"The main thing is that I'm not short of money."

Lin Jiu was speechless, looking at Ji Xiang, knowing that this thing was not lying.

can say that there is no shortage of money so openly, Lin Jiuze's mood is very complicated, and he is a little envious.

"And the annual salary of 6 million is too high, and the teachers estimate that the group wants to make the health industry bigger and find old experts to build a platform, so they offer such a high price.

However, this money is in doubt, it is a big pie drawn by the boss.

Even if the KPI is low, you can't get the full amount.

Wait for two or three years to pass, and then find an excuse to kick people out after everything is straightened out. By then, there will already be someone in the position of director, and you won't be able to go back if you want to. ”

"Is it so irregular in China?" Lin Jiu was surprised.

"Harm." Ji Xiang smiled, "Almost, didn't Director Bai say that there are fly restaurants in China." Michelin chefs are worthless in the Fly Restaurant, and I don't want you to be controlled by capital and become a big interest group. That's what it means. ”

The two chatted casually, and Dr. Merz suddenly had a serious expression and said very unhappily, "Do an intraoperative CT." ”

Dean Zhao was accompanied by a doctor who was good at English as an interpreter, and he was stunned when he heard Dr. Melz say this.

"I'm sorry, Dr. Merz, we only have the DSA machine in the interventional operating room with CT function."

Dean Zhao said apologetically.

"It's the biggest joke I've ever heard! I can't do CT during orthopedic surgery! Oh my God, you're murdering! Dr. Merz waved his arms angrily.

“……”

Dean Zhao didn't expect Dr. Melz's temper to be so big, even to the point of murder, he was taken aback and didn't know how to explain it to the Massachusetts expert.

Originally, he was just looking for a simple patient with a tibial fibula fracture to operate on it and win over the relationship, but as for whether he could give Zhao Tianjiao a ride, he didn't have much confidence.

But I never expected that a fixation operation for a tibia and fibula fracture would make such a big mistake in the anesthesia stage.

As soon as the skin was opened, the patient's blood pressure fell off a cliff before the hematoma was treated and the fracture was found.

No wonder Dr. Merz is angry.

"What about the rescue, you be quiet and concentrate."

A familiar voice came, and Dean Zhao was stunned for a moment.

Ji Xiang!

Since Zhao Tianjiao's "suicide", Dean Zhao has been reluctant to see Ji Xiang.

It's not that he doesn't like Ji Xiang, it's more similar to other people's children with excellent grades, but his own children are very unhappy, which brings a huge blow to Dean Zhao.

"It's a problem with anesthesia!" Dr. Merz's voice was a little quieter, and he turned his head, but instead of scolding Ji Xiang, he seemed to argue with a senior doctor.

Lin Jiu was stunned for a moment.

Dr. Merz had a strange attitude.

In Massachusetts, Dr. Merz is known for his bad temper, especially before he was selected, and Mr. Tang took himself to visit Dr. Merz to get a change in his attitude.

Until now, Lin Jiu could still remember the disdainful expression of Dr. Merz.

Unexpectedly, when he came to the Second Affiliated Hospital, after being directly scolded by Ji Xiang with "bite your mother", Dr. Merz was a little afraid when he saw Ji Xiang.

Lin Jiu also knew that it was not entirely because of "biting your mother", but more importantly, because of Wembanyama's recovery speed.

But he still wanted to think so.

"Anesthesia...... It's been very stable, and it shouldn't be anesthesia. The doctor in charge of anesthesia explained in a whisper.

"It's not a problem with anesthesia, but it's still my problem?" Dr. Merz looked at the anesthesiologist with disdain.

Just because he didn't dare to compete with Ji Xiang didn't mean that he didn't dare to reprimand others.

The translator subconsciously translated the words into English, and Dr. Merz immediately expressed his dissatisfaction.

It's all the right of the senior doctor!

In particular, if there is an accident during the operation, there will be a disagreement between the surgeon and the anesthesiologist.

"Dr. Merz, please take your attention, resuscitation is underway here." Ji Xiang glanced at Dr. Merz and said in a cold voice.

Dr. Merz's mask moved, and before he could say the next words, he lowered his head and turned around in disagreement.

Dean Zhao was jealous in his heart.

Other people's children are so nice!

If Zhao Tianjiao had half the level of Ji Xiang...... No, even if it's like the difference in the number of knots in the big competition, you don't have to bother so much, being called by a ghost old man.

He took a deep look at Zhao Tianjiao, and countless emotions were all in his words.

But Zhao Tianjiao was at a loss, he didn't understand what was going on at all.

After all, he was too young to tell what was going on from the details of Dr. Merz's attitude.

"The anesthesiologist gave too much medication and delayed the operation." Although Dr. Merz didn't dare to talk back to Ji Xiang, he still said dejectedly.

Lin Jiu shrugged his shoulders, and suddenly felt that the aura on Ji Xiang's body was stagnant, but it was like his own illusion, and Ji Xiang returned to normal in just a moment.

This feeling is more mysterious, and Lin Jiu also said why.

But he just felt that something was wrong with Ji Xiang.

"Dr. Merz, who asked for the position?" Ji Xiang asked in American English.

"Me, me?" Dr. Merz said two "I's" in a row, in a strange tone.

"What does the patient diagnose."

"Closed fractures of the tibia and fibula of both lower extremities."

"It's okay to have surgery within 48 hours." Ji Xiang spoke very quickly, and at the beginning, the doctor in charge of translation around Dean Zhao could still keep up, but after only three sentences, he began to make trouble.

"I didn't ...... No problem. ”

"Well, what are the complications of doing this? You talk about it. Ji Xiang continued to ask.

“！

！ Dr. Merz froze.

The tone in which the young Great Demon King spoke to him was like a typical senior doctor teaching his assistants.

He!

Why!

Dr. Merz was unconvinced.

But Dr. Merz did not dare to speak, and held back all the grievances.

"Dr. Lin, you're a radiologist, you can do ultrasound." Seeing that Dr. Merz didn't speak, Ji Xiang turned his head sideways and asked.

"I understand a little." Lin Jiu said with a smile.

He especially enjoyed watching Dr. Melz get deflated.

Ji Xiang didn't speak to himself in such a stern tone.

"Brother Liu, the cardiac surgery department has a transesophageal ultrasound machine in the operating room."

"Yes." The anesthesiologist was shocked by Ji Xiang's fluent English before and was inexplicably surprised.

"Trouble pushing the machine."

"What do you suspect?" Dean Zhao asked.

"Pulmonary embolism."

“！

！ Dean Zhao was stunned.

Pulmonary embolism!

Ji Xiang actually suspected that the patient had a pulmonary embolism!

No, the patient is young and healthy, just an ordinary general anesthesia operation, how can a pulmonary embolism occur so coincidentally?!

Dr. Merz also realized that he was emotionally wrong, and he was a little ashamed.

In the face of the evil dragon, in the face of the demon king, how can you bow your head!

At this time, you should show your professionalism and beat him in the field you are good at!

Sports medicine is a sub-discipline of orthopaedics, and Dr. Merz is also an excellent orthopaedic surgeon.

He believes that this is his field, and the situation of the patient in front of him is relatively simple, and it is the best battlefield.

Unlike Achilles tendon surgery, Dr. Merz doesn't expect patients to have any surprises.

Those are all small probability events, and if the doctor's mind is full of small probability events, there is no need to do surgery.

"What are you talking about?" Dr. Melz asked.

"The patient may have a pulmonary embolism, and I recommend Dr. Lin to do a transesophageal heart color ultrasound, instead of CT." Ji Xiang replied.

Pulmonary embolism?!

Dr. Merz was stunned.

I said that I needed to do CT during the operation, but I didn't expect it to cause a series of reactions from the big demon king, which is also too sensitive!

In addition, pulmonary embolism is a disease with a series of manifestations such as sudden onset and cerebral hypoxia.

The patient's blood pressure only dropped, and the oxygen saturation was around 100% all the time.

Dr. Merz was afraid that he was mistaken, so he glanced at the value on the ECG monitor, and it was indeed 100%.

"Give high-flow pure oxygen?" Dr. Melz asked.

The interpreter translated his words to the anesthesiologist.

"No, ordinary oxygen, the patient's oxygen saturation has always been very good." The anesthesiologist replied.

"Impossible!" Dr. Merz swept away the previous decline, he looked back at Ji Xiang, "The blood oxygen saturation has not dropped at all, why do you judge that it is a pulmonary embolism?" ”

"The patient has made an incision, and it is indeed not suitable for CT, but it should definitely not be done with transesophageal cardiac color ultrasound!"

"There is a risk of cardiac arrest with invasive procedures, even ultrasounds."

Dr. Melz caught on to a "mistake" by Ji Xiang and said loudly.

In the operating room, apart from the alarm of ECG monitoring and the dripping sound of the ventilator, only Dr. Merz's voice echoed.

"Rescue, be quiet." Ji Xiang frowned and looked at Dr. Merz.

Dr. Merz sensed a hint of danger in the eyes of the young Archdemon, and he wanted to avoid the edge for a while, but the shame just now made Dr. Merz refuse to show weakness.

"Based on the current situation, it is impossible for the patient to have a pulmonary embolism. The oxygen saturation has not changed, and you actually say it is a pulmonary embolism?! Oh my God, it's the funniest joke I've ever heard in the operating room. ”

Dr. Melz said as he looked at Lin Jiuze beside Ji Xiang.

The weird guy didn't have a pen or a notebook in his hand, he was wearing a quarantine suit, and he didn't have a place to hold these things.

After seeing it clearly, Dr. Merz let out a sigh of relief.

It's good that it wasn't for Lin Jiuze's weird guy who gave the diagnosis, today, as a knight of justice, I want to teach the young demon king in front of me a good lesson.

He looked young, but he was strong, and Dr. Merz didn't think he was completely sure he would be able to take him out in normal times.

But now it's different.

The patient was obviously a problem with the use of anesthetics, and Dr. Merz was not a specialist who could not be sure.

But it certainly won't be a pulmonary embolism.

Dean Zhao saw Ji Xiang directing the anesthesiologist to push the B-ultrasound machine, and he was a little bored.

He!

Why!

Especially his own stupid son standing in front of him.

In fact, Zhao Tianjiao is as his name suggests, and he is indeed the pride of the sky, otherwise he would not have broken Zhao Jixiang's record of knotting in martial arts competitions for decades.

But people are most afraid of comparing with each other.

"Doctor Ji Xiang, are you the attending doctor of the patient in front of you?" Dean Zhao asked with his hands behind his back.

"It's not." Ji Xiang replied very calmly, "I just provide an idea, of course, if the patient is finally diagnosed with pulmonary embolism, but the rescue is delayed for some special reasons, Dean Zhao can be responsible." ”

“！

！ ”

Zhao Jixiang was slammed into the corner by Ji Xiang's words and was slammed into the reinforced concrete.

He was angry, but he couldn't refute Ji Xiang's words at all.

This is equivalent to fighting the landlord himself out of a "3", and Ji Xiang threw out Wang Bang and the four "2s" with a bang.

As for it!

Dean Zhao glanced at Ji Xiang indignantly.

As for it!

As for it!

His soul was tortured again and again.

If it were a different person, Dean Zhao would definitely set up countless pairs of small shoes for him.

But this is Ji Xiang, the dean has been very important to him recently, plus Director Bai has always protected Ji Xiang like his own son, and Dean Zhao is not in charge of the medical department, so he really has no good way to give Ji Xiang a thunderous blow.

The doctors and nurses in the operating room were silent, and no one wanted to join in the argument.

Ji Xiang did indeed cross the line, but the sentence that stood on the moral high ground - are you responsible for what happened, and hit a critical blow in everyone's hearts.

Soon, the anesthesiologist pushed the ultrasound equipment in.

"Hard work, Dr. Lin." Ji Xiang didn't show ugliness, his skills in ultrasound were not much, so it was better for Lin Jiu to deal with it.

"Oh my God, I've never seen anyone so naïve, and I have serious doubts about the level of medical care in your hospital." Dr. Merz nagged.

His voice was not loud, and Ji Xiang might not be able to hear these words, but he just expressed his unyielding efforts.

"Dr. Merz, are you talking to me?" Ji Xiang asked.

"I mean, there is no need for a transesophageal echocardiogram at all, and it's better for the anesthesiologist to review the medication!" Dr. Merz's voice grew softer.

He was sure, but he didn't know why, he never had enough confidence in front of the Great Demon King.

"No." "The anesthesiologist is checking the medication, but I don't think there's any point in doing CT. ”

“！

！ ”

"Do you think a blood clot is unlikely?"

“……”

"The trauma triggers of the orthopedic patient themselves were enough to disrupt the coagulation-coagulation system in her body, causing blood clots.

Also, this is not an emergency surgery, but an elective surgery.

Prolonged bed rest has greatly increased the incidence of deep vein thrombosis in the lower extremities. During surgery, there is a high risk that the blood clot will fall off due to the large scale of the operation itself and the influence of circulation. A blood clot that has fallen off is likely to block the pulmonary artery with the blood flow. ”

"To put it simply, it is precisely because you did not notice the possibility of venous thrombosis when you were in the position before the operation, and the scope of the operation was too large, so it led to the situation in front of you."

Ji Xiang spoke slowly, but in the end, he put the blame on Dr. Merz.

"Impossible!" Dr. Merz said angrily, "Elective surgery for patients with closed fractures is in line with clinical guidelines, and the chance of developing a blood clot is negligible at such a young age." ”

"If it doesn't happen, the chance is zero; The chances of it happening are 100 percent. ”

“！

！ "Dr. Merz was hit by Ji Xiang's 100 percent preparation.

Dr. Merz has been completely overwhelmed by Ji Xiang's momentum.

Like Dean Zhao, Dr. Merz could not refute what Ji Xiang said.

If it were at Massachusetts General Hospital, Dr. Merz would have had countless ways to solve the problem at hand, but now it's a "broken" hospital in a foreign country that can't even do CT in the operating room!

Out of the corner of his eye, Dr. Merz saw Lin Jiuze moving the patient's endotracheal tube, preparing to move a position for esophageal color ultrasound.

"Damn, you're being irresponsible to the patients!" Dr. Merz complained.

"So what is responsible for?" Ji Xiang asked without hesitation.

"It should ...... It should be ......," Dr. Merz hesitated.

All the treatments that should be given have been given, what was wrong with him doing this?

Dr. Merz couldn't tell.

Although he thought the young Great Demon King was stubborn and ridiculous, he didn't have any advice to ask Dr. Merz to tell him what to do.

Ji Xiang didn't have the heart to argue with Dr. Melz and Dean Zhao.

He stood beside Lin Jiuze with his hands behind his back and stared at the screen intently.

As the B-ultrasound probe moved forward in the esophagus, Ji Xiang gradually relaxed. Lin Jiuze's operation is extremely skillful, especially in the control of some small details, which reveals full of experience.

Soon, the ultrasound probe comes to the esophagus near the heart.

This is especially crucial.

The reason why transesophageal cardiac color ultrasound is rarely done is because the technical content is very high, far beyond the ordinary extracorporeal B-ultrasound.

But the benefits are seen clearly.

Just like now, Lin Jiu changed his wrist a few angles, slightly forced, and put the probe against the junction of the esophagus and heart within the range that the patient's heart could bear.

"There is an embolism in the pulmonary artery, and the embolus is about 3x4 ......" Lin Jiu began to "report" to Ji Xiang according to what he saw.

The anesthesiologist was dumbfounded.

Usually, there are not many people who use this thing in cardiac surgery, and there are few people who can use it, and those who can do transesophageal echocardiography during surgery are all great people.

At least in the eyes of the anesthesiologists in the Second Affiliated Hospital, they are all bulls.

Unexpectedly, a patient whose blood pressure suddenly decreased after anesthesia was really accurately diagnosed with pulmonary embolism!

Dr. Merz was stunned.

The pulmonary embolism shown on the images is clear, and Lin Jiuze's level is very high, but Dr. Merz just doesn't want to accept these facts.

Why is it so bad luck that I can encounter such a rare pulmonary embolism after a closed tibia and fibula fracture surgery!

Even Dr. Merz felt that he was unlucky, and the knight's head was covered with dark clouds, lightning and thunder.

The lightning fell on the metal armor, and he was scorched by the electricity.

Before the young Great Demon King could make a move, the knight fell again.

"Find a cardiac surgeon to solve it." After Ji Xiang saw the location of the pulmonary embolism clearly, he turned his head and explained to the nurse.

"Oooh." The itinerant nurse looked up at Dean Zhao, and then at the professor of orthopedics, and saw that they were all stunned to look at the echocardiogram screen, knowing that it should be a pulmonary embolism, and ran out with their feet.

Pulmonary embolism is a fatal emergency, and every minute and second must be cherished!

She quickly ran out of the operating room to call the heart surgeon.

Ji Xiang saw that Lin Jiu said all the positions that should be positioned, and asked the anesthesiologist to record them for the cardiac surgeon's reference, and leave an image, which was relieved.

In Ji Xiang's heart, he didn't mean to hit Dr. Melz or have an argument with Dean Zhao.

It's all for the patients, Ji Xiang thought to himself.

Soon, the cardiac surgeon rushed over, and when they saw the echocardiogram image, they moved as quickly as if it had been clockwork.

"Let's go." When Ji Xiang saw Lin Jiu coming down, he whispered to Lin Jiu.

Lin Jiu nodded, but did not turn around directly, but leaned into Dr. Merz's ear, "Dr. Merz, your level is really low, and if there is a doctor like you in Massachusetts, you will always be unable to compare to Mayo." ”

After speaking, Lin Jiu turned around and followed Ji Xiang away.

Dr. Melts' face was gloomy as if it were about to rain, and he stared at the incision without saying a word.

Soon, the cardiac surgeon began to re-sterilize, and the orthopedic department sutured the incision and waited for the cardiac surgeon to perform surgical surgery before reopening.

Dr. Melz was depressed to the extreme.

He felt that nothing he had done since he came to this hellish place.

I've seen all the surgeries I should have seen, but I can't understand them.

I was invited to do a minor surgery, but I encountered a rare pulmonary embolism.

Wembanyama's recovery is good, and the speed of recovery is even more incomprehensible.

All of this seems to have something to do with the Great Demon King, but it doesn't seem to have anything to do with it.

"Dr. Merz, let's go get some rest." Seeing that Dr. Merz seemed to be unwilling, Dean Zhao kept standing in the surgeon's position and did not move, so he had to say comfort.

"Impossible, absolutely impossible." Dr. Merz muttered quietly.

Through the disposable sterile cap, Dr. Merz's blonde hair could be faintly seen burning.

……

"Doctor Ji Xiang, what do you think?"

Lin Jiu and Ji Xiang went to the locker room to change clothes and asked curiously.

Ji Xiang smiled, but did not speak.

Is it the system NPC that tells itself, do you need to say it?

And the matter is not over, the system NPC knows the situation at the scene and tells Ji Xiang to find himself after the diagnosis.

It was the first time that Ji Xiang heard the system NPC ask him to go back after the rescue, and he was very curious, curious about what the system NPC was going to tell him.

So he just smiled at Lin Jiuze's questions a few times.

After stepping down, he first looked at the patients who had undergone his own surgery, and after chatting with Zhao Zhe for a few words, Ji Xiang went to the fire escape.

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

"Hello teacher."

"Hmm, the rescue is over?" The system NPC asked.

"The diagnosis is complete, and the heart surgery is performing."

"The level of vascular intervention in the Second Affiliated Hospital is so low?" System NPCs asked.

Ji Xiang was stunned for a moment, and then realized the problem. When Director Bai and Director Liu were chatting, they had heard some of them, but not much.

It seems that the level of vascular and cardiac interventional surgery is not high, and I am not sure to use minimally invasive means to get the thrombus out of pulmonary embolism.

"Teacher, it seems to be." Ji Xiang Road.

"Well, don't talk about that, the background you said at the time was kind of interesting." The system NPC smiled slightly, "How did you do it." ”