Doctor of Healing

"Rescue, please keep your voice down." Ji Xiang frowned and looked at Dr. Merz.

Dr. Merz sensed a hint of danger in the eyes of the young big devil. He originally wanted to avoid the edge, but the shame just now made Dr. Merz refuse to show weakness.

"According to the current situation, it is impossible for the patient to have a pulmonary embolism. The blood oxygen saturation has not changed, and you actually said it was a pulmonary embolism?! My God, this is the funniest thing I have heard in the operating room joke."

Dr. Merz said while looking at Lin Jiuze beside Ji Xiang.

The weird guy didn't have a pen or a notebook in his hands, and he was wearing a gown, and there was nowhere to put these things.

After seeing clearly, Dr. Merz let out a long breath.

It's not the diagnosis given by that weird guy Lin Jiuze. Today, as a knight of justice, I have to teach this young big devil in front of me a lesson.

Although he looked young, he was powerful. Dr. Merz didn't think that he would be able to kill him with full confidence in normal times.

But not now.

The patient obviously had a problem with the anesthesia medication, but Dr. Merz could not be sure what it was because he is not a professional doctor.

But certainly not a bullshit pulmonary embolism.

When Dean Zhao saw Ji Xiang ordering the anesthesiologist to push the B-ultrasound machine, he felt a little annoyed.

he!

Why! !

Especially with his own silly son standing right in front of him.

In fact, Zhao Tianjiao, as his name suggests, is indeed the proud son of heaven, otherwise he would not have broken Zhao Jixiang's record of knotting in martial arts competitions for decades.

What a shame, most afraid of comparing each other.

"Doctor Ji Xiang, are you the attending doctor for the patient in front of you?" Dean Zhao asked calmly with his hands behind his back.

"No." Ji Xiang replied calmly, "I'm just offering an idea. Of course, if the patient is finally diagnosed with pulmonary embolism, but the rescue is delayed due to some special reasons, then Dean Zhao can take responsibility."

"!!!"

Zhao Jixiang was beaten to the corner by Ji Xiang's words, and was thrown into the reinforced concrete.

He was very angry, but he couldn't refute Jixiang's words at all.

This is equivalent to Doudizhu playing a "3" himself, and Jixiang threw Wang Zha and the four "2"s out with a bang.

As for what!

Dean Zhao looked at Ji Xiang angrily.

As for what!

As for what! !

His mind has been tortured again and again.

If it were another person, Dean Zhao would definitely set up countless pairs of small shoes for him.

But this is Ji Xiang, the chief dean has valued him very much recently, and director Bai has been protecting Ji Xiang as if he were his own son, and dean Zhao does not manage the medical department, so he is really not good The way to give Ji Xiang a thunderous blow.

The doctors and nurses in the operating room were silent, and no one wanted to join the dispute.

What Ji Xiang did did cross the line, but the sentence that stood on the moral high ground—are you responsible for something that happened, hit everyone’s heart with a critical blow.

Soon, the anesthesiologist pushed in the ultrasound equipment.

"It's hard work, Dr. Lin." Ji Xiang didn't make a fool of himself. He doesn't have many skills in ultrasound, so it's better to let Lin Jiuze handle it.

"My God, I have never seen someone so naive. I have serious doubts about the medical level of your hospital." Dr. Merz babbled.

His voice is not loud, Jixiang may not be able to hear these words, but he just expressed his unyielding efforts.

"Doctor Merz, are you talking to me?" Ji Xiang asked.

"I mean that there is no need for the patient to undergo transesophageal echocardiography. It is better for the anesthesiologist to review the medication!" Dr. Merz's voice became softer and softer.

He was very sure, but for some reason, he still didn't have enough confidence in front of the Great Demon King.

"It doesn't matter." Ji Xiang said lightly, "The anesthesiologist is checking the medication, but I don't think it's meaningful to do a CT."

"!!!"

"Do you think the possibility of thrombus is unlikely?"

"..."

"The orthopedic patient's own trauma triggers are enough to disrupt the blood coagulation system in her body, resulting in thrombus.

Also, this is not an emergency surgery, but an elective surgery.

Prolonged bed rest has greatly increased the incidence of lower extremity deep vein thrombosis.During the operation, due to the large-scale operation of the operation itself and the influence of circulation, the thrombus is likely to fall off.The dislodged thrombus is likely to block the pulmonary artery along with the blood flow. "

"To put it simply, it is because you did not notice the possible formation of venous thrombosis when you positioned yourself before the operation, and the scope of the operation was too large, which led to the situation in front of you."

Ji Xiang spoke at a moderate pace, but in the end he put all the responsibility on Dr. Merz.

"Impossible!" Dr. Merz said angrily, "Elective surgery for patients with closed fractures is in line with clinical treatment guidelines, and the patient is so young, the chance of thrombosis is so small that it can be ignored."

"If it doesn't happen, the probability is zero; if it happens, the probability is [-]%."

"!!!" Dr. Merz was hit by Ji Xiang's [-]% preparation.

Dr. Merz has been completely overwhelmed by Ji Xiang's momentum.

Like Dean Zhao, Dr. Merz could not refute what Ji Xiang said.

If it was at the Massachusetts General Hospital, Dr. Merz would have countless solutions to solve the immediate problem, but now it is a "broken" hospital in a foreign country that can't even do CT in the operating room!

Out of the corner of Dr. Merz's eye, he saw Lin Jiuze moving the patient's endotracheal tube, preparing to move it to a position for color ultrasound of the esophagus.

"Damn, you are irresponsible to the patient by doing this!" Dr. Merz complained.

"Then what should I do if I am responsible?" Ji Xiang asked without hesitation.

"Should...should..." Dr. Merz hesitated for a while.

He has given all the treatment methods that should be given, what is wrong with him doing so?

Dr. Merz couldn't tell.

Although he thought the young big devil was stubborn and ridiculous, he didn't have any advice for Dr. Merz to tell him what to do.

Ji Xiang was not in the mood to argue with Dr. Merz and Dean Zhao.

He stood beside Lin Jiuze with his hands behind his back and stared at the screen intently.

As the B-ultrasound probe moved forward in the esophagus, Ji Xiang gradually felt relieved.Lin Jiuze's operation is extremely proficient, especially in the control of some small details, which reveals a lot of experience.

Soon, the B-ultrasound probe came to the esophagus close to the heart.

It's especially critical here.

The reason why color transesophageal echocardiography is seldom performed is because the technical content is very high, far exceeding that of ordinary in vitro B-ultrasound.

But the advantage is that it can be seen clearly.

Just like now, Lin Jiuze changed the angle of his wrist a few times, exerted a little force, and pushed the probe against the junction of the esophagus and the heart within the range that the patient's heart could bear.

"There is an embolism in the pulmonary artery, and the embolus is about 3×4..." Lin Jiu began to "report" to Ji Xiang based on what he saw.

The anesthetist was dumbfounded.

Cardiac surgery usually does not use this device much, and few people know how to use it. Those who can perform transesophageal echocardiography during surgery are all great.

At least in the eyes of the anesthesiologists in the Second Affiliated Hospital, they are all great.

Unexpectedly, a patient whose blood pressure suddenly dropped after anesthesia was actually accurately diagnosed as pulmonary embolism!

Dr. Merz was also stunned.

The pulmonary embolism shown on the image was very clear, and Lin Jiuze's level was very high, but Dr. Merz just didn't want to accept these facts.

Why is my luck so unlucky, to do a closed tibia and fibula fracture surgery, to encounter such a rare pulmonary embolism!

Even Dr. Merz felt that his luck was extremely bad. The knight's head was covered with dark clouds, and lightning and thunder continued.

The lightning fell on the metal armor, and he was burnt on the outside and tender on the inside.

It seemed that the young big devil hadn't made a move yet, and the knight fell down again.

"Look for a cardiac surgeon to solve it." After seeing clearly the location of the pulmonary embolism, Ji Xiang turned his head and explained to the nurse.

"Oh, oh." The roving nurse looked up at Dean Zhao, and then at the professor of orthopedics. Seeing that they were all staring at the echocardiography screen in a daze, they knew it was probably a pulmonary embolism, and ran out.

Pulmonary embolism is a fatal emergency, and every minute and every second should be cherished!

She quickly ran out of the operating room to call the cardiac surgeon.

Ji Xiang was relieved when he saw that Lin Jiu had told all the positions that should be positioned, and asked the anesthesiologist to record them for the heart surgeon's reference and leave images.

In Ji Xiang's heart, he didn't intend to attack Dr. Merz or have a dispute with Dean Zhao.

It's all for the patients, Ji Xiang thought to himself.

Soon, the cardiac surgeons rushed over, and after seeing the echocardiographic images, they started to move as if they were clockwork.

"Let's go." Seeing Lin Jiuze coming down, Ji Xiang whispered to Lin Jiuze.

Lin Jiuze nodded, but he didn't turn around directly, but leaned into Dr. Merz's ear, "Dr. Melz, your level is really low. There are doctors like you in Massachusetts, so you can always compete with me." But Mayo."

After finishing speaking, Lin Jiuze turned around and followed Ji Xiang to leave.

Dr. Merz's face was gloomy as if it was going to rain. He stared at the incision wound without saying a word.

Soon, the cardiac surgeon began to re-sterilize, and the orthopedic department sewed up the incision, and waited for the cardiac surgeon to perform surgery before reopening it.

Dr. Merz was extremely depressed.

He felt that since he came to this ghost place, no matter what he did, he didn't go well.

I have seen all the operations that should be seen, but I can't understand them.

I was invited to do a minor operation, but encountered a rare pulmonary embolism.

Wenban Yama's recovery is good, and the recovery speed is even more incomprehensible.

All of this seems to have something to do with the Great Demon King, but it doesn't seem to have anything to do with it.

"Dr. Merz, let's go and have a rest first." Seeing that Dr. Merz seemed unwilling to do so, Director Zhao had no choice but to comfort him by standing still in the position of the surgeon.

"Impossible, absolutely impossible." Dr. Merz muttered in a low voice.

Through the disposable sterile cap, Dr. Merz's blond hair can be vaguely seen burning.

……

"Doctor Ji Xiang, how do you judge?"

Lin Jiuze and Ji Xiang went to the locker room to change, and asked curiously.

Ji Xiang smiled, but did not speak.

The system npc told me, do I need to say it?

And the matter was not over, the system npc told Jixiang to find himself after the diagnosis was completed after knowing the situation on the scene.

It was the first time for Jixiang to hear the system npc asking him to go back after rescuing him. He was very curious about what the system npc was going to tell him.

So I just smiled at Lin Jiuze's questions a few times.

After stepping down from the stage, he first watched the patients undergoing surgery at home, and chatted with Zhao Zhe for a while, then Ji Xiang went to the fire escape.

Holding his breath, Ji Xiang came to the operating room of the system.

"Hello teacher."

"Well, the rescue is over?" the system npc asked with his hands behind his back.

"The diagnosis is over, and the cardiac surgeon is performing an operation."

"The level of vascular intervention in the Second Affiliated Hospital is so low?" asked the system NPC.

Ji Xiang was startled, and then realized the problem.Director Bai had heard some similar things when chatting with Director Liu, but not many.

It seems that the level of vascular and cardiac interventional surgery is not high, and I am not sure to use minimally invasive methods to get out the thrombus of pulmonary embolism.

"Teacher, it seems to be." Ji Xiang said.

"Well, let's not talk about this, the background you said at the time is a bit interesting." The system npc smiled slightly, "How did you do it?"