Doctor of Healing
Page 536
The most important thing is that the patient has neurological symptoms. My God, it's hard to believe how you don't even know such a basic thing. "
Ji Xiang glanced at Dr. Merz.
What is this guy talking so much about?
Dr. Merz finally seized the opportunity after following Jixiang for a few hours. It seems that Dr. Jixiang is the kind of doctor who is full of surgical talent but weak in basic knowledge.
Taking advantage of this opportunity to put tremendous psychological pressure on him may help the operation.
Dr. Merz couldn't imagine how many people would come to this small hospital after another world-renowned sports star successfully completed the operation.
It's all money!
It's money! ! !
It's cash without dealing with the damn insurance company!
"Dr. Merz, I think you'd better consult an experienced doctor at Massachusetts General Hospital." Ji Xiang said seriously, "otherwise your ignorance may become a joke."
"!!!" Dr. Merz was shocked, Ji Xiang didn't have the slightest uneasiness of the young doctor, he seemed to think that his diagnosis was completely correct.
"Dr. Ji Xiang, the electrocardiogram has been done, and your stupid diagnosis of myocardial infarction will be proven." Dr. Merz said confidently.
Although he is an expert in sports medicine, he has a solid foundation and the patient's condition is relatively simple. Dr. Merz is confident in his judgment.
This is a good way to hit Jixiang, and Dr. Merz will never give up.
Just as he was talking, the electrocardiogram was completed, and the strip of paper typed out of the machine was snatched away by Dr. Merz.
The emergency physician was taken aback for a moment. Seeing that he was a foreigner with blonde hair and blue eyes, he didn't know what was going on, and he didn't dare to grab the ECG back.
"Dr. Merz is an expert at Massachusetts General Hospital." Meng Qingfei briefly explained, and went to see Dr. Merz for an electrocardiogram.
The patient's ECG was normal, and Meng Qingfei sighed.
Jixiang should have made a wrong judgment, and it was very wrong.
"Doctor Ji Xiang!" Dr. Merz raised the electrocardiogram in his hand, and it made a rattling sound like a banner. "The patient's condition is as I expected, and it's not a heart problem at all."
"Dr. Merz, this is not Massachusetts. You are not qualified to practice medicine. If you say something more, I will find your embassy." Ji Xiang looked at Dr. Merz disdainfully and said.
"!!!" Dr. Merz didn't expect Ji Xiang to say that.
Annoyed into anger?
Not only was Dr. Merz not afraid, nor was he worried because of Ji Xiang's words, but he felt that Ji Xiang was already panicking at this time. He was the big villain boss of the movie, and he would soon fall in front of the righteous knight.
Facing the iron-clad facts, he still dared to forcefully defend himself, even talking about the embassy!
Dr. Merz felt that Jixiang was on the verge of collapse.
"You are really long-winded." Ji Xiang said coldly.
"Dr. Jixiang, your judgment is wrong. Our medicine is evidence-based science, and the evidence is here." Dr. Merz shook the electrocardiogram in his hand again.
Meng Qingfei could probably understand the exchange between Ji Xiang and Dr. Merz, so he grabbed the electrocardiogram and handed it to the emergency physician.
"Xiaoji, do you insist on doing other blood vessel and heart checks?" Meng Qingfei asked in a low voice.
"Yes." Ji Xiang said firmly, "I suspect that the patient has..."
Before Ji Xiang finished speaking, his words were interrupted by Dr. Merz.
"Young doctors should be in awe of medical care. It doesn't mean that you can do a good job in emergency and first aid. Besides, is your surgery level really as high as you imagined?"
Dr. Merz looked into Jixiang's eyes and said.
"When evidence-based medicine already has evidence, don't make unnecessary wrong persistence. The longer you persist on the wrong path, the louder the voice of ridicule waiting for you will be!"
Chapter 782
Ji Xiang looked at Dr. Merz with strange eyes.
"Young man, I haven't seen your operation yet, so I can't admit your talent for the time being. But from your diagnosis this time, I can clearly feel the jerkyness and the lack of your basic clinical theory."
Dr. Merz smiled slightly, not too much reprimand, but with a little care.
This kind of invisible PUA hits the spirit even harder, Dr. Merz knows it well.
However, he didn't want to stop, because Dr. Merz was worried that Jixiang was too young to understand.
"Work harder, read more, study more, and don't take ignorance as a personality. Young people like these, and my students are the same as you. What a ghost."
"God will forgive young people for making mistakes. Don't pay too much attention to a wrong diagnosis. But what I want to tell you is that it is irresponsible for the profession to insist on a wrong diagnosis."
Ji Xiang really didn't know where the self-confidence of Dr. Merz in front of him came from.
Meng Qingfei pulled Ji Xiang.
"Xiaoji, come with me."
Meng Qingfei's voice was very low, but Dr. Merz saw it, and he smiled and made an elegant gesture of invitation.
In his opinion, this should be the superior doctor expressing his dissatisfaction with Jixiang and asking him to go to a place where no one is around to teach him a lesson.
"Young man, take the advice of your superior doctor and be humble. You're in the ER and you're only bringing more chaos."
"What did he say?" Meng Qingfei half understood, and asked after leading Ji Xiang out of the emergency room.
"He didn't believe my judgment, and kept saying that I was an irresponsible doctor because of my wrong diagnosis." Ji Xiang said indifferently, "Mr. Meng, have you contacted the echocardiogram yet?"
"Contacted." Meng Qingfei said as he walked to the consulting room, "You are so lucky. The super-duty doctor in the emergency department B has something to do today. I asked a friend to take over. He happened to be the echocardiography doctor."
Good luck, Ji Xiang scratched his head and looked at the luck value on the attribute panel.
It is indeed a very important attribute.
If you have the opportunity, you must increase the luck attribute.
"Can you finish the medicine before going!"
The family members of the patient waiting in the consulting room said very unhappy.
"I fainted on that side." Meng Qingfei was not surprised, and after a brief explanation, he prescribed medicine for the patient and asked, "Xiaoji, why do you insist on doing blood vessel and heart ultrasound?"
"I suspect the patient's diagnosis was a patent foramen ovale."
Meng Qingfei was stunned when he heard Ji Xiang's words.
Patent foramen ovale?
Patent foramen ovale is the most common congenital heart abnormality in adults. The foramen ovale is usually closed in the first year of life. If the foramen ovale is still not closed in children older than 1 years old, it is called patent foramen ovale. 3% to 20% of the foramen ovale is not completely closed.
"But the patent foramen ovale is usually fine. If it is particularly large... there will be no neurological symptoms." Meng Qingfei said with a frown.
"Studies in recent years have shown that patent foramen ovale is related to syncope." Ji Xiang said, "but the specific mechanism has not yet been determined."
"Can you work hard! I'm waiting for you to prescribe medicine! The fever is 39 degrees Celsius, and it's not your fever." The family members of the patient heard Meng Qingfei and Ji Xiang talking, Meng Qingfei moved a little slower, and scolded road.
Meng Qingfei chuckled, "Xiaoji, come and prescribe medicine for him, and I'll take a look at the patient."
Ji Xiang smiled all over his face and kept bending over the patient's family to express his embarrassment.
Although the patient's family members were unhappy, they didn't say much.
Ji Xiang has long been used to this way of communication, and the efficiency of himself and Mr. Meng Qingfei is indeed much worse than that of an unmanned intelligent hospital.
He didn't blame himself for this. An era has its own rules, so he feels guilty about this?Ji Xiang would not do such boring things.
Keep a smiling face, let the patient's family members calm down, and don't cause trouble, this is the purpose of Jixiang.
Out of the corner of Ji Xiang's eye, he saw that Meng Qingfei didn't go to the emergency room, but went straight to the duty room.
Probably went to see a doctor online, Ji Xiang thought to himself.
Take the time to prescribe medicine to the patient, and after sending the patient away, he prescribed another tetanus.
"Young man, is your teacher as dissatisfied with your diagnosis as I am?" Dr. Merz stood at the door and said with a smile when Ji Xiang was idle.
Ji Xiang thinks Dr. Merz's blond hair is so annoying.
"Humility, honesty, compassion, and bravery, these are the basic qualities a doctor should have..." Dr. Merz was still rambling.
"There is also the opportunity to evade the insurance company and fight for more medical treatment at your own expense, so that the number in your credit card will increase, right?" Ji Xiang looked at Dr. Merz and asked.
This question is like a knife, pierced directly in Dr. Merz's heart.
His smile suddenly froze, and his whole face froze.
"Dr. Merz, this is not your field of expertise. My suggestion is the same as before. You should still call the relevant professional experts in Massachusetts to ask about the specific situation."
After finishing speaking, the corner of Ji Xiang's mouth turned up, "Isn't it in Massachusetts, you don't have any friends. It's so pitiful, you are so old, and you don't even have any friends."
"How is it possible!" Dr. Merz clenched his fists and raised his hands angrily.
"Then go ask, get a professional answer and you'll be ashamed of your ignorance instead of standing here and telling me some useless crap. And you, if you don't call, in 20 minutes you'll be ashamed of your ignorance. You regret saying so much."
Dr. Merz looked at Ji Xiang in a daze. He couldn't figure out why this young man would talk to him so confidently.
There are many talented young people in Harvard Medical School, and Lin Jiu is one of the more representative ones.
But at Jixiang's age, they were all jerky and ignorant, who dared to communicate with the superior doctor in such a strong tone!
Perhaps... Dr. Merz thought of a possibility!
In the heart of the young doctor in front of him, he is not a senior doctor, but an ordinary doctor who came to study and observe operations.
Dr. Merz was almost ignited by his own thoughts.
Negative words such as rebelliousness, arrogance and ignorance form labels, which are nailed in Dr. Merz's perception of Jixiang in his heart.
Dr. Merz was a little skeptical too, but the EKG report reassured him.
It was not a myocardial infarction at all, and the patient had typical neurological symptoms, Dr. Merz looked at Ji Xiang with a sneer.
Then let the facts speak for themselves.
"Excuse me." Meng Qingfei turned sideways and squeezed in through the narrow space between Dr. Merz and the door frame.
"Xiaoji, prepare to watch the echocardiogram." Meng Qingfei no longer hesitated.
"Checked it out?"
"I wrote a few random words on the Internet, not too detailed, so I called my classmate. He said a few words to me, but time was tight, so I didn't listen carefully." Meng Qingfei said in a hurry, "Wait a minute, There is rescue in the emergency room."
Seeing that the patients waiting outside the clinic didn't seem to be serious, he confessed and took Ji Xiang to the emergency room quickly.
The B-ultrasound doctor has rushed over.
"Old Meng, you really are getting more and more demonic as you get older." The B-ultrasound doctor said while applying coupling agent to the patient, "Neurological symptoms are hard to associate with the heart, and it is necessary to investigate. But you are an emergency doctor, understand so cutting-edge?"
"Who am I!" Meng Qingfei raised his head proudly, without any guilt or embarrassment.
"Excellent, let me take a look first." The B-ultrasound doctor began to move the probe on the heart of the patient's chest.
His level is very high, and he started positioning and measuring in less than 1 minute.
"The foramen ovale of 1.3 is not closed, and it actually exists! Let me tell you about Lao Meng, you are lucky to catch up with me, otherwise the director will be there during the day, and you will have to do an ultrasound through the esophagus to make a diagnosis."
"so tough?"
"That's right, I'm very good!" The B-ultrasound doctor began to record, "Old Meng, remember to send me a copy of the patient's information."
"You want to write a thesis?" Meng Qingfei's eyes lit up.
"Ah."
"Forget it. With your level, you won't be able to post it for a year or two. Let me figure it out. How about you being the second author?"
"Hey, Lao Meng, you are getting more and more generous!" The B-ultrasound doctor did not insist, and who is willing to write a paper as a clinician?
Moreover, Meng Qingfei has published two sci articles in the past six months, which are sci!
"Xiao Ji, you write it." Meng Qingfei pushed the job directly to Ji Xiang.
"Ah, good!" Ji Xiang agreed without hesitation, "Publish it in the "Journal of Cardiovascular Surgery."
The B-ultrasound doctor was a little disappointed. While recording the information, he asked, "Which pheasant magazine is it? Lao Meng, you should come and send me an SCI."
"What are you thinking about?" Meng Qingfei said, "Journal of Cardiovascular Surgery is the second most influential journal in cardiothoracic surgery."
"Impact factor!" The B-ultrasound doctor's hair almost stood on end.
"It seems to be five o'clock, but I forgot the exact number."
The B-ultrasound doctor was stunned for a moment, but then he seemed to think of something, and handed the things he had recorded to Ji Xiang.
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