15 A good surgeon is necessarily a good internist

"Lao Mo, it's not that I don't believe you, I always feel that this kind of difficult case analysis is impossible for a student to answer." Director Sun said bluntly.

Not to mention students, what about those experts and professors back then? It's not like a lost dog one by one.

He looked at the standard answers on the test paper and thought of the tall figure that seemed to glow, and his mind was a little confused.

"Call Mr. Ji to ask him about his solution ideas in person." Dean Zhao said.

The little clerk next to Director Sun immediately looked for Ji Xiang's phone number and dialed it.

Professor Mo was a little excited, not ordinary excitement, he vaguely saw a baby.

In Professor Mo's heart, this reserve trainee has been upgraded from a student to a baby, and even to a baby pimple.

A good surgeon must be a good internist, this is what his teacher said, Professor Mo thinks he can't do this, but Ji Xiang did it!

Thinking of the deceased teacher, Professor Mo's heart was shaken and slightly sad.

"Sun, why do you always think it's impossible." Professor Mo retorted.

"Don't say it's a regular trainee, your diagnosis of dry surgery is rough, don't you know it in your heart." Director Sun was not subtle, and said very bluntly.

"A good surgeon is necessarily a good internist." Professor Mo argued, "This is what my teacher said, and although he passed away unexpectedly for more than 20 years, I still remember it. ”

Hearing Professor Mo mention his teacher, even Dean Zhao did not refute it.

That urology bull had a promising future and was at his peak, but he died because of a robbery, which really made people sigh.

Usually Professor Mo is ghostly, and he doesn't want to quarrel with others, but when he mentions his deceased teacher, he becomes a different person.

It was extremely tough, and it seemed that every word of his teacher was enshrined as a guideline and could not be blasphemed.

……

After Ji Xiang went out, he found a secluded and cool place, sat cross-legged on the ground very casually, closed his eyes and concentrated, and entered the system space.

The exam questions are really difficult, but I can't stand him with the old man of the system.

The system NPC is very strong, and when Ji Xiang saw the case analysis behind, he knew that the teacher who asked the question was deliberately embarrassed.

He also wanted to embarrass the system NPCs to see how the system was doing.

Unexpectedly, the system NPC listened to Ji Xiang and gave the answer, and there were possible values of the inspection data that did not appear in the question stem.

Ji Xiang knew that this was not an unpredictable prophet, but extremely deep clinical experience.

At this point, his admiration for the NPCs of the system has risen to another level.

The operation is done well, that is the duty of a surgeon, and Ji Xiang has psychological expectations for this.

However, the person in front of me can also analyze clinical cases, and the system is indeed very good and advanced.

Woken up by the mobile phone, Ji Xiang came out of the system space to answer the phone.

Knowing that the Science and Education Department was looking for him to go back, Ji Xiang probably knew what it was for. He stood up, patted his pants, and strode back to the building.

"Mr. Ji, this side." Director Sun of the Science and Education Department stood at the elevator door and waited for Ji Xiang.

The elevator door slowly opened, and he once again saw Ji Xiang's tall figure like a luminous body.

Director Sun's pupils are constricted, and he is sensitive to light reflection, as if looking directly at the sun.

Professor Mo also came out, and he familiarly pulled Ji Xiang and reproached, "How can the exam be handed in so early?" It's also good to check again. ”

"Teacher Mo, why are you here?" Ji Xiang greeted Director Sun and asked Professor Mo.

"Look at your exams, I have time to ask you to go to the outpatient clinic."

At the same time, Ji Xiang heard a crisp sound of "ding dong" in his ears, and the system issued a new task.

[General task: assembly line.]

Description: Complete at least 20 substapler circumcisions.

Mission time: 24 hours.

Reward: Basic Reward 1: 2 Surgery Points, after completing 20 surgeries, there will be a reward of 0.3 Surgery Points for each additional operation completed. Base Reward 2: XP +3000. 】

Hey? Not bad.

Ji Xiang smiled and looked at the tasks issued by the system panel in the upper right corner of the field of vision, and his hands were already starting to itch a little.

"Still laughing." Professor Mo patted Ji Xiang on the shoulder and comforted, "The gun shoots the first bird, even if you answer the question quickly, you have to wait for other students to hand in the paper before handing in the paper, remember?" ”

"Thank you, Professor Mo." Ji Xiang knew that Professor Mo was telling him the truth, so he sincerely said thank you.

"Mr. Ji, did you scribble the final case analysis?" Director Sun walked to the conference room with Ji Xiang and asked as he walked.

"It's not." Ji Xiang replied.

"It's so easy to write, and the idea of solving the problem is not written."

"I wrote out how to deal with the final problem of case analysis. The question stem didn't say the idea of disintegration, so I didn't write it. ”

Director Sun was choked by Ji Xiang's words.

Professor Mo sighed in his heart, what he was talking about was Ji Xiang.

But he didn't say much, Professor Mo was also curious about Ji Xiang, what brain circuit did Ji Xiang use to get the correct answer to such a complex case?

When he came to the conference room, Dean Zhao sat upright, looked Ji Xiang up and down carefully, and asked with a smile, "Mr. Ji, tell me about your idea for solving the case analysis problem." ”

For the solution of the problem, Ji Xiang has already heard from the system NPC, and at that time, the system NPC also cited a lot of related cases and some laboratory tests that the questioner intentionally or unintentionally missed.

Ji Xiang is talented and intelligent, and he almost never forgets what the system NPC said.

"That's right." Ji Xiang stood in front of many teachers and deans casually, as if he was defending his graduation thesis.

"For the final case analysis, I think there is a lack of clinical data, which is probably related to the fact that the question stem cannot be too long."

"Huh?" Director Sun frowned and snorted.

He came up with the question, and Director Sun did take this into account at that time. Ji Xiang said in one sentence the state of mind of Director Sun at that time.

"At least there is no consultation information from the nephrology department."

β€œβ€¦β€¦β€

Director Sun was stunned for a moment, and he began to suspect that the classmate Ji in front of him had the ability to see through his heart.

"Let's not talk about these for now, let me talk about the diagnosis of this patient, and the teachers will give more opinions."

Ji Xiang smiled, looked around at everyone present and began to explain.

"There are two main reasons for low blood sodium, either less goes in or more comes out.

It is estimated that endocrinology consultation to continue sodium supplementation and use diuretics with caution is the reason for thisβ€”to get more sodium in and to excrete less sodium.

But I looked at the question of the case and found that although the patient's appetite was not very good, it was not so fast that the blood sodium suddenly fell so fast.

A few days before the critical value appeared, when the blood sodium was slightly low, it is estimated that the doctor in charge of the bed will let him eat salty, or will tell the patient to take salt capsules orally.

Even if you can't eat so many pickles or salt capsules, the doctor gave the patient enough sodium at that time.

So the reason why there are fewer people in is not valid.

As for whether it comes out too much, the electrolytes of 24 hours of urine ......"

Ji Xiang said, raising his hand and scratching his head.

"There is no 24-hour urine electrolyte test report here, which makes me very confused."

Director Sun listened to Ji Xiang's words, and when he heard this, he felt like he had been slapped in the face.

At that time, it was indeed because the question was too long, and Director Sun did not think that the reserve trainees had the ability to solve this problem, so he deleted a report card.

He didn't think this report was very important, but when Ji Xiang pointed it out to his face, Director Sun knew that he had missed a major reference.

It's embarrassing.

"Since there is no report, how did you solve the problem?" Dean Zhao asked with a kind face.

"Guessed based on the state of the patient before and after." Ji Xiang calmly said what the NPC said at that time.

β€œβ€¦β€¦β€

β€œβ€¦β€¦β€

"What do you guess the test values?" Dean Zhao asked.

Ji Xiang in front of him was heroic, which made Dean Zhao a little envious, how good it would be if it were his own son.

No, if his son could talk so eloquently and without fear in front of the experts of the Second Affiliated Academy, it was as if he was an expert and was teaching a group of students.

If so, how nice would it be!

Ji Xiang heard Dean Zhao say this, picked up a pen and paper and wrote down the values given by the system NPCs.

Two years have passed, and there are no orthopedic or renal and endocrinology experts present, and no one remembers the results of the 24-hour urine electrolyte test.

Even if the experts were there at the time, they would not remember.

Professor Mo took a few glances and felt that Ji Xiang's writing made some sense, but the clinical test results were ever-changing, and Ji Xiang was still too subjective.

"You go to the medical record room to get your medical records." Director Sun asked his staff to take medical records.

This is a bit stingy, Professor Mo shook his head helplessly.

He observed Ji Xiang's expression, and saw Ji Xiang's relaxed appearance that he didn't think it was, and knew that this was the reason why the young man hadn't been quenched in clinical practice.

Soon, the medical records were brought in, and Director Sun flipped through the old medical records.

Although the medical records are well preserved, they still smell a little rancid.

"There must be errors, and Mr. Ji provided an idea." Professor Mo helped Ji Xiang prepare the steps in advance.

Dean Zhao smiled lightly, glanced at Ji Xiang, and shook his head in his heart.

Can the missing clinical data be made up by brain filling alone?

Isn't that a joke?

Even ordinary laboratory data cannot be imagined by brains, not to mention that this patient was consulted so many times in the whole hospital that year, which is a difficult case.

In the end, a deputy director of the Department of Orthopedics called and consulted his teacher, and his teacher gave advice.

But there was no need to talk to the young man about these things.

This young man is indeed good, but he is a little sharp, and he is too confident.

It's inexplicably confident.

Dean Zhao thought, a hint of ridicule appeared at the corner of his mouth, and his gaze fell from Ji Xiang to Director Sun......

Director Sun froze in place like a fairy who had been immobilized by a monkey.

Well, it's no wonder that the monkey is only interested in Pan Tao, and it is impossible for him to be interested in Director Sun in other words.

Looking at Director Sun's constantly open mouth and the hara that was about to flow out of the corners of his mouth, Dean Zhao vaguely guessed what was happening.

"Sun?" Professor Mo pushed Director Sun, but he didn't expect to push Director Sun to a tail.

"Be careful." Professor Mo held up Director Sun.

He was surprised, did Director Sun have a sudden cerebral infarction?

The moment Professor Mo's gaze fell on the test sheet that was centrally printed in the medical record, he was also frozen.

There are some discrepancies between the values on the 24-hour urine electrolyte report and the values written by Ji Xiang, but the discrepancies are not significant. Although it is not exactly the same, it has been proved that Ji Xiang must have deduced it with incomparably deep clinical skills.

Derivation......

Medicine is not mathematics, how can it be derived?

For a moment, Professor Mo's mind went blank.

……

……

Note: The title is used to mourn the teacher who unfortunately passed away.