290 Cunning and cunning

Director Xu was suspicious and took the patient to the Department of Urology to prepare for ureteroscopy.

The patient came to the small treatment room of the Department of Urology for anesthesia, and Ji Xiang placed the patient in the lithotomy position, with both lower limbs skimmed outward and raised, and the upper body lying flat.

"Don't be nervous, just take a look, it's a little uncomfortable but not very serious." Ji Xiang smiled and comforted.

"Doctor, I'm ...... You can't die. The patient asked worriedly.

"How can you figure it out, it's just a little problem." Ji Xiang asked as he posed the patient.

"I'll see other people ...... after I'm hospitalized," the patient said again.

"It's fine." Ji Xiang smiled, "When I was in school, a classmate had an appendectomy, and after the operation, he had a crystal-like rash on his body. ”

"What's that?"

The patient asked.

Director Xu was also dewy, and the rash on the skin after appendectomy was still crystal-like, could it be that there were many relics coming out of the skin.

"The dermatologist took a look and said it was crystal prickly heat. You just say that the name of this disease is sloppy, and if it looks like crystal, it is called crystal prickly heat, right? ”

"Can it be cured?"

"My classmate didn't dare to suffer the wind after the operation, and he was purely covered up." Ji Xiang said with a smile, "After reading it, the dermatologist reprimanded us, saying that there was nothing wrong with us, and we scared the patients." ”

Listening to Ji Xiang's explanation, the patient's mood improved.

Director Liu has long been accustomed to Ji Xiang talking to patients before surgery, which is really similar to Colonel Wang.

Ji Xiang was an assistant, and Director Liu inserted a ureteroscope with the thickness of a wire into the bladder.

Microscopically, the urine in the bladder can be seen to be cloudy with white flocculents, white crystals can be seen at the bilateral ureteral orifice, and the bilateral ureters are full of white detritus crystals throughout the process.

Director Liu had a number in his heart, and it was impossible to see such a sparse thing as a CT.

The patient's lack of urine is caused by blocked ureters and calcified crystals in the kidneys.

Seeing is believing, Ji Xiang's previous judgment was right.

"That's right, Dr. Koji." Director Liu gave Ji Xiang a look.

Ji Xiang nodded after seeing the changes in the mirror and didn't say much.

"I'll see."

Director Xu came over.

She was dumbfounded when she saw white debris crystals spread across her vision.

She also found the instructions for ceftriaxone, which clearly stated that there was a very low probability that it might lead to gallstones.

Now I also see stones in the kidneys, which are still sparse crystal-like substances, and they are about to come out.

"Alkalize the urine with sodium bicarbonate." Director Xu asked tentatively.

After all, he is the director of the nephrology department in the provincial capital, and it is not difficult to treat after knowing the ins and outs. Director Ke Xu still asked Director Liu and Ji Xiang, but he did not make any claims.

She hadn't seen anything like it, so she should be cautious.

Director Liu glanced at Ji Xiang and nodded slightly, and he said, "Well, alkalize the urine first, and rehydrate according to the urine volume." ”

Pull out the mirror, place the double J tube, and send the patient back.

Director Liu was curious, so he didn't rush home when he got off work, so he went to the nephrology department to take a look first.

After alkalizing the urine, the patient's anuria symptoms were quickly relieved, and about 1400ml of urine had been urinated in just a few hours.

The nephrology department has started fluid therapy for the patient.

It's really like this, Director Liu's experience points are +1.

No one thought that the commonly used ceftriaxone would have such serious complications.

"Director Liu, amazing!" Director Xu praised.

"It's okay, it's okay." Director Liu said with a smile.

He scolded the old fox in his heart, and Director Bai's intentions were obvious.

It's like the situation in front of him, not to mention how Ji Xiang gave the diagnosis, just his ability to deal with things surpasses himself and Director Xu, the two clinical directors.

Director Bai spent so much effort, in fact, just to keep Ji Xiang, even if it was a few more points, he did not hesitate to do so.

If you can't stay, you should also find a doctor who has a good relationship with Jixiang to call anytime and anywhere.

He even had the face to apply for the provincial self-discipline for Ji Xiang, which was clearly the biggest benefit that the medical department could get.

Director Liu smiled, not angry. In the bureau set up by Director Bai, everyone has benefits and contributions.

Transferring a doctor from a lower-level hospital over, Director Bai can indeed do it, but he will definitely pay a rather tragic price. If you change yourself, you will definitely not be as resolute as Lao Bai.

Now look at it, it's all worth it.

Lao Bai's vision is still unique, and Director Liu admires it very much.

"Director Liu, is that little doctor next to you a newcomer?"

"No, it's Dr. Guipei. Ji Xiang, have you heard of it? ”

"The one who broke the record in the big contest?" Director Xu's eyes lit up.

"Hmm."

"Where's the next department?" While it's hot, hurry up to our nephrology department. Director Xu was a little warm.

"Don't even think about it." Director Liu laughed, feeling a little gloomy in his heart.

Sure enough, everyone has to grab the good seedlings who are capable. Fortunately, he started early, and even did not hesitate to save the country with a provincial project to lure Zhao Zhe.

"Director Liu, I can look at that kid."

"yes, I fell in love with this kid at first sight." Director Liu put on a Bole look.

"What a lot of pride, people will soon rotate to the next subject." Director Xu couldn't look down on Director Liu's old and relieved face, so he struck a sentence.

This is a problem, but it should work with the current plan.

Director Liu was happy to get off work, and when he returned to the department, he saw Zhao Zhe frowning like a philosopher, standing at the door of his office with a sad face.

If you don't know, you think that this middle-aged man is a family member of the patient.

"Doctor Zhao, what's wrong?" Director Liu asked.

"Director, I'm ...... I ......"

Director Liu saw Zhao Zhe's constipated face, and his heart was slightly cold.

Will there be grassroots doctors who will not come to the Second Affiliated Hospital, and stay in the local area and die alone? It's not good to see Zhao Zhe messing around in his hometown, a young doctor on duty can scold him as much as he wants, what's not to let go?

"Doctor Zhao, come in and say."

After entering the director's office, Director Liu pretended to be relaxed and asked, "It's okay, if you can't come, you can't come, and I can find someone else to do it." ”

"......" Zhao Zhe's face flushed.

He suddenly became unable to speak, and he looked like he had throat edema, and Director Liu's hands were itchy, and he wanted to give him a tracheotomy.

"Speak slowly, not in a hurry."

Zhao Zhe was obviously nervous, his hands were a little shaky, and he pressed Director Liu's desk, and the bed was pale.

Director Liu sighed in his heart, it is estimated that there is a tigress in the family, and he does not agree to the separation of the two places.

Director Liu has also seen similar things.