"Brought it." Xie Kai replied simply, then looked at Zhao Zhe and said, "Zhao Zhe, what is Deputy Director Zou's level, don't give us a weak chicken professor with a low level to see a doctor." ”

"I'll tell you, this is my child's teacher, you know." Xie Kai was still not at ease, so he told again.

Of course, Zhao Zhe knows the importance of teachers.

"Rest assured, Deputy Director Zou is an expert of the First Affiliated Hospital, and we have been in contact with it, and the level is quite high." Zhao Zhe was still indifferent to Xie Kai's ridicule, as if he hadn't heard it, and replied with a smile, "Massive bleeding in the lower gastrointestinal tract, removal after imaging, you know." ”

"Yes." Xie Kai heard Zhao Zhe say this, and his expression suddenly became solemn.

This surgery is not very famous, because many hospitals do not dare to do it, after all, it is a destructive operation, and there are many things. One carelessness can have serious consequences.

"In the First Affiliated Hospital, this kind of surgery is done by Deputy Director Zou."

Xie Kai nodded and went to explain a few words to Teacher Sun.

"Doctor Ji Xiang!"

As soon as everyone was about to leave, Lin Jiu appeared, and he beckoned to greet Ji Xiang.

"Hello, Dr. Lin." Ji Xiang smiled, "You haven't returned to the United States yet?" ”

Lin Jiu seemed to be a little hesitant, but only for a moment, he walked to Ji Xiang's side, "I want to wait and see, there are still some days left on the holiday, so I am not in a hurry to go back." ”

"You're ......"

"There is a patient with blood in the stool, I will take her to Deputy Director Zou to take a look."

Lin Jiu looked at the patient, and then talked to Ji Xiang about the last episode of the show last night.

He is very familiar, not as cold as facing others, Ji Xiang doesn't care, he talks about whatever Lin Jiu says.

When he came to the Department of Gastrointestinal Surgery, Deputy Director Zou took the patient to the pharmacy for a physical examination.

The patient was a 31-year-old woman who denied a history of hypertension and was admitted to the emergency department of LY City Hospital for more than 10 days due to intermittent abdominal pain, anorexia, vomiting, and diarrhea.

The report of the gastrointestinal endoscopy was handed over to Deputy Director Zou, who took the report and looked at it carefully.

The patient's condition looks very simple, but Ji Xiang always feels that something is wrong. He stared intently at the patient, pondering the situation.

"Dr. Ji Xiang, what do you think of the patient's condition?" Lin Jiu asked with a smile.

"I don't know, normally I think about intestinal tumors or vascular diseases, but the patient's state is a little weird, I'll think about it again."

Lin Jiu smiled slightly, he took out a notebook from his pocket, wrote and drew on it, looked up at the patient after writing, and lowered his head to continue writing.

Indeed, as Ji Xiang said, the patient's condition seems simple and simple.

But once she looked deeper, she made a differential diagnosis and found that each diagnosis had nothing to do with her blood in her stool.

Clinically, similar situations will be encountered, such as fever, there is a fever called fever of unknown cause, which is still a diagnostic name.

It's tricky indeed.

Just when Lin Jiu stopped writing, Ji Xiang concentrated and entered the system operating room.

At the same time, Lin Jiuze's brows became tighter and tighter.

The diagnosis and treatment he wrote were not correct, and the patient's situation was quite special.

This is what Lin Jiuze didn't expect.

Originally, he wanted to show Ji Xiang with his hand, but Lin Jiu had a complicated mind, but he hit the iron plate headlong.

Deputy Director Zou slipped a mouthful of saliva and was also pondering.

"Deputy Director Zou, what do you think of the situation?" Xie Kai asked politely.

When he met the doctor from the higher-level hospital, Xie Kai was suddenly much more honest, and he didn't have the kind of high-flying energy when he talked to Zhao Zhe.

"I'll think again."

Deputy Director Zou was very embarrassed.

The patient's examination at the local hospital was complete, and all the evidence pointed to intestinal polyps.

But if the polyp is bloody, there seems to be something wrong.

Normally, polyps bleed, but patients have had a gastrointestinal endoscopy, and the microscopic description of polyps is that the surface is smooth and there are no ulcers.

The pathological changes of polyps begin with ulcers, erosion of blood vessels, and bleeding, but the microscopic situation is different from the patient's symptoms.

It's okay to make a rash diagnosis of colon polyps, but what about after that?

Patients have doctors around them and come to higher level hospitals because they don't believe in the diagnosis.

Deputy Director Zou encountered a problem.

And Lin Jiu also encountered problems.

One of them was snorting, and the other was frowning and bowing his head to write, looking up at the patient.

The atmosphere in the changing pharmacy became a little weird.

You can't always face to face without talking, Deputy Director Zou slipped deeply and prepared to let the patient do more relevant examinations, and take the elimination method to investigate little by little.

He thinks there is only one way to do it.

"Have you been urinating normally lately?" Ji Xiang's voice suddenly appeared, breaking the silence.

Deputy Director Zou and Lin Jiu were stunned at the same time.

The patient had intestinal bleeding, and Ji Xiang asked the patient to urinate ......

Although it is normal to describe similar situations in medical records, there are descriptions of the lower body in the medical records, and you can't always ask people to take off their clothes and pants when they meet a patient.

If you do this, it is estimated that you will not be able to wait for the next day to be on the hot search.

Xiao Ji Guipei's first department is said to be urology, could it be that he has a physiological reflex? If you knock over a patient, the first thing to check is whether it is a urological disease?

Although Deputy Director Zou felt that Ji Xiang's question was clueless, he remained silent and did not stop him.

"Doctor Ji Xiang, it shouldn't be a urinary disease." Lin Jiu didn't have so many worries, he had already written 4 pages, and his hair was about to stand up.

"Problems with urine output should not be all urological or nephrology diseases." Ji Xiang said lightly.

"......" Lin Jiu was stunned for a moment.

What does auspicious mean?

"I had a little urine a while ago, but I have recently recovered......," the patient hesitated, "but it seems that the recovery is a bit too much, and I have been drinking more water and urinating a lot recently." ”

As he spoke, the patient's face flushed, "I'm sorry, I want to go to the bathroom." ”

After the patient left, the doctors' eyes were much deeper, as if there was some problem, but the frequent and urgent urination was usually caused by urinary tract infection.

However, the patient's chief complaint is blood in the stool.

Is it diabetes?

Is it high potassium in the urine?

Is it hypercalcemia?

Countless possibilities appeared in an instant, and Deputy Director Zou looked solemn, "Doctor Xiaoji, what do you think?" ”

"When the patient comes back, go and get their blood pressure checked." Ji Xiang did not answer Deputy Director Zou's question directly, but suggested that the patient measure his blood pressure.

"Blood pressure? The patient says she has no history of hypertension. Lin Jiu said.

"Have a normal physical examination and take your blood pressure to see if you have a good look."

"Dr. Ji Xiang, are you considering the patient's blood in the stool caused by high blood pressure?"

As soon as Lin Jiuze's question was asked, he himself felt ridiculous.

High blood pressure does not cause blood in the stool.

What does that mean Ji Xiang?

Lin Jiu looked at Ji Xiang suspiciously.