"Doctor Zhao, why are there so many surgeries in the group?" Lin Jiu saw that Ji Xiang was not there, so he talked to Zhao Zhepan.

Zhao Zhe shuddered, as if he was taken aback.

But after a period of contact, Zhao Zhe has gradually become accustomed to someone around him suddenly speaking, and the reaction is not too fierce as before.

"That's normal." Zhao Zhe replied, "Xiao Ji participated in variety shows, the coverage is too large, and there are a lot of relevant content popularized to let others know the existence of interventional surgery......"

"No, that's not what I said." After Lin Jiu thought about it, he reminded him of the old thing, "A few years ago, there was a survey statistics in the Japanese medical circles, which showed that the average time from discovery to surgery for cancer patients in Japan was 2 months and 3 days, which was significantly ahead of Europe and the United States. ”

"Huh?" Zhao Zhe was a little puzzled, and he looked at Lin Jiuze in a daze.

He had just said that not long ago.

"I think...... For example, this patient was found to have a space-occupying lesion in the kidney during a physical examination 4 days ago, and was hospitalized for surgery today. Lin Jiu pointed to the computer screen and said on the medical record in front of him.

"This ...... Isn't that normal? "Zhao Zhe and Lin Jiuze's thinking is not on the same plane, and they don't understand what Lin Jiuze is talking about at all.

Lin Jiu was also very helpless, he told Zhao Zhe about this, just like a chicken and a duck.

"In Massachusetts, similar patients have to wait for three months, and the average is about four months."

"I'll go!" Zhao Zhe was surprised, "Why so long?" Isn't Massachusetts General Hospital one of the top three hospitals in the world? ”

"Line up."

"Uh...... What if it is transferred? ”

"That's God's call."

Lin Jiuze's words made Zhao Zhe feel particularly helpless, he thought about it for a long time, scratched his head, and finally smiled, not knowing what to say.

"Brother Zhao!" Ji Xiang suddenly hurried back.

"What's wrong, Xiaoji!" Zhao Zhe immediately stood up.

Ji Xiang is running!

In the ward, if there is no emergency, who will run around. Run, in order to save time, for the only reason - there are emergency patients!

"Emergency Department!" Ji Xiang didn't have time to elaborate, he only said three words, turned around and ran.

Emergency rescue, Zhao Zheyi grinned and sighed.

Xiao Ji is really energetic, why does he like the emergency department so much.

Orthopedics, generally not involved in emergency rescue.

Even if there is a traumatic injury such as a fracture, it can be seen later, and the departments involving internal organs, such as liver and gallbladder, gastrointestinal, cardiothoracic, and neurological, are preferred.

Even if there is only a fracture, as long as the skin is not punctured, it will be fine for 24 hours, and there is no need to rush to the stage for surgery.

If you are blessed, you won't enjoy it, Zhao Zhe slandered Ji Xiang in his heart.

Zhao Zhe trotted and wanted to catch up with Ji Xiang, but Ji Xiang was tall and long-legged, and he took two steps against Zhao Zhe in one step, and Zhao Zhe almost caught up with Ji Xiang in the emergency department.

Outside the door of the emergency room, a group of people in white clothes can be seen looking.

It's over, Zhao Zhe thought to himself.

There is a joke that patients who go to the operating room for surgery should actually hope that the doctors and nurses will talk and laugh, which means that the operation is very simple, at least there are no mistakes.

If everyone is serious, and all kinds of old doctors and experts keep coming for consultation, it is estimated that you can prepare to go to the ICU, and you can even think about inviting Mr.

Right in front of you......

Wait a minute!

Zhao Zhe felt that something was wrong after taking a look, and when Ji Xiang stopped, he finally caught up with Ji Xiang, bent down and held his knees and gasped for breath.

At this time, Zhao Zhe also realized that something was wrong.

"Little ...... Small...... Lucky...... Roar, roar, roar~" Zhao Zhe ran for hundreds of meters because his body was a little weak, and his bronchi began to spasm.

"Brother Zhao, your body. Why don't I take you for a morning run in the future? Ji Xiang didn't go in either, he stood outside and looked.

Zhao Zhe saw the problem.

The doctors in Zhang Wang are all relatively young, and there are a few old doctors in the emergency room, and they don't seem to be nervous.

They even had a few light-hearted jokes.

"What...... What's the situation? ”

"I received a call from Mr. Meng saying that the emergency department had encountered a patient with ketoacidosis."

“！！！” Zhao Zhe was speechless.

Ketoacidosis, what's so nice about it.

The key is that Meng Qingfei also made a special call to Ji Xiang, and other departments of the Second Affiliated Hospital seem to be more interested in this.

Defect!

"Teacher Meng said that the smell of patients when they breathe is a typical rotten apple!" Ji Xiang said, "He hasn't encountered such a typical one in more than ten years, and he is driving over." ”

"Oh?!" Zhao Zhe heard Ji Xiang say this, and he suddenly came to his senses.

The book says that people with ketoacidosis breathe with the smell of rotten apples.

But I haven't encountered it, although Zhao Zhe is an old attending and has rich clinical experience, but there are some things that you have to try your luck if you can encounter them.

With the improvement of people's living standards and medical awareness, although ketoacidosis is not uncommon, it is now rare for diabetics to exhale the smell of rotten apples.

At least Zhao Zhe has not encountered a similar situation.

I see, it's worth a look.

Ji Xiang didn't rush in directly, he couldn't wait to come to the patient's mouth to smell the rotten apples, but stood at the door and watched.

This involves the psychological state of patients and their families in the emergency department, and you can't go on a rampage just because you want to accumulate a little clinical experience, no matter what people think.

The internist went out, and Ji Xiang stopped her.

"Teacher, how is the patient?"

"It's okay, I've been admitted to the hospital, and the seriously ill boss will come to push people back in a while. It is estimated that it will take about 3 days of treatment to turn out, and it should not be life-threatening. ”

"Can I take a look?" Ji Xiang asked in a low voice.

The emergency physician smiled, she and Ji Xiang were also familiar, after all, as long as they caught up with Meng Qingfei's class during this time, Ji Xiang would come back to "join in the fun".

"Go ahead, smell rotten apples." "I even thought it smelled good." ”

"Hey." Ji Xiang smiled and walked in.

To Ji Xiang's surprise, the patient was very young, about 20 years old, and it seemed that he should be a college student.

Several of the "patient's family members" are also the same age and should be classmates in the same dormitory.

The patient was a little sluggish, lying on the emergency flat car, and Ji Xiang leaned over.

Breathe deeply, and the act of breathing brings the olfactory mass of ketoacidosis into the nasal passages.

Absorption of the epithelial mucosa, which in turn spreads to the cilia of olfactory cells, where a special olfactory receptor binds to the olfactory matter of ketoacidosis, and then further produces a second messenger that opens the calcium channels.

Sodium and potassium ions enter the cell, and at the same time, the olfactory cell is depolarized and generates an action potential, which is transmitted to the olfactory bulb and then to the olfactory center, thus triggering the sense of smell in Ji Xiang's brain.

Sure enough, it smells of rotten apples!

(End of chapter)