days, so we advised her to eat some carbohydrates. She is very persistent and has not eaten."

"Just a ketogenic diet?"

"Eat less meat, mainly because of hunger." Another girl replied.

"How long have you been hungry?" Zhao Zhe asked after taking the conversation.

None of the girls spoke.

Zhao Zhe's image is very bad, not only old-fashioned, but also rough in clothes, no one wants to talk to him.

"How long have you been hungry? How many meals a day?" Ji Xiang asked.

"For about a month, I ate one meal a day, but most of the time I didn't eat." Several girls said in a hurry, "I fainted once a few days ago, and she only ate an apple that day."

"It may be starvation ketosis." Ji Xiang said.

"what is this?"

Ji Xiang didn't answer. Seeing the boss of the ICU coming to pick up the patient, he smiled slightly, thanked the girls, and turned to leave.

"Why does that doctor look familiar to me?"

"I seem to have seen it somewhere, and I have a sense of familiarity."

"It's in front of me, but I can't remember it."

Ji Xiang heard the girls whispering behind him.

Maybe they never thought that they would meet a "star" when they took their classmates to see a doctor?

Ji Xiang was a little sad, and was very envious of Lin Jiuze's stealth skills.

It would be great if he could also become invisible.

Especially after participating in the show, it seems that I really need such a skill.

"I remember! The young doctor who operated on Neymar!"

"Isn't it the First Affiliated Hospital of Hangzhou Medical University?"

"What, I didn't watch the show carefully. They are going for an internship, and that doctor is from the Second Affiliated Hospital!"

Ji Xiang vaguely heard their chatting, and left quickly before they could react.

How embarrassing it would be if you were chased by a few little girls in the hospital to sign and leave your contact information.

When Zhao Zhe ran over, he was still out of breath, and continued to run back with Ji Xiang.

"Xiaoji, slow down, slow down."

Halfway through the run, Zhao Zhe couldn't take it anymore, his lungs were on fire, and he was sweating profusely.

"Brother Zhao, your body is not good enough."

"I'm actually fine, but I can't run." Zhao Zhe said helplessly, "Why are you running?"

"Those girls recognized me."

"If you recognize it, you will recognize it, what's the big deal?"

"Save the trouble."

Zhao Zhe pulled Ji Xiang's white clothes and sat down on the steps, panting heavily.

"Xiaoji, you are so used to running fire escapes, I really can't keep up."

"Hey, Brother Zhao, have you ever met a patient who smells like rotten apples?" Ji Xiang asked.

"No, I finally smelled it this time." Zhao Zhe said with some relief, "When I meet a similar patient next time, even if there is only a slight smell, I can give a diagnosis."

"The clinical textbooks will not be changed." Ji Xiang felt a little regretful.

"Maybe it's quite difficult. I said that I met a female patient when I was in Yuanliao." Zhao Zhe opened up the conversation box, and while taking a breath, he said to Ji Xiang, "Ductal carcinoma in situ of the mammary gland is said to be a tumor in the book." The cells mainly grow along the mammary ducts. On the mammogram, it can be manifested as malignant calcifications along the ducts."

"However, clinically, malignant calcification along the duct is extremely rare, and it is generally a diffuse change. As for the textbook, it was written many years ago and has not been revised."

"One day the breast surgery department encountered a very typical patient with malignant calcification running along the duct. It was obvious that a high-density line was extending along the duct. At that time, the breast surgery department was shocked. The general practitioners looked at it together. film, the director also gave a small lecture.”

"..."

"Later, I took pictures of the films and kept them for the students to use in lectures. Then I asked the radiology department to develop a few more films and use them as the treasures of their department."

"Such an exaggeration." Ji Xiang was surprised.

"You don't even know, Xiaoji. The student took the textbook and asked, teacher, what is the obvious high-density line in the book extending along the catheter? How embarrassing it would be for the students to tell the story, but they have never seen the real case."

"It smells like rotten apples? But we can't tell if we smell it." Ji Xiang smiled.

"It doesn't matter. I was lucky today, and I finally met!" Zhao Zhe was a little excited, "By the way, once there was a dispute and complaint in our hospital in Yuanliao. Because the patient's symptoms were quite typical, the teacher called all the students to study. .”

"Before leaving, the students were really polite. They put their hands in front of them and bowed deeply."

"The family members of the patient were reluctant when they saw it. Later, I thought, indeed, it would be unlucky to say goodbye to the dead body."

"Hahahaha." Ji Xiang laughed, "So, that's why you put your hands behind your back?"

"Almost." Zhao Zhe said, "Xiao Ji, I still smell of rotten apples in my nose."

"..." Ji Xiang was speechless, Zhao Zhe was too tired, he kept babbling about a strange smell.

But I was also a little excited.

Clinical experience is accumulated little by little, and there are no shortcuts.

Zhao Zhe rested for a few minutes, and then said with a bitter face, "Xiaoji, why don't we take the elevator."

"Row."

Ji Xiang didn't force it, the key was that Zhao Zhe looked like he was dying, and he was afraid that Zhao Zhe might die suddenly if he climbed the stairs again.

……

Lin Jiu didn't follow to smell the smell of rotten apples. He originally ran out, but received a call from Tang Chenghua.

"Teacher, it's so late, is there something urgent?"

"Wen Banyama's operation is finished." Tang Chenghua said in a deep voice.

Wenban Yama!

If the teacher hadn't mentioned it, Lin Jiu would have forgotten him.

Chapter 685 God, Can't Bleed

"It's done!" A flash of starlight flashed through Lin Jiuze's mind.

Isn't this the standard control group!

The purpose of the teacher's call is also very obvious, and it is not concealed at all.

Where there are people, there are rivers and lakes. Wen Banyama first came to China for consultation with Lin Jiuze, but finally refused the operation. Tang Chenghua was a little unhappy, waiting to see a joke

"Teacher, how is Wen Banya doing after the post-horse operation?"

"I watched the operation from beginning to end, and I feel that it has been done to the extreme, but compared to what you said about Neymar's operation, I always feel something is wrong."

"Teacher, I have the video of Neymar recovering on my side, is it convenient for you?"

"convenient."

The two masters and apprentices quickly finalized, and there was a tacit understanding.

Those who engage in clinical and academic research are all science-minded, and no one can say that it is good. Seeing is believing.

"Wenbanyama still needs time for simple rehabilitation exercises."

"Normally speaking, how is Neymar recovering?" Tang Chenghua asked.

"Already on the pitch, but at least a month away from playing football."

"So fast!"

Lin Jiu was slightly taken aback. He immediately understood that he had been watching Neymar's medical team communicate with Ji Xiang. At the beginning, he was amazed at Neymar's speed of recovery every day.

But gradually, getting used to it becomes natural.

You can't be surprised every time you see Neymar's information.

I gradually felt that this was normal.

However, with the comparison of Wen Banyama, it should be able to more accurately evaluate Ji Xiang's operation method.

"I'll give it a try." Tang Chenghua said in a low voice.

"Teacher, the data is not difficult." Lin Jiu was a little puzzled.

"God, don't bleed."

Tang Chenghua said something inexplicable.

But Lin Jiu understood in seconds.

Massachusetts General Hospital is an affiliated hospital of Harvard Medical School. It is one of the top five high-level hospitals in the world and one of the highest existences in the pantheon of the medical world.

God, no blood!

Bleeding proves his mortal body.

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