Doctor of Healing

Page 298

As the video continued to go down, Zhai Yuhan soon saw the scene he wanted to see.

Abdominal CT examination showed that the gallbladder body and bottom were displaced from the gallbladder fossa to the hepatogastric recess, the gallbladder was obviously swollen with diffuse thickening of the gallbladder wall, no opaque stones were present, and the gallbladder wall enhancement was weakened.

The images were accurate, and Zhai Yuhan immediately came to the diagnosis in his mind - gallbladder torsion with acute acalculous cholecystitis.

"Mr. Zhai, is this gangrene?" The doctor in the CT room pointed to a location on the image and asked.

"Well, I just had gangrene, and it's not serious, so I need an operation right away."

The doctor in the CT room put up his right thumb, "Excellent, Mr. Zhai, you haven't been in the hospital for long, and your level has improved. I have seen a few cases, all of which were misdiagnosed. The patient's stomach pain was not good. I finally found out here." .”

Zhai Yuhan smiled wryly. She knew that the doctors in the CT room were not demeaning herself, but these words sounded particularly harsh.

Harshness was harshness, Zhai Yuhan couldn't complain yet, she quickly said a few words, and escaped from the operating room of the CT room.

"Teacher Zhai, how are you doing?"

Just when Zhai Yuhan wanted to let out a sigh of relief, Ji Xiang's "hateful" face appeared in front of him.

The smile on Ji Xiang's face was very gentle, and his affinity was stretched to the limit, but Zhai Yuhan was unwilling to look at Ji Xiang.

If you don't know each other, Zhai Yuhan doesn't mind turning around to admire Ji Xiang carefully when walking in the commercial center.

But this is a hospital.

The most important thing is that Zhai Yuhan's professionalism has been defeated time and time again by Ji Xiang's "good luck".

"Teacher Zhai, how is the image of the patient?"

"Admitted to the hospital, preparing for emergency surgery." Zhai Yuhan said with a cold face.

She didn't even dare to look at Ji Xiang, she only left Ji Xiang's back and walked towards the patient.

Zhai Yuhan didn't know what to say when facing Ji Xiang, she could only control her emotions and take the time to communicate with the patient.

Hearing Zhai Yuhan's explanation of the condition, the patient and the patient's family members were very obedient, no matter what she said, she said that she knew and agreed.

Asked about eating and drinking water, the patient said that Ji Xiang had told him not to drink water more than half an hour ago.But there is not enough time to drink water from the last time, so we have to wait a little longer.

Zhai Yuhan vaguely understood through the patient's narration that Jixiang already had a preliminary diagnosis when he rushed to the emergency department.

Weird, how did he diagnose it?

Taking the patient back to the ward, Zhai Yuhan pondered as he walked.

But until 6 hours later, standing on the operating table, Zhai Yuhan didn't understand what was going on.

During the operation, it was found that the swelling and gangrene of the gallbladder had shifted to the liver and stomach recess, and Zhai Yuhan performed gallbladder reduction and resection.

The operation was very simple, at least Zhai Yuhan couldn't help it.

It was Jixiang who stumped her.

Chapter 429 Let me see if his foundation is solid

After the operation, Zhai Yuhan looked at the patient again.

Seeing that the patient was very stable, he felt joyful and came to the doctor's office.

Just after the operation, Ji Xiang went up to help the mirror. Zhai Yuhan wanted to let Ji Xiang try it, but Ji Xiang didn't answer, only saying that he had never had a hepatobiliary surgery rotation.

Now Ji Xiang hasn't left yet, and is talking to Zhao Mengmeng.

"Doctor Zhao, let me write."

Zhao Mengmeng looked at the computer screen with a blank expression, and did not answer Ji Xiang's words. Zhai Yuhan knew that the girl was in a state of confusion.

Zhao Mengmeng herself has never been in clinical practice, and many points are blank, but she is a doctor, and she has risen to the top level all the way.Whether it is doing experiments or writing papers, it is a first-class level.

Zhao Mengmeng couldn't accept that she couldn't do it, even though it was already midnight, she was still suffering.

The opposite of Zhao Mengmeng is Ji Xiang.

An undergraduate training doctor behaves sophistically, has almost zero barriers to communication with patients, and always makes diagnoses with a stroke of genius. Even in a hospital like himself, he can't get Jixiang's thinking.

The huge contrast between the two made Zhai Yuhan dumbfounded.

Zhai Yuhan glanced at Ji Xiang, and finally fell on Zhao Mengmeng.

"I have a lot of work today." Zhai Yuhan said, "Tomorrow morning meeting, there are a lot of things to arrange, and the director will take 10 minutes to explain the medical records."

Zhao Mengmeng's dull expression became more and more unnatural.

"If you can survive, I suggest you complete the medical records, otherwise the director will be very angry when he sees the unqualified medical records tomorrow."

Zhai Yuhan paused when she said this, she was wondering what Zhao Mengmeng and Ji Xiang would do.

If you are Zhao Mengmeng, you must invite Ji Xiang to help you complete part of the work; if you are Ji Xiang, you must take the initiative to help the beauty Xueba.

The expression on Zhao Mengmeng's face didn't change at all, "Mr. Zhai, I can do it, I'm not tired."

Hearing what Zhao Mengmeng said, Ji Xiang asked, "No need to help?"

"Need not."

"Okay." Ji Xiang smiled, "Then after I finish writing the operation records, Teacher Zhai will give me a glance and I will go back if there is no problem."

"..." Zhai Yuhan didn't expect that the choices of the two of them exceeded his expectations.

But Zhai Yuhan didn't say much, and quietly waited for Jixiang to write the operation record.

Ji Xiang finished writing in 10 minutes, and Zhai Yuhan checked it again.

She found that Jixiang's operation records were exactly the same as the description of hepatobiliary surgery, with only a slight modification during her own operation.

Did he memorize the entire surgical science?Zhai Yuhan was a little surprised, but didn't show it.

Every time Ji Xiang refreshes Zhai Yuhan's cognition, she has gradually accepted this point and subconsciously regards it as an established fact.

"Teacher Zhai, if there is no problem, I will go back."

"Go back, come early tomorrow morning." Zhai Yuhan said, "Familiarize yourself with the medical records, so that the boss won't be able to answer your questions when he tests you."

"Okay, thank you, Teacher Zhai."

Seeing Ji Xiang leave, Zhai Yuhan breathed a sigh of relief, the young doctor put too much pressure on himself.

This kind of pressure is indescribable. Although Ji Xiang has always been polite to Zhai Yuhan and regards her as a teacher, as long as Ji Xiang is by his side, Zhai Yuhan will feel very restrained and cautious.

Zhai Yuhan couldn't describe the operation just now.

A few minutes later, Ji Xiang's voice came from the door.

"Don't give it away, go back and take care of your girlfriend."

He didn't go home yet, but before he left, he glanced at the patient, Zhai Yuhan thought blankly.

From Jixiang's speech and demeanor, there is no trace of a young doctor's stagnation, but it looks like a middle-aged old attending doctor.Talking about people when you see people, talking nonsense when you see ghosts, patients and family members of patients who have just met can chat as if they were friends.

Zhai Yuhan thought about everything, from the stubborn patient that neither he nor the boss could persuade to the torsion of the gallbladder without any symptoms when he came to the ward, and then to Jixiang.

After an unknown amount of time, Zhai Yuhan yawned.

Zhao Mengmeng was still working, her speed was extremely slow, she seemed to be very serious, but Zhai Yuhan guessed that this rookie was actually doing useless work.

Poor little guy, clinical is not that simple.

Only less than 10% of the things are written in the books. If you want to receive patients, treat diseases and save lives in the clinic, you will not be able to do it without spending a few years.

And this is not the most difficult thing. The so-called insight into the world is knowledge, and communicating with patients is the ultimate problem, especially in the 3.0 era of doctor-patient disputes.

Originally, there was nothing wrong with thinking this way, but that "hateful" figure appeared again in Zhai Yuhan's mind.

"I'm going to rest, and you should go to bed early too." After Zhai Yuhan finished speaking, he went to the duty room to sleep without looking back.

……

……

Early the next morning, Zhai Yuhan waited for Director Yang to go to work, and reported to the boss the relevant information of the patient whose gallbladder was reversed yesterday.

Director Yang thought for a long time, but finally nodded without saying a word.

"Boss, I heard that Boss Qin Chuqin, who is daring in the capital city, wants to accept Ji Xiang as his closed disciple, but Director Zheng didn't say anything else. Do you know the details?"

Hearing Zhai Yuhan's words, Director Yang waved his hand, "Mad City is so brave, cut it, the surgery is okay, the interventional surgery is really a fool. I can't stand the doctor who is with me. Ji Xiang probably didn't go, and he didn't go correct."

Di Yuhan was a little surprised, his boss seemed to know about it.

"Boss, you are..."

"I heard about it last night." Director Yang didn't hide his words, and replied directly, "This kid has a lot of background. It is said that he has applied for the Dalian Provincial Department of Baiyi Medical University. It is not the kind of provincial medical department that hitches a ride. He built a medical group, and the medical director of the Second Affiliated Hospital filled in several capable people."

"!!!"

"It's really a big deal. Come to us for a day or two... I'll see if his foundation is solid in a while."

Zhai Yuhan hesitated to speak.

Originally, according to the requirements of the program group, my boss would review the medical records after the shift.

The boss himself wanted to refuse. Those interns' medical records are so beautiful, they are full of mistakes, and they are Class C medical records thrown at the medical office. The kind that can bring people to jail in a lawsuit.

But at this moment, Zhai Yuhan felt that his boss was getting serious.

The boss is very old, and it is rare to feel a sharp aura from him.But today was different, Zhai Yuhan suddenly became serious.

You must be careful, or you may not be scolded by the boss by the way.

……

……

In the comment room, the guests arrived early in the morning.

The signal was transmitted in real time. They were a little surprised to see more than 30 medical staff coming to the doctor's office. The director sat in the middle of the front row, other professors who led the group sat on both sides, and young medical staff stood beside them.

"There are so many people."

"Is this a meeting? Every day?"

"It's really spectacular to look at. This is the legendary morning meeting."

Chapter 430

The pictures of the three wards where the interns of the three groups work are different, and each ward has its own habits.

Or in the doctor's office, or at the nurse's station; or standing, or sitting.

The guests took advantage of the time gap before shifting over to chat for a few words, and their eyes fell on the hepatobiliary surgery side in unison.

Jixiang's performance yesterday was amazing. Although they didn't watch the content that was too late and didn't know what happened, but the performance during the day yesterday was enough to make the guests pay great attention to Jixiang.

The key is that Jixiang has good looks and good appearance, and looks like a trainee in the entertainment circle.

Is it pleasing to the eye, better than looking at other people.

"Hepatobiliary surgery is to review medical records, Mao Mao, why are you so serious?" a guest asked.

"Reviewing the medical records, director... When I met the director during my internship, I still laughed at first, but then I turned my face and started cursing when I saw the medical records."

Recalling the past, Maomao still has lingering fears.

"Swearing, it's not enough."

"It's just that the words are ugly. I heard that there are bad-tempered directors who not only curse people, but also throw medical records in the faces of interns or doctors."

"!!!"

"!!!"

The other guests who did not understand medical treatment were surprised and looked at Professor Shen.

"That's right." Professor Shen replied, "Writing medical records is a basic skill, but the medical records of many young doctors and interns make it hard not to get angry."

"For example?" a guest asked curiously.

"For example, I have seen a medical record written by an intern - on the first day after surgery, the weather was fine and sunny, and the patients were in a happy mood."

"Hahaha."

There was a lot of laughter in the review room.

Even the guests who don't know anything about the medical industry know that this is not writing medical records at all, but elementary school students writing essays.