424 Tell your old Yang not to mess with him
For Ji Xiang's answer, Director Yang sighed softly.
The kid was so relaxed that he didn't see himself as a senior doctor at all, but as a friend at the same level.
Otherwise, he wouldn't have said that.
But is it really good to speak in this tone with a senior doctor?
Director Yang was not really angry because of a few jokes, and his attention was focused on the MRI images.
As a doctor, it is a great ability to convince patients to do examinations, but this is also a necessary skill for an old fritter, but it is not a necessary ability for an elite doctor.
Diagnosis!
This is the golden sign of the doctor.
Director Yang was curious about whether Ji Xiang's "guess" was right.
Twenty minutes later, the images of the magnetic resonance cholangiopancreatography came out.
Further evaluation of the bile duct tree by imaging revealed cystic duct stump stones, with compression of the common bile duct and dilation of the upstream bile ducts!
Ji Xiang's "guess" is completely correct!
Because there were many patients in the MRI room, although they came early in the morning for examination, there were many people in the film crew, so they did not follow.
After Director Yang confirmed the image, he felt a little strange.
"Doctor Ji Xiang, how did you know for sure?" Director Yang asked.
"Feel it." Ji Xiang replied, "I met a similar patient, and the images on his B-ultrasound report were similar to those of our patients. ”
Director Yang immediately thought of what Ji Xiang said to the patient last night and the explanation he gave himself.
Say it casually, you can't take it seriously, and here you go again!
Gan!
Director Yang was slightly angry.
It wasn't exactly anger, he was just slightly unhappy with Ji Xiang's nonchalant attitude and disrespectful tone towards the senior doctor.
He looked like a young, inexperienced intern, as smooth as those old attendors who had been in the clinic for ten or twenty years.
"Xiao Zhai."
"Boss." Zhai Yuhan followed behind Director Yang.
"Contact the ERCP room and send it for examination and surgery." Director Yang made a simple arrangement.
These things are the simplest small events in the clinic for Zhai Yuhan, and the film crew is going to record the work of other personnel today, Zhai Yuhan doesn't have to face the camera, she feels a lot more relaxed.
However, Zhai Yuhan soon discovered another advantage of Ji Xiang - work is really good.
Preoperative explanations, various documents, and communication with patients are all done in an orderly manner.
In the afternoon, the patient is taken to the ERCP room.
Cholangiogram in endoscopic retrograde cholangiopancreatography (ERCP) shows a distally inserted long cystic duct stump filling defect, suggesting partial biliary obstruction due to residual stones.
ERCP was compared with MRI images to confirm that the patient had Mirizzi syndrome after cholecystectomy.
A sphincterotomy was performed, a 9 to 12 mm balloon was inserted to explore the common bile duct, and moderate resistance was encountered at the site of cystic duct insertion.
No filling defects were found in the postoperative CBD, and no stones were found.
Subsequently, a cystic duct is electively catheterized and a balloon is placed to remove a bold duct stone. Balloon cholangiography shows no residual filling defects throughout the biliary tract, including the cystic duct stump, and good bile and contrast drainage.
After the operation, Zhai Yuhan was much more relaxed, watching Ji Xiang send the patient back to the ward, she was stopped by the director of the ERCP room.
"Xiao Zhai."
"Director Zheng, what's the matter?"
"That's the doctor on the reality show?" Director Zheng looked at Ji Xiang's back and asked with interest.
"Yes."
"How? This group of young masters has not affected the clinical work. You said that the dean is too, why did you take such a job? How serious our clinical work is, how can it be related to reality shows. ”
Director Zheng grumbled.
Zhai Yuhan felt a little bitter in his mouth.
Director Zheng's thoughts, like her previous thoughts, were full of whining and disdain.
But this patient was "done" by Ji Xiang from beginning to end, and Zhai Yuhan had nothing to say.
"What do you want?" Director Zheng asked.
"Director Zheng, this patient ......" Zhai Yuhan briefly described what happened, without exaggeration or derogation, just a blank description.
"I'll go, this kid can do it." Director Zheng was surprised, "What's his name?" ”
"Ji Xiang."
"This name ......," Director Zheng muttered, "It sounds so familiar." ”
"Auspicious life? Looking at the names of others, plus the word doctor, it has become a homonym. The nurse next to her smiled.
"That's not right!" Director Zheng found something about Ji Xiang from his memory and asked, "Ji Xiang...... Ji Xiang ...... Is he the regular doctor of the White Medical University? ”
"yes." Zhai Yuhan said, "Is he so famous?" He took the first place in the country in this year's occupational medical examination, and he still got a perfect score, and it is normal to know. ”
"What? He scored first in the country in the occupational medical examination?! Also, I don't believe that others get full marks, and Ji Xiang should be able to win the first place in the country. Director Zheng was completely stunned, but then showed a relieved expression.
"Director Zheng, ...... are you" Zhai Yuhan looked at Director Zheng and was puzzled.
"Boss Qin Chuqin of the Demon Capital, he wanted to accept Ji Xiang as a student a while ago, and he also held an annual meeting." Director Zheng said, "Those who intervene in the discipline have nothing to do with you, and it's normal for you to not know." ”
"And then?" Zhai Yuhan listened to what Director Zheng said, and immediately became serious.
"Director Zheng, consultation!"
As he spoke, a head poked out of the door of the reading room, and a doctor shouted.
"I'm coming." Director Zheng's gossip was not enjoyable, so he clicked his lips and took a deep look at Zhai Yuhan.
"Xiao Zhai, this temper is not very good, you be careful, don't offend him."
Director Zheng asked himself not to offend a little intern, Zhai Yuhan thought for a moment that he had auditory hallucinations and misheard what Director Zheng meant.
"You go back and talk to your old Yang, don't cry again when you are scolded and drunk in the future."
Director Zheng said, remembering something, laughed, turned around and left.
"Zheng ......" Zhai Yuhan shouted, but when he saw Director Zheng hurrying back to read the film, he could only sigh helplessly.
Director Zheng said half of the gossip, as if he knew some details.
In addition to the first place in the country, Ji Xiang also has a deeper background, which Zhai Yuhan did not expect at all.
Boss Qin, who was in the demon capital, wanted to accept Ji Xiang as a student, and Zhai Yuhan's heart flickered.
It is a well-known large-scale tertiary hospital in the country, with the old man in charge and a high level of technology...... Neither is it. Zhai Yuhan heard that the old man had become a mascot, and his big surgery was no longer the mainstream technique.
But no matter what, with that old man here, the level of the hospital must not be low.
Boss Qin of the Interventional Department...... Zhai Yuhan smacked Director Zheng's words a few times, but she didn't understand.
went to the reading room to take a look, Director Zheng was in the consultation, and Zhai Yuhan could only regretfully go back with a big gossip opening.
I'm so curious! Zhai Yuhan felt like a kitten was scratching in his heart.