479 What is called clinical experience

"Teacher Li, you are too polite."

At the same time, Ji Xiang and Director Li said politely.

"When the show is over, even if you don't stay, Dr. Xiaoji, you must come to my side to communicate more." Director Li patted Ji Xiang's shoulder vigorously and said.

After speaking, Director Li raised his head slightly, looked at Ji Xiang's eyes, and said in a serious tone, "Doctor Xiaoji, I didn't really admit talent before you, but when I saw your over-selection surgery, I really believed it." ”

Ji Xiang scratched his head.

"Anyway, Boss Qin has to accept you as a closed disciple, and when I received the news, I thought it was completely incredible. Look now, Boss Qin...... Hahaha, don't say right behind the scenes, at least Boss Qin's vision is still very accurate, and he is a leader in the industry in terms of business. ”

Every word of Director Li is business, and Ji Xiang knows what Director Li means.

"Teacher Li, then I'll go back first." Ji Xiang Road.

"Okay, okay, we'll talk when we have time."

Director Li sent Ji Xiang to the door of the ward, and took Ji Xiang's hand uncharacteristically, full of enthusiasm.

Ji Xiang returned to the Department of Hepatobiliary Surgery and saw Zhai Yuhan writing medical records with Zhao Mengmeng, he stepped forward and asked, "Teacher Zhai, I'm back, I'll write it." ”

Zhai Yuhan raised his head and glanced at Ji Xiang.

"Did the surgery go well?" Zhai Yuhan asked.

"Smooth."

Zhai Yuhan sighed softly.

Interventional surgery, hepatobiliary surgery is considered to be more contacted, Zhai Yuhan knows how difficult this kind of surgery is.

And Director Li Mingli of the Intervention Department actually looked at Ji Xiang differently, which made Zhai Yuhan have a different mind about Ji Xiang.

It's natural that you can't treat the person in front of you like an intern.

Zhai Yuhan didn't expect Ji Xiang to perform such a big operation in the interventional operating room, and he would never have dreamed of it.

"Doctor Ji, sit." Zhai Yuhan said, "The interventional operation is dressed in a lead suit, and it is very tiring, so you should rest first, don't be in a hurry." Anyway, I see that you have a lot of clinical experience, and you are often in the hospital during your internship and recess? ”

"When I was in the Second Affiliated Hospital, I met a teacher in the emergency department, and he was very high-level, so I followed a few more times when I was fine. Is it some clinical exposure? Sort of. Ji Xiang said with a smile.

"The clinical experience is." Zhai Yuhan said an ambiguous sentence.

"What is it?" Zhao Mengmeng kept listening with her ears pricked up, but Zhai Yuhan stopped abruptly halfway through her words, she was a little confused, and the question blurted out.

"Huh." Zhai Yuhan compared Zhao Mengmeng, who looked ignorant, and Ji Xiang, who had a calm expression, and knew in his heart that their perception of this matter was completely different.

"I'll give you an example." Zhai Yuhan put down the work in his hand and prepared to take a break, "I met a patient when I was interning a few years ago. ”

"The patient was diagnosed with a herniated disc in the lumbar compartment and radiating pain in the lower extremities. The preoperative symptoms were very severe, and the left lower limb was painful and could not move. At that time, my teacher admitted him to the hospital, and later he had surgery. ”

"The surgery went smoothly and the nerve root decompression was ideal. In the first week after surgery, the improvement was noticeable, and from my point of view, the patient was discharged in a few days. Our hospital is not like ours, it doesn't matter if you stay for a few more days and reply for a few days. ”

However, on the eighth day after surgery, the patient complained of obvious pain in the left lower limb, and the clinical examination turned sharply. So now the question arises, how do you judge. ”

Zhai Yuhan said, looking at Ji Xiang.

Ji Xiang didn't answer, just smiled slightly. Zhao Mengmeng said, "Teacher Zhai, how is the patient's physical examination?" ”

"On physical examination, the patient's muscle tone was grade 1, which was worse than before the operation. All kinds of tests are positive, and when you touch it, you cry out in pain. ”

"Could it be that the nerve root was damaged and the edema subsided? Did you get an MRI? Zhao Mengmeng continued to ask.

"Magnetic resonance showed no hematoma and nerve compression, CT showed standard position of nail rod fusion, and electromyography showed no evidence of nerve damage." Zhai Yuhan said all the main examinations in one go.

At this moment, Zhao Mengmeng was stumped, she didn't know what the patient's situation was.

The auxiliary examination is fine, but the patient reports that the symptoms are very severe, which in layman's terms means that the physical examination and the objective examination are contradictory.

Seeing Zhao Mengmeng's dazed face, Zhai Yuhan asked Ji Xiang, "Doctor Xiaoji, what do you think?" ”

"Teacher Zhai, the patient should be sick." Ji Xiang said very suddenly.

"Oh? Why? Zhai Yuhan asked.

"Within a week after the operation, the patient was worried about the recovery of the disease, but he was very cooperative. After waiting for a week, knowing that he was fine, he began to pretend to be sick and wanted to extort some money, which is not uncommon. Ji Xiang smiled.

"No, how can a patient pretend to be sick." Zhao Mengmeng frowned and retorted.

"I heard from Director Bai of the medical department of our hospital that there was a case where the patient had tetracycline tooth and was treated for root canal treatment in the dental department of our hospital, and after the treatment, he said that tetracycline tooth was caused by root canal treatment."

"......" Zhao Mengmeng looked at Ji Xiang innocently, not understanding what Ji Xiang was talking about at all.

Zhai Yuhan knows very well that this top student has been in the ivory tower, and he doesn't know that people's hearts are sinister, and he doesn't know how difficult it is to be clinically.

She looked at Ji Xiang with interest, but she didn't expect Ji Xiang to be very familiar with the medical director of his hospital.

"How do you deal with this, or solve it?" Zhai Yuhan asked.

"The patient was in tatters and looked very poor, and when he came, he cried and said that his family conditions were not good. Director Pak said that tetracycline teeth mainly appeared in the late 70s and early 80s, when tetracycline was rare and few people could afford it. ”

"So, this disease is a disease of wealth."

"Director Bai didn't believe that the patient would be so poor, so he made people stare at him. Sure enough, once a patient came on a shared bicycle, left after chatting all morning, rode out of the hospital, and drove away in an Audi A6. ”

"......" This time, even Zhai Yuhan was a little confused.

It is said that although people who drive Audi A6 are not rich and expensive, it is normal to have a little money.

This kind of person will use a ridiculous reason to constantly trouble the hospital, just to make a little money?

"I can't." Zhao Mengmeng said in surprise.

"It is said that it is like that, and then it seems that Director Bai rushed to the clinical examination, and a doctor made a mistake and went to the medical department to talk to him, and he put the patient in charge of the doctor."

"Responsible?"

"It's just chatting with the person who complained, and he can't talk if he doesn't want to."

"This scoundrel method...... Zhai Yuhan didn't expect that Director Bai would come up with such a trick.

The person who complained came on a bicycle, and he definitely didn't want people to know that he was actually rich, and there was a doctor who was pestering him all the time, so he couldn't drive an Audi A6.

A scoundrel meets a scoundrel, and who is more patient.

How could a person who complained about the hospital be more patient than a doctor who was admonished to talk, Zhai Yuhan already knew the result.