418 The offensive and defensive forces are also different
Zhao Mengmeng was a little confused, looked at the computer to find the patient's test sheet, and said dryly, "The patient has alanine aminotransferase 325 U/L, aspartate aminotransferase 104 U/L, alkaline phosphatase 165 IU/L, and total bilirubin 140μmol/L......"
"The patient was admitted to the hospital for high aminotransferases and high bilirubin, and acute liver injury was considered." Zhai Yuhan interrupted Zhao Mengmeng's narration according to the script, "Now, I ask you so." ”
"I'm the doctor in the emergency room, and you're the hospitalist."
"The medical history is that the patient started to have pain at about 1 o'clock, and it has been painful for 2 hours when he arrived at our hospital. After coming to the hospital, I did a B-ultrasound, and then, what else do you want to know? ”
Zhai Yuhan's speed of speech was very fast and full of oppression, almost giving Zhao Mengmeng no time to think.
She looked at Zhai Yuhan blankly, carefully reflecting on the question just now.
"Uh......" Zhao Mengmeng was a little confused, she saw Zhai Yuhan looking at her, and replied timidly, "I will first ask the patient if he has abdominal pain." ”
"Yes, the patient had surgery 2 years ago and the laparoscopic surgical scar can be seen in the abdomen." Zhai Yuhan said very quickly, "What's next?" ”
"I would ask patients if they had a history of high blood pressure or diabetes."
"High blood pressure, diabetes." Zhai Yuhan looked directly at Zhao Mengmeng, and stared at Ji Xiang.
"That'...... I want to ask the patient what is uncomfortable besides abdominal pain. Zhao Mengmeng said subconsciously.
"Let's just say that the abdomen is uncomfortable, but the patient's gallbladder has been removed two years ago."
"Does he have any other diseases? For example, there is a family history of genetic diseases. ”
"Nope."
Zhao Mengmeng was a little dazed, she looked ahead, and she didn't know what to continue to ask.
"Teacher." Ji Xiang broke the awkward silence.
"You say, Dr. Koji." Zhai Yuhan smiled slightly.
Ji Xiang is finally about to jump in.
"Why don't I see the previous medical records of patients who are admitted to the hospital without MRI and ERCP examinations, but only intravenous antibiotics?"
“……”
Zhai Yuhan didn't expect Ji Xiang to not answer his own questions, but to start asking questions like a senior doctor in the whole hospital.
Forget about asking questions, Ji Xiang's question is like a knife, hitting the point.
……
……
In the review room.
"It's so serious."
"Maomao, are all doctors like this? The speed and attitude of Dr. Zhai's speech just now scared me enough. ”
"I feel that Zhao Mengmeng doesn't know what to do anymore, and Ji Xiang is the same, he actually started asking questions instead of answering them."
Among the guests, the only serious doctor frowned.
"Mr. Shen, what do you think?" The moderator asked.
"Ji Xiang is right, Dr. Zhai's question and answer just now are not on the point." Professor Shen said, "I also find it strange. ”
"Wow."
"Wow."
After hearing the professional opinions in the review room, I was amazed.
Although they didn't know what Professor Shen meant, they thought it was very powerful.
Dr. Zhai asked a lot of questions, and Ji Xiang and Zhao Mengmeng had not been looking at the medical records for a long time, but Ji Xiang could say the same thing as Professor Shen's point of view.
This is undoubtedly a surprising thing.
……
……
"You've finally got to the point." Zhai Yuhan was a little helpless, she looked at Ji Xiang seriously, and now she had a feeling in her heart - this young trainee not only could get a full score in the exam, but he also had some clinical experience, which was really not simple.
"When the patient has abdominal pain for the first time after surgery, we recommend an MRI, which takes 2-3 days to make an appointment, during which time the patient's condition has improved, and then he is required to be discharged.
Therefore, there was no chance to give him a more comprehensive examination every time. ”
"Doctor Koji, that's good." After Zhai Yuhan finished explaining, he casually complimented.
Although she was very bored with the overall reality show, and felt that Ji Xiang was arrogant and had a bad impression, Zhai Yuhan in Ji Xiang's words still did not hesitate to praise.
"But when I saw the B-ultrasound that I was hospitalized for the first time after surgery, I felt that there was a problem with the imaging." Ji Xiang was not happy because of Zhai Yuhan's praise, but frowned, opened a report card, and looked at the screen intently.
Issue?!
Zhai Yuhan was stunned.
Clinicians only look at the final result when looking at the B-ultrasound return, and as for the process, it is the business of the B-ultrasound room doctor.
Can Ji Xiang see that there is something wrong with B-ultrasound? Or is there something wrong with your memory?
Zhai Yuhan followed Ji Xiang's gaze, the B-ultrasound report is very familiar, he has read it many times, and he doesn't even need to pull down to know what the final conclusion is about.
To say that Ji Xiang understands some clinical details, Zhai Yuhan also admitted. But to say that Ji Xiang can see the details on the B-ultrasound report, Zhai Yuhan thinks it is a fantasy.
"Teacher Zhai, wait a minute, I'll ask the specific situation of the patient." Ji Xiang suddenly got up and said.
Zhai Yuhan just frowned, saw Ji Xiang bowing, very polite, plus the camera was behind her, she couldn't say anything unpleasant, and swallowed the words back.
What was he going to ask? Zhai Yuhan was a little strange.
The photographer looked at each other, and the second group of photographers followed Ji Xiang to the ward.
Zhai Yuhan hesitated, she was not in a hurry, but watched the B-ultrasound done by the patient for the first time after surgery.
She compared the earliest and last two B-ultrasounds, and she was still dewy.
What did Ji Xiang ask?
Are there any medical histories that you didn't notice?
He's talking nonsense, making people think he's more capable, that's why he's playing all kinds of tricks?
Zhai Yuhan did not question it immediately, but stood up and walked to ward 12 while pondering.
"What's going on?" The videographer asked in a whisper.
The people around him also shook their heads, looking confused.
One second, the veteran doctor of the First Affiliated Hospital trained the novice doctor with extremely oppressive sentences, and the next second the stereotype in everyone's mind was broken.
The cameraman followed behind Zhai Yuhan, Zhai Yuhan's back was a little hurried, and his steps were very big, not like he was full of confidence before.
When I came to ward 12, the door was hidden, Zhai Yuhan pushed the door open, and Ji Xiang's voice came from inside.
"It's been so many times, does the color of the urine change every time it hurts?"
"It's going to be a little deeper."
"What about the color of the stool?"
"I didn't pay attention."
"Okay, then I got it." Ji Xiang smiled, "Little problem, I'll come back later." ”
"Hmm."
The patient faces the camera, acting extremely gently, with an embarrassed but polite smile on his face.
In his opinion, this little doctor has a lot of things, and he seems to be capable, but in fact, it is good not to cause trouble.
Ji Xiang turned around and saw Zhai Yuhan standing at the door, he smiled, "Teacher Zhai, I have a few things to ask you." ”
Zhai Yuhan was stunned.
This tone seems to be that he just asked Zhao Mengmeng.
How did you unconsciously change the offensive and defensive momentum?