Doctor of Healing

"The most important thing is that I am not short of money."

Lin Jiu choked speechlessly, looked at Ji Xiang, and knew that this guy was not lying.

Being able to say that there is no shortage of money so aboveboard, Lin Jiuze's mood is very complicated, and he is a little envious.

"Besides, the annual salary of 600 million is too high. The teachers estimate that the group wants to expand the health industry and find old experts to set up a stage, so it offers such a high price.

But, there are doubts about the money, it is a big pie drawn by the boss.

Even if the kpi is low, it is not enough to get the full amount.

Wait for two or three years to pass, and then find an excuse to kick people out after everything has been sorted out.At that time, the director's position will already be occupied, and if he wants to return, he will not be able to return. "

"So informal in China?" Lin Jiu was surprised.

"Bad." Ji Xiang smiled, "It's about the same. Didn't Director Bai say that there are fly restaurants in China. Michelin chefs are worthless in fly restaurants. I don't want you to be controlled by capital and become a A big interest group. Millions of waterworkers, maybe that’s what it means.”

The two were chatting casually, and Dr. Merz suddenly looked serious and said very unhappy, "Do an intraoperative CT."

Dean Zhao was accompanied by a doctor with good English as an interpreter. He was taken aback when he heard what Dr. Merz said.

"Sorry, Dr. Merz, we only have the dsa machine in the interventional operating room with CT function."

Dean Zhao apologized.

"This is the biggest joke I've ever heard! You can't do CT during orthopedic surgery! Oh my god, you guys are murdering me!" Dr. Merz waved his arms angrily.

"..."

Dean Zhao didn't expect Dr. Merz's temper to be so violent, even involving murder. He was taken aback and didn't know how to explain it to this Massachusetts expert.

Originally, he was just looking for a simple patient with tibial and fibula fractures to do surgery, and to win over the relationship. As for whether he could get Zhao Tianjiao online, he didn't have much confidence.

But I never expected that there would be such a big mistake during the anesthesia stage in the fixation operation of a tibia and fibula fracture.

As soon as the skin was opened, before the hematoma was dealt with and the fracture was found, the patient's blood pressure dropped precipitously.

No wonder Dr. Merz was angry.

"Rescue, please keep your voice down and concentrate."

When a familiar voice came, Dean Zhao was taken aback.

Ji Xiang!

Ever since Zhao Tianjiao's "suicide incident", Dean Zhao was unwilling to see Ji Xiang.

It's not that he doesn't like Jixiang, it's more similar to other people's children with excellent grades, but their own children are not up to date, which brings a huge blow to Dean Zhao.

"It's a problem with anesthesia!" Dr. Merz's voice was a little softer. He turned around, but he didn't scold Ji Xiang, but seemed to be arguing with the superior doctor.

Lin Jiu was taken aback.

Dr. Merz's attitude was strange.

In Massachusetts, Dr. Merz's bad temper is very famous, especially before his selection, Mr. Tang took himself to visit Dr. Merz to obtain a change in his attitude.

Until now, Lin Jiuze could still recall Dr. Merz's contemptuous expression.

Unexpectedly, when he came to the Second Affiliated Hospital and was directly scolded by Ji Xiang, "Damn your mother", Dr. Merz was a little scared when he saw Ji Xiang.

Lin Jiuze also knew that it wasn't entirely because of "Daughtering your mother", but more importantly, Wenban Yama's recovery speed.

But he still wants to think so.

"The anesthesia...has been very stable, it shouldn't be an anesthesia thing." The doctor in charge of anesthesia explained in a low voice.

"It's not the anesthesia's problem, but can it be my problem?" Dr. Merz looked at the anesthesiologist disdainfully.

Just because he didn't dare to compete with Ji Xiang doesn't mean he didn't dare to reprimand others.

The translator subconsciously translated the words into English, and Dr. Merz immediately expressed his dissatisfaction.

This is the right of the superior doctor!

Especially in the event of an accident during the operation, basically there will be disagreements between the operator and the anesthesiologist.

"Dr. Mertz, please pay attention, the rescue is going on here." Ji Xiang glanced at Dr. Mertz and said in a cold voice.

Dr. Merz's mask moved, before he could say the next thing, he lowered his head and turned around awkwardly.

Dean Zhao was burning with jealousy.

Other people's children are really nice!
If Zhao Tianjiao was half as good as Ji Xiang... no, even if there was a difference in the number of knots in a big martial arts competition, he wouldn't have to worry so much about being called around by a ghost.

He took a deep look at Zhao Tianjiao, expressing countless emotions in silence.

But Zhao Tianjiao looked blank, he didn't understand what was going on at all.

He was young after all, and he couldn't tell what happened from the details of Dr. Merz's attitude before and after.

"The anesthetist gave too much medicine, which delayed the operation." Although Dr. Merz did not dare to talk back to Ji Xiang, he still said dejectedly.

Lin Jiu shrugged, and suddenly felt that Ji Xiang's breath was stagnant, but it was like his own illusion, and Ji Xiang returned to normal in just a moment.

This feeling is more mysterious, Lin Jiu also said why.

But he just felt that something was wrong with Ji Xiang.

"Doctor Merz, who requested the position." Ji Xiang asked in American English.

"Me, me?" Dr. Merz said "I" twice in a strange tone.

"What the patient diagnoses."

"Closed fracture of tibia and fibula of both lower extremities."

"It's okay to have surgery within 48 hours." Ji Xiang spoke very fast. At the beginning, the doctor in charge of translation next to Dean Zhao could keep up, but after only three sentences, he started to have difficulties.

"No... no problem."

"Well, what are the complications of doing this? Tell me." Ji Xiang continued to press.

"!!!" Dr. Merz was stunned.

The tone of the young big devil talking to himself was like a typical superior doctor lecturing his assistants.

he!
Why!
Dr. Merz felt unconvinced for a while.

But Dr. Merz didn't dare to speak, and suppressed all the grievances.

"Dr. Lin, you are an imaging doctor, you can do ultrasound, right?" Ji Xiang asked, seeing that Dr. Merz was silent.

"I understand." Lin Jiuze said with a smile.

He especially enjoyed seeing Dr. Merz deflated.

Ji Xiang had never spoken to himself in such a harsh tone.

"Brother Liu, the Department of Cardiac Surgery has a transesophageal ultrasound machine in the operating room."

"Yes." The anesthesiologist was shocked by Ji Xiang's fluent English before, and was inexplicably surprised.

"Push the machine here, please."

"What do you suspect?" Dean Zhao asked.

"Pulmonary embolism."

"!!!" Dean Zhao was taken aback.

Pulmonary embolism!
Jixiang even suspected that the patient had a pulmonary embolism! !

No, the patient was young and healthy, and it was just an ordinary general anesthesia operation. How could there be a pulmonary embolism so coincidentally? !

Dr. Merz also felt that he was emotionally wrong, and he was a little ashamed.

Facing the evil dragon, facing the devil king, how can I bow my head!
At this time, you should show your professionalism and beat him in your field of expertise!

Sports medicine is a subspecialty of orthopedics, and Dr. Merz is an excellent orthopedic surgeon.

He believes that this is his own field, and the situation of the patients in front of him is relatively simple, which is the best battlefield.

Unlike Achilles tendon surgery, Dr. Merz doesn't expect surprises for patients.

Those are all low-probability events. If a doctor's mind is full of low-probability events, there is no need for surgery.

"What are you talking about?" Dr. Merz asked.

"The patient may have pulmonary embolism. I suggest that Dr. Lin do transesophageal echocardiography instead of CT." Ji Xiang replied.

pulmonary embolism? !

Dr. Merz was taken aback.

I just said that I need to do CT during the operation, but I didn't expect a series of reactions from the big devil, which is too sensitive!
Besides, pulmonary embolism is a disease with a series of main manifestations such as sudden onset and cerebral hypoxia.

The patient's blood pressure only dropped, and his blood oxygen saturation was always around 100%.

Dr. Merz was afraid that he might be wrong, so he glanced at the value on the ECG monitor, and it was indeed 100%.

"Are you given high-flow pure oxygen?" Dr. Merz asked.

The translator translated his words to the anesthetist.

"No, with normal oxygen, the patient's blood oxygen saturation has always been good." The anesthesiologist replied.

"Impossible!" Dr. Merz swept away the previous decline, and looked back at Ji Xiang, "The blood oxygen saturation has not dropped at all, why do you judge it to be a pulmonary embolism?"

"The patient has already had an incision, so it is true that he is not suitable for CT, but he should definitely not undergo color transesophageal echocardiography!"

"An invasive procedure, even doing an ultrasound, carries the risk of cardiac arrest."

Dr. Merz caught Ji Xiang's "mistake" and said loudly.

In the operating room, apart from the alarm of the ECG monitoring and the beeping of the ventilator, only Dr. Merz's voice echoed.

"Rescue, please keep your voice down." Ji Xiang frowned and looked at Dr. Merz.

Dr. Merz sensed a hint of danger in the eyes of the young big devil. He originally wanted to avoid the edge, but the shame just now made Dr. Merz refuse to show weakness.

"According to the current situation, it is impossible for the patient to have a pulmonary embolism. The blood oxygen saturation has not changed, and you actually said it was a pulmonary embolism?! My God, this is the funniest thing I have heard in the operating room joke."

Dr. Merz said while looking at Lin Jiuze beside Ji Xiang.

The weird guy didn't have a pen or a notebook in his hands, and he was wearing a gown, and there was nowhere to put these things.

After seeing clearly, Dr. Merz let out a long breath.

It's not the diagnosis given by that weird guy Lin Jiuze. Today, as a knight of justice, I have to teach this young big devil in front of me a lesson.

Although he looked young, he was powerful. Dr. Merz didn't think that he would be able to kill him with full confidence in normal times.

But not now.

The patient obviously had a problem with the anesthesia medication, but Dr. Merz could not be sure what it was because he is not a professional doctor.

But certainly not a bullshit pulmonary embolism.

When Dean Zhao saw Ji Xiang ordering the anesthesiologist to push the B-ultrasound machine, he felt a little annoyed.

he!
Why! !

Especially with his own silly son standing right in front of him.

In fact, Zhao Tianjiao, as his name suggests, is indeed the proud son of heaven, otherwise he would not have broken Zhao Jixiang's record of knotting in martial arts competitions for decades.

What a shame, most afraid of comparing each other.

"Doctor Ji Xiang, are you the attending doctor for the patient in front of you?" Dean Zhao asked calmly with his hands behind his back.

"No." Ji Xiang replied calmly, "I'm just offering an idea. Of course, if the patient is finally diagnosed with pulmonary embolism, but the rescue is delayed due to some special reasons, then Dean Zhao can take responsibility."

"!!!"

Zhao Jixiang was beaten to the corner by Ji Xiang's words, and was thrown into the reinforced concrete.

He was very angry, but he couldn't refute Jixiang's words at all.

This is equivalent to Doudizhu playing a "3" himself, and Jixiang threw Wang Zha and the four "2"s out with a bang.

As for what!
Dean Zhao looked at Ji Xiang angrily.

As for what!
As for what! !

His mind has been tortured again and again.

If it were another person, Dean Zhao would definitely set up countless pairs of small shoes for him.

But this is Ji Xiang, the chief dean has valued him very much recently, and director Bai has been protecting Ji Xiang as if he were his own son, and dean Zhao does not manage the medical department, so he is really not good The way to give Ji Xiang a thunderous blow.

The doctors and nurses in the operating room were silent, and no one wanted to join the dispute.

What Ji Xiang did did cross the line, but the sentence that stood on the moral high ground—are you responsible for something that happened, hit everyone’s heart with a critical blow.

Soon, the anesthesiologist pushed in the ultrasound equipment.

"It's hard work, Dr. Lin." Ji Xiang didn't make a fool of himself. He doesn't have many skills in ultrasound, so it's better to let Lin Jiuze handle it.

"My God, I have never seen someone so naive. I have serious doubts about the medical level of your hospital." Dr. Merz babbled.

His voice is not loud, Jixiang may not be able to hear these words, but he just expressed his unyielding efforts.

"Doctor Merz, are you talking to me?" Ji Xiang asked.

"I mean that there is no need for the patient to undergo transesophageal echocardiography. It is better for the anesthesiologist to review the medication!" Dr. Merz's voice became softer and softer.

He was very sure, but for some reason, he still didn't have enough confidence in front of the Great Demon King.

"It doesn't matter." Ji Xiang said lightly, "The anesthesiologist is checking the medication, but I don't think it's meaningful to do a CT."

"!!!"

"Do you think the possibility of thrombus is unlikely?"

"..."

"The orthopedic patient's own trauma triggers are enough to disrupt the coagulation-coagulation system in her body, and thrombus occurs.

Also, this is not an emergency surgery, but an elective surgery.

Prolonged bed rest has greatly increased the incidence of lower extremity deep vein thrombosis.During the operation, due to the large-scale operation of the operation itself and the influence of circulation, the thrombus is likely to fall off.The dislodged thrombus is likely to block the pulmonary artery along with the blood flow. "

"To put it simply, it is because you did not notice the possible formation of venous thrombosis when you positioned yourself before the operation, and the scope of the operation was too large, which led to the situation in front of you."

Ji Xiang spoke at a moderate pace, but in the end he put all the responsibility on Dr. Merz.

"Impossible!" Dr. Merz said angrily, "Elective surgery for patients with closed fractures is in line with clinical treatment guidelines, and the patient is so young, the chance of thrombosis is so small that it can be ignored."

"If it doesn't happen, the probability is zero; if it happens, the probability is [-]%."

"!!!" Dr. Merz was hit by Ji Xiang's [-]% preparation.

Dr. Merz has been completely overwhelmed by Ji Xiang's momentum.

Like Dean Zhao, Dr. Merz could not refute what Ji Xiang said.

If it was at the Massachusetts General Hospital, Dr. Merz would have countless solutions to solve the immediate problem, but now it is a "broken" hospital in a foreign country that can't even do CT in the operating room!
Out of the corner of Dr. Merz's eye, he saw Lin Jiuze moving the patient's endotracheal tube, preparing to move it to a position for color ultrasound of the esophagus.

"Damn, you are irresponsible to the patient by doing this!" Dr. Merz complained.

"Then what should I do if I am responsible?" Ji Xiang asked without hesitation.

"Should...should..." Dr. Merz hesitated for a while.

He has given all the treatment methods that should be given, what is wrong with him doing so?

Dr. Merz couldn't tell.

Although he thought the young big devil was stubborn and ridiculous, he didn't have any advice for Dr. Merz to tell him what to do.

Ji Xiang was not in the mood to argue with Dr. Merz and Dean Zhao.

He stood beside Lin Jiuze with his hands behind his back and stared at the screen intently.

As the B-ultrasound probe moved forward in the esophagus, Ji Xiang gradually felt relieved.Lin Jiuze's operation is extremely proficient, especially in the control of some small details, which reveals a lot of experience.

Soon, the B-ultrasound probe came to the esophagus close to the heart.

It's especially critical here.

The reason why color transesophageal echocardiography is seldom performed is because the technical content is very high, far exceeding that of ordinary in vitro B-ultrasound.

But the advantage is that it can be seen clearly.

Just like now, Lin Jiuze changed the angle of his wrist a few times, exerted a little force, and pushed the probe against the junction of the esophagus and the heart within the range that the patient's heart could bear.

"There is an embolism in the pulmonary artery, and the embolus is about 3×4..." Lin Jiu began to "report" to Ji Xiang based on what he saw.

The anesthetist was dumbfounded.

Cardiac surgery usually does not use this device much, and few people know how to use it. Those who can perform transesophageal echocardiography during surgery are all great.

At least in the eyes of the anesthesiologists in the Second Affiliated Hospital, they are all great.

Unexpectedly, a patient whose blood pressure suddenly dropped after anesthesia was actually accurately diagnosed as pulmonary embolism!
Dr. Merz was also stunned.

The pulmonary embolism shown on the image was very clear, and Lin Jiuze's level was very high, but Dr. Merz just didn't want to accept these facts.

Why is my luck so unlucky, to do a closed tibia and fibula fracture surgery, to encounter such a rare pulmonary embolism!
Even Dr. Merz felt that his luck was extremely bad. The knight's head was covered with dark clouds, and lightning and thunder continued.

The lightning fell on the metal armor, and he was burnt on the outside and tender on the inside.

It seemed that the young big devil hadn't made a move yet, and the knight fell down again.

"Look for a cardiac surgeon to solve it." After seeing clearly the location of the pulmonary embolism, Ji Xiang turned his head and explained to the nurse.

"Oh, oh." The roving nurse looked up at Dean Zhao, and then at the professor of orthopedics. Seeing that they were all staring at the echocardiography screen in a daze, they knew it was probably a pulmonary embolism, and ran out.

Pulmonary embolism is a fatal emergency, and every minute and every second should be cherished!
She quickly ran out of the operating room to call the cardiac surgeon.

Ji Xiang was relieved when he saw that Lin Jiu had told all the positions that should be positioned, and asked the anesthesiologist to record them for the heart surgeon's reference and leave images.

In Ji Xiang's heart, he didn't intend to attack Dr. Merz or have a dispute with Dean Zhao.

It's all for the patients, Ji Xiang thought to himself.

Soon, the cardiac surgeons rushed over, and after seeing the echocardiographic images, they started to move as if they were clockwork.

"Let's go." Seeing Lin Jiuze coming down, Ji Xiang whispered to Lin Jiuze.

Lin Jiuze nodded, but he didn't turn around directly, but leaned into Dr. Merz's ear, "Dr. Melz, your level is really low. There are doctors like you in Massachusetts, so you can always compete with me." But Mayo."

After finishing speaking, Lin Jiuze turned around and followed Ji Xiang to leave.

Dr. Merz's face was gloomy as if it was going to rain. He stared at the incision wound without saying a word.

Soon, the cardiac surgeon began to re-sterilize, and the orthopedic department sewed up the incision, and waited for the cardiac surgeon to perform surgery before reopening it.

Dr. Merz was extremely depressed.

He felt that since he came to this ghost place, no matter what he did, he didn't go well.

I have seen all the operations that should be seen, but I can't understand them.

I was invited to do a minor operation, but encountered a rare pulmonary embolism.

Wenban Yama's recovery is good, and the recovery speed is even more incomprehensible.

All of this seems to have something to do with the Great Demon King, but it doesn't seem to have anything to do with it.

"Dr. Merz, let's go and have a rest first." Seeing that Dr. Merz seemed unwilling to do so, Director Zhao had no choice but to comfort him by standing still in the position of the surgeon.

"Impossible, absolutely impossible." Dr. Merz muttered in a low voice.

Through the disposable sterile cap, Dr. Merz's blond hair can be vaguely seen burning.

……

"Doctor Ji Xiang, how do you judge?"

Lin Jiuze and Ji Xiang went to the locker room to change, and asked curiously.

Ji Xiang smiled, but did not speak.

The system npc told me, do I need to say it?
And the matter was not over, the system npc told Jixiang to find himself after the diagnosis was completed after knowing the situation on the scene.

It was the first time for Jixiang to hear the system npc asking him to go back after rescuing him. He was very curious about what the system npc was going to tell him.

So I just smiled at Lin Jiuze's questions a few times.

After stepping down from the stage, he first watched the patients undergoing surgery at home, and chatted with Zhao Zhe for a while, then Ji Xiang went to the fire escape.

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

"Hello teacher."

"Well, the rescue is over?" the system npc asked with his hands behind his back.

"The diagnosis is over, and the cardiac surgeon is performing an operation."

"The level of vascular intervention in the Second Affiliated Hospital is so low?" asked the system NPC.

Ji Xiang was startled, and then realized the problem.Director Bai had heard some similar things when chatting with Director Liu, but not many.

It seems that the level of vascular and cardiac interventional surgery is not high, and I am not sure to use minimally invasive methods to get out the thrombus of pulmonary embolism.

"Teacher, it seems to be." Ji Xiang said.

"Well, let's not talk about this, the background you said at the time is a bit interesting." The system npc smiled slightly, "How did you do it?"