Ji Xiang then told a few stories about him and that Teacher Meng, and Zhai Yuhan suddenly woke up.

How did you listen to an intern in class?

The intern in front of her is different from others, which Zhai Yuhan can understand and recognize.

But Ji Xiang is so young, judging from Zhai Yuhan's social experience and clinical experience, Ji Xiang should be extremely expensive in this regard.

But Ji Xiang didn't fall behind in the slightest when talking about similar issues, and Zhai Yuhan was a little unconvinced.

But I'm just not convinced.

In just a few days, Zhai Yuhan has changed her attitude towards the interns participating in the reality show, but she hasn't realized it yet.

"Dr. Xiaoji, what impressed you the most when you first came to the hospital to get in touch with clinical practice?" Zhai Yuhan asked with a different topic.

She wanted to shift the conversation to a rhythm that she was familiar with.

"The deepest impression is, of course, the internal medicine teachers writing medical records and asking about medical history; The surgical teachers do the surgery and ......"

"And what?"

"Drive." Ji Xiang scratched his head.

"I saw that Director Yang was very serious when he did the operation." Zhao Mengmeng has never been to the clinic, so she doesn't know anything about it, and mistakenly regards Director Yang's performance as the norm when the program team is there.

"Then tell me about the one that impressed you the most." Zhai Yuhan said.

"On the first day I went to clinical training, I heard teachers and patients say that scars are the most dazzling badge and the most shining one for men...... Hahaha. ”

Zhai Yuhan knew this stalk, she frowned slightly, and gave Ji Xiang a look.

Ji Xiang thought for a while, "I remember one time when I went to the men's hospital with two teachers for surgery, I was usually the assistant, and the two of them took turns to be the surgeons. During the holidays, there are more children who have pouch surgeries, more than a dozen surgeries a day, and a maximum of 22 surgeries. ”

One day, Mr. Wang seemed to be a little tired, and he didn't want to go to surgery, so he sat next to him and said that he wouldn't brush his hands and let Mr. Mo go on stage on his behalf. Mr. Mo asked two questions, and Mr. Wang said that this was a test for him. ”

"Test? What's the test? Zhai Yuhan asked.

"Who pays for each operation." Ji Xiang explained, "Mr. Wang said that this is to make you earn more money. The two of them are a group, and they are used to joking, but they don't really want to work less and earn more. Teacher Mo said that he had enough money and didn't need it. ”

"Earn money." Zhai Yuhan hesitated, she really couldn't figure out what the problem would be here. Even if it's the god of Akina's mountain bike, it's probably hard to say the kind of thing that can be said.

"Teacher Wang said......" Ji Xiang learned from Colonel Wang, raised his hand and crossed his head, "Hongkongdoll, the little rich woman with fifteen million assets is filming at Station P, you dare to believe it." You look at people, you look at yourself. A little rich is safe, and it is really unproductive. ”

“……”

“……”

Zhai Yuhan and Zhao Mengmeng were stunned at the same time, Zhai Yuhan really didn't know Station P, Zhao Mengmeng knew, but he didn't know who Hongkongdoll was.

Ji Xiang also hesitated, although the matter of driving was brought up by Zhai Yuhan, it was still a little inappropriate.

The joke was a bit too much.

How can the words of an old rascal like Mr. Wang be said casually.

"emmmm......" Ji Xiang wanted to change the subject.

Zhai Yuhan took out his mobile phone and began to search according to what Ji Xiang said, Zhao Mengmeng leaned his head over and followed along.

After more than ten seconds, the expressions of the two were slightly weird.

Surgeons are much more open-mouthed on the operating table, but most of them are the kind of straightforward driving without using their brains.

Although Ji Xiang understands what he said, he doesn't understand it very well, and he has to search for it.

She stabilized her mind and always wanted to win Ji Xiang once.

Suddenly, Zhai Yuhan had an idea, and said with a smile, "Mengmeng has never been to the clinic, so I'm not used to it." Dr. Xiaoji, I will test you with a clinical case and see if you can answer it. ”

"Okay." As soon as Ji Xiang heard that there was a clinical case, he immediately sat down, put his hands on his knees, and his whole temperament changed suddenly.

Zhai Yuhan was a little surprised by Ji Xiang's attitude after hearing the case, but he still found the most impressive and misdiagnosed case in his career as a doctor.

The patient, a 37-year-old male, complained of "weakness in both lower limbs for 2 days, aggravated with paralysis of both lower limbs?" Dark hazy 5 hours "Admission?"

"Is it dark?" Zhao Mengmeng grasped the key point and whispered.

She also wants to perform well, after all, she has always been a student bully since she was a child, but she didn't expect to come to participate in a reality show but was inadvertently abused by Ji Xiang into scum.

Amaurosis is a diagnostic.

It often indicates that the ipsilateral carotid artery is to be occluded, so it is often regarded as a precursor of carotid artery disease in clinical practice, and 70%~97% of patients with temporary amaurosis can be predicted to have carotid artery disease.

But since Teacher Zhai Yuhan Zhai can take out this case to "test" Ji Xiang, it is said that it should not be so simple.

After Ji Xiang heard the complaint, his expression did not change in the slightest, and he quietly looked at Zhai Yuhan waiting for the current medical history.

"Two days ago, the patient developed weakness in both lower limbs, and the systolic blood pressure was measured at 240 mmHg, which was reduced to 160 mmHg after oral administration, hydrochlorothiazide and losartan.

The weakness of both lower limbs has been slightly relieved, and you have not gone to the hospital for diagnosis and treatment?

Paralysis of both lower limbs 5 hours ago, accompanied by amaurosis 1 week ago, paroxysmal headache, no vomiting and fever, history of hypertension for 3 years, intermittent medication, and no antihypertensive medication in the past 10 months? Deny a history of "diabetes" and "peripheral vascular disease"?

"Admission examination: blood pressure 152/86mmHg, clear consciousness, no murmur on cardiac auscultation, systolic murmur can be heard in the right subclavian and carotid artery area, normal bilateral radial pulses, muscle strength of both lower limbs grade 0, muscle strength of both upper limbs grade 4, normal bilateral dorsalis pedis pulsation, negative bilateral pathological signs?"

"Ji Xiang, Meng Meng, you two talk about your opinions."

After listening to Zhai Yuhan's current medical history and past history, Zhao Mengmeng already had an answer. This question is not difficult, at least not for doctors who know the definition of haze.

"Teacher Zhai, it is head ischemia caused by carotid artery stenosis." Zhao Mengmeng said confidently.

Zhai Yuhan was noncommittal and looked at Ji Xiang.

Ji Xiang groaned and thought silently for nearly ten seconds.

"Mr. Zhai, what does the patient's head CT reward?" Ji Xiang asked.

"MRI of the brain suggested: acute cerebral infarction of bilateral parieto-occipital lobes; A small ischemic foci in the center of the left hemioval?"

Zhao Mengmeng was stunned.

According to their own judgment, the MRI of the patient's head should be an ischemic focus, how can it be an acute cerebral infarction?

However, a murmur can be heard in the carotid artery area, and there is a black haze, which is a sign of carotid artery disease.

"Didn't you do a carotid ultrasound?" Ji Xiang asked.

"It's done, it's fine." Zhai Yuhan smiled slightly and said an important point.

Ji Xiang was also stumped, his thoughts were the same as Zhao Mengmeng, but Zhai Yuhan obviously dug a lot of holes in the case questions.

Holding his breath, Ji Xiang came to the system operating room.