Doctor of Healing

"Maybe...maybe the hospital is too small?" Ji Xiang subconsciously made up for it.

"No." The system NPC shook his head, "That's a large third-class hospital in central China, a top local hospital, otherwise the patients and their families would not trust the doctors in the CT room so much."

"!!!"

"The quality of doctors varies. Their own level is low, but their sense of justice is overwhelming. In the end, the trouble is out of control. With such a strong sense of justice, why don't you read the book a few more times and improve your basic diagnosis level?"

The system NPC's words slapped Ji Xiang's face like a slap in the face.

When feeling empathy, Ji Xiang understood the feelings of the doctor in the CT room quite well, and even at that time Ji Xiang felt that the doctor was too conservative.

But in the eyes of the system NPC, that doctor has become an operator, not even qualified for diagnosis.

Ji Xiang was ashamed, feeling ashamed inexplicably.

I have indeed made progress, but I am not yet a formal doctor.

"That's about it. Go back and think about today's case carefully." The system NPC said.

"Teacher, then I'll go first." Ji Xiang bowed respectfully again, ninety degrees, expressing his respect for the old man with body language.

Coming out of the system, the morning meeting has not yet been held, but Ji Xiang has experienced a long time, the events reversed and reversed, and a rare disease was mastered by Ji Xiang.

But this matter is complicated and the consequences are serious, which makes Jixiang feel a little bit vicissitudes.

Will I be prematurely aging because of this?Ji Xiang thought to himself.

During the morning meeting and handover, Ji Xiang didn't see Professor Mo and Colonel Wang.

Then the director of the Department of Urology randomly assigned the three regular trainees to the assistant doctor of Corey, and asked him to assign them as teachers.

In the end, I still didn’t forget to remind him, “His name is Ji Xiang, and Professor Mo told me twice that he would take him with him.”

The doctor who has been following the director is the chief resident of the Department of Urology.

The hospital manager took a deep look at Jixiang.

Originally, Ji Xiang was tall, sunny and handsome, so he was very eye-catching.In addition, Professor Mo repeatedly talked to the director about Ji Xiang, is there any gossip in it?

Surgery was very busy early in the morning, and the nurses from the anesthesiology department had already come to pick up the patients.The director just made a simple arrangement, and he didn't care about the few Gui Peisheng students.

After the hospital staff assigned Lu Kai, a pudgy and wretched man, and Liu Yunqing, who looked like he was not awake, to the two professors' residents, he said to Ji Xiang, "Professor Mo and Colonel Wang are out of the clinic this week and will be back soon. You can go to the clinic to find them."

"Okay, Mr. Wu." Ji Xiang understood the name of the clinic. He saw the name on the badge of the hospital manager and said with a smile.

"Xiao Wu, remember to go to see the patient with kidney contusion, and explain it carefully." The voice of the director of urology came from the director's office.

Mr. Wu smiled wryly. There were many things in the morning. Although he was always in charge of emergency and other things in the hospital, he always wanted to learn more, perform more surgeries, and follow along on the stage.

At this time, only Ji Xiang was idle.

"Who is that, go and see the patient." The hospital chief arranged, and unquestionably told Ji Xiang the ward and name of the patient.

Ji Xiang just wanted to see the patient, and he would definitely not refuse.

……

……

Director Liu of the Department of Urology rushed to the operating room after finishing his shift and took a shower.

The operating room is like a big bathroom. Not only do the surgeons have to take a shower after the operation, but some directors also take a shower before the operation to refresh themselves.

Director Liu didn't have this habit, but was called up by the second-line professor on duty in the middle of the night to participate in the rescue of a group car accident, and he was very tired.

While taking a shower, he heard the chatter of the hospital manager in the locker room.

What the hell, Director Liu frowned, hurry up and come out.

"Xiao Wu, didn't I ask you to go and see that patient in the liver and gallbladder." Director Liu reprimanded displeased.

"Director, I'll go right after the operation." Mr. Wu didn't know why Director Liu ignored a patient who had undergone partial nephrectomy in the ICU, and instead focused on a patient who had nothing to do with the Department of Urology.

Director Liu's face darkened.

This matter is not big or small.

The key is that he never understood what he meant when he was hospitalized, which shows that his understanding of kidney contusion is not in place.

Forget it, they are all young people.

Director Liu had already forgiven the ignorant general manager in his heart.

He is humble and usually does not get angry.

"Wait for the operation, get ready first, let's go and see the patient." Director Liu said.

"Director..." The inpatient was stunned.

"Hehe." Director Liu put on his white clothes, put on plastic shoe covers and left without changing his shoes.

The plastic shoe covers under his feet were rattling, very noisy.

The inpatient always followed up quickly. He seemed to feel that he had made a mistake, but after careful consideration, he didn't know what was wrong, so he could only follow Director Liu embarrassingly.

"Xiao Wu, patients with kidney contusion should pay special attention, especially when explaining." Director Liu said patiently.

"Explain?"

"It's all standard, just print it out and ask the patient's family to sign it. But it's not enough." Director Liu said as he walked forward, "Let me ask you, which point is the content of the communication with the patient's family early this morning? the most important?"

"Hemorrhage after contusion may lead to the death of the patient." Mr. Wu believed that he was right, and he was full of confidence.

"No." Director Liu directly denied, "The patient lives in the Department of Hepatobiliary Surgery, and the doctor there has been watching. It has nothing to do with the sudden death of the patient."

This is a bit cold-blooded, but it is the truth.

Hospitalization always ponders.

What else could be more important than a hematoma bursting and bleeding after a contusion?

"Xiao Wu, a classmate of mine encountered a similar patient a few years ago." Director Liu told the general manager of the past while walking to the hepatobiliary surgery department.

"It was later on the news channel."

"!!!"

"Well, the patient and the patient's family insisted that it was the chief surgeon who removed the kidney for transplantation."

"They don't understand, just talking nonsense." Mr. Wu said, "What kind of injury did he suffer, Director."

"The car accident caused the rupture of the left lung, diaphragm, and spleen. The left kidney and part of the intestine were herniated in the chest cavity. The joint incision was followed by a urologist from the local hospital. It was found that the left kidney had good blood circulation. After resetting, it went down."

"Could it be a self-amputation of the kidney?" Mr. Wu only remembered such a diagnosis at this time.

"Yes." Director Liu nodded, "According to the probability of occurrence, the possibility of rupture and bleeding after renal contusion is much higher than that of traumatic self-amputation. But what about the consequences..."

He pondered for a while, then shook his head helplessly, "Ordinary people can understand hematoma rupture and bleeding, and they will almost always choose to observe between cutting the kidney and keeping it for observation. After all, it is a kidney."

"However, the patient cannot accept the ischemic necrosis, atrophy, or disappearance of the kidney after one month or even longer after the operation."

Mr. Wu was silent. He vaguely understood what the director meant, but felt that the director was making a fuss out of a molehill.

The incidence rate of traumatic self-amputation is very low. As the director said, a kidney suddenly disappears. The patient thinks that he will never encounter such a thing as a transplanted organ during the operation.

When Director Liu saw Mr. Wu was silent, he looked back and understood.

Mr. Wu didn't think what would happen to such a small probability event.

This has something to do with a person's personality. Director Liu is the kind of obsessive-compulsive person who always wants to be perfect.

"In the future, similar patients must repeatedly explain to the patient's family." Regardless of whether Director Liu admits to his statement in the hospital, he emphasized, "At least three times, and the patient should also explain it to the patient after he wakes up, and he must sign .”

"Director, it's not necessary." Mr. Wu chuckled.

While talking, the two came to the Department of Hepatobiliary Surgery and went straight to the postoperative patient's ward.

Mr. Wu quickly walked a few steps and opened the door.

"There is a rare possibility, let me emphasize it. When the kidney is contused, the renal artery may..."

Director Liu's footsteps stopped, and Mr. Wu's face changed slightly.

That voice was explaining the source of kidney autotomy and the serious consequences to the family members of the patient.

Director Liu listened, and the expression on his face gradually became serious.

Chapter 29 Good-looking, scary looking

"Doctor, do you mean that the kidney...can be lost for no reason?" The patient's family members didn't understand, so he asked in confusion.

"It's not inexplicable, didn't I tell you that the intima of the blood vessel is damaged..."

Ji Xiang recounted the medical record of the neck vascular intimal avulsion mentioned by the system NPC.

Director Liu looked at Ji Xiang with deeper eyes.

Mr. Wu was a little disdainful, and said contemptuously, "Bullshit."

"The probability is one in [-]. It's very rare. It's not nonsense." Director Liu corrected in a low voice, "No matter how small the probability is, as long as it happens, it is [-]%."

When Ji Xiang heard someone talking behind him, he looked back and saw that it was the director of the Department of Urology. He hurriedly greeted him, "Director Liu, why are you here?"

"You continue to explain, I just came to see the patient."

Director Liu said, and walked in.

He glanced at the paper that Ji Xiang had just "written" on. He originally imagined that it should be a sketch like a child's graffiti, but he never expected to see a beautiful sketch.

The sketch shows the kidneys and blood vessels, as well as the evolution of the disease.

"Did you draw it?" Director Liu asked in surprise.

"Well." Ji Xiang said, "With pictures, it is more convenient to explain to the family members of patients."

That sketch is exactly the same as the picture in urology!

If there is any difference, Jixiang "cut" the position of the renal artery, and marked the place where the contusion caused the intimal damage.

This is too fine!

Director Liu squinted his eyes to appreciate Ji Xiang's "work".

"Director, this little doctor said that the kidney might disappear by itself. How can you be so unreliable? It's not magic. How can a good one disappear?"

The patient's family obviously did not believe what Ji Xiang said, he and Director Liu complained.

"Doctor Ji is right." Director Liu didn't pretend to be mysterious, and directly stood beside Ji Xiang, "This is an uncommon situation."

Director Liu began to explain to the patient's family members with the sketched local anatomy diagram drawn by Ji Xiang.

When another person explained, the patient's family members kept nodding their heads as if they were enlightened, and quickly understood the principle.

A few minutes later, Director Liu finished his speech, took another look at the patient's vital signs, and turned to leave.

Mr. Wu followed Director Liu awkwardly, not knowing what to say.

"Xiao Wu, look at that newcomer, Gui Peisheng." Director Liu said casually, with a bit of resentment in his words.

"Director, I..." Mr. Wu wanted to explain, but he didn't know what to say.

"No wonder Professor Mo and Colonel Wang wanted to snatch that student away like a treasure. Based on this theoretical basis, you, a doctor from your own family, can't keep up with the hospitalization with a Ph.D."

"..."

"Study hard. Although the incidence rate of traumatic renal autotomy is not high, it can even be said to be very low, but as long as something happens, it is a big deal. You have just become the hospital chief, and you should pay more attention to similar things in the future."

"Okay, Director." Mr. Wu clenched his hands into fists and choked out a sentence from between his teeth.

Director Liu doesn't care about the conflicts among the doctors below. Sometimes, peace, hello, hello, hello, everyone will kill your energy like a frog boiled in warm water.

And it's just using a regular trainee to train the head of the hospital. As for the regular trainee, don't care about him.

If you leave within three months at the most, there is no loss for Xiaogui Pearson.

……

Ji Xiang put away the sketches he had drawn, and said a few words to the patient's family members earnestly, and the mobile phone rang before leaving the ward.

"Professor Mo." Ji Xiang answered the phone in the corridor.

"Why haven't you come to the clinic yet? Is there any problem with Director Liu?" Professor Mo asked.

"There is a patient with kidney contusion and laceration, I'll take a look at it." Ji Xiang said, "I'm sorry, Professor Mo, I'll be right there."

"Hurry up, today is the weekend, finish the outpatient surgery and take you to the Andrology Hospital in the afternoon."