Doctor of Healing

Chapter 16 Dancing in Shackles
"There are too many things going in, but not enough coming out. Why is the blood sodium still so low? I think the teachers in all departments at that time also had headaches and struggled with 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 to buy me a drink, but I still don't believe it. Help me with this matter. 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."

"Tell me." Professor Mo glanced at Ji Xiang with great interest.

It is easier to cut the bag with instruments, and he believes what Ji Xiang said is true.If that's the case, it's really someone giving a pillow when you're dozing off.

"Why did the hand-stitched two days ago have to be operated on today?" Ji Xiang asked.

"Hehe." Professor Mo heaved a sigh of relief after hearing Ji Xiang's question.

This question proves that Ji Xiang is just a rookie with extraordinary talent, not the old monster who travels through the legend.

"Doctor Xiaoji, do you know how doctors work?"

"I know, the doctors in the Second Affiliated Hospital should be career editors." Ji Xiang replied vaguely.

"That's right, that's not right." Professor Mo didn't make a fuss, and explained to Ji Xiang as he walked, "There has been no career editor for a long time, and none of them have retired. Most of them now go to third-party outsourcing."

"Outsourcing?"

"Save money." Professor Mo sneered, "Let's not talk about this, let's talk about the career department. The career department is divided into four categories, and the others are not mentioned. The doctors in the hospital belong to the differential funding department."

"The differential business establishment is a kind of business establishment. The finance will make a differential allocation, and the treatment and income are linked to a certain extent, such as hospitals and some scenic spots."

"But you know what, appropriation...hahaha."

As he spoke, Professor Mo laughed out loud.

Ji Xiang didn't know what he was laughing at, and was a little puzzled.

"National regulations are regulations, and the difference in funding that really falls to the Second Affiliated Court is only 18-23%."

"so little."

"That's not counting." Professor Mo said, "During the public health and epidemic prevention incidents in the past few years, the city and province did not use medical insurance, but asked various hospitals to ask for advance payments, and they have not yet paid back."

"..."

"I owe [-] million to our Second Affiliated Hospital, and the other similar hospitals probably have the same amount."

Ji Xiang was silent, he didn't quite understand what Professor Mo said.

"Why don't you use medical insurance, because there is no money for medical insurance. A stapler is 1680, or it can be reimbursed in full, or 80%. It's just a pocket, and the medical insurance department will definitely not do it."

"Oh, then don't do it." Ji Xiang said.

"It's not that simple." Professor Mo smiled, "Everyone knows about the reimbursement, and it's not up to us. But if the reimbursement is too much, the medical insurance will not settle for us, and the excess money must be paid by the hospital. Money will be deducted from the department."

"We are indeed treating diseases and saving lives. Occasionally, we can help poor patients. But we only earn three melons and two dates, and we have to make up for it..."

It was so complicated that Ji Xiang felt a little headache.

What Professor Mo said seemed to be different from the medical treatment he knew, and Ji Xiang instantly dismissed these things as useless information.

"Everyone wants to be a good person and take advantage of it. Doctors and hospitals are caught in the middle, so it's hard to be a human being," Professor Mo said.

"Then why are there so many stapler operations today?" Ji Xiang asked.

"Patients don't do it. Now that consultation is so developed, we can't tell patients that we can't." Professor Mo spread his hands helplessly.

"Besides, if we don't do it, other hospitals will do it. If we don't do it, we will have nothing to eat in the end. We can neutralize it with hand-stitched stitches. We belong to the cracks and dance with shackles."

"Mr. Mo, I heard that the profit of equipment is very rich."

"That was before the collective auction, and there was no money after the collective auction." Professor Mo said flatly.

"you……"

Ji Xiang thought of Professor Mo's cigarettes.

"Earn money to go to a private hospital, and that's called earning money by doing surgery." Professor Mo didn't look as happy as Colonel Wang, but said calmly, "But you're young, don't worry, practice the surgery well first."

(End of this chapter)