Doctor of Healing

Chapter 792 Acute appendicitis caused by anger
Dr. Merz looked at Wenbanyama silently.

Now is the situation he most wishes to see, not one of them.

Even if the young big devil's surgery is successful, and Wen Banyama goes to a small team and fails to score, the benefits will be much less for the big devil.

For myself, there is a lot of time to maneuver.It is best to digest and learn the surgical techniques of the Great Demon King during this period of time.

The kid named Wang Dali was really lucky, he seized the opportunity of the main player's injury and quickly rose to the position, so that he got a transfer invitation from Manchester City regardless of the cost.

But Vinbanyama's luck doesn't seem to be so good.

The ringing of the phone woke Dr. Mertz out of his reverie.

Wenbanyama's phone rang, but he didn't seem to hear it, and he was still immersed in the astonishment and surprise of being sold.

The young man glanced at the phone in frustration, and shook it at the personal trainer.

"Whose phone is this?"

Wenbanyama's personal trainer took a look and shook his head.

"Hello, hello." Wen Banyama answered the phone.

Immediately!

He froze, his hands were stiff, his nail beds were pale.

Dr. Merz even noticed that Vinbanyama's plaster cast moved, as if the violent physiological electrical reflex of his limbs had broken the plaster barrier.

A woman's voice came faintly on the phone, but Dr. Merz couldn't hear what was said clearly.

He is really a young man, he can answer a woman's phone with a plaster cast on, and Dr. Merz despises him.

Doesn't Wenbanyama know that he is now facing a life-and-death decision?Doesn't he know what it means to him to be sold to a small ball market in a contract year?
It is possible that an extremely small event will lead to his fall, but now with the idea that the Green Kai uniform team wants to sell him, this small probability has increased infinitely.

Dr. Merz felt that if he was himself, he would definitely mobilize various network resources immediately to fight for a team that is qualified to compete for the championship.

Instead of wasting precious time flirting with a woman like Wenbanyama.

The point is that Wen Banyama is obviously a first-timer, he listened to the woman on the other side of the phone in a daze, with a puzzled look on his face.

"Victor, who is it?" Wenbanyama's personal trainer made a mouth shape and asked tentatively.

"Jenny Bass," murmured Vinbanyama.

Both Dr. Merz and his personal trainer froze when they heard the name that Wenbanyama said.

Not flirting, but a call from the owner of the Lakers!
Jenny Bass actually made a lobbying call directly to Wenbanyama, disregarding the rules of the league! !

Although there are various prohibitions during this sensitive period, they are all negotiable.

Just pay a fine at most, who can do anything to the Lakers.

Jenny Buss' desperate approach has already signaled her desire for Venbanyama.

Dr. Merz stared blankly at Wenbanyama, and he had a strange thought in his mind——Wenbanyama's luck is really good.

Yes, he's had good luck, and not in general.

There has been a blood feud between the yellow and green for many years, and the battle between the yellow and the green is also one of the traditional dramas of the NBA.

It is not so difficult for the Celtics to sell their star to the Lakers.How long has it been since the two teams traded?Dr. Merz couldn't remember.

The reason why Wenbanyama can be put on the table for discussion is whether to believe or not to believe that Wenbanyama can recover.

Obviously, the Lakers want to take a gamble, but the Celtics' uniforms don't believe it. They took the opportunity to dump the burden on the Lakers and take time out of the Lakers' team and future.

Wenbanyama quickly regained his composure, and he communicated with Jenny Bass on the other side of the phone.

Dr. Merz struggled to understand what he said in Wenbanyama's broken English-Jenny Buss was madly inviting him to the Lakers.

For this reason, the Lakers will not hesitate to pay an extremely high price.

Even she is willing to trade with her old enemy.

It is not easy to impress the uniform team of the old enemy. I don't know why Jenny Buss wants to put all his eggs in one basket.

Could it be that she was bewitched by the Great Demon King? !

Damn it, Dr. Merz cursed inwardly.

But he quickly recovered his calm. The Lakers have been rebuilding since LeBron's retirement tour, and it is estimated that they want to try their luck.

Jenny Buss is bound to fail, sure!
When Wenbanyama hung up the phone, his personal trainer quickly asked, "Victor, what did Miss Jenny say?"

"She invited me to the Lakers and said that as long as I nodded, she would personally negotiate with the Celtics."

"!!!"

Although he could have guessed it a long time ago, when Wen Banyama admitted it, everyone was still inexplicably surprised.

"Great, really great!" Wenbanyama's personal trainer rubbed his hands in overjoy.

Dr. Merz was so angry that he trembled all over, but he didn't notice it.

But immediately Dr. Merz felt a sharp pain in the lower right abdomen, like a small knife.

F***! ! !

Dr. Merz was taken aback. Could it be that the damned acute appendicitis came to his door? !
Why at this time!
However, Dr. Merz immediately felt fortunate that his heart had resisted when he was emotionally fluctuating just now. If it wasn't for the damn acute appendicitis that woke him up, he might need a stent urgently.

It didn't matter if it was at Massachusetts General Hospital, but Dr. Merz wasn't sure about the level of medical care here.

Dr. Merz immediately left the ward and called for an interpreter.

"Doctor Merz, what can you do?" the interpreter asked cautiously.

Since he came to the Second Affiliated Hospital, he hasn't had much work to do.

Ji Xiang's spoken English is much more authentic than him, especially when communicating with Wen Banyama, the spoken English with a strong French accent at the beginning was really a headache, but Ji Xiang could understand it.

Later, the two simply communicated in French, so the translation has been nothing to do.

"I have a stomachache," said Dr. Merz and the translator. "See their doctor. I think it's acute appendicitis."

"!!!" The translator recognized Dr. Merz's expression and saw that he was bent over with pain on his face. He was sure it was not a joke, and immediately called the head of the orthopedics department.

Xu Leyu hurried over and called Dr. Merz to the pharmacy for a physical examination.

Typical positive McBurney's point tenderness in the right lower quadrant, with rebound tenderness and even a little muscle tension.

Xu Leyu felt that there was no problem in diagnosing acute appendicitis, although there were still several differential diagnoses.

Immediately called the senior general consultation of gastrointestinal surgery.

"Mr. Xu, who is this?" the boss of Gastrointestinal asked.

"Isn't this the latest NBA star to undergo surgery here?" Xu Leyu said with a little pride, "This is a sports medicine expert from Massachusetts General Hospital, who came to learn and communicate with Xiaoji."

"Cut! You are so happy, what does it have to do with you?" Seeing Xu Leyu's eyebrows beaming when he mentioned Ji Xiang, the boss of Gastrointestinal said sourly.

Recently, a group of people in the orthopedics department and the urology department have taken advantage of it, and SCI is almost wholesale, and everyone has a copy.

Everyone was pretty much the same, but Xu Leyu added a few top sci articles within a month or two, so it was impossible not to be jealous.

For doctors of their age, one or two more SCI papers will have an extremely profound impact on the future.

"Hahaha." Xu Leyu laughed softly, "There are patients, please be serious. Dr. Merz, an expert in Massachusetts, suddenly has pain in the lower right abdomen. Do you think he needs to be hospitalized?"

"It should be appendicitis." The gastrointestinal boss sighed, "Go to the hospital, I didn't talk to..."

He hesitated suddenly, and his eyes lit up when he thought of something.

"Old Xu, there is no translator, you can ask Xiaoji to help."

Xu Leyu looked at the ready-made translator standing in front of him, but the boss of Gastroenterology said that there was no translation, and he was dumbfounded.

He is also aware of the small thoughts of Boss Gastrointestinal.

"You have Xiaoji's phone number, if you want to call, call yourself."

"You're stingy, aren't you?" the boss of Gastrointestinal said, "You guys are more familiar, this is all extreme, I'm afraid that if I call, Xiaoji will get angry on me when he wakes up."

"Forget it now, I'll call Xiaoji." Xu Leyu glanced at Boss Gastrointestinal, "What do you need to check?"

"It's still the old rule, first rule out kidney stones and other urinary system diseases."

Men's right lower quadrant pain may also be kidney stones, etc., which really need to be checked.

After admitting Dr. Merz to the hospital and going through the hospitalization procedures, Ji Xiang strode in soon.

"Mr. Xu, you said that Dr. Merz is sick?"

"A preliminary diagnosis of acute appendicitis." Mr. Xu smiled, "Maybe it's because of acclimatization."

The big frame of acclimatization can be filled with anything. Jixiang suddenly remembered that a paper said that acclimatization may have something to do with the local epidemic bacteria and antibodies.

But acute appendicitis is far from this explanation.

"Boss Zhao from Gastrointestinal said he wanted to ask you to be an interpreter, I think he wants to..." Mr. Xu said half of the sentence with a smile.

Mr. Xu is too embarrassed to take advantage of himself enough.

"I'll go and have a look." Ji Xiang said, "However, it seems a bit difficult to write a paper on acute appendicitis."

"Hahaha."

Xu Leyu laughed.

If Ji Xiang could write a paper on acute appendicitis and publish it on a slightly higher-level SCI, he would definitely lie on the ground and worship with five bodies.

It's impossible, Boss Zhao was also greedy, and ended up fooling around.

Ji Xiang didn't chat with Xu Leyu, and went directly to the gastrointestinal surgery department.

Dr. Merz bent over on the bed in pain, like a big shrimp, still cooked.

After seeing Ji Xiang coming, Dr. Merz had a strange expression, as if he forgot the pain for a moment.

"Dr. Merz, are you done with the physical examination? Have you done the examination?" Ji Xiang asked.

"I'm sorry for your medical treatment..."

Dr. Merz only spoke half a sentence, probably because of a sudden burst of pain that stopped him abruptly.

"What's wrong with our medical treatment?" Ji Xiang was taken aback, then turned to look at Mr. Zhao from the gastrointestinal surgery department, "Hello, Mr. Zhao."

"Ham, don't be so polite." Boss Zhao said quickly, "Some of the existing examinations have not come back. Although acute appendicitis can be diagnosed, I feel a little strange and want to do a CT."

"Doctor Merz said it was unnecessary."

Boss Zhao briefly explained the situation.

He then began to "report" the differential diagnosis with Ji Xiang just like reporting his condition to a superior doctor.

Acute appendicitis, acute cholecystitis, acute pyelonephritis, ureteral calculi, bacterial enteritis or appenditis, and amebic colitis.

Boss Zhao explained in detail.

Ji Xiang was flipping through the existing inspection reports.

Preliminary blood work revealed acute leukocytosis, 14 x 109/L, elevated C-reactive protein, 39 mg/dL, and normal hemoglobin and platelet counts.

Liver and kidney functions were normal, and serum amylase and lipase were not elevated.Urinalysis and microscopic examination were normal, and stool examination did not reveal any eggs or cysts.

In clinical practice, urinary calculus is mainly checked. Boss Zhao did it very meticulously, and checked some extremely rare differential diagnoses.

Ji Xiang was a little puzzled.

"Mr. Zhao, it's all done like this, what questions does Dr. Merz have?" Ji Xiang asked.

"He said there were too many tests and called for emergency surgery."

Ji Xiang knew that Boss Zhao still had something to say.

He didn't say anything, but looked up at Mr. Zhao.

"Ultrasound examination of the abdomen revealed heterogeneous hyperechoic mesentery with mild free fluid in the right iliac fossa and lumbar regions, and the appendix was not visible."

"After all, I didn't see the appendix. The B-ultrasound is a bit strange. I want to do a CT scan for him."

Mr. Zhao was a little embarrassed, and lowered his voice to explain to Ji Xiang.

Ji Xiang held his breath and came to the operating room of the system.

Ji Xiang has reservations about the disagreement between Mr. Zhao and Dr. Merz.

Maybe it can be said that Mr. Zhao is too cautious, but what if?So it is best to come to the system operating room and ask the system npc for their opinions.

Mr. Zhao looked at Ji Xiang and saw that Ji Xiang was lost in thought. He shook his head, "I contacted Professor Sun who was on duty. He will come right away. I think he needs emergency surgery."

"It's better to do CT." Ji Xiang suddenly said after a short thought, "B-ultrasound did not see the appendix, who knows what will happen."

After speaking, Jixiang began to communicate with Dr. Merz.

Mr. Zhao looked at Ji Xiang in a daze. He never expected that Ji Xiang would support him.

In fact, Mr. Zhao has no theoretical basis, but simply wants to be cautious, after all, Dr. Merz is a foreigner.

It's not that foreigners should be prioritized in everything, but Mr. Zhao doesn't know what kind of trouble they will cause.

A few years ago, a cake seller got sick, and there were countless troubles in the end, so Mr. Zhao was subconsciously cautious.

But Jixiang is very serious about "helping" himself to speak.

Mr. Zhao immediately saw Dr. Merz holding back the pain and waving his arms weakly, expressing his anger and denial.

And Ji Xiang was explaining to Dr. Merz with a calm expression.

It's no wonder that publishing a SCI paper is as simple as drinking water, eating, and breathing. The oral language alone makes Mr. Zhao envious to the core.

Mr. Zhao can also communicate with Dr. Merz, but some special professional terms and fluency are far behind Ji Xiang.

"No, no, no!" Dr. Merz said three nos forcefully, expressing his point of view.

Ji Xiang had no other choice, "Mr. Zhao, you contact your director, and I will contact Director Bai."

"!!!"

"Dr. Merz disagrees with plain CT scan. He thinks it's just acute appendicitis, which requires anti-inflammatory and surgical treatment."

"Or just do it like this." Mr. Zhao said vaguely.

"Contact the superior doctor, it will be difficult if there is no accident." Ji Xiang said, "Doctor-patient communication in both Chinese and English... Shall I come?"

Mr. Zhao was ashamed.

Do you want to write doctor-patient communication in both Chinese and English?
Does Ji Xiang want to file a lawsuit with the diplomats of the embassy?

It's just a simple case of acute appendicitis, and all the clinical evidence is clearly pointing, so I'm also asking for caution.

Xiaoji was speaking for himself, but what he did... seemed a little too hard.

Mr. Zhao was frightened at once. Seeing Ji Xiang turn around, he followed him. He wanted to make it clear to Ji Xiang that he just said it casually, and he didn't have to give Dr. Merz an abdominal CT.

Unexpectedly, Ji Xiang had already taken out his mobile phone and started making calls.

The contact information appeared brightly on the screen of the mobile phone—Director Bai of the Medical Affairs Department.

Ji Xiang actually came for real!
He really called Director Bai. In the middle of the night... Boss Zhao's back was covered with white sweat.

For Mr. Zhao, Director Bai is the King of Hades who is demanding his life. If there is nothing wrong, who would want to contact him.

"Director Bai, hello, I'm Ji Xiang."

"Dr. Merz, who came to observe and learn from Massachusetts General Hospital, fell ill, and now the initial diagnosis is acute appendicitis. Dr. Merz also thinks so, and requires emergency surgery."

"My point of view is that the diagnosis is still unclear, and abdominal CT is needed to make several key differential diagnoses."

"Yes, yes, it's not easy for us to deal with foreign affairs disputes."

"The hard-working Director Bai, I'm really sorry. Although Dr. Merz is here to learn and communicate, he may be involved in foreign affairs disputes after all, so I can only ask you for help."

"Okay, then I'll wait for your news."

After Ji Xiang finished speaking, he hung up the phone.

"What did Director Bai say?" Mr. Zhao asked anxiously.

"What he meant was to listen to the opinions of front-line clinicians. It is much better to be cautious than to open your stomach and see the unexpected."

"!!!"

Mr. Zhao almost didn't cry.

I just said it casually, since Dr. Merz, who is a patient, objected, he just went on stage.

The reason why he "reported" with Ji Xiang was that Mr. Zhao also wanted to show his professionalism.

After all, it is not easy to mix SCI papers because we are far away.

But Mr. Zhao never dreamed that Ji Xiang would be so serious!

The sadness in his heart flowed like a river.

"Xiaoji...that's not what I meant." Mr. Zhao explained in a low voice.

"Ms. Zhao, I think your judgment is right." Ji Xiang looked at Mr. Zhao and said seriously, "Dr. Merz's auxiliary examination does look like acute appendicitis, but I always feel that something is weird."

As he said that, seeing Mr. Zhao's strange expression, Ji Xiang smiled and said, "Don't worry, I will tell Director Bai that I won't embarrass you."

"..."

Mr. Zhao has heard that Ji Xiang is bright and generous. After all, there are only a few top-level SCI doctors who give away casually.

It is normal for many acting professors and their graduate students and doctoral students to turn against each other because of one or two papers.

It was the first time I had a deep contact with Jixiang, and this kid was even weirder than the legends said.

Indeed, in Mr. Zhao's view, there are no too many SCI papers, and it's weird to give them away.

Not only that, but when facing Dr. Merz, he showed more concern than himself.

How is this going?

Jixiang ignored Mr. Zhao, he went to the doctor's office to write a doctor-patient communication document in both Chinese and English, printed it out in triplicate and took it to the drug change room.

"Dr. Merz, this is communication. If you want to perform an operation, you can, sign, and we will go on stage now."

Ji Xiang gave the English version to Dr. Merz.

Dr. Merz glanced twice, with an extremely ugly expression, which was similar to that of Mr. Zhao who was reading the Chinese version.

Jixiang wrote very clearly in the communication document - the surgery team believes that before any surgical intervention, CT examination should be performed first, and if possible, emergency contrast-enhanced CT examination is recommended.

In addition to doing ordinary CT examination, Jixiang even suggested enhanced CT!

For a moment, both Mr. Zhao and Dr. Merz had a strange idea in their hearts—Ji Xiang did it on purpose.

He deliberately made a small matter bigger, just to mess with Dr. Merz.

Private use of public equipment, public revenge, these bad words appeared in Mr. Zhao's mind, and he even started to regret it.

I didn't expect Jixiang to be such a person.

That's right, I heard that he had a very bad attitude towards Boss Qin of the Hepatobiliary Surgery Department when he was in Shanghai.

Mr. Zhao's hands and feet were numb, and he felt that he couldn't get off the stage.

"Dr. Merz, if you insist on the operation, then sign. If you agree with our treatment, hurry up and get an abdominal CT."

Dr. Merz waved the communication document in his hand angrily, maybe because he moved too much, he let out a scream and his face turned pale.

But Dr. Merz still looked at Jixiang viciously, like a knight of justice who fell at the feet of the big devil.

"This is an abuse of CT," Dr. Merz said bitterly.

"It doesn't matter if you abuse it. Now you are not in the Massachusetts General Hospital, but in the Second Affiliated Hospital." Ji Xiang said flatly, "It's just a signature. If you want to have an operation, you can sign it. Otherwise, if you open your stomach and see that it is not appendicitis but other diseases, we can explain it to you and the diplomatic department.”

"You! I'm a doctor here to observe the operation, you can't treat me like this!" Dr. Merz roared hoarsely.

"Normal medical procedures are really difficult." Ji Xiang looked at Dr. Merz and shook his head helplessly, "Could it be that you didn't experience similar situations when you were diagnosed and consulted at Massachusetts General Hospital?"

Dr. Merz was taken aback.

"It shouldn't be. As one of the top five large general hospitals in the world, I don't think Massachusetts General Hospital's technical capabilities should be so poor."

"It's just a simple case of acute appendicitis. You're going to do an abdominal CT scan. What disease do you want to identify?" Dr. Merz asked angrily after resting for more than ten seconds, regaining some energy.

"This is something that I, a patient, can always know."

"Oh, I suspect omental infarction."

"..."

"..."

Dr. Merz and Mr. Zhao were stunned when Ji Xiang mentioned omental infarction.

Omental infarction? !
Dr. Merz is not a gastrointestinal surgeon, so he has absolutely no knowledge of this type of disease.

Mr. Zhao knows, but he has also seen it in the corners of textbooks and in the literature of world medical journals.

In fact, he never encountered similar patients in reality.

Ji Xiang,

Must be making excuses!

Mr. Zhao thought in his heart.

What kind of omental infarction is impossible!Dr. Merz's diagnosis was acute appendicitis!

(End of this chapter)