Doctor of Healing

Chapter 268 The Diagnosis Is Correct, The Surgery Is Not Difficult (Leader CAA Mala Tang Plus More×2)

The splenectomy has been completed, and the patient is still lying on the operating table.

Mr. Wu said politely, "Mr. Lu, do you think you can get in?"

Lu Gang was a little annoyed, but he couldn't show it. He shook his head silently, and then nodded again.

He kept staring at the slightly rough CT image on the screen, feeling more and more awkward.

Jixiang's luck is really good, there is a [-] out of [-] probability that he will meet him, Lu Gang expressed his dissatisfaction in his heart.

As for the operation, Lu Gang hesitated for a moment, and there must be something wrong. Although he didn't think it was a ruptured ureter, he was right after a quick look.

Seeing him nodding, Mr. Wu was not polite, and greeted Ji Xiang for surgery.

He was straightforward, sanitized his hands after brushing, and made the bills by himself. He didn't mean to treat Ji Xiang like a regular trainee at all.

Angiography showed that both ureters were completely ruptured, and it was impossible to implant a ureteral stent.

The objective basis of clinical examination proved the correctness of Ji Xiang's statement.

"The bilateral ureteropelvic junctions were completely ruptured." Mr. Wu said softly.

Just like what Jixiang said just now, once he resigned according to the diagnosis of kidney contusion, he found that he could not urinate...

Then fuck it!
The patient has to be tossed again.

The hemorrhagic shock in the forefoot happened just a little bit, and he was about to undergo another anesthesia, another operation, and another blow.

This is very different from doing it now and causing trauma to the patient.

Mr. Wu let out a sigh of relief. Although there is a high probability of misdiagnosis, it is obviously more at ease to have a correct diagnosis with Dr. Xiaoji here.

Lu Gang's eyelids kept beating.

Facts proved that what Ji Xiang said was indeed true. He didn't understand it very much, so he turned around and took the emergency film to read carefully.

After carefully watching it many times, Lu Gang still thinks that the image is an artifact, and definitely not something like a urocyst.

If there is no re-examination and contrast CT, if you give him a hundred chances, this patient will be wrongly diagnosed.

It's okay for Lu Gang to refuse to accept it, the iron-like facts are in front of him, if he has an iron head, he will die miserably.

Moreover, Lu Gang belongs to the academic school, and if he is wrong, he is wrong. The objective evidence is there, and he didn't think about how to save his face.

He just couldn't figure it out, and he couldn't figure out why Jixiang was so sure that the patient's bilateral ureters were broken.

Ji Xiang didn't know, and didn't care about Lu Gang's feelings.He is Old Lu from the medical office, not the Professor Zhou I met in Empathy.

After a few polite words with Mr. Wu, Ji Xiang stood in the position of the surgeon refreshed.

The operation is not difficult, at least for Ji Xiang.

Coupled with the fact that more than a dozen units have been trained in the operating room of the system, Jixiang can take it down perfectly.

Jixiang cut the ureter transversely at the lower end of the stenosis, then cut a section of the stenosis ureter for pathological examination, and ligated the stump.

The distal ureter was placed behind the abnormal blood vessel and an oval incision was made at the lowest position of the renal pelvis, and a ureteral stent and renal pelvis drainage tube were placed through the renal parenchyma.

Then Jixiang made a flap-shaped anastomosis of the ureter and renal pelvis.

"Xiaoji, you do a good job of matching the petal shape." Mr. Wu helped Jixiang tie the knot, seeing the needle holder in Jixiang's hand shuttle up and down in a narrow range, sometimes reflecting the light of the shadowless lamp, looking extremely handsome .

Ji Xiang smiled, and he could do such a small operation as petal anastomosis with his eyes closed.

"Xiaoji, I really didn't see what the problem was at the time. How did you diagnose it?" Mr. Wu asked humbly.

"The density is different. Although it looks blurry, considering that the patient suffered from hemorrhagic shock after being injured, the blood volume is insufficient..."

Ji Xiang "reported" everything the system NPC said to Mr. Wu, and Mr. Wu and Lu Gang, who was facing each other with the film reader, were taken aback for a while.

They are all old clinicians. Although their level of watching movies is average, they understand whether what Ji Xiang said makes sense.

Unexpectedly, Jixiang was so good at watching movies, Mr. Wu was convinced.

He deeply lamented that his fate was good. Fortunately, he did not hesitate to choose Ji Xiang's side in the "dispute" between Ji Xiang and Lu Gang.

Otherwise, although it is not a medical malpractice, it will inevitably be opened again, and I will feel somewhat uncomfortable.

Being a doctor is like this, there are not hundreds of misdiagnosis cases behind any famous doctor.But within the scope of our ability, we must do our best.

Dr. Zhan Xiaoji must be right!
Mr. Wu once again strengthened his point of view.

Although Ji Xiang didn't use [The Gaze of Superior Doctor], Mr. Wu directly caught the skill in nothingness and took the initiative to become a lower-level doctor.

All worries aside, Mr. Wu is still very good at being an assistant.

He helped with thread cutting, suction, and hemostasis, and the operation went very smoothly.

After Ji Xiang completed the valve-shaped anastomosis, a rubber tube was placed around the renal pelvis and beside the anastomosis for drainage, and the stent tube and the renal pelvis drainage tube were fixed with absorbable threads.

"Warm salt water." Ji Xiang stretched out his hand.

The equipment nurse was startled, "So fast?"

"Uh..." Ji Xiang was also taken aback for a moment.

Recently, Tang Yan cooperated with her in the surgery. Tang Yan gradually figured out which steps she took in the surgery and what kind of cooperation she needed. Although the surgery was not as smooth as in the operating room of the system, it was much more comfortable than cooperating with others.

If Tang Yan was here, she would be able to send warm salt water as soon as she raised her hand.Like an old married couple, they don't even need to look at each other.

"It's over, wash off and step down." Ji Xiang didn't complain, just a little grudge.

Tang Yan was more comfortable.

"Doctor Xiaoji, you are amazing." The equipment nurse said with a smile on her face, "I thought it would take at least three hours to come down, and it only took more than 40 minutes, so don't delay eating."

"The diagnosis is correct, and the operation is actually not difficult." Ji Xiang smiled.

The itinerant nurse trotted to get warm salt water, thinking about eating, and Ji Xiang was very serious and basically didn't drive, so everyone didn't have much interest in chatting.

After washing and exploring, Ji Xiang started to close his abdomen without active bleeding.

"Xiao Ji, thanks for discovering it." Mr. Wu let out a sigh of relief, "The rate of nephrectomy in patients with early diagnosis and treatment is 4.5%, while in patients with delayed diagnosis, the data is as high as 32%. Is that so?"

"Yes."

The data Mr. Wu said is very accurate, and the basic skills are solid. After Jixiang sewed the last stitch, he threw the thread into Mr. Wu's hands.

"Under normal circumstances, 50% of patients will be misdiagnosed, but I feel that the misdiagnosis rate is higher than this number, and it may even reach 90%."

Mr. Wu didn't think that Ji Xiang was boasting, but this passage had a different meaning in Lu Gang's ears.

90% of patients are misdiagnosed, so what then?Is this kid yin and yang himself?

Ji Xiang can give the correct diagnosis, he is not showing off or something!
In an instant, Lu Gang, who claims to be professional and academic, almost entered the inner mode, and almost didn't go berserk.

It's too much, isn't the diagnosis correct once, what's there to show off!
Lu Gang stared fiercely at Ji Xiang's back.

It's just that the shadowless lamp's light is a little cold and dazzling.

(End of this chapter)