"Xiao Ji, how do you see that?"

After coming back, Deng Chaohong asked suspiciously.

"Teacher Deng, I didn't see it." Ji Xiang said casually, "I just saw that the color of the patient's feet was a little wrong, and as for Budd-Chiari syndrome, I also thought that it was written in the book, don't laugh at it."

"Really?" Deng Chaohong looked at Ji Xiang seriously, looking up and down, as if they were meeting for the first time.

In the case of the patient just now, Budd-Chiari syndrome rarely presents with symptoms of orthopedic spinal stenosis.

I remember a patient in the proctology department who had hemorrhoids cut and committed, and finally the whole body examination confirmed that it was Bu-Chiari syndrome.

Similar situations are the most headaches, but it is difficult to even make a clear diagnosis, and the patient's symptoms are atypical, and it is difficult for anyone to change.

If there is no Ji Xiang here today, I guess I will be misdiagnosed.

Thinking of the previous Chunchun teachings to Ji Xiang, Deng Chaohong's old face turned a little redder.

"Let's go, let's eat." Deng Chaohong said.

"Mr. Deng, how many patients do we usually see in our outpatient clinic in a day?" Ji Xiang didn't mention the Budd-Jia syndrome, and chatted with Deng Chaohong about family life while packing up his things.

Deng Chaohong has always been interested in Ji Xiang, and he knows that this young man has unlimited potential.

After dinner, I returned to the hospital, and went out for another afternoon outpatient clinic, and when I got off work, Deng Chaohong said to Ji Xiang, "Doctor Xiaoji, I have time to communicate with Mr. Xu more. The emergency surgeries in our orthopedic department are all done by the inpatient boss, and there is no harm in doing more surgeries if you are familiar with the boss."

"Thank you, Mr. Deng."

Ji Xiang also felt that he should be more in the clinic, although there is a systematic operating room, but that is not all.

The operating room is more similar to a training ground, where mules and horses have to be pulled out for training.

He didn't change his clothes when he returned to the ward, but went to find Xu Leyu, the chief resident of the orthopedic department.

"Mr. Xu, how is our orthopedic emergency department at night?"

Ji Xiang walked to the door of the office and heard Lu Kai chatting with Xu Leyu and Mr. Xu.

Lu Kai's communication skills are really strong, urology is like this, after coming to the orthopedic department, he used the shortest time to get along with the hospitalized boss.

Listening to his chatting tone is familiar and natural, this little fat man has a natural affinity. And he has a thick skin and is self-cooked, which Ji Xiang does not have.

Ji Xiang smiled and walked into the office.

"It's okay, no more, no less, if you really want to have surgery, you can rotate continuously." Xu Leyu raised his eyes and swept Ji Xiang and replied simply.

Xu Leyu is fair-skinned and has a bookish atmosphere, looking like a popular student.

"It doesn't matter if you're in a hurry or not, the main thing is that nothing happens." Xu Leyu and Lu Kai said, "You heard what the director said early in the morning."

"I heard it, I went to inquire about it today, I guess it was the head of the gastrointestinal department who was busy going to the emergency department that day, and he didn't say a few words, and the patient's family misunderstood." Lu Kaidao.

"Misunderstanding, it's a trivial matter." Mr. Xu smiled evilly and looked at Lu Kai, "Do you know what the most important skill is when you are hospitalized?"

"Surgery? Diagnosis?" Lu Kai replied.

"No, the most important skill is face-to-face."

「！！！」 Lu Kai was stunned.

Ji Xiang also found it interesting and sat down to listen carefully to Mr. Xu's words.

….

"I'm afraid you don't understand, so I'll give you an example." Mr. Xu said, "A few days ago, there was a complaint from the glandology department, which was very scary, and the patient's mother insisted that the surgeon used a needle in her son's carotid artery, which almost killed her son."

"Uh, it's impossible, how strange does this kind of thing sound......" Lu Kai said more and more quietly.

"At that time, it was so bad that I went to take a look, and the patient's family took pictures. When I saw it, it wasn't the carotid artery at all, it was supposed to be the scar after the removal of the drain left after the thyroid gland was cut."

"I'll go, can I complain about this? Still saying so evil? Are the self-media all crazy?" Lu Kai was surprised.

"This is something that the patient's family obviously doesn't understand, since

I've scared myself, but I don't think I have any other thoughts. If you really have to think about it, which medical record in the hospital can't find a problem? I write medical records all day long, but I can't do surgery."

"Mr. Xu, you're right." Lu Kai said.

"So, it's important to meet each other." Mr. Xu was lazily lying on the back chair, lazily as if he wanted to sleep, "Especially when we admit emergency patients, sometimes there is no way, but there are not many patients and patients' families, whether there will be complaints about us out of nothing, we have to know."

"Mr. Xu, tell me what examples you have encountered." Lu Kai asked with a smile.

Because he is not familiar with him, he and Mr. Xu are still more polite and call you. In the Department of Urology, Lu Kai and Mr. Wu talked like buddies for a long time, and the little fat man knew it in his heart.

"There's nothing to say." Mr. Xu smiled, "There is an emergency every day, you will know it when you see it." It's certainly not written in textbooks, but it's the most important part of clinical practice."

"The most important?"

"You don't have to see a doctor, you don't have surgery, after all, there are senior doctors here." Mr. Xu said, "Ask for more instructions and report more when you have something. Our Second Affiliated Hospital is different from other hospitals, and the senior doctors ...... For example, the second-line professor on duty today, if I come to him in the middle of the night for surgery, he will not damage my nose or eyes."

"Uh, there's something like that?! Aren't second-line doctors supposed to see difficult patients?"

"Of course." Mr. Xu said, "Doctors are a profession, treating diseases and saving people is the result rather than the goal, don't be brainwashed before you go to work, and immerse yourself in a sense of superiority." If you don't raise money and don't mention it, it's all hooligan."

「……」

「……」

Ji Xiang and Lu Kai didn't know what to say.

"Alright, order a meal. What do you want to eat?" Mr. Xu asked.

"Eat meat!" Lu Kai said unceremoniously and with a grin.

"What about you, Dr. Koji?" Mr. Xu asked Ji Xiang.

As soon as the words fell, there was a sigh from the elevator entrance, and then a coquettish scolding faintly came.

Mr. Xu's lips moved, and he looked unhappy.

"I've been unlucky lately, and I'll come to the emergency room as soon as I talk about eating." Mr. Xu said with a stupid face, "It is estimated that it is an emergency, alas."

As he spoke, he stood up and looked sideways out the door.

"Doctor, the emergency department let us up." A young man said with a cautious face.

"Where's the film? I'll see." Mr. Xu saw that the patient was behind the man, supporting his left arm with his right hand, and his left shoulder was sinking so badly that it seemed to have fallen into a scale.

"Here, here." The man immediately handed over the film.

Mr. Xu took the film, looked at the female patient, and didn't ask her about the situation, but took out the film and inserted it on the reader.

The left clavicle is fractured, and the fracture is quite severe, even ordinary people who can't watch the film can see it at a glance.

"How did you get hurt?"

"Car accident."

Doctor of the Department of Healing.

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