Back in 2002 as a doctor

Dean Xiao has been away for more than a year, and he has done a lot of hands and feet underneath.At least some of the money was withheld privately, and Dean Xiao was not told.

Could it be that he was trying to tempt himself to refute, and then take the opportunity to attack? !

Although Director Ji has no ambitions, he is not mentally handicapped. Xiao Kai doesn't believe a word of his absurd conclusion...everything that is abnormal must have a demon!

"Yes, women also have prostate glands." Director Ji immediately agreed.

The others were taken aback and looked at Director Ji with eyes like idiots.Dean Xiao pointed out that a deer is a horse, and Director Ji really dared to agree.

Do you still want face!

"Oh?" Xiao Kai asked with a smile, "Director Ji, tell me why."

"..." Director Ji was stunned, and Dean Xiao was determined not to give up until he reached his goal.

"Dean Xiao, what you said is definitely right. I can't tell you the specifics... the specifics... I can't tell you the specifics. I will read the book when I get back." Director Ji said bravely.

"Cut." Xiao Kai snorted, "Although what I said was a joke, it is indeed true."

"What I said is also true!" Director Ji immediately followed up with a smile on his face.

Xiao Kai sighed. He was also a little dazed when Professor Zhou said this, so he didn't blame Director Ji.

"At the end of the 19th century, the American doctor Skene discovered the opening of the duct and the glands and glands connected to it on the female distal urethra, and named it the Skene paraurethral gland.

This is a normal physiological and anatomical structure. In the 40s, a doctor named Hoffman confirmed the existence of Skene's paraurethral glands through pathological sections and wax models. "

"..."

Everyone was stunned. Dean Xiao started talking about anatomy?Just now he was talking cheerfully about Mr. Ding's embarrassment in the urology department, joking and joking, how could he be so serious all of a sudden.

"However, because of the emergence of immunohistochemistry..."

"Dean Xiao, what is immunohistochemistry?" one person asked.

"A technical method to be used by the pathology department." Xiao Kai said, "Our hospital doesn't have it yet, I'm thinking about it..."

Speaking of this, Xiao Kai paused.

He really intends to get immunohistochemical equipment in Baishui Central Hospital, and then send people out for advanced studies to improve the level of the pathology department.

But whether to come back or go to 912 has not yet made up his mind, and there is no way to talk about it.

"When I was in advanced training, I went to a big hospital to do pathology. Sometimes the pathology department would call and say that immunohistochemistry would be done, and the teacher would scold her." Another person said with a smile, "Dean Xiao, is this thing useful?"

"It's useful." Xiao Kai actually didn't know the function of immunohistochemistry, but Professor Zhou said what was going on, so it must be useful.

"Immunohistochemistry, and then?" Director Ji asked.

"It is said that the specific antigens that can be detected in the prostate can also be detected in the Skene paraurethral gland. According to pathological standards, it can be determined that the female Skene paraurethral gland is highly homologous to the male prostate."

What Xiao Kai said was a mouthful, but everyone understood what it meant—the Skene paraurethral gland is a different name for the prostate.

Or call the prostate a Skene paraurethral gland.

What the hell, Dean Xiao's narration simply overturned the cognition of the doctors present.

"Female urethral syndrome refers to a clinical syndrome with urinary tract discomfort such as frequent urination, urgency, dysuria, and dysuria, but it is difficult to find evidence of bacterial infection in routine urine culture."

"In other words, it may be a problem caused by prostatitis in women."

"!!!"

Director Ji looked at Dean Xiao's side face, and deeply felt that many drastic changes had taken place in this old leader in more than a year.

It is said that the country is easy to change, but the nature is hard to change. How powerful is it that can change Dean Xiao in just over a year?

In the past, Dean Xiao would not say such professional things at the wine table, so that he misunderstood what he meant at the first time, thinking that Dean Xiao was going to attack him.

Director Ji heaved a sigh of relief when he thought of this.

It's okay, it's okay.

As for the prostate and the like, Director Ji didn't care.

"So, women's prostatitis is not a joke, but our understanding of local anatomy is not deep enough." Xiao Kai finally said with certainty.

"Dean Xiao..." one person asked.

At this moment, Director Ji's cell phone rang.

He was embarrassed to go out to answer the phone, Xiao Kai smiled and said, "Let's talk after Director Ji finishes answering the phone."

As he spoke, Xiao Kai pressed down his hand, signaling Director Ji to answer the phone first.

Chapter 1520 Unknowingly Changed

"Dean Guan." Director Ji was a little embarrassed. He suspected that Dean Xiao had seen the caller ID of his mobile phone.

How about turning off the caller ID in the future so that no one will know, Director Ji thought to himself.

In front of Dean Xiao answering the phone call from his rival, Dean Guan, Director Ji was very uncomfortable, but he couldn't go out to answer the phone at this time.If that's the case, it's even more ulterior motives.

"Is Mr. Li's father better?"

The voice of the dean Guan Xiaozhe came from the phone.

"Symptomatic treatment is underway." Director Ji said helplessly.

"Is the diagnosis clear?" Guan Xiaozhe asked.

"I've reported it to you, but it's still emphysema of the mediastinum, and I'll treat it temporarily. The diagnosis has already been made clear," Director Ji said.

Listening to their conversation, Xiao Kai suddenly became bored.

In the medical team, my role is very simple. As the chief steward of the medical team, I only need to take good care of the little doctor.

And after coming back, those intrigues can't be avoided.Thinking of this, the balance in Xiao Kai's heart moved again.

The weight of going to 912 itself is heavy enough, and it is close to a quantitative change to a qualitative change.

Director Ji hung up the phone after chatting for a few words, and said unhappily, "Dean Xiao, come back quickly."

"What's going on?" Xiao Kai asked with a smile.

"Isn't it Chinese New Year? Mr. Li's father caught a cold and had a fever. He had a chest X-ray and was diagnosed with pneumonia. However, the Department of Respiratory Medicine encountered the end-of-year influenza epidemic, and the corridors were full of people."

"This wave of colds is getting worse." One person interjected, "I heard that three patients passed away in one day at the Department of Respiratory Medicine on Chinese New Year's Day."

Xiao Kai knew what he meant by leaving.

Every winter, there will be one or two large-scale influenza, and clinicians are well aware of this, and they are not surprised.

As for things like extra beds in the corridor of the Department of Respiratory Medicine, it is a routine operation. The Chinese New Year is very sad for the doctors of the Department of Respiratory Medicine.

Of course, this is only true for doctors in the north, and doctors in the south probably don't feel much.

"Send people to our department if you don't have a place." Director Ji said, "Come here as soon as you come, it's fine to take up a high room, and there are so many things that are thieves."

Speaking of this, Director Ji couldn't hold back his irritability.

Everyone wants to spend a new year in peace and stability, but with such a patient, the whole department, especially Director Ji himself, can't stop at all.

It is right to be a little resentful, Xiao Kai understands, but he feels that things are not as simple as that.

"Director Ji, why does the patient have mediastinal emphysema?" Xiao Kai asked.

"Don't mention it, I'm so cheap." Director Ji sighed, "After the patient came, I casually asked for a CT scan of the lungs, and it turned out that there was something wrong with the mediastinum."

Xiao Kai concentrated, he didn't even realize that there was a huge difference in his emotions from before he went to the Second Hospital of Medical University for "advanced training".

If it was more than a year ago, Xiao Kai would think about other things, but now he is more interested in the patient's condition.But now, I am more interested in the rare mediastinal emphysema.

As if Zhou Congwen was sitting beside him, Xiao Kai asked, "Tell me more."

Director Ji was taken aback, and he looked at Dean Xiao Kaixiao in a daze, as if he had just met this person.

Seeing that Xiao Kai was serious, Director Ji restrained his irritability, and reported as if he was in a ward round early in the morning, "Dean Xiao, that's it."

"The patient was an elderly male with chest pain and breathlessness for 2 days. He was suspected of having a myocardial infarction in the emergency department. He had an electrocardiogram and was fine. He took a chest X-ray and considered it to be pneumonia, so he was sent to our department for treatment."

"According to the auxiliary examination results, the patient's white blood cells were significantly increased, indicating a bacterial infection, and the myocardial injury markers CK-MB and CK were increased, which may be related to fever and injury."

Xiao Kai nodded the table, "When will the markers of myocardial damage be checked?"

"A few months ago, the new equipment in the laboratory." Director Ji said.

"Ah."

All equipment has to go through Xiao Kai from the beginning, but he is studying abroad, so there are some things that he can't control, including entering the equipment.

It is very difficult to have both, Xiao Kai's heart is like a mirror.

"Blood gas analysis and biochemistry are basically normal, there is no special hypoxic performance, and the coagulation function suggests that there is some increase."

"The vital signs of the physical examination were normal, the neck skin temperature was high, the skin was flushed, the subcutaneous crepitus was palpable, there was tenderness, the breath sounds of both lungs were rough, and fine moist rales could be heard in the right lower lung. Other physical examinations were unremarkable, heart rhythm Qi, no noise was heard in the auscultation area of ​​each valve, and the lower limbs were not swollen."

"I noticed that the patient's neck had a very slight feeling of holding snow, so I wondered if it was mediastinal emphysema, and asked for a CT." Director Ji reported, "At that time, I was worried that it might not be a tension pneumothorax, but auscultation Nothing to do with the chest X-ray, I'm just worried."

"No." Xiao Kai said in a deep voice while thinking about the patient's condition, "There is no harm in thinking more."

"The problem of mediastinal emphysema..."

"What about the film?"

"..." Director Ji was taken aback.

During the Chinese New Year department gathering, Dean Xiao was actually interested in a patient sent by Guan Xiaozhe. Is this the Dean Xiao I know? !

It is true that Dean Xiao was more caring in the past, but if a non-emergency patient is left there, it is no big deal.

There are many sources of mediastinal emphysema, but no one is sure about emergency surgery, so conservative treatment is the best way.

Director Ji didn't think there was anything wrong with his handling, but Director Xiao actually cared about it. Could it be that he drank too much?

"Dean Xiao?" Director Ji called out cautiously.

"Oh, it's in the hospital." Xiao Kai smiled slightly, "Let's serve the staple food, and take a look at the patient after eating."

The cardiothoracic surgeons under Xiao Kai looked at each other in blank dismay, everyone thought in the same way—is Dean Xiao a ghost?

He had just had a few sips of wine when he actually wanted to go back to the hospital to see a patient he didn't recognize and was sent by Guan Xiaozhe.

What the hell.

But no one questioned Xiao Kai's decision, relying on the person at the door to urge the staple food, the meal was rushed.

Getting in the car and going back to the hospital, I just drank some wine but not much, at least with Xiao Kai's drinking capacity, it can't be seen from the outside.

Back in the ward, Xiao Kai first looked at the laboratory test sheet in the medical record, and then took a long look at the film.

Director Ji had a headache, and he was a little uneasy. Could it be that this patient has some other problem?

Otherwise, why is Dean Xiao so caring?

But after thinking about it, it was all about fighting with gods, Director Ji held back and didn't dare to ask more questions.

"Director Ji, I'll take a look at the patient." Xiao Kai said, "Don't go, wait for me here."

Director Ji was taken aback.

Chapter 1521 Completely Different Thinking

"Dean Xiao?" Director Ji asked suspiciously.

"I'll chat with the patient's family for a while, you wait for me." Xiao Kai smiled slightly.

It turned out to be the case, Director Ji knew it in his heart.

He sent Xiao Kai to the door of the private room, and he returned to the doctor's office after closing the door.

"Brother Ji, what's going on?" the attending doctor asked suspiciously.

"Hey, Dean Xiao probably knew the patient's family, or he wanted to get in touch, so he went there by himself." Director Ji said frankly after sitting down.

"I just saw Dean Xiao kept watching the film, is there a problem with the film?"

"I can't see it." Director Ji said, "This side of the mediastinum is full of gas, who the hell knows how it came from. When this happens...I tell you, don't open it!"

Director Ji is also experienced. He drank a little wine today and talked a lot. He warned his doctors.

"Brother is right."

"Brother Ji, you said that Dean Xiao cares so much about Dean Guan's patients, is there any change?"