Doctor of Healing

Chapter 482
After Ji Xiang told a few stories about him and that teacher Meng, Zhai Yuhan suddenly woke up.

Why did I listen to an intern class?

The intern in front of me is different from others, this is what Zhai Yuhan can understand, and she also recognizes it.

But Ji Xiang is so young, judging from Zhai Yuhan's social experience and clinical experience, Ji Xiang should be extremely lacking in this aspect.

But Ji Xiang did not lose the slightest bit when talking about similar issues, Zhai Yuhan felt a little unconvinced.

But it's just unconvinced.

In just a few days, Zhai Yuhan has changed her attitude towards the interns participating in the reality show, but she hasn't realized it yet.

"Dr. Xiaoji, what impressed you the most when you first came to the hospital and came into contact with clinical practice." Zhai Yuhan asked, changing the subject.

She wanted to switch the chat to a rhythm she was familiar with.

"The deepest impression, of course, is that the internal medicine teachers write medical records and ask medical history; the surgery teachers perform operations and..."

"And what?"

"Drive." Ji Xiang scratched his head.

"I see that Director Yang is very serious when performing surgery." Zhao Mengmeng has never been to a clinic, so she doesn't know anything about it, and mistakenly regarded Director Yang's behavior when there is a program team as normal.

"Then tell me about the time that impressed you the most." Zhai Yuhan said.

"On the first day I went to clinical training, I heard teachers and patients say that scars are the most dazzling badge of a man, the most shining one... Hahaha."

Zhai Yuhan knew about this stalk, she frowned slightly, and gave Ji Xiang the same look.

Ji Xiang thought for a while, "I remember one time I went to the Andrology Hospital with two teachers for surgery. Usually, I was the assistant, and they took turns being the surgeon. Are there any holidays? There are more children undergoing purse surgery, more than a dozen a day. One operation, at most 22.”

"One day, Mr. Wang seemed a little tired. He didn't want to have the operation, so he just sat by the side and said nothing, and asked Mr. Mo to take the stage for him. Mr. Mo asked a few questions, and Mr. Wang said that this was a test for him."

"Test? What kind of test is there?" Zhai Yuhan asked.

"Whoever pays for each operation." Ji Xiang explained, "Mr. Wang said that this is to let you earn more money. The two of them are in a group, and they are used to joking, but they don't really want to work less. , Earn more money. Teacher Mo said he has enough money and doesn’t need it.”

"Make money." Zhai Yuhan hesitated for a moment, she really couldn't figure out what the problem would be here.Even Qiu Mingshan Rider, it is estimated that it is difficult to drive something that can be said.

"Teacher Wang said..." Ji Xiang imitated Colonel Wang, raised his hands and turned his head, "hongkongdoll, you can believe that a little rich woman with 500 million assets is filming at P Station. You look at them, you look again It's up to you. A little rich is safe, really useless."

"..."

"..."

Zhai Yuhan and Zhao Mengmeng were taken aback at the same time, Zhai Yuhan really didn't know about Station P, Zhao Mengmeng knew about it, but they didn't know who hongkongdoll was.

Ji Xiang also hesitated for a moment. Although Di Yuhan had brought up the matter of driving, it was still a bit inappropriate.

The joke was a bit too much.

How can an old hooligan like Mr. Wang speak casually.

"Emmmm..." Ji Xiang wanted to change the subject.

Zhai Yuhan took out his mobile phone and started searching according to what Ji Xiang said, and Zhao Mengmeng leaned his head over to watch along with him.

Ten seconds later, the two had slightly weird expressions.

Surgeons are more open-mouthed on the operating table, but most of them drive in a straightforward manner without using their brains.

Although he understood what Ji Xiang said, he didn't understand it very well, so he had to search it.

She stabilized her mind and always wanted to win Jixiang once.

Suddenly, Zhai Yuhan had an idea, and said with a smile, "Mengmeng has never been to the clinic before, so I'm not used to it. Doctor Xiaoji, I'll test you on a clinical case, and see if you can answer it."

"Okay." As soon as Ji Xiang heard that there was a clinical case, he sat down immediately, put his hands on his knees, and his whole temperament changed suddenly.

Zhai Yuhan was a little surprised by Ji Xiang's attitude after hearing the case, but he still found the most impressive and most easily misdiagnosed case in his doctor's career.

"A male patient, 37 years old, was admitted to the hospital because of the complaint of "2 days of weakness in both lower limbs, which aggravated and amaurosis accompanied by paralysis of both lower limbs for 5 hours""

"Hei Meng?" Zhao Mengmeng grasped the point and whispered.

She also wants to perform well, after all, she has always been a top student since she was a child, but she didn't expect to participate in a reality show, but was accidentally abused by Ji Xiang to become a scumbag.

Amaurosis is a symptom with important diagnostic significance.

It often indicates that the ipsilateral carotid artery will be occluded, so it is often regarded as a harbinger of carotid artery disease clinically. 70% to 97% of patients with temporary amaurosis can be predicted to have carotid artery disease.

But since Ms. Zhai Yuhan and Zhai were able to use this case to "examine" Ji Xiang, it shouldn't be so simple.

After Ji Xiang heard the main complaint, his expression did not change at all. He quietly looked at Zhai Yuhan and waited for the history of present illness.

"Two days ago, the patient developed weakness in both lower limbs. The measured systolic blood pressure was 2mmHg. After oral administration of hydrochlorothiazide and losartan, the systolic blood pressure dropped to 240mmHg.

The fatigue of the lower limbs was slightly relieved, and no treatment was sent to the hospital
Paralysis of both lower extremities occurred 5 hours ago, accompanied by amaurosis. Paroxysmal headache 1 week ago, no vomiting and fever, previous history of hypertension for 3 years, intermittent medication, no antihypertensive drugs in the past 10 months Denied "diabetes" " and a history of "peripheral vascular disease"

"Admission physical examination: blood pressure 152/86mmHg, clear mind, no murmur heard on cardiac auscultation, systolic murmur audible in the right subclavian and carotid artery area, normal bilateral radial artery pulse, muscle strength of both lower extremities grade 0, bilateral The muscle strength of the upper limbs was grade 4, the dorsalis pedis artery pulse was normal on both sides, and the pathological signs on both sides were negative”

"Jixiang, Mengmeng, you two talk about your views."

After listening to Zhai Yuhan's history of present illness and past history, Zhao Mengmeng already had the answer.This question is not difficult, at least it is not difficult for doctors who know the definition of Heimong.

"Ms. Zhai, it's head ischemia caused by carotid artery stenosis." Zhao Mengmeng said confidently.

Zhai Yuhan was noncommittal and looked at Ji Xiang.

Ji Xiang pondered, thinking silently for nearly ten seconds.

"Mr. Zhai, what does the head CT report of the patient do?" Ji Xiang asked.

"Cranial MRI prompts: bilateral acute cerebral infarction in the parietal and occipital lobes; a small ischemic lesion in the left semiovale center"

Zhao Mengmeng was taken aback.

According to my own judgment, the patient's head MRI should be an ischemic focus. How could it be an acute cerebral infarction?

However, murmurs and amaurosis can be heard in the carotid artery area, which are signs of carotid artery disease.

"Didn't you have a carotid ultrasound?" Ji Xiang asked.

"It's done, it's okay." Zhai Yuhan smiled slightly, and said an important point.

Ji Xiang was also stumped. His thoughts were the same as Zhao Mengmeng's, but Zhai Yuhan obviously dug a lot of holes in the case questions.

Holding his breath, Ji Xiang came to the operating room of the system.

(End of this chapter)