Doctor of Healing

Chapter 432 Highly rated
Chilling wind.

Except for Professor Shen and Mao Mao, no one of the guests expected that the hospital rounds would be so serious, and no one expected that Director Yang, who seemed amiable at first, would suddenly change his face, making people afraid to look at him.

"The last time I recorded a law firm program, I thought they were too serious. I didn't expect them to be too gentle compared to the doctors in the hospital."

"Yes, Director Yang is going to scold someone."

"I couldn't stand it even if I wasn't there, my legs were shaking a little. Did Director Yang do it on purpose?"

The guests exchanged in low voices.

Their voices were lowered subconsciously, as if they were worried that Director Yang on the screen would hear them.

……

"The gallbladder is normally located in the gallbladder fossa at the front edge of the interface between the left and right livers. It is relatively fixed and not prone to torsion. So far, the exact cause of gallbladder torsion is still unclear."

"However, the medical community believes that there are several possibilities. First, congenital anatomical variation: mesenteric gallbladder, free gallbladder, sagging, and increased mobility."

"Second, the elderly have fat atrophy, ligament relaxation, and increased gallbladder activity."

"Third, hunchback causes viscera to sag and change in position."

"The fourth triggering factor is body position changes during exercise or strong gastrointestinal peristalsis, and even cholestasis and incarcerated stones can also induce gallbladder torsion."

"The patient reported that he had passed by before the abdominal pain, so I became suspicious." Ji Xiang was not intimidated by Director Yang's aura, and answered the questions well-founded and clear.

"Intermittent pain, tender point in the mid abdomen, differential diagnosis..."

After Ji Xiang finished talking about the predisposing factors of gallbladder torsion, he began to talk about the differential diagnosis. Director Yang's expression did not change, but Ji Xiang's words set off huge waves deep in his heart.

It seems that Ji Xiang is "dropping the book bag", but the senior doctors know that Ji Xiang is talking about his own mental journey at that time.

That is to say, at that moment, Ji Xiang thought about countless things from the muscle guard performance of the physical examination.

"In summary."

After 3′12″, Jixiang finished speaking, he was still smiling, “Because gallbladder torsion is a relatively rare disease, and there are many differential diagnoses, so it can only be diagnosed initially. It is suspected to be gallbladder torsion and it is recommended that the patient check the upper abdomen, Mid abdomen CT. "

"Why is there no cholelithiasis in the diagnosis?" Director Yang suddenly asked an extremely strange question.

"There is no significant correlation between gallbladder stones and gallbladder torsion, and about 70% of patients with gallbladder torsion have no gallbladder stones at the time of diagnosis.

Congenital factors are the main cause of gallbladder torsion in children, while age-related physiological changes are more likely to be the cause of gallbladder torsion in adults.

There was also no significant correlation between the direction of gallbladder torsion and the degree of torsion 180°, incomplete torsion, >180°, and complete torsion. "

"Later, the patient completed auxiliary examinations, which confirmed the above judgment, and the diagnosis was clear. It was gallbladder torsion with acute acalculous cholecystitis."

After listening to Ji Xiang's speech, Director Yang seriously looked at the young man in his prime.

He wanted to ask Ji Xiang a difficult problem, but the so-called "difficult problem" could not trouble him at all, and Ji Xiang answered it fluently.

From being cautious at the beginning, to accidentally discovering that the patient's condition is wrong, to directional signs, to various judgments, the order is clear and impeccable.

Director Yang was in a daze. Even if he answered this question by himself, it would not be as simple and clear as Ji Xiang's answer.

"Doctor Ji Xiang, this is a rare disease, how do you know so much about it?"

Director Yang's tone finally softened, and he asked with a calm expression.

"Our local hospital has come into contact with similar cases." Ji Xiang laughed, "Park Heyun, Liu Yulin, Xie Guanghua and other teachers wrote a similar report-a case of laparoscopic resection of gallbladder torsion with necrosis."

Director Yang nodded.

"As for the medical records..."

"Wait to pick up patients, you write." Director Yang looked at Ji Xiang and said.

"it is good."

……

……

There was no sound in the comment room.

The atmosphere at the scene was too depressing, the host's bald head lit up, one corner of his mouth twitched, and he started to save the scene.

"I didn't expect our interns in this reality show to be so good." The host said haha.

The lay guests didn't know what to say, even if they wanted to say something, they didn't know how to say it.

The semi-expert guest Maomao stared blankly at Ji Xiang on the screen, wondering what he was thinking.

Professor Shen was the only expert, and he was even more silent, and ignored several reminders from the film crew, just frowning thoughtfully.

"Professor Shen, are interns like Ji Xiang common in hospitals?" Seeing that no one answered his words, the host had to throw out a question to forcefully enliven the atmosphere.

"Intern?" Professor Shen smiled wryly.

"Yes, he is still a regular training doctor."

"Let's put it this way." When Professor Shen saw the screen switched to another ward, he immediately became interested, remembered his status as a guest, and started talking, "Dr. Ji Xiang gave me the illusion that he is not a doctor with no clinical experience Interns, but those who have worked in the clinic for more than ten years, are slippery..."

As he said that, Professor Shen felt that something was wrong with his description, so he laughed, "Slippery is a word we occasionally describe, cut this part out."

The host also laughed, this matter is over.As for whether to cut it in the end, it depends on Director Fan.

"How should I put it, he is like the kind of doctor who had a medical malpractice, was almost sentenced, and has a deep sense of guilt in his heart... I can feel a very strong aura of obsessive-compulsive disorder in him. "

"Obsessive-compulsive disorder? How do you say this?"

"Everyone knows that there are small probability events in everything. Small probability events in medical treatment are the most troublesome. Seeing dozens or hundreds of patients every day, no matter how small the probability is, it will become a high probability event after a long period of time."

"It's not wrong, it's because you don't see enough patients."

"But the medical industry has its own particularities. What if something goes wrong? It's human life. So many doctors have obsessive-compulsive disorder, just like Dr. Ji Xiang. The patient has already gone to the emergency department, and he is still worried about the emergency department. , Emergency doctors don’t have time to tell patients to pay attention to their posture when they vomit.”

"As for the physical examination, if you find any problems, you must continue to investigate. That's nothing special. I just feel that a young doctor like him knows responsibility before he manages the bed."

"Responsible?" The host was a little confused.

"Yes, interns don't have to be responsible, so the pressure is not so great, and there are often problems at work. And only when you take care of your patients and take responsibility, can you be a real doctor."

"Let's not talk about curing diseases and saving lives, but about going all out. I think Dr. Ji Xiang is already a qualified clinician."

Professor Shen's evaluation is high enough.

(End of this chapter)