Ji Xiang looked at Dr. Merz with strange eyes.

"Young man, I haven't seen your operation yet, so I can't admit your talent for the time being. But from your diagnosis this time, I can clearly feel the jerkyness and the lack of your basic clinical theory."

Dr. Merz smiled slightly, not too much reprimand, but with a little care.

This kind of invisible PUA hits the spirit even harder, Dr. Merz knows it well.

However, he didn't want to stop, because Dr. Merz was worried that Jixiang was too young to understand.

"Work harder, read more, study more, and don't take ignorance as a personality. Young people like these, and my students are the same as you. What a ghost."

"God will forgive young people for making mistakes. Don't pay too much attention to a wrong diagnosis. But what I want to tell you is that it is irresponsible for the profession to insist on a wrong diagnosis."

Ji Xiang really didn't know where the self-confidence of Dr. Merz in front of him came from.

Meng Qingfei pulled Ji Xiang.

"Xiaoji, come with me."

Meng Qingfei's voice was very low, but Dr. Merz saw it, and he smiled and made an elegant gesture of invitation.

In his opinion, this should be the superior doctor expressing his dissatisfaction with Jixiang and asking him to go to a place where no one is around to teach him a lesson.

"Young man, take the advice of your superior doctor and be humble. You're in the ER and you're only bringing more chaos."

"What did he say?" Meng Qingfei half understood, and asked after leading Ji Xiang out of the emergency room.

"He didn't believe my judgment, and kept saying that I was an irresponsible doctor because of my wrong diagnosis." Ji Xiang said indifferently, "Mr. Meng, have you contacted the echocardiogram yet?"

"Contacted." Meng Qingfei said as he walked to the consulting room, "You are so lucky. The super-duty doctor in the emergency department B has something to do today. I asked a friend to take over. He happened to be the echocardiography doctor."

Good luck, Ji Xiang scratched his head and looked at the luck value on the attribute panel.

It is indeed a very important attribute.

If you have the opportunity, you must increase the luck attribute.

"Can you finish the medicine before going!"

The family members of the patient waiting in the consulting room said very unhappy.

"I fainted on that side." Meng Qingfei was not surprised, and after a brief explanation, he prescribed medicine for the patient and asked, "Xiaoji, why do you insist on doing blood vessel and heart ultrasound?"

"I suspect the patient's diagnosis was a patent foramen ovale."

Meng Qingfei was stunned when he heard Ji Xiang's words.

Patent foramen ovale?
Patent foramen ovale is the most common congenital heart abnormality in adults. The foramen ovale is usually closed in the first year of life. If the foramen ovale is still not closed in children older than 1 years old, it is called patent foramen ovale. 3% to 20% of the foramen ovale is not completely closed.

"But the patent foramen ovale is usually fine. If it is particularly large... there will be no neurological symptoms." Meng Qingfei said with a frown.

"Studies in recent years have shown that patent foramen ovale is related to syncope." Ji Xiang said, "but the specific mechanism has not yet been determined."

"Can you work hard! I'm waiting for you to prescribe medicine! The fever is 39 degrees Celsius, and it's not your fever." The family members of the patient heard Meng Qingfei and Ji Xiang talking, Meng Qingfei moved a little slower, and scolded road.

Meng Qingfei chuckled, "Xiaoji, come and prescribe medicine for him, and I'll take a look at the patient."

Ji Xiang smiled all over his face and kept bending over the patient's family to express his embarrassment.

Although the patient's family members were unhappy, they didn't say much.

Ji Xiang has long been used to this way of communication, and the efficiency of himself and Mr. Meng Qingfei is indeed much worse than that of an unmanned intelligent hospital.

He didn't blame himself for this. An era has its own rules, so he feels guilty about this?Ji Xiang would not do such boring things.

Keep a smiling face, let the patient's family members calm down, and don't cause trouble, this is the purpose of Jixiang.

Out of the corner of Ji Xiang's eye, he saw that Meng Qingfei didn't go to the emergency room, but went straight to the duty room.

Probably went to see a doctor online, Ji Xiang thought to himself.

Take the time to prescribe medicine to the patient, and after sending the patient away, he prescribed another tetanus.

"Young man, is your teacher as dissatisfied with your diagnosis as I am?" Dr. Merz stood at the door and said with a smile when Ji Xiang was idle.

Ji Xiang thinks Dr. Merz's blond hair is so annoying.

"Humility, honesty, compassion, and bravery, these are the basic qualities a doctor should have..." Dr. Merz was still rambling.

"There is also the opportunity to evade the insurance company and fight for more medical treatment at your own expense, so that the number in your credit card will increase, right?" Ji Xiang looked at Dr. Merz and asked.

This question is like a knife, pierced directly in Dr. Merz's heart.

His smile suddenly froze, and his whole face froze.

"Dr. Merz, this is not your field of expertise. My suggestion is the same as before. You should still call the relevant professional experts in Massachusetts to ask about the specific situation."

After finishing speaking, the corner of Ji Xiang's mouth turned up, "Isn't it in Massachusetts, you don't have any friends. It's so pitiful, you are so old, and you don't even have any friends."

"How is it possible!" Dr. Merz clenched his fists and raised his hands angrily.

"Then go ask, get a professional answer and you'll be ashamed of your ignorance instead of standing here and telling me some useless crap. And you, if you don't call, in 20 minutes you'll be ashamed of your ignorance. You regret saying so much."

Dr. Merz looked at Ji Xiang in a daze. He couldn't figure out why this young man would talk to him so confidently.

There are many talented young people in Harvard Medical School, and Lin Jiu is one of the more representative ones.

But at Jixiang's age, they were all jerky and ignorant, who dared to communicate with the superior doctor in such a strong tone!

Perhaps... Dr. Merz thought of a possibility!
In the heart of the young doctor in front of him, he is not a senior doctor, but an ordinary doctor who came to study and observe operations.

Dr. Merz was almost ignited by his own thoughts.

Negative words such as rebelliousness, arrogance and ignorance form labels, which are nailed in Dr. Merz's perception of Jixiang in his heart.

Dr. Merz was a little skeptical too, but the EKG report reassured him.

It was not a myocardial infarction at all, and the patient had typical neurological symptoms, Dr. Merz looked at Ji Xiang with a sneer.

Then let the facts speak for themselves.

"Excuse me." Meng Qingfei turned sideways and squeezed in through the narrow space between Dr. Merz and the door frame.

"Xiaoji, prepare to watch the echocardiogram." Meng Qingfei no longer hesitated.

"Checked it out?"

"I wrote a few random words on the Internet, not too detailed, so I called my classmate. He said a few words to me, but time was tight, so I didn't listen carefully." Meng Qingfei said in a hurry, "Wait a minute, There is rescue in the emergency room."

Seeing that the patients waiting outside the clinic didn't seem to be serious, he confessed and took Ji Xiang to the emergency room quickly.

The B-ultrasound doctor has rushed over.

"Old Meng, you really are getting more and more demonic as you get older." The B-ultrasound doctor said while applying coupling agent to the patient, "Neurological symptoms are hard to associate with the heart, and it is necessary to investigate. But you are an emergency doctor, understand so cutting-edge?"

"Who am I!" Meng Qingfei raised his head proudly, without any guilt or embarrassment.

"Excellent, let me take a look first." The B-ultrasound doctor began to move the probe on the heart of the patient's chest.

His level is very high, and he started positioning and measuring in less than 1 minute.

"The foramen ovale of 1.3 is not closed, and it actually exists! Let me tell you about Lao Meng, you are lucky to catch up with me, otherwise the director will be there during the day, and you will have to do an ultrasound through the esophagus to make a diagnosis."

"so tough?"

"That's right, I'm very good!" The B-ultrasound doctor began to record, "Old Meng, remember to send me a copy of the patient's information."

"You want to write a thesis?" Meng Qingfei's eyes lit up.

"Ah."

"Forget it. With your level, you won't be able to post it for a year or two. Let me figure it out. How about you being the second author?"

"Hey, Lao Meng, you are getting more and more generous!" The B-ultrasound doctor did not insist, and who is willing to write a paper as a clinician?

Moreover, Meng Qingfei has published two sci articles in the past six months, which are sci!

"Xiao Ji, you write it." Meng Qingfei pushed the job directly to Ji Xiang.

"Ah, good!" Ji Xiang agreed without hesitation, "Publish it in the "Journal of Cardiovascular Surgery."

The B-ultrasound doctor was a little disappointed. While recording the information, he asked, "Which pheasant magazine is it? Lao Meng, you should come and send me an SCI."

"What are you thinking about?" Meng Qingfei said, "Journal of Cardiovascular Surgery is the second most influential journal in cardiothoracic surgery."

"Impact factor!" The B-ultrasound doctor's hair almost stood on end.

"It seems to be five o'clock, but I forgot the exact number."

The B-ultrasound doctor was stunned for a moment, but then he seemed to think of something, and handed the things he had recorded to Ji Xiang.

"You are Doctor Xiaoji, right? I haven't watched the show, and I haven't seen it in normal times. I'm sorry."

"Teacher, you are being polite." Ji Xiang said politely, but his attitude was really polite.

"Tsk tsk, if you write the paper, there will be no problem." The B-ultrasound doctor patted Ji Xiang on the shoulder with a smile.

The emergency physician was a little anxious, "What are you talking about, the patient still..."

"Neurological symptoms caused by patent foramen ovale will be relieved on their own, usually within 1-2 hours, and there is no sequelae." Ji Xiang explained, "Then just send it to the cardiac surgery or circulatory surgery. It's useless to worry , wait and see."

"Give it a loop." Meng Qingfei directly came to a conclusion.

Ji Xiang was not interested in where the patient was sent. He looked up and saw Dr. Merz standing in the corner, staring blankly at the image on the echocardiography machine.

"Dr. Merz, this is what you call a definitive diagnosis." Ji Xiang walked over and waved the echocardiogram report in front of Dr. Merz like an electrocardiogram.

Dr. Merz stared blankly.

Ji Xiang knew that the training they had undergone was very strict, even harsh, and Dr. Merz must be able to understand echocardiographic images.

"Humility is a virtue." Ji Xiang joked, "I hope you have friends in Massachusetts who have told you the real diagnosis."

"That's impossible," Dr. Mertz murmured.

"Should I believe in echocardiographic images, or in the interdisciplinary diagnosis of a sports medicine doctor? Dr. Merz, if you were you, which would you choose?" Ji Xiang continued to sneer.

Dr. Merz burst into tears.

The moment the knight rushed up, he had already fallen, and fell in front of the big devil without any accident.

At this moment, the big demon king was wearing a black aura, with his foot on the knight's head, showing off his martial arts.

And I was the unlucky guy who fell in front of the Great Demon King.

Dr. Merz listened to Ji Xiang's sarcasm, and stared blankly at the image of the patent foramen ovale on the machine.

The machine was turned off, and the B-ultrasound doctor pushed the machine away. Before leaving, he still had a few jokes with Ji Xiang and Meng Qingfei.

"Dr. Merz, humility is a virtue. I think you should keep it in your heart, not just say it. It's not just young people who make ignorance a character. But God forgives young people, As for an old man of your age, it depends on God's heart."

Ji Xiang still hadn't forgotten about Dr. Merz, and left the emergency room with another sentence.

"!!!" Dr. Meltz was completely stunned, almost spat out a mouthful of old blood.

"Xiaoji, you seem to be not very polite to Dr. Mertz."

Back in the surgical clinic, Meng Qingfei asked with a smile.

"Well, Dr. Lin Jiuzelin applied to be a professor at Massachusetts General Hospital, and Dr. Merz voted against it."

Meng Qingfei covered his head.

There are these crap everywhere.

However, Dr. Merz chased after him fiercely, from the Massachusetts General Hospital to the Second Affiliated Hospital, and "chased" Lin Jiuze thousands of miles away.

No wonder Xiaoji has such a big opinion on Dr. Merz.

"Xiaoji, it's the first time I've seen you being so hostile to a doctor. Speaking of which, you're not polite, what level is Zaan?" Meng Qingfei smiled.

"It's okay, not too hostile."

Meng Qingfei remembered the past of Jixiang.

This young man seems to have an easy-going temper, but he is actually very sharp when encountering injustice.

But it has nothing to do with myself.

Meng Qingfei recalled Dr. Merz, perhaps because of his love for the house and his wife, and he also felt that Dr. Merz was very annoying.

"Is there any problem with the thesis?" Meng Qingfei asked.

"Probably not, I will write it myself." Ji Xiang asked with a smile, "Mr. Meng, do you want to be the first author or..."

Meng Qingfei laughed, "Of course I'll sell it!"

Xiaoji is really considerate. Meng Qingfei has no interest in publishing articles, and he doesn't want to go up when he is old, and he has no chance, so he is more interested in selling the first author.

"Xiaoji, everyone earns half of the money."

Ji Xiang thought for a while, "Okay."

Meng Qingfei was slightly taken aback, but then smiled more cheerfully, "Come on, let's smoke a cigarette."

Right now, there are no patients. After dinner, they will go home or go to nightclubs. There should be more car accidents and fights.

Ji Xiang followed Meng Qingfei to the duty room, saw Dr. Merz standing in a daze in the corridor, and did not chase Dr. Merz hard.

There are many opportunities to beat the dog in the water, as long as Dr. Merz does not give up trying to trouble Lin Jiuze.

When he came to the duty room, Meng Qingfei threw Ji Xiang a cigarette.

"That foreign doctor really doesn't know what he's thinking." Meng Qingfei lit a cigarette, took a puff happily, and said, "I feel like I have a diagnosis with the electrocardiogram."

"There are not many cases of headache and neurological symptoms caused by patent foramen ovale. Maybe he didn't expect it. After all, the medical community has not given a clear statement, just a guess." Ji Xiang gave a fair evaluation.

Meng Qingfei was not talking about this.

"I have a classmate who returned to his hometown after graduation and became the chief director of hepatobiliary surgery within 10 years."

"But I worked hard, suffered from a whole body of problems, had emergency operations every day, and seldom had breakfast, so there was no accidental cholecystitis."

"One day he had a sudden pain in the upper right abdomen. He had a B-ultrasound. The gallbladder was slightly inflamed, and he had an EKG. Nothing happened. He asked a nurse to prescribe the medicine for him, and then he was quiet in the director's office."

"The drip was very fast. After the nurse pulled out the needle and saw that he was fine, he left. He didn't come home very late, and the family kept calling but no one answered. The nurse received a call from the family and went to the director's office carefully. One glance."

Ji Xiang didn't prick up his ears, he had already guessed the ending.

"I've been dead for 3 hours, my heart attack." Meng Qingfei sighed, "Tell me, it's a pity that I'm less than 40 years old."

"Is the heart rate okay?"

"Yeah." Meng Qingfei saw Ji Xiang's speech, and asked directly what he meant, and his heart moved. He was going to tell Ji Xiang, but now he changed his mind, "Xiaoji, let's test you, what do you think?" thing."

"According to the chronological order, most of what he did at that time was an ordinary 12-lead ECG. In this case, the posterior wall and right heart must be added, that is, an 18-lead ECG."

"!!!" Meng Qingfei froze for a moment and then gave a thumbs up.

"Xiaoji, you all know this!"

"Hehe." Ji Xiang scratched his head, and he was also listening to the system NPC in the system operating room.

"If you don't say that there are still problems with the electrocardiogram sometimes, it is right to be cautious."

Ji Xiang knew that it was Mr. Meng Qingfei who told him about the problems he encountered in clinical practice, so he was very serious.

"A few years ago, I met a college student, a junior in our medical university. He came in the middle of the night and said it was a severe toothache. At that time, the physician prescribed a new medicine for him."

"Speaking of which, the drug Xinhuang Tablet is really effective for some toothaches. I always feel that there is an analgesic ingredient in it."

Meng Qingfei continued after chatting, "After a few hours, he was sent for rescue again, and suffered a cardiac arrest."

"Heart attack? 20 years old?"

"Almost, since that incident... There have been some rare cases of death caused by myocardial infarction. Director Bai began to request that no matter who comes, he should mention an electrocardiogram."

"For this matter, we have been scolded a lot."

"The patient's family members don't understand."

"I definitely don't understand. I have a toothache and you have to ask me to do an electrocardiogram. Is this a black-hearted doctor or something." Meng Qingfei laughed at himself.

"Do it, sign it if you don't do it, it's better to spend a little time and get scolded than the patient's family members who died." Ji Xiang said.

As he talked, he recalled that in the future hospital, the intelligent system seemed to be able to do the electrocardiogram in one package.

I don't even know when I did it, presumably Shen Lang glanced at it and saw that it was all right, so he didn't tell himself.

"That foreign doctor...hahaha." Meng Qingfei laughed out loud as he spoke, "What is he doing here?"

"Who knows, it should be to see Wen Banyama's surgery."

"Really coming?!"

"Mr. Meng, are you familiar with Wenban Yama?" Ji Xiang asked.

"Well, I've been watching him play. The current NBA is associated with spinach, so it's really nothing to watch." Meng Qingfei said, "But Wenban Yama's approach is very similar to Dayao's. When he first entered the NBA, he was like Ma Gan. Same, later in order to strengthen against muscle gain.”

"Think about it, muscles can be increased, but the load is also heavy." Meng Qingfei said, shaking his head, "Is it possible to go back again?"

"Mr. Meng, you care so much about Wenban Yama."

"I always feel that Dayao was a pity back then." Meng Qingfei said, "If there were no injuries, or in the current small ball era, Dayao would have achieved better results. So looking at Wenban Yama is about the same as watching Dayao. , which is roughly equivalent to going back to 08 and 09.”

"I mean, you see."

"I probably understand." Ji Xiang smiled, "There should be no problem with the operation, and I will report to you when it is finished."

"Don't, don't." Meng Qingfei waved his hands again and again, "I can't stand you being too polite. It would be nice to have the cheek to write some SCI articles."

"Mr. Meng, you are really too polite." Ji Xiang thought to himself that he seemed to have a different understanding of Meng Qingfei.

I still remember that during a certain empathy, when I woke up from general anesthesia, I called Meng Qingfei's name.

Maybe it's because he is his teacher in emergency department.

What Ji Xiang remembers most deeply is that once Meng Qingfei saw a child going to the pediatric department, and he was wandering around the door anxiously.

You must know that the first thing Ji Xiang knew about Meng Qingfei was to remove the stitches for a rx plastic surgery patient. He was the kind of person who refused to remove the stitches regardless of whether the other party would complain or not, and sent them away directly.

The relatively contradictory character highlights a kind of charm.

"Don't talk about this, Xiaoji, you are going to Shanghai for surgery this time, so it goes well."

Speaking of Shanghai, Ji Xiang told Meng Qingfei that he suddenly couldn't perform surgery.

Meng Qingfei listened with gusto.

"Ha, I didn't expect you, Xiaoji, to have such a situation!" Meng Qingfei's eyes lit up, "I have had it too!"

The two suddenly communicated about not being able to perform surgery.

Ji Xiang heard several examples from Meng Qingfei, and he realized that what the system npc said was not a lie, and similar cases were indeed not isolated cases, but a relatively common phenomenon.

It's just like a disease, some people are mild and some are serious.

"Xiaoji, you're awesome!" Meng Qingfei gave a thumbs up after finishing speaking, his eyes glowing brightly.

"what?"

Ji Xiang was taken aback by this awesome sentence.

"The sooner this happens, the greater the future progress will be. You understand what I mean." Meng Qingfei rubbed his hands as he spoke, before he waited for Ji Xiang to speak, he added, "If you want to say The dimensional wall, you broke the dimensional wall this time, how long have you been a magician!"

"..."

"Cattle!!!"

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