Doctor of Healing

Not only to do CT, but also to do enhanced CT, but I only got acute appendicitis!

If it was at Massachusetts General Hospital, the insurance company would never reimburse the money!

It was too much. The young big devil not only wanted to challenge himself, but also tried to challenge the experts and insurance companies far away in Massachusetts General Hospital.

"Okay, I'll give the phone to Dr. Merz, and you tell him. Dr. Merz doesn't listen to my judgment, and he insists on surgery. You know, it doesn't matter whether the right lower abdomen is cut open or the abdominal cavity is done. Mirrors cannot meet the needs of surgery.

What's more, if there is no problem with enhanced CT, it is definitely unacceptable to perform surgery on self-limited diseases. "

With that said, Ji Xiang handed over the mobile phone to Dr. Merz.

"John..." While Dr. Merz was speaking, the person on the other end of the phone interrupted him.

"Merz, who is the person who just explained his condition to me?" asked the doctor on the other side of the phone.

"..." Dr. Merz glanced at Ji Xiang.

The angle of view curled up on the examination bed was different from the normal angle of view. Dr. Merz saw that the young big devil was so tall and invincible.

Is it really appendicitis?A tinge of doubt crept into Dr. Merz's mind.

"It's the chief surgeon who operated on Wenbanyama."

Dr. Merz revealed Ji Xiang's identity in a low voice.

"Damn it!" Dr. John scolded, "Why would a sports medicine doctor see a B-ultrasound?"

"I can do it too."

"No! Merz, B-ultrasound of retinal infarction is difficult to judge. The best way is to do CT. Remember the trouble I encountered a few years ago?"

Dr. Merz froze.

He vaguely remembered, but John didn't say the specifics of the matter.This is privacy, and Dr. Merz didn't ask carefully.

"A patient's examination was considered to be cholecystitis. The hepatobiliary doctor performed an operation and found that the patient's gallbladder was fine and there was no problem at all. The problem was the patient's greater omentum."

"!!!"

"This damn disease looks so similar to appendicitis and cholecystitis, and there is no way to check it without abdominal CT. But the insurance company firmly disagrees with reimbursement for related patients."

Dr. Merz did not expect that his friend would completely stand on the side of the big devil.

"You don't understand the details here, I suggest you listen to the opinions of local experts."

After speaking for a long time, Dr. John firmly gave his opinion.

"Why do you think he's an expert?" Dr. Merz asked.

His voice was extremely low, for fear that Ji Xiang could hear him.

But Jixiang has good hearing and can hear clearly.However, Jixiang didn't have any bad thoughts about Dr. Merz because of this. Patients questioned him a lot, as long as he is willing to do CT.

What Jixiang thinks more is that there is absolutely no need for enhanced CT, otherwise the operation will be very difficult, and I am afraid that no one in the Second Affiliated Hospital has experience.

Everyone is safe and sound.

"Melz, you stupid bastard, you want to stuff my leftover sandwich in your mouth!"

"..."

"There is no reason, you can just listen to the opinions of the experts. I still have a damn operation, and I haven't finished the outpatient volume for this month. If I have to go fishing on the weekend, I will go to the outpatient clinic to see those patients after the operation." Boring patients make up enough outpatients for this month.

Merz, do you know how busy I am! "

Dr. Merz reluctantly heard a blind tone from the opposite side, and then hung up the phone.

"Doctor Merz, do you want to do a CT scan or sign a refusal?" Ji Xiang waved the communication in his hand.

"..." Dr. Meltz looked helplessly at the big devil who was showing his might in front of him, speechless.

Let him pretend again!

Damn!

Omental infarction, Dr. Merz vaguely knew that the disease should involve blood vessels.

But it’s all right, once something happens, assuming that there is no blood supply to the omentum in a large area, the next step is acute abdomen!

If the diagnosis and treatment are delayed, then there will be difficult-to-treat diseases such as bacteremia, and there is a high probability of infection, toxic shock, and even life-threatening.

It will definitely not be as simple as acute appendicitis.

Thinking of this, Dr. Merz became a little anxious.

"I want to do CT! Enhanced CT!!"

After finishing speaking, Dr. Merz added, "It doesn't matter if the insurance company doesn't reimburse you, I'll pay for it myself!"

The fear of large-scale necrosis of the omentum has exceeded Dr. Merz's idea of ​​defeating the young big devil in front of him. Enduring the severe pain in his abdomen, he almost wailed and said.

"What did he say?" Director Bai asked.

"Dr. Merz agreed to do CT, but he still needs to do enhanced CT." Ji Xiang felt helpless.

"Need me to contact you?"

There is no doctor on duty for enhanced CT at night, because this examination is not an emergency item.

If it is necessary to do it, director Bai needs to call the relevant doctors from home and start the machine to prepare.

Ji Xiang thought for a while, "Let's call it. Although I think it's unlikely, what if? An expert from Massachusetts General Hospital died of illness in our hospital. It's hard to say."

"!!!"

The last sentence shocked Director Bai.

It is not an exaggeration to say that the consequences were disastrous.

Director Bai even thought of the series of chain reactions caused by the "death" of the Massachusetts expert in the Second Affiliated Hospital, and his scalp went numb.

Contacted the CT room, Director Bai took someone to send Dr. Merz, the "big trouble", for an examination.

CT images showed a large area of ​​fat density shadow with blurred edges and unclear boundaries.

This is wool?

The doctor on duty in the CT room looked at the image in doubt, he had no idea how to make a diagnosis.

"It's an omental infarction." Ji Xiang said with certainty, "But for the time being, there is no need for surgery, just observe it for a few days."

Director Bai asked anxiously, "Really? Anyway, Director Niu of the CT room is coming, so he can do an enhanced CT by the way?"

Ji Xiang did not insist, but agreed with Chief Bai's opinion.

Anyway, I just need to rest. Seeing Dr. Merz's omental infarction is a self-limiting disease.

It doesn't matter to me or to Dr. Merz's disease whether to do enhanced CT or not, but it can buy peace of mind for Director Bai.

After experiencing empathy countless times, Ji Xiang subconsciously thinks about problems from the perspective of others.

When Director Niu rushed over, he came to the same conclusion as Ji Xiang after seeing the video, and Director Bai was relieved.

However, he still insisted on having an enhanced CT.

Dr. Merz was doing the examination. Hearing the buzzing sound, Director Bai asked, "Director Niu, it's okay without surgery. What's going on?"

"Director Bai, the omental infarction you understand is omental thrombosis or something like that."

"En." Director Bai nodded.

"In fact, primary omental infarction often occurs in children and adults. The pain is often located in the right upper or lower abdomen, and it is easily misdiagnosed as appendicitis or cholecystitis. The only predisposing factor is obesity in children."

"I read a report that said that about 0.3% of patients with acute appendicitis were wrongly diagnosed. In fact, omental infarction should be diagnosed."

Director Bai really doesn't understand this matter.

Also, it is impossible for a neurosurgeon-born medical director to be omniscient.

He listened carefully to Director Niu's explanation of omental infarction.

"Primary infarction is prone to occur in the right upper abdomen, which may be related to the longer and greater mobility of the greater omentum there."

"The lower abdomen is not uncommon, and most of them are self-limiting diseases, and you can just raise them for a few days."

"So looking at things like appendicitis and conservative treatment of cholecystitis, I think it's better to have a CT scan."

"However, it has already been said that we have abused CT. After the blood is drawn for B-ultrasound, another CT scan is required. It is estimated that 99.7% of appendicitis patients cannot accept it."

Director Niu said, laughing.

"Do you need surgery?"

"The omentum has a lot of blood vessels that don't generally need it."

Director Niu began to show off his skills, and he explained to Director Bai what kind of omental infarction that really needs surgery is like.

Ji Xiang stood in the corner and looked at the screen, waiting for the result.

As Director Niu said, this disease generally does not require surgery, and Dr. Merz does not need surgery.

Most cases of omental infarction are discovered during emergency surgical exploration, and they are all opened anyway. If it can be removed easily, it is generally recommended to surgically remove the infarcted omental tissue.

Surgical resection of the infarct can quickly improve the symptoms and signs of the patient, and the patient recovers faster and the course of the disease is shorter.

Laparoscopic resection of the infarcted local omentum can more effectively reduce postoperative complications such as pelvic-abdominal abscess, pelvic-abdominal adhesions, and intestinal obstruction.

After conservative treatment, the local inflammatory response can gradually subside in patients with mild disease, and the omentum gradually shrinks and becomes fibrosis. Most patients basically recover within two weeks, and some symptoms and signs can last for several weeks. CT and B-ultrasound reexamination can show that the mass gradually shrinks and the boundary is clearer.

As for how Dr. Merz's omental infarction came about, Ji Xiang had no idea.

Maybe it was caused by his overeating, or maybe it was caused by his bad mood and high blood pressure, who knows.

Ji Xiang doesn't care how Dr. Merz's illness came about, as long as he doesn't need surgery.

In case of surgery, according to the system npc, it doesn't just need to be removed, there will be very troublesome follow-up problems.

However, Dr. Merz seemed to have good luck. After the enhanced CT image came out, Ji Xiang breathed a sigh of relief.

It is the same as the display in the operating room of the system, no surgery is required, conservative treatment is enough.

Telling Dr. Merz the result, he was still very worried and asked for video data to be sent back to Massachusetts General Hospital.

Ji Xiang could clearly feel the difference in Dr. Merz's attitude before and after.

But it's normal, Jixiang has been a patient many times.

"Dr. Mertz, have you been in a big mood swing lately?" Ji Xiang asked on the way to send Dr. Mertz back.

"..." Dr. Meltz was taken aback.

He thought that he would experience abdominal pain after learning that Wenbanyama had received a call from Jenny Buss, with a high probability of going to the Lakers.

How did Ji Xiang know? !

"Although the cause of primary peritoneal infarction has not been determined, many patients are caused by fluctuations in blood pressure. I am very surprised that your blood pressure should be regulated very well. Why does it suddenly fluctuate?"

Dr. Merz felt that after the big devil knocked him down to the ground, he kept smacking his face, asking himself if he knew what was wrong while doing it.

Fuck! ! !

Chapter 791 Not only came in, but also came in

"Dr. Ji Xiang." Dr. Meltz knew that he had a self-limiting disease and did not need surgery, and the pain seemed to have eased a lot. He asked after thinking, "Do you know Wenban Yamagang and Jenny Bass By phone?"

"I know, Auntie Jenny called Wen Banyama after consulting me." Ji Xiang replied casually.

Old Aunt Jenny!

Dr. Merz was puzzled by Jixiang's description, and he seemed to be familiar with Jenny Buss from Jixiang's words.

"!!!"

"It's not just that. Believe it or not Victor Venbanyama will recover completely after surgery. This is a question and a big gamble."

"Then how did you answer?"

Dr. Merz subconsciously asked.

As soon as the words came out of his mouth, Dr. Merz regretted it.Jenny Bass can call Wenbanyama directly. Does Jixiang need to ask?

A sense of frustration welled up in Dr. Merz's heart, and he didn't even listen to what Ji Xiang said next.

At Massachusetts General, Dr. Merz is associated with many team doctors.

But only there.