Ji Xiang looked at Dr. Merz with a strange gaze.

"Young man, I haven't seen your surgery yet, and I can't admit your talent for the time being. But as far as your diagnosis is concerned, I can clearly perceive the jerkiness and the lack of basic clinical theory. ”

Dr. Merz smiled slightly, not too much reprimand, but with a little love.

This invisible PUA is a greater mental blow, and Dr. Merz is well aware of it.

However, he didn't want to stop at the point, because Dr. Merz was worried that Ji Xiang was too young to understand.

"Work harder, read more, study more, and don't take ignorance as personality. Young people love it, and my students are just like you, hell. ”

"When young people make mistakes, God forgives them, don't take too much care about a diagnostic error. But here's what I'm going to tell you – it's irresponsible to the profession to insist on the wrong diagnosis. ”

Ji Xiang really didn't know where the confidence of the Dr. Merz in front of him came from.

Meng Qingfei pulled Ji Xiang.

"Xiao Ji, you come with me."

Meng Qingfei's voice was very small, but he was seen by Dr. Merz, and he smiled and made an elegant gesture of please.

In his opinion, this should be a senior doctor expressing his dissatisfaction with Ji Xiang and asking him to go to a place where no one is to teach him a lesson.

"Young man, go and accept the advice of the senior doctors, and be humble. You're in the emergency room, and it's only going to bring more chaos. ”

"What did he say?" Meng Qingfei didn't understand what he heard, and asked after taking Ji Xiang out of the emergency room.

"He didn't trust my judgment and kept saying that I was a misdiagnosis and an irresponsible doctor." Ji Xiang said indifferently, "Teacher Meng, have you contacted the echocardiogram?" ”

"Contacted." Meng Qingfei walked to the consultation room and said, "You are so lucky, the doctor on duty in the emergency department B ultrasound has something to do today, and I am looking for a friend to replace him, and it happens to be the doctor of echocardiography." ”

Good luck, Ji Xiang scratched his head and looked at the luck value on the attribute panel.

It is indeed a very important attribute.

If you have the chance, be sure to increase the luck attribute.

"Can you go after you finish prescribing medicine?"

The family members of the patients waiting in the consultation room said very unhappily.

"I've fainted on that side." Meng Qingfei was not surprised, and after a simple explanation, he asked while prescribing medicine to the patient, "Xiaoji, why do you insist on doing ultrasound of blood vessels and heart?" ”

"I suspect the patient's diagnosis is patent foramen ovale."

Meng Qingfei was stunned when he heard Ji Xiang's words.

Patent foramen ovale?

Patent foramen ovale is the most common congenital heart anomaly in adults, foramen ovale is generally closed in the first year after birth, if the foramen ovale is still not closed in children older than 3 years old, it is called patent foramen ovale, and 20%~25% of adults have incomplete closure of foramen ovale.

"But patent foramen ovale is usually fine, if it's very large...... There will also be no neurological symptoms. Meng Qingfei frowned and said.

"Recent studies have shown that patent foramen ovale is associated with syncope." Ji Xiang said, "But the specific mechanism has not yet been determined." ”

"Can you do your job well! I'm waiting for you to prescribe medicine! The fever reaches 39°C, and the feelings are not your fever. The patient's family listened to Meng Qingfei and Ji Xiang talking, and Meng Qingfei's movements were a little slower, so he scolded.

Meng Qingfei smiled, "Xiaoji, you come to prescribe medicine for him, and I'll take a look at the patient." ”

Ji Xiang was full of smiles and kept bending over to the patient's family, expressing his embarrassment.

Reaching out and not hitting the smiling person, although the patient's family was unhappy, they didn't say much.

Ji Xiang has long been accustomed to this way of communication, and the efficiency of himself and Meng Qingfei is indeed much worse than that of an unmanned intelligent hospital.

He didn't blame himself for this, an era has a rule of an era, and he feels guilty for this? Ji Xiang doesn't do such boring things.

Keeping a smiling face, calming the patient's family, and not causing trouble, this is the purpose of Jixiang.

Out of the corner of his eye, Ji Xiang saw that Meng Qingfei did not go to the emergency room, but walked straight to the direction of the duty room.

It is estimated that he went to see a doctor on the Internet, Ji Xiang thought to himself.

Hurry up and prescribe medication to the patient, and after sending the patient away, another tetanus is prescribed.

"Young man, is your teacher as dissatisfied with your diagnosis as I am?" Dr. Melz stood at the door, and said with a smile when he saw that Ji Xiang was idle.

Ji Xiang thought that the blonde hair on Dr. Merz's head was so annoying.

"Humility, honesty, compassion, and valor, these are the basic qualities of a doctor...... Dr. Merz still murmurs.

"And evading insurance companies and fighting for more out-of-pocket medical care so that the number on your credit card is getting bigger and bigger, right?" Ji Xiang looked at Dr. Merz and asked.

This question was like a knife stuck in Dr. Merz's heart.

His smile froze, and his whole face froze.

"Dr. Merz, this is not your area of expertise, my advice is the same as before, you should still call the experts in the relevant specialties in Massachusetts and ask for details."

After speaking, the corners of Ji Xiang's mouth rose, "Shouldn't you be in Massachusetts, you don't have any friends?" It's so pitiful, they're so old, they don't even have a friend. ”

"How is that possible!" Dr. Merz clenched his hands into fists and raised in anger.

"Then go and ask, and you will be ashamed of your ignorance when you get a professional answer, instead of standing here and talking to me about useless nonsense. And you, if you don't call, you'll regret saying so much in 20 minutes. ”

Dr. Merz looked at Ji Xiang in a daze, he couldn't understand why this young man would talk to him with confidence.

There are many talented young people in Harvard Medical School, and Lin Jiu is one of the more representative people.

But at Ji Xiang's age, they are all jerky and ignorant, who dares to communicate with senior doctors in such a tough tone!

Maybe...... Dr. Merz thought of a possibility!

In the heart of the young doctor in front of him, he is not a senior doctor, but an ordinary doctor who has come to study and observe surgery.

Dr. Merz was almost ignited by his thoughts.

Negative words such as unruly, arrogant and ignorant form labels, which are nailed to the perception of Jixiang by Dr. Melz in his heart.

Dr. Merz was also suspicious, but the ECG report dispelled his suspicions.

It was not a heart attack at all, and the patient had typical neurological symptoms, Dr. Merz looked at Ji Xiang with a sneer.

Then let the facts do the talking.

"Borrowed." Meng Qingfei turned sideways and squeezed in the small space between Dr. Merz and the door frame.

"Xiao Ji, get ready to see an echocardiogram." Meng Qingfei no longer hesitated.

"Found?"

"I wrote a few sentences on the Internet, not very detailed, and I called my classmates. He said a few words to me, but I didn't listen carefully because of the time constraints. Meng Qingfei hurriedly said, "Wait a minute, there is rescue in the rescue room." ”

He saw that the patients waiting outside the clinic didn't seem to be serious, so he explained, and pulled Ji Xiang to the emergency room quickly.

The ultrasound doctor has arrived.

"Lao Meng, you are really getting older and more demonic." While applying the couplant to the patient, the ultrasound doctor said, "It is difficult to associate the neurological symptoms with the heart, so it is necessary to check them." But you're an emergency physician who knows so much about it? ”

"Who am I?" Meng Qingfei looked up proudly, without the slightest guilt or embarrassment.

"Awesome, I'll take a look first." The ultrasound doctor begins to move the probe in front of the patient's chest.

His level was very high, and it took less than 1 minute to start positioning, measuring.

"The foramen ovale of 1.3 is not closed, and there really is! I'll tell you about Lao Meng, and you're lucky to catch up with me, otherwise the director will be there during the day, and you will have to do an ultrasound through the esophagus to diagnose it. ”

"It's so hard?"

"That's, I'm amazing!" The ultrasound doctor began to record, "Old Meng, remember to send me a copy of the patient's information." ”

"You want to write a thesis?" Meng Qingfei's eyes lit up.

"Hmm."

"Forget it, at your level, you won't be able to send it out for a year or two. I'll figure it out, how about you being the second author. ”

"Yo, Lao Meng, you are getting more and more generous!" The ultrasound doctor did not insist, and who would want to write a thesis among clinicians.

And Meng Qingfei has published two SCI articles in the past six months, which is SCI!

"Xiao Ji, you can write." Meng Qingfei pushed the job directly to Ji Xiang.

"Ah, good!" Ji Xiang responded without hesitation, "Post it in the Journal of Cardiovascular Surgery." ”

The ultrasound doctor was a little disappointed, and while recording the information, he asked, "Which pheasant magazine, Lao Meng, or you can come and send me a sci." ”

"What do you think?" Meng Qingfei said, "The Journal of Cardiovascular Surgery is the second journal with the second impact factor of cardiothoracic surgery. ”

"Impact Factor!" The ultrasound doctor's hair almost didn't stand on end.

"It seems to be five o'clock, but I have forgotten the specifics."

The ultrasound doctor was stunned for a moment, but then seemed to remember something, and handed the things he recorded to Ji Xiang with both hands.

"You're Dr. Koji! I haven't watched the show, and I haven't seen it before, so I'm sorry. ”

"Teacher, you're welcome." Ji Xiang said politely, but his attitude was really polite.

"Tsk, if you write it, the paper will definitely be fine." The ultrasound doctor smiled and patted Ji Xiang's shoulder.

The emergency physician was a little anxious, "What are you talking about, the patient is still ......"

"The neurological symptoms caused by patent foramen ovale will be relieved on their own, usually in 1-2 hours, and there are no sequelae." Ji Xiang explained, "Next, I will send him to cardiac surgery or cardiovascular surgery. It's useless for us to be in a hurry, wait and see. ”

"Let's send it to the loop." Meng Qingfei directly came to a conclusion.

Ji Xiang was not interested in where to send the patient, he looked up and saw Dr. Merz standing in the corner, his eyes staring directly at the image on the echocardiogram machine in a daze.

"Dr. Merz, that's what you call a definitive diagnosis." Ji Xiang walked over and waved the echocardiogram report in front of him like Dr. Melz was wielding an electrocardiogram.

Dr. Merz stared blankly.

Ji Xiang knew that the training they had undergone was rigorous, even rigorous, and that Dr. Merz would definitely be able to read the images of the echocardiogram.

"Humility is a virtue." Ji Xiang jokingly said, "I hope you have friends in Massachusetts who have already told you the real diagnosis." ”

"It can't be." Dr. Merz muttered.

"Do I trust echocardiographic imaging or do I trust the multidisciplinary diagnosis of a sports medicine doctor? Dr. Merz, what would you choose if you were you? Ji Xiang continued to sneer.

Dr. Merz burst into tears.

The knight had already fallen the moment he rushed forward, and fell in front of the Great Demon King without any accident.

At this moment, the Great Demon King was covered in black qi, stepping on the knight's head, showing off his martial arts.

And he is the unlucky guy who fell in front of the Great Demon King.

Dr. Merz listened to Ji Xiang's sarcasm, and his eyes were in a daze as he stared at the image of the patent foramen ovale on the machine.

The machine was turned off, and the B-ultrasound doctor pushed the machine away, and when he left, he didn't forget to joke with Ji Xiang and Meng Qingfei.

"Humility, Dr. Merz, is a virtue, and I think you should keep it in your heart and not just say it with your mouth. Treating ignorance as a personality is not something that only young people do. But God will forgive young people, and as for old people of your age, it depends on God's mood. ”

Ji Xiang hadn't forgotten Dr. Merz, and when he left the emergency room, he threw down another sentence.

“！！！” Dr. Melz was completely confused, and a mouthful of old blood almost didn't spurt out.

"Xiaoji, you don't seem to be very polite to Dr. Merz."

Back in the surgical room, Meng Qingfei asked with a smile.

"Well, Dr. Lin Jiu Lin applied for a professor at Massachusetts General Hospital, and Dr. Merz voted against it."

Meng Qingfei covered his head.

There's all this everywhere.

However, Dr. Merz chased and beat hard, from the Massachusetts General Hospital to the Second Affiliated Hospital, and traveled thousands of miles to "hunt down" Lin Jiuze.

No wonder Jiji has such a big opinion of Dr. Merz.

"Xiao Ji, it's the first time I've seen you be so hostile to a doctor. Speaking of words, you're welcome, how many levels is Zu'an? Meng Qingfei said with a smile.

"It's okay, it's not very hostile."

Meng Qingfei remembered Ji Xiang's past.

The young man seemed to have a very easy-going temper, but in fact he was very sharp when he encountered injustice.

But it has nothing to do with yourself.

Meng Qingfei recalled Dr. Merz, perhaps because of the relationship between Aiwu and Wu, and he also felt that Dr. Merz was very annoying.

"The paper is fine." Meng Qingfei asked.

"Probably not, I'll write it myself." Ji Xiang smiled and asked, "Teacher Meng, do you want to be the first author or ......?"

Meng Qingfei laughed, "Of course sell it!" ”

Xiao Ji is really empathetic, Meng Qingfei has no interest in publishing articles, and he doesn't want to go up when he gets older, and he has no chance, so he is more interested in selling the first author.

"Xiao Ji, half of the money earned by one person."

Ji Xiang thought for a moment, "Okay." ”

Meng Qingfei was slightly stunned, but then smiled more happily, "Let's go, smoke a cigarette." ”

At the moment, there are no patients, and after a while, after dinner, they will go home or go to the night club, and there will be more car accidents and fights.

Ji Xiang followed Meng Qingfei to the duty room, and saw Dr. Merz standing in the corridor in a daze, and did not chase and beat Dr. Merz.

There is a chance to beat the water dogs, as long as Dr. Merz does not give up and wants to trouble Lin Jiu.

When he came to the duty room, Meng Qingfei threw Ji Xiang a cigarette.

"I really don't know what the foreign doctor thinks." Meng Qingfei lit a cigarette, took a puff happily and said, "I feel like I have a diagnosis when I take the electrocardiogram." ”

"There are not many cases of patent foramen ovale causing headaches and neurological symptoms, maybe he didn't expect it. After all, the medical community has not given a clear statement now, it is just speculation. Ji Xiang gave a fair evaluation.

Meng Qingfei said that was not the case.

"I have a classmate who returned to his hometown after graduation and became the director of hepatobiliary surgery after less than 10 years."

"But I worked hard, I fell into a problem, I had emergency surgeries every day, and I rarely ate breakfast, so there was no accident about cholecystitis."

"One day he suddenly had pain in his right upper abdomen, did a B-ultrasound, the gallbladder was slightly inflamed, and he pulled an electrocardiogram, and nothing happened. Find a nurse to dispense medicine for him, and just stay in the director's office. ”

The drip was very fast, and the nurse pulled out the needle and saw that he was okay and left. Later, I didn't come home very late, and my family kept calling but no one answered. Later, the nurse received a call from her family and cautiously went to the director's office to take a look. ”

Ji Xiang didn't prick up his ears, he had already guessed the ending.

"Man has been dead for 3 hours, heart attack." Meng Qingfei sighed, "Tell me, it's a pity that you're less than 40 years old." ”

"Is the ECG alright?"

"Hmm." Meng Qingfei saw Ji Xiang coming to the road, and directly asked what he meant, his heart moved, he was going to tell Ji Xiang about it, but now he changed his mind, "Xiao Ji, test you, what do you say." ”

"In chronological order, most of the time he did an ordinary 12-lead ECG, in this case, he must add the posterior wall and the right heart, that is, an 18-lead ECG."

“！！！” Meng Qingfei was stunned for a moment and then gave a thumbs up.

"Xiaoji, you know this!"

"Huh." Ji Xiang scratched his head, he was also listening to the system NPC in the system operating room.

"Otherwise, sometimes there are still problems with the ECG, but in short, it is right to be cautious."

Ji Xiang knew that this was Meng Qingfei and Teacher Meng telling him about the problems he encountered in his clinical practice, so he was very serious.

"A few years ago, I met a college student, a junior at our medical university. In the middle of the night, he said that he had a terrible toothache, and the internist prescribed him a new film. ”

"In other words, Xinhuang tablets are really effective for some toothaches, and I always feel that there are analgesic ingredients in it."

Meng Qingfei continued after a few words, "Later, I was sent in for rescue and suffered cardiac arrest within a few hours. ”

"Heart attack? 20 years old? ”

"Pretty much, since then...... There were also some rare cases of death caused by myocardial infarction, and Director Bai began to ask any patient to come and do an electrocardiogram. ”

"For this, we have been scolded a lot."

"The patient's family doesn't understand."

"I definitely don't understand, I have a toothache, you have to let me do an ECG, this is not a black-hearted doctor or something." Meng Qingfei laughed at himself.

"Do it, sign if you don't do it, it's better to take a little trouble and get a few words of scolding than to make trouble with the patient's family who died." Ji Xiang Road.

As he spoke, he recalled that in the hospital of the future, the intelligent system would be like a package to do an ECG.

I don't know when I did it, I think it should be Shen Lang who glanced at it and didn't tell himself when he saw that it was okay.

"That foreign doctor...... Hahaha. Meng Qingfei laughed out loud as he spoke, "What is he doing here." ”

"Who knows, it should be to see Wembanyama's surgery."

"Really coming?!"

"Teacher Meng, are you familiar with Wembanyama?" Ji Xiang asked.

"Well, I've been watching him play. Now that the NBA is connected with spinach, it's really not much to see. Meng Qingfei said, "But Wembanyama's path is very similar to Da Yao, when he first entered the NBA, he was like a hemp stick, and later in order to enhance the confrontation and gain muscle." ”

"You think, you can gain muscle, but the load is also great." Meng Qingfei said, shaking his head, "Is it possible to go back again?" ”

"Teacher Meng, you care so much about Wembanyama."

"I always feel that Da Yao was a pity back then." Meng Qingfei said, "If there are no injuries, or in the current small-ball era, Da Yao can play better results." Therefore, looking at Wembanyama is about the same as watching Da Yao, which is about the same as going back to 08 and 09. ”

"I mean, you know."

"Probably understood." Ji Xiang smiled, "The operation should be fine, I'll report to you when it's done." ”

"Don't, don't." Meng Qingfei waved his hand again and again, "I can't stand you being too polite, it's good to be cheeky and rub some SCI articles." ”

"Teacher Meng, you are really too polite." Ji Xiang thought in his heart that he seemed to have a different understanding of Meng Qingfei.

I still remember that in a certain empathy, I woke up from general anesthesia, and what I shouted was Meng Qingfei's name.

Maybe it's because he's his own emergency teacher.

Ji Xiang especially remembers that once Meng Qingfei saw a child go to the pediatrics, and he kept wandering at the door anxiously.

You must know that the first thing Ji Xiang knew about Meng Qingfei was that the stitches of an RX plastic surgery patient were removed, and he didn't care whether the other party would complain or not, and he resolutely refused to remove them, and sent them away directly.

The relatively contradictory character highlights a kind of charm.

"Don't talk about this, Xiao Ji, you went to the magic capital for surgery this time, it went well."

Speaking of the magic capital, Ji Xiang told Meng Qingfei that he would not have surgery all of a sudden.

Meng Qingfei listened with relish.

"Ha, I didn't expect you to have this situation too, Xiaoji!" Meng Qingfei's eyes lit up, "I have had it too!" ”

The two of them suddenly didn't know how to have surgery.

Ji Xiang heard Meng Qingfei say several examples, and he knew that what the system NPC said was not a lie, and similar cases were indeed not isolated cases, but a relatively common phenomenon.

It's just like a disease, some people are light, some people are heavy.

"Xiao Ji, awesome!" Meng Qingfei gave a thumbs up after speaking, and his eyes were glowing.

"Huh?"

This awesome sentence stunned Ji Xiang.

"The sooner that happens, the more progress there will be, you know what I mean." Meng Qingfei rubbed his hands as he spoke, he didn't wait for Ji Xiang to speak, he added, "It's the dimensional wall you are willing to say, you broke the dimensional wall this time, how long have you been a sorcerer!" ”

“……”

"Cow !!"