Doctor of Healing

Chapter 291
Suspicious, Director Xu took the patient to the Department of Urology for ureteroscopy.

The patient came to the small treatment room of the Department of Urology for anesthesia. Ji Xiang placed the patient in the lithotomy position, with both lower limbs turned outward and raised, and the upper body lying flat.

"Don't be nervous, just take a look, it will be a little uncomfortable but not serious." Ji Xiang comforted with a smile.

"Doctor, I... can't die." The patient asked worriedly.

"How do you think about death? It's just a small problem." Ji Xiang asked while posing for the patient.

"I saw other people after I was hospitalized..." the patient hesitated to speak.

"It's okay." Ji Xiang smiled, "When I was in school, a classmate had an appendectomy, and after the operation, a small crystal-like rash appeared on his body. At that time, we joked that his relics popped out. While researching what it is."

"What is that?"

the patient asked.

Director Xu also had a dewy head. After the appendectomy, a rash appeared on the skin, which was still crystal-like. Could it be that there were really many relics coming out of the skin.

"The dermatologist took a look and said it was crystal prickly heat. Just say that the name of this disease is so sloppy, it looks like crystal and it is called crystal prickly heat, right?"

"Can it be cured?"

"My classmate didn't dare to be exposed to the wind after the operation, and was simply covered." Ji Xiang laughed, "After the dermatologist saw it, he gave us a lecture, saying that there was nothing wrong with it, and we scared the patients. "

Hearing Ji Xiang's explanation, the patient's mood improved.

Director Liu has long been used to Jixiang talking to patients before the operation, which is really similar to Colonel Wang.

With Ji Xiang as an assistant, Director Liu inserted a ureteroscope with thick and thin wires into the bladder.

Under the microscope, it can be seen that the urine in the bladder is turbid with white flocculents, white crystals can be seen at the bilateral ureteral orifices, and the bilateral ureters are full of white debris-like crystals throughout.

Director Liu knew in his mind that such a fragmentary thing would not be visible on CT.

The patient did not urinate because the ureter was blocked and there were calcified crystals in the kidney.

Seeing is believing, Jixiang's previous judgment was correct.

"Is that so, Doctor Xiaoji." Director Liu gave Ji Xiang a look.

Ji Xiang nodded after seeing the changes under the mirror, and didn't say much.

"Let me see."

Director Xu came over.

She was dumbfounded when she saw white debris-like crystals all over her vision.

Just now she also found the instructions for ceftriaxone, which clearly stated that there is a very low probability that it may cause gallstones.

Now stones are also seen in the kidney, and they are still fragmented crystal-like substances, and the answer is ready to come out.

"Use sodium bicarbonate to alkalize the urine." Director Xu asked tentatively.

After all, he is the chief director of the Department of Nephrology in the provincial capital, so it is not difficult to treat him after knowing the ins and outs.But Director Xu still asked Director Liu and Ji Xiang, and did not make any claims.

She has never seen a similar situation, so she should be more cautious.

Director Liu caught a glimpse of Ji Xiang nodding his head slightly, and he said, "Well, alkalize the urine first, and rehydrate according to the amount of urine."

The mirror was pulled out, the double J tube was placed and the patient was sent back.

Director Liu was curious, so he didn't rush home when he got off work, so he went to the Nephrology Department to take a look.

After alkalinizing the urine, the patient's anuria symptoms were quickly relieved, and he had urinated about 1400ml in just a few hours.

The Department of Nephrology has started fluid therapy for the patient.

That's really the case, Director Liu's experience value +1.

No one expected that the commonly used ceftriaxone would have such serious complications.

"Director Liu, amazing!" Director Xu praised.

"It's okay." Director Liu said with a smile.

He scolded the old fox in his heart, and Director Bai's intentions were clearly revealed.

Just like the current situation, not to mention how Ji Xiang gave the diagnosis, the ability to deal with things alone surpassed the two clinical directors, Director Xu and himself.

Director Bai put in so much effort, in fact, to keep Ji Xiang behind, no matter how much more he might do.

If you can't stay, you should also find a doctor who has a good relationship with Jixiang and call him anytime and anywhere.

He even has the face to push himself to apply for Ji Xiang's provincial self-administration, it is clear that the medical department can get the greatest benefit.

Director Liu chuckled, but was not angry.In the bureau set up by Director Bai, everyone has benefits and contributions.

Calling a doctor from a lower-level hospital, Director Bai can indeed do it, but he will definitely pay a terrible price.If it was him, he would definitely not be as determined as Lao Bai.

Seeing it now, it was all worth it.

Lao Bai's vision is still unique, and Director Liu admires it very much.

"Director Liu, is that little doctor next to you new here?"

"No, it's Doctor Guipei. Ji Xiang, have you heard of it?"

"The one who broke the record in the martial arts competition?" Director Xu's eyes lit up.

"Ah."

"Where do we go to the next department? Hurry up and come to our Nephrology Department while it's hot." Director Xu was a little anxious.

"Don't even think about it." Director Liu laughed, feeling a little hazy in his heart.

Sure enough, when they saw a good seedling with good ability, everyone wanted to grab it.Fortunately, I acted early, and even did not hesitate to lure Zhao Zhe to save the country with a self-promotion project.

"Director Liu, I think that child is okay."

"That's right, I fell in love with this kid right away." Director Liu put on a bole look.

"What are you so proud of? They will be transferred to the next subject soon." Director Xu looked down on Director Liu's old-fashioned and reassuring look, and knocked out a sentence.

This is indeed a problem, but if it goes according to the current plan, it should be feasible.

Director Liu happily prepared to get off work, and when he returned to the department, he saw Zhao Zhe standing at the door of his office with a sad face, frowning like a philosopher.

If he didn't know, he would have thought this middle-aged man was a family member of the patient.

"Doctor Zhao, what's the matter?" Director Liu asked.

"Director, I...I..."

Director Liu felt a little cold when he saw Zhao Zhe's constipated face.

Will there still be grassroots doctors who refuse to come to the Second Affiliated Hospital and stay there to die alone?Seeing that Zhao Zhe is not doing well in his hometown, a young doctor on duty can hate him as much as he wants, what can't he let go of?
"Doctor Zhao, come in and say."

Entering the director's office, Director Liu pretended to be relaxed and asked, "It's okay, if you can't come, you can't come, I can find someone else to do it."

"..." Zhao Zhe blushed with restraint.

He suddenly became unable to speak because he was so talkative, he looked like he had a swollen throat, and Director Liu's hands were so itchy that he wanted to give him a tracheotomy.

"Speak slowly, don't rush."

Zhao Zhe was obviously very nervous, his hands were trembling a little, and he pressed hard on Director Liu's desk, his nail beds were pale.

Director Liu sighed inwardly, probably because there is a tigress in the family, and he disagrees with the separation of the two places.

Director Liu has seen similar things.

(End of this chapter)