Doctor of Healing

"..."

"..."

"What's the test value you guessed?" Dean Zhao asked.

The heroic Ji Xiang in front of him made Dean Zhao a little envious. It would be great if this was his own son.

No, if my son could talk so eloquently and without fear in front of the experts of the Second Affiliated Academy, it would be as if he was an expert and was teaching a group of students a lesson.

If so, how wonderful it would be!

Hearing what Dean Zhao said, Ji Xiang picked up a pen and paper and wrote down the value given by the system NPC.

It had been two years since the incident, and there were no orthopedic or renal or endocrinologists present, and no one remembered the results of the 24-hour urine electrolyte test.

Even the experts at that time would not remember it.

Professor Mo took a few glances and felt that what Ji Xiang wrote made sense, but the results of clinical tests were ever-changing, and Ji Xiang was still too subjective.

"Go to the medical record room to get the medical records." Director Sun asked his staff to get the medical records.

This is a bit stingy, Professor Mo shook his head helplessly.

He observed Jixiang's expression, saw Jixiang's relaxed look, and knew that this was the reason why the young man had not been tempered in the clinic.

Soon, the medical records were brought, and Director Sun clattered through the old medical records.

Although the medical records were well preserved, they still smelled rotten.

"There must be some errors. Student Ji provided an idea." Professor Mo helped Ji Xiang prepare the steps in advance.

Dean Zhao smiled slightly, glanced at Ji Xiang, and shook his head in his heart.

Can the missing clinical data be supplemented by brain supplementation alone?

Isn't this a joke.

Even ordinary laboratory data cannot be imagined by brain supplementation, let alone this patient has been consulted so many times in the whole hospital, which is a difficult case.

In the end, a deputy director of the orthopedics department called and consulted his teacher to solve the problem, and his teacher gave him advice.

But there is no need to talk to this young man about these things.

This young man is indeed good, but he is a bit sharp and overconfident.

What an inexplicable confidence.

Dean Zhao was thinking, with a sneer on the corner of his mouth, his eyes fell from Ji Xiang to Director Sun...

Director Sun froze in place like a fairy who had been immobilized by a monkey.

Uh, no wonder the monkey is only interested in flat peaches, and it's impossible for him to be interested in Director Sun.

Looking at Director Sun's widening mouth and the smirk that was about to flow out from the corner of his mouth, Director Zhao vaguely guessed what happened.

"Director Sun?" Professor Mo pushed Director Sun, but unexpectedly pushed Director Sun to a stagger.

"Be careful." Professor Mo supported Director Sun.

He was very surprised, did Director Sun have a sudden cerebral infarction?

The moment Professor Mo's gaze landed on the laboratory test sheet printed centrally in the medical records, he was also frozen.

There are some discrepancies between the values ​​on the 24-hour urine electrolyte report and those written by Ji Xiang, but the discrepancies are not significant.Although it cannot be said to be exactly the same, it has been proved by facts that Jixiang must have derived it by relying on his extremely profound clinical skills.

deduce...

Medicine is not mathematics, how to derive it?

For a moment, Professor Mo's mind went blank.

……

……

Note: Use the title to mourn the teacher who passed away regrettably.

Chapter 16 Dancing in Shackles

"There are more people going in, but less people coming out. Why is the blood sodium still so low? I think the teachers in each department were also having headaches and entangled in this point."

Seeing the expressions of Professor Mo and Director Sun, Ji Xiang knew that the system NPC must have guessed it right, and he was in a good mood immediately, and continued to repeat the explanation of the system NPC in his own words.

"When I think of a formula in physiology and biochemistry - concentration = solute ÷ solution"

"So I found out what the problem was.

Sodium supplementation with clinical medication increases the total amount, but as a result, the blood sodium concentration still decreases—there is only one reason, that there is more water in the blood vessels, which dilutes the sodium.So I estimate that the indicators of 24-hour urine electrolytes have also changed, and that's it. "

Listening to Ji Xiang's explanation, Director Sun's hala came out unknowingly, like a sudden cerebral infarction.

He can understand every word Ji Xiang said, but he doesn't know what it means when put together.

"Because this patient has a problem with the hormones that regulate the balance of body fluids, it caused a series of symptoms.

In summary, this is a disease called SIADH, also known as syndrome of inappropriate secretion of antidiuretic hormone.

In particular, it is important to note that antidiuretic hormone syndrome may occur in patients with severe infections.

So in my treatment plan, I decided to take a slightly risky medication. I used furosemide to remove the excess water in the body while administering albumin, and other diluted indicators also rose. "

"Teacher, I have finished reporting my thoughts on answering the question."

After Ji Xiang finished speaking, he stood calmly in front of everyone and bowed slightly, as if he was defending a thesis.

The conference room was quiet, without a single sound.

Is Ji Xiang right?

no one knows.

Although both Dean Zhao, Professor Mo, and even Director Sun are from clinical background, they have a thorough understanding of clinical practice.

But Ji Xiang's reasoning is too profound, even if he speaks it in easy-to-understand words, everyone can't understand it.

It's not that I don't understand it completely, I understand every word, and I also understand a little bit about antidiuretic hormone syndrome, but...

It is estimated that only experts in endocrinology or kidney can chat with this reserve officer, Ji Peisheng.

Where did this monster come from? !

The complex 24-hour electrolyte report can be guessed by just guessing!

Many doctors in primary hospitals have never heard of this kind of inspection.

Dean Zhao felt a little depressed, it would be great if his son could stand in front of him and say these words.

Although all kinds of envy and jealousy mixed together were complicated and unspeakable, but Dean Zhao did not lose his composure.

He stood up slowly, walked to Ji Xiang's side and patted his generous shoulder lightly.

"Young man, welcome to the Second Affiliated Courtyard."

"Thank you."

"Work hard in the future!"

After speaking, Dean Zhao left the meeting room.

Director Sun restrained the surprise in his heart, and ran out after Director Zhao.

It's just that he was too hasty and accidentally bumped into the table, causing him to stagger.

Fortunately, Director Sun reacted quickly, put his hands on the ground, and did not grab the ground with his head.But at this moment, he ran out of the conference room like a dog.

Professor Mo didn't laugh at Director Sun, no matter how confused he was, he didn't attract Professor Mo's attention, he looked at Ji Xiang with complicated eyes.

"Professor Mo, I still have a skills test." Ji Xiang said with a little regret.

Ji Xiang can't wait to follow Professor Mo to do surgery immediately. No matter how good the exam is, the system will not give any rewards.

However, it is different when performing surgeries. One operation results in the accumulation of one operation.

Whether it is technique, experience or the rewards given by the system, they are all real to Ji Xiang.

"Who is the examiner for the skills test?" Professor Mo asked.

"Professor Deng from the Department of Orthopedics."

"I'll call him." Professor Mo said, "Follow me to go for surgery. You can do any surgery, and you'll have to test Lao Shizi's skills."

Ji Xiang didn't know if it would work, so he glanced at the little clerk in the medical office.

"Old Deng, I, Mo Chenggui." Professor Mo had already dialed the phone, "Are you in charge of the skill test for the regular training today?"

"What's the matter, Old Mo?" Professor Deng asked on the other side of the phone.

"I have 32 outpatient surgeries today, and I happened to grab a freshman from regular training to help me." Professor Mo said with a smile, "His level is good. If you want to see the operation, come to the outpatient operating room."

"This is not good, other..."

"Isn't it a holiday?" Professor Mo interrupted the other party. "The school children are rushing to cut bags at this time. It's so busy. The operation can't be finished."

"Can……"

"Last time you asked me for help in the middle of the night and said you would buy me a drink, but you still don't believe me. Help me with this. Don't leave after get off work today. I'll treat you."

The person on the other side of the phone has given up resistance.

That's the way it is in the regular Peisheng exam itself. With Professor Mo's strong push, it still needs to be given some face.

"I asked for leave." Professor Mo hung up the phone and looked at the small staff in the Science and Education Department.

The little clerk's lips moved, but he didn't dare to refute.

Not only the Second Affiliated Hospital, but almost all the professors of the surgical team have connections in the society. If it wasn't arranged by the superiors, no one in the institution would want to offend them for nothing.

With a good relationship, who knows when a stone will develop in my kidney and ask to go to Professor Mo.

It's just a training test.

Professor Mo took Ji Xiang out of the office building. At this time, Professor Mo lost his previous aggressive posture and asked cautiously, "Dr. Xiaoji, that case analysis..."

"Mr. Mo, I happened to meet a similar patient with my substitute teacher during my internship." When Ji Xiang lied, his face didn't blush at all, he was very calm, as if it was true.

This is too coincidental!

It took only 0.1 second for Professor Ke Mo to accept Ji Xiang's explanation.

This is the most reasonable possibility, there is no other possibility.

Professor Mo has also heard about how difficult that case was.

At the wine table, he heard Professor Deng from the orthopedics department talk about it countless times, and every time Deng Chaohong said it, he was drooling and triumphant.

He never expected that he would be "easily" solved by a junior Pearson.

wrong!

Mo Chenggui thought of this question, thought of Deng Chaohong, thought of Dean Zhao, and a line has been straightened out.

It is estimated that Director Zhao will arrange for his son to go to the orthopedics department, and Deng Chaohong will take care of him, and he will stay in the orthopedics department in the future.Director Sun had heard about this, so he chose one of Deng Chaohong's most proud cases as the exam question.

Although it's useless, it can't be said to be superfluous. Mo Chenggui is not surprised that the people in the agency have such small thoughts.

He didn't like it, but he didn't object to it either.

"Doctor Xiaoji, take a second look today, don't rush to get started, let's perform circumcision with a stapler."

"Teacher Mo."

"Ok?"

"The first thing I learned was the leather bag operation under the stapler." Ji Xiang explained.

"..."

"Compared with manual suturing, I am more familiar with instruments." Ji Xiang said in an affirmative tone.

"!!!"

Professor Mo was stunned.

Is this what a Gui Peisheng should say?

"Mr. Mo, there is one thing I don't understand, and I want to ask you for advice."