781 The Righteous Knight and the Great Demon King
"That's all for today's lesson, there are some things that you should have understood when you were in college." Lin Jiuze's dull face showed a hint of acerbity, and he smiled and said to Dr. Merz, "I hope you will be prepared, knowing that there may not be more explanations for you during the damn surgery." ”
"After all, it's surgery, and you're an operator, so I know that I can't be distracted when I'm doing surgery, especially when you're not able to perform high-level surgery. As for how much you can learn, it's up to you. ”
Dr. Merz was furious, but even if he was angry, he didn't want to see Lin Jiuze more.
If you see too much of this dog thing, you will get dizzy.
Out of the corner of his eye, he saw Ji Xiang, a young surgeon who had been mythologized at Massachusetts General Hospital, but Ji Xiang was now very leisurely and was watching...... See...... An ordinary textbook.
Dr. Merz's heart moved.
Surgeons talk about talent.
The so-called talent, which can be quantified, is the result of the limitations of existing science.
Just like a fitness person, taking steroids can cause the nuclei of certain muscles to increase rapidly within 4-8 weeks, which has a significant effect on muscle gain.
So countless fitness enthusiasts, professional athletes have ignored the side effects of steroids.
But there are people who are gifted, and they have more nuclei in their muscles than ordinary people, which is called talent.
】
Ji Xiang must be the kind of surgeon who is full of talent, so he can successfully complete this incredible operation.
The results presented by both Neymar and Zhao Dali on the pitch confirm this.
But!
The young doctor named Ji Xiang was young after all, and neither the basic theory nor the mentality were stable enough.
Talent, foundation, these words came to Dr. Merz's mind, and it seemed that they had to start with the weakness of this young doctor.
Ignoring Lin Jiuze's sarcasm and mental blow, Dr. Merz stood up and came to Ji Xiang's side.
Ji Xiang was reading "Urology", and Dr. Merz was sure that it was just a basic textbook.
It's exactly the same as you guessed!
This kind of young man is proud, full of talent, and is constantly making up for his basic defects.
But they are sensitive, irritable, and have countless shortcomings.
Shaking the young man's heart before the operation, making him hesitate, hesitate, and even give up, a thought arose in Dr. Merz's mind.
This is the ultimate answer to victory over the opponent.
As for Lin Jiu's words that he could teach himself to do surgery on the operating table, Dr. Merz didn't believe anything.
"Hello Dr. Jixiang, I'm Dr. Merz from Massachusetts General Hospital." For the first time, Dr. Merz introduced himself to Ji Xiang in earnest.
"Got it." Seeing that Dr. Merz was serious, Ji Xiang stood up and shook his hand, then sat down to read again.
It's really rude, Dr. Merz thought to himself, but he didn't rush to do anything, but looked at Ji Xiang.
Generally, under the watchful eye, the person being watched feels uncomfortable no matter what they do.
But this young man was different, he was reading the textbook very seriously, and Dr. Merz even felt that he was memorizing every word in the textbook. As for himself, Dr. Merz felt that the young doctor had not noticed at all.
No one bothered Ji Xiang or Dr. Merz, the time was in a hurry, and it was soon time to get off work.
Lin Jiu wanted to send Dr. Merz back, but Dr. Merz refused.
Regarding Dr. Melz's attitude, Lin Jiu only cast an evocative gaze.
Dr. Merz was worried that Lin Jiu would not let him communicate with Ji Xiang, but Lin Jiu simply didn't say anything.
Ji Xiang glanced at the time, closed the book, and turned to change clothes.
"Won't you go back to rest, Dr. Merz? Is jet lag really okay? Every time my father came back from abroad, he had to get jet lag for 3-4 days, which was a real trouble. Ji Xiang came out in casual clothes and asked.
"Dr. Ji Xiang, your surgery is very well completed and has become a myth in the sports medicine department of our hospital. I want to follow you and see the daily life of such a young man who has been kissed by God. ”
Ji Xiang only listened to the general idea, knowing Dr. Merz's intentions, and all other compliments were taken as air.
This skill is learned in the system operating room.
Every time the system NPC instills something, Ji Xiang does it.
"I'm going to the emergency department, and Mr. Meng is on duty today." Ji Xiang raised his eyebrows and smiled, "You have time?" Usually I leave the emergency department very late. ”
"That's great!" Dr. Merz said happily.
Ji Xiang didn't mean to talk to Dr. Merz, and he strode to the emergency department.
It's the New Year, but there is no New Year's atmosphere in the emergency department.
As usual, there was a cold wind in the corridor, and the doctors and nurses were busy wearing down and shoulders with the logo of the Second Affiliated Hospital.
Meng Qingfei looked up and saw Ji Xiang, and threw the key over.
helped Meng Qingfei open orders and stitch up, and it was not until 7 o'clock in the evening that the peak of the first wave passed.
Meng Qingfei was temporarily relieved to see that there were no patients outside.
"Xiaoji, I heard that an NBA star is coming for surgery? Is it true? ”
"Ha, Mr. Meng, you all know. Wembanyama is coming, do you want his signed jersey or basketball? ”
"No, I don't. Hospital, gossip spreads fast. Meng Qingfei smiled, and then saw Dr. Merz.
"This is ......"
"Doctors from the Department of Sports Medicine at Massachusetts General Hospital, come and learn surgery." Ji Xiang introduced very casually.
"......" Meng Qingfei hesitated.
It was difficult for him to connect Massachusetts General Hospital with his studies at the Second Affiliated Hospital.
"Teacher Meng, are you resting for the New Year?" Ji Xiang asked.
Meng Qingfei glanced at Ji Xiang like a monster.
Ji Xiang was a little embarrassed.
"I mean, Chinese New Year's Eve, your class?" Ji Xiang hurriedly made up for it.
In the emergency department, there are no rest days, whoever is on duty is whoever is on duty, anyway, there is a radish and a pit, and it is impossible for the hospital to be unattended.
Ji Xiang felt a little strange in his heart, how could he ask such a stupid question.
In an instant, Ji Xiang thought of the hospital where he went to with a fracture in empathy.
There are no medical staff at all, and the whole process of intelligent systems, including surgery, drip, blood transfusion, etc.
Although there is only a glimpse of it, the future hospital has left an indelible impression on Ji Xiang's heart at some point.
"I'm in the twenty-ninth class this year!" Meng Qingfei said this, his face lit up.
It is indeed a happy thing to start resting at night after the Chinese New Year's Eve, and hardly delay the New Year.
"Xiao Ji, this ......" After Meng Qingfei finished speaking, he felt that Dr. Merz was a little uncomfortable standing on the side, so he asked Ji Xiang.
"He's going to follow me to see what I'm going to do." Ji Xiang was also helpless.
"Sit down." Meng Qingfei was more carefree, he smiled, took out his mobile phone and began to order food.
"This doctor's name is Merz, and you can ask him what he wants to eat. I'm dumb English, and my spoken language is almost zero, so I don't offer ugliness. ”
Ji Xiang exchanged a few words with Dr. Melz, and then said to Meng Qingfei, "Dumplings are fine, whatever the filling, Dr. Merz is not picky." ”
Meng Qingfei was not verbose and began to order.
"Dongdong Dong~"
A young woman stood in the doorway with a worried face, the door was open, and she knocked on the door, drawing the attention of several people in the room.
"What's wrong?" Meng Qingfei glanced at her, thinking that she was not a surgical patient, and asked casually while ordering food with her mobile phone.
"I have a terrible headache, there are many people in the internal medicine department, can you please give me a CT?"
"Xiao Ji, you go."
Meng Qingfei greeted Ji Xiang.
Ji Xiang sat in front of the computer opposite Meng Qingfei, asked the patient for a medical card, and began to write a bill for her.
After opening the order and collecting the fee, Ji Xiang handed the receipt to the patient and asked her if she knew the place.
The patient knew that Chong Jixiang barely smiled and left.
It can be seen that the patient is very uncomfortable.
However, it is only a headache, and neuropathic pain with trigeminal neuralgia is the most likely.
It is troublesome to treat, and few are cured.
Ji Xiang did not give more sympathy to the patient, and helped to open a list for examination in advance, which was already within Ji Xiang's ability.
After the turmoil of not being able to have surgery, Ji Xiang felt that he had changed a lot.
"Dr. Ji Xiang, why don't patients come to a higher-level hospital instead of a community hospital? And she came here just to prescribe a check-up, which is a waste of medical resources. Dr. Melz asked.
"We're a fly house." Ji Xiang described according to Director Bai's statement.
Dr. Merz was dumbfounded.
Although he didn't understand what a fly restaurant was, Ji Xiang's next description was simple and easy to understand.
Dr. Merz was completely unreceptive to this medical process, but he didn't say much, thinking about the "magic attack" in his heart.
rules, not as a magic attack.
Now the surgery is relatively leisurely, Meng Qingfei and Ji Xiang are chatting, intermittently dealing with patients who have returned from examinations.
Today's luck seems to be good, and I wasn't disturbed when I was eating dumplings.
Ji Xiang and Meng Qingfei finished eating at the same time, and Dr. Merz only studied and understood the three dumplings.
"I'm full."
"Why do you eat so fast?" Dr. Melz asked.
"Isn't it the same in your emergency room?"
"I haven't been to the emergency room in years, it's like hell. Oh my God, I can't even think about it, I think I'm going to have nightmares today. Dr. Merz shrugged.
"I'm burning to 39 degrees, why don't you doctors care if I live or die!"
A voice came from the corridor, Meng Qingfei shook his head with a smile, went to wash his hands, and walked out while wiping his hands clean at the position of the white clothes' buttocks.
It must be that the internal medicine department can't handle it, and this kind of highly self-centered patient still needs to be dealt with quickly, otherwise it will be a complaint.
It is very common for crying children to have milk to eat, and it is very common for them to be divided according to the noise.
Ji Xiang followed behind Meng Qingfei, and when he saw that he had spoken a few words to the internist, he beckoned the patient with a fever to go to the surgical office.
"Your hospital really has a bad service attitude at all! What the hell! The patient's family complained.
"Hehe, it's good." Meng Qingfei said while prescribing medicine to the patient, "I know a friend who is pregnant and doing 3D color ultrasound, and when she first went in, it was a young man who did it, she was very unhappy and nagged a few words. ”
Before it came out, she was called by her name again. This time it was a specialist's clinic, and there were five doctors in it, and the person who gave her a B ultrasound was a middle-aged doctor, and there were four young doctors in their twenties standing beside her. ”
"Cut." The patient's family was disdainful.
Looking at what he meant, he didn't understand what Meng Qingfei wanted to express at all.
"This time I did it for more than 30 minutes, but before the results came out, my friend's lover was called in again."
"The third time I entered the three-dimensional color ultrasound room, sitting in front of the machine was an old doctor, with gray hair and meticulous care. There are more than a dozen doctors standing next to him, ranging from forty or fifty to twenty years old, from all ages. ”
Patients and their families are silent.
"There is a fetal heart problem, and finally the old expert gave a diagnosis, and now the child is three years old, has taken medicine for three years, and is preparing for surgery."
"Sometimes, ......"
Meng Qingfei was just talking, when suddenly there was a pop outside the door, followed by screams.
"I didn't touch it, she fell on her own."
Someone explained.
Meng Qingfei jumped up and rushed out directly.
"We haven't finished our list yet! Why are you going!
The patient's family shouted.
But whether it was Meng Qingfei or Ji Xiang, no one paid attention to him.
The patient who fainted was at the door of the surgical clinic, and Ji Xiang was stunned when he saw it, it turned out to be the young female patient who had a headache and saw that no one came to the surgery to open an examination.
Ji Xiang judged that she was fine, it should be a nervous headache, but he never expected that the patient would faint directly at the door of the clinic after coming back.
The patient is still carrying the film in his hand.
Meng Qingfei simply examined the body and ruled out vertebral problems, and then beckoned someone to lift the patient into a flat car and send him to the emergency room.
He hurriedly took the bag of tablets in the patient's hand.
"We haven't finished our medicine yet! Come back quickly!
The family members of the patients in the consultation room shouted.
Meng Qingfei strode to the emergency room as if he hadn't heard it.
Ji Xiang didn't finish the rest of the work, and the patient who fainted in front of him attracted his attention, as for the patient with fever...... The vital signs are stable, and an hour late is not a problem at all.
The young female patient is likely to have a cerebral hemorrhage or cerebral infarction, but it is precisely because of her youth that Ji Xiang habitually asks about her past history and trauma history, which are all negative, so she didn't think of this at that time.
Ji Xiang felt slightly guilty.
"Kada~" Meng Qingfei inserted the film into the reader.
The CT image of the head is very clear, nothing happens!
Ji Xiang was wrong, it was not a cerebral hemorrhage, nor a cerebral infarction.
Meng Qingfei was stunned for a moment, read the film carefully again, and still didn't find the problem.
When he went back to see the patient, he was conscious, but his left limb was numb and his speech was impaired.
The patient has obvious neurological deficits, but the film he just made turned out to be fine!
Meng Qingfei's brows furrowed, and he was making one differential diagnosis after another in his heart.
Ji Xiang quietly came to the corner and went to the system operating room with bated breath.
"Old Meng, what's going on?"
"A patient with a headache, seeing that there are many people in your house, came to my place for a check-up, and that's it when he came back. There is no past medical history and trauma history, and head CT is fine. It's weird, the brain is fine, how can I faint and have a nervous system disorder. Meng Qingfei briefly narrated.
The internist asked the nurse to come down for a consultation with the head of the neurology department and examine the body.
Similar to the conclusion of Meng Qingfei's physical examination, the patient should have a head infarction or hemorrhage.
Coupled with a severe headache, everyone suspected that the possibility of subarachnoid hemorrhage was particularly high.
However!
The CT results of the head did not support their judgment.
Meng Qingfei and the emergency physician both faced the film sadly and silently "met".
"Teacher Meng, why don't you do a comprehensive examination?"
Ji Xiang's voice came from behind him.
"A full inspection? What to look for? Meng Qingfei's heart moved, and he asked in a deep voice.
"There shouldn't be a problem with the head, I recommend checking the blood vessels and heart."
“!
! The emergency physician looked back at Ji Xiang with a stupid look.
This is also Ji Xiang, if you change to another trainee, it is not just as simple as looking twice.
"The patient has neurological symptoms, or check the cervical spine MRI." The emergency physician said.
"I recommend looking at the blood vessels in the neck and the heart." Ji Xiang insisted.
"If you have a heart, you can't see it without an echocardiogram in the emergency room. Are you sure? If you are sure, you can apply to the medical office, and the echocardiology room will send a doctor to work overtime. Meng Qingfei asked.
He is familiar with Ji Xiang, so he respects Ji Xiang's opinion.
"Old Meng, what are you kidding?" The emergency physician was surprised, "The patient is a symptom of the nervous system, you have to look at the heart to make sense." ”
"emmmm......" Meng Qingfei groaned.
He also felt that it was meaningless, he just said that he was simply believing in Ji Xiang's judgment.
"That way, you contact the neurology department and see their opinion and do what you have to do. I contacted echocardiography and vascular ultrasound to find someone to do the examination. Meng Qingfei proposed a compromise plan.
The emergency physician frowned and wanted to say something, but Meng Qingfei carried the pot on his own back, and the emergency physician had nothing to say.
Dr. Merz also noticed that the atmosphere was not right, and he waited for an unfamiliar emergency physician to see the patient and came to Ji Xiang's side.
"Doctor Ji Xiang, what's going on?" Dr. Melz asked.
Ji Xiang briefly described the situation.
Dr. Merz's eyes widened, "Oh my God, you're going to examine a patient's heart?" Do you suspect that a young woman with no past medical history has a heart attack? Even if there is a myocardial infarction, there is a high probability that it will be shoulder and back pain, and there will be no headache. ”
"And, I'm doing an ECG, and I feel like the ECG is the way to solve the problem, not a color ultrasound of the heart.
The most important thing is that the patient has neurological symptoms, and my God, it's hard to believe that you don't even know such a basic thing. ”
Ji Xiang glanced at Dr. Merz.
What are you doing with all this?
Dr. Merz finally seized the opportunity after following Ji Xiang for a few hours, and it seemed that Dr. Ji Xiang was the kind of doctor who was full of surgical talent but weak in basic knowledge.
Taking advantage of this opportunity to put a lot of psychological pressure on him may be helpful for the operation.
Dr. Merz couldn't imagine how many more people would come to this small hospital after another world-renowned sports star had successfully undergone surgery.
That's all money!
It's money!
!
It's cash that doesn't have to deal with a damn insurance company!
"Dr. Merz, I think you'd better consult with an experienced doctor at Massachusetts General Hospital." Ji Xiang said seriously, "Otherwise, your ignorance may turn into a joke." ”
“!
! Dr. Merz was shocked, and Ji Xiang did not have the slightest apprehension of the young doctor, and he seemed to think that his diagnosis was completely correct.
"Doctor Ji Xiang, the electrocardiogram has been done, and the stupid diagnosis that you suspect of a heart attack will also be proven." Dr. Merz said confidently.
Although he is an expert in sports medicine, he has a solid foundation and the patient's condition is relatively simple, and Dr. Merz is confident in his judgment.
This is a good way to fight Ji Xiang, and Dr. Merz will definitely not give up.
As he spoke, the ECG was done, and the strip of paper punched out of the machine was snatched away by Dr. Merz.
The emergency physician was stunned for a moment, he saw that it was a blonde foreigner, he didn't figure out what the situation was, and he didn't dare to snatch the ECG back.
"Dr. Merz is a specialist at Massachusetts General Hospital." Meng Qingfei explained simply, and then went to Dr. Merz to see the electrocardiogram.
The patient's electrocardiogram was normal, and Meng Qingfei sighed.
Ji Xiang should have misjudged, and it was outrageously wrong.
"Doctor Ji Xiang!" Dr. Merz raised the electrocardiogram in his hand, and it rattled like a flag, "The patient's condition is as I expected, and it is not a heart problem at all. ”
"Dr. Merz, this is not Massachusetts, and you are not qualified to practice medicine. If you say anything more, I'll go to your embassy. Ji Xiang looked at Dr. Merz disdainfully and said.
“!
! Dr. Merz didn't expect Ji Xiang to say that.
Angry?
Instead of being afraid, Dr. Merz was not worried about anything because of Ji Xiang's words, but felt that Ji Xiang was already panicking at this time, he was the villain boss of the movie, and he would soon fall in front of the righteous knight.
In the face of iron-clad facts, he dared to forcibly defend himself, and even said the embassy!
Dr. Merz felt that Ji Xiang was already on the verge of collapse.
"You're really verbose." Ji Xiang said coldly.
"Doctor Ji Xiang, your judgment is wrong, our medicine is evidence-based science, and the evidence is here." Dr. Merz shook the ECG in his hand again.
Meng Qingfei could probably understand the communication between Ji Xiang and Dr. Melz, and he grabbed the ECG and handed it to the emergency physician.
"Xiao Ji, do you insist on doing other tests of blood vessels and heart?" Meng Qingfei asked in a low voice.
"Yes." Ji Xiang said firmly, "I suspect that the patient has ......."
Before Ji Xiang could finish speaking, his words were interrupted by Dr. Merz.
"Young doctors should have a sense of reverence for medical care, not just if you do a good job in surgery and emergency first aid. Besides, is your surgical level really as high as you think? ”
Dr. Merz said, looking into Ji Xiang's eyes.
"When evidence-based medicine already has evidence, stop making unnecessary false insistences, the longer you persist on the wrong path, the louder the ridicule awaits you!"