Doctor of Healing

Chapter 15. A Good Surgeon Must Be a Good Physician
"Old Mo, it's not that I don't believe you. I always feel that it is impossible for a student to answer such a difficult case analysis." Director Sun said bluntly.

Not to mention students, what about those experts and professors back then?It's not like one by one in a mess like a lost dog.

He looked at the standard answers on the test paper, and thought of the tall figure that seemed to be shining, and his mind was a little dazed.

"Call classmate Ji and ask him face-to-face about his problem-solving ideas." Dean Zhao said.

The small staff next to Director Sun immediately looked for Ji Xiang's phone number and dialed it.

Professor Mo was a little excited, not ordinary excited, he vaguely saw a treasure.

In Professor Mo's heart, this reserve officer, Ji Peisheng, has been upgraded from a student to a baby, and even to a baby bump.

A good surgeon must be a good physician. This is what my teacher said. Professor Mo thought he couldn't do this, but Ji Xiang did it!
Thinking of the deceased teacher, Professor Mo was shaken and slightly sad.

"Sun Chu, why do you always think it's impossible?" Professor Mo retorted.

"Let's not talk about Gui Peisheng, your surgical diagnosis is rough, you don't know." Director Sun said very bluntly without being reserved.

"A good surgeon must be a good physician." Professor Mo argued, "This is what my teacher said. Although he has passed away unexpectedly for more than 20 years, I still remember it."

When Professor Mo mentioned his teacher, even Dean Zhao didn't refute it.

That big cow in the urology department had a promising future and was at the peak, but he died because of a robbery, which really made people sigh.

Usually, Professor Mo is a ghostly spirit, and he doesn't want to quarrel with others, but when he mentions his dead teacher, he becomes a different person.

He is so tough, it seems that every word of his teacher is regarded as a guibi and cannot be profaned.

……

After handing in the paper, Ji Xiang found a secluded and shady place, sat cross-legged on the ground casually, closed his eyes, and entered the system space.

The exam questions were indeed difficult, but he couldn't stand him without the grandfather of the system.

The NPC of the system is very strong. When Jixiang saw the case analysis later, he knew that the teacher who set the question was deliberately embarrassing.

He also wanted to embarrass the system NPC to see how the system is doing.

I never expected that the system NPC would give the answer after listening to Ji Xiang, and there were also possible values ​​of the inspection data that did not appear in the question stem.

Jixiang knows that this is not a prophet, but an extremely profound clinical experience.

So far, his admiration for the system NPC has risen to another level.

It is the duty of a surgeon to do a good operation, and Ji Xiang has psychological expectations for this.

However, the person in front of me can still analyze clinical cases, the system is indeed very good and advanced.

Awakened by the mobile phone, Ji Xiang came out of the system space to answer the call.

Knowing that the Department of Science and Education asked him to go back, Ji Xiang probably knew why.He stood up, patted his pants, and strode back to the office building.

"Student Ji, this way." Director Sun of the Science and Education Department stood at the elevator door and waited for Ji Xiang.

The elevator door opened slowly, and once again he saw Ji Xiang's tall figure like a luminous body.

Director Sun's pupils shrunk and were sensitive to light, as if looking directly at the sun.

Professor Mo also came out, and he pulled Ji Xiang familiarly and blamed, "How can the exam be handed in so early? It's good to check again."

"Mr. Mo, why are you here?" Ji Xiang asked Professor Mo after greeting Director Sun.

"Look at your exam, I will ask you to go to the clinic if I have time."

At the same time, there was a crisp sound of "Ding Dong" in Jixiang's ear, and the system issued a new task.

[General task: assembly line.

Task content: Complete at least 20 stapler circumcision operations.

Task time: 24 hours.

任务奖励：基础奖励1：手术点数2点，完成20台手术后，每多完成一台手术会有0.3手术点数的奖励。基础奖励2：经验值+3000。】

Huh?not bad.

Ji Xiang looked at the tasks posted on the system panel in the upper right corner of his field of vision with a smile, and his hands began to itch.

"Still laughing." Professor Mo patted Ji Xiang on the shoulder, and comforted him, "Shoot the top bird, even if you answer the question quickly, you have to wait for other students to hand in the paper before handing in the paper, remember?"

"Thank you, Professor Mo." Ji Xiang knew that Professor Mo was telling him the truth, so he sincerely said thank you.

"Student Ji, did you write the final case analysis randomly?" Director Sun led Ji Xiang to the conference room and asked as he walked.

"No." Ji Xiang replied.

"It's so simple to write, and the idea of ​​​​solving the problem is not written."

"The final question of the case analysis is how to deal with it. I wrote it out. I didn't write it because the question stem didn't mention the idea of ​​disintegration."

Director Sun choked on Ji Xiang's words.

Professor Mo sighed inwardly, what he was talking about when he was young and vigorous was Ji Xiang.

But he didn't say much, Professor Mo was also curious about Ji Xiang, what kind of brain circuit did Ji Xiang use to get the correct answer to such a complicated case?

When he came to the meeting room, Dean Zhao sat upright, looked Ji Xiang up and down carefully, and asked with a smile, "Student Ji, tell me about your thinking on solving the case analysis questions."

As for solving the problem, Jixiang had already heard from the system NPC. At that time, the system NPC also quoted a lot of relevant cases and some laboratory tests that the question maker missed intentionally or unintentionally.

Ji Xiang is talented and intelligent, almost never forgetting, and remembers clearly what the system NPC said.

"That's right." Ji Xiang casually stood in front of many teachers and deans, as if he was defending his graduation thesis.

"As for the final case analysis, I think some clinical data are missing, which is probably related to the fact that the question stem should not be too long."

"Huh?" Director Sun frowned and hummed.

It was he who asked the question, Director Sun did take this into consideration at the time.One sentence from Ji Xiang expressed Director Sun's state of mind at that time.

"At least there is no consultation data from the Department of Nephrology."

"..."

Director Sun was taken aback for a moment, and he began to suspect that the student Ji in front of him had the ability to see through his own heart.

"Let's not talk about that first, let me talk about the diagnostic thinking for this patient, teachers, please give more opinions."

Ji Xiang smiled, looked around at everyone present and began to explain.

"Hyponatremia is nothing more than two major reasons, either less going in, or more coming out.

It is estimated that the consultation of the endocrinology department allows continued sodium supplementation and cautious use of diuretics for this reason-let more sodium go in and less sodium should be excreted.

But when I read the questions of the case, I found that although the patient's appetite was not very good, the blood sodium did not suddenly drop so quickly.

When the blood sodium was slightly low a few days before the critical value appeared, the doctor in charge of the bed probably told him to eat salty food, or told the patient to take salt capsules orally.

Even if he couldn't eat so many pickles or salt capsules, the doctor gave the patient enough sodium at that time.

So the reason why there are less people going in is not valid.

As for whether there are too many electrolytes in the 24-hour urine..."

Ji Xiang said, raised his hand and scratched his head.

"There is no 24-hour urine electrolyte test report here, which makes me very puzzled."

Director Sun listened to Ji Xiang's words, and when he heard this, he seemed to be slapped severely.

At that time, it was indeed because the question was too long, and Director Sun did not think that the reserve officer Ji Peisheng had the ability to solve this question, so a report was deleted.

He didn't think this report was very important, but when Ji Xiang pointed it out in person, Director Sun knew that he had missed an important reference.

This is so embarrassing.

"Since there is no report card, how did you solve the problem?" Dean Zhao asked kindly.

"It was guessed based on the state of the patient before and after." Ji Xiang calmly said what the system NPC said at the time.

"..."

"..."

"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.

(End of this chapter)