789 Acute appendicitis with gas coming out
Dr. Merz looked at Wembanyama silently.
Now is the situation he wants to see the most, there is no one.
Even if the young big devil's operation is successful, Wembanyama goes to a small team and can't play results, for the big devil, the benefits will be much less.
For myself, there is a lot of manoeuvre. It's best to be able to digest the Great Demon King's surgical technique during this time and learn it.
The kid named Wang Dali was indeed lucky, and he seized the opportunity of the main injury to quickly rise to the position, so that he got a transfer invitation from Manchester City at any cost.
But Wembanyama's luck doesn't seem to be so good.
A ringing of the phone woke Dr. Merz from his delusions.
Wembanyama's phone rang, and he didn't seem to hear it, and he was still immersed in the stunned and surprised that he was about to be sold.
The young man glanced at his phone in frustration and shook it at the personal trainer.
"Whose phone is this?"
Wembanyama's personal trainer took one look and shook his head.
"Hey, hello." Wembanyama answers the phone.
Immediately!
He froze, his hands stiff, and his nail bed pale.
Dr. Merz even noticed that Wembanyama's cast had moved, as if the violent physiological electrical reflexes of his limbs had broken the cast's block.
A woman's voice could be heard faintly on the phone, but Dr. Merz didn't hear what was being said.
He was really a young man who could have such an expression when answering a woman's phone in a plaster cast, and Dr. Merz was disdainful in his heart.
Didn't Wembanyama know that he was now facing a life-and-death decision? Didn't he know what it meant to him to be sold to the small ball market in the year of his contract?
It's possible that an extremely small event could lead to his own fall, and now with the idea of the Green Kai uniform team selling him, this small probability has increased infinitely.
Dr. Merz felt that if he were to do so, he would be the first to mobilize all kinds of connections and resources to fight for a team that is qualified to compete for the championship.
And not like Wembanyama, wasting precious time flirting with a woman.
The point is that Wembanyama is obviously a junior brother, and he listened to the woman on the other side of the phone in a daze, looking puzzled.
"Victor, who is it?" Wembanyama's personal trainer asked tentatively.
"Jenny Buss." Wembanyama muttered.
When the name came out of Wembanyama's mouth, both Dr. Merz and his personal trainer froze in place.
It's not flirting, it's a call from the owner of the Lakers!
Jenny Bass went so far as to make a lobbying call directly to Wembanyama, ignoring the rules of the league!
Although there are various impermissibles for this sensitive period, they are all negotiable.
At most, pay a fine, who can do what to the Lakers.
Jenny Bass's desperate approach has already shown her desire for Wembanyama.
Dr. Merz stared blankly at Wembanyama, and he had a strange thought in his heart - Wembanyama's luck was good.
Yes, his luck was good, and it wasn't ordinarily good.
There has been a blood feud between yellow and green for many years, and the yellow-green battle is also one of the traditional dramas in the NBA.
If you want the Celtics to sell their star to the Lakers, the difficulty is not ordinary. How long has it been since the two teams made a trade? Dr. Merz couldn't even remember.
The reason why Wembanyama can be put on the table is whether to believe or not to believe that Wembanyama can recover.
It's clear that the Lakers want to take a gamble, and the Celtics' uniform team doesn't believe it, taking the opportunity to dump the burden on the Lakers and drain the Lakers' team and future.
Wembanyama quickly regained his composure, and he spoke to Jenny Bass on the other side of the phone.
Dr. Melz struggled to understand what Wembanyama was saying in Wembanyama's jerky English — that Jeanie Buss was frantically inviting him to the Lakers.
For this, the Lakers have paid an extremely high price.
She was even willing to make a deal with her old enemy.
It's not easy to impress the old enemy's uniform team, and I don't know why Jenny Bass would want to take a gamble.
Could it be that she was bewitched by the Great Demon King?!
Damn, Dr. Merz cursed inwardly.
However, he quickly regained his composure, and the Lakers have been rebuilding since LeBron's retirement tour, presumably trying their luck.
Jenny Bass will fail, definitely!
When Wembanyama hung up, his personal trainer quickly asked, "Victor, what did Miss Jenny say?" ”
"She invited me to the Lakers and said that as long as I nodded, she would personally participate in the negotiations on the Celtics side."
“!
! ”
Although he could have guessed it a long time ago, when Wembanyama admitted it, it still surprised everyone.
"Great, that's great!" Wembanyama's personal trainer rubbed his hands together and was overjoyed.
Dr. Merz trembled with anger, but he didn't notice it.
But then Dr. Merz felt a wave of pain coming from his right lower abdomen, and the pain was sharp, like a knife.
f***!
!
Dr. Merz was stunned, could it be that the damn acute tail inflammation came to the door?!
How biased at this time!
However, Dr. Merz immediately felt glad that his heart had resisted the mood swing just now, and if it hadn't been for the damn acute tail inflammation that woke him up, he would have needed to get a stent urgently.
It doesn't matter if it's at Massachusetts General Hospital, but Dr. Merz isn't sure what the level of care is like here.
Dr. Merz immediately left the room and called for an interpreter.
"Dr. Merz, what's the matter with you?" The interpreter asked cautiously.
Since he came to the Second Affiliated Hospital, he has not had much work to do.
Ji Xiang's spoken English is much more authentic than his, especially when communicating with Wembanyama, the spoken English with a strong French accent at the beginning is really a headache, but Ji Xiang can understand it.
Later, the two simply communicated in French, so the translator never had much to do.
"My stomach hurts." Dr. Merz and the interpreter said, "If I look at their doctor, I think it's acute tailitis." ”
“!
! The interpreter recognized Dr. Merz's expression, saw him bent over with a painful expression, and made sure that it was not a joke, and immediately called the general resident of the orthopedic department.
Xu Leyu hurried over and called Dr. Melz to the pharmacy for a physical examination.
Typical right lower quadrant McCerebel tenderness with rebound tenderness and even a little muscle tension.
Xu Leyu feels that there is nothing wrong with diagnosing acute endicitis, although there are still several differential diagnoses.
The first time I called the general manager of the gastrointestinal surgery department.
"Mr. Xu, who is this?" The boss of the stomach and intestines asked.
"Isn't this the last NBA star to have surgery on us?" Xu Leyu said with a little pride, "This is a sports medicine expert from Massachusetts General Hospital, and I came to learn and communicate with Xiaoji. ”
"Cut! Are you happy with a yarn, has something to do with you? The boss of the stomach and intestines saw that Xu Leyu's eyebrows fluttered when he mentioned Ji Xiang, so he said sourly.
Recently, a cadre of orthopedics and urology has taken a big advantage, and SCI is almost wholesale, with one copy per person.
Originally, everyone was similar, but Xu Leyu had a few more top-level sci articles in a month or two, and it was impossible not to be jealous.
For a doctor of their age, one or two more SCI papers can have a profound impact on the future.
"Hahaha." Xu Leyu laughed in a low voice, "There are patients, you should be serious." Dr. Merz, a specialist in Massachusetts, suddenly has pain in his right lower abdomen, do you think he will be hospitalized? ”
"It's supposed to be tailitis." The gastrointestinal boss sighed, "Hospitalize, I didn't ...... with me"
He suddenly hesitated, thought of something, and his eyes lit up.
"Lao Xu, there is no translator, you call Xiao Ji to do a favor."
Xu Leyu looked at the ready-made translator standing in front of him, but the boss of the stomach and intestines said that there was no translation, and he was suddenly dumbfounded.
He also knew the little caution of the gastrointestinal boss.
"You have Xiaoji's phone, you want to call yourself."
"It's stingy, isn't it?" The boss of the stomach and intestines said, "You are more familiar, this is extreme, I am afraid that I will make a phone call, and Xiaoji will get up and be angry with me." ”
"Now...... Forget it, I'm going to call Xiao Ji. Xu Leyu glanced at the gastrointestinal boss, "What needs to be checked?" ”
"It's still the old rule, first rule out urinary diseases such as kidney stones."
Pain in the right lower abdomen of men may also be kidney stones, etc., which really need to be investigated.
Admitted Dr. Melz to the hospital and went through the hospitalization procedures, and soon Ji Xiang strode in.
"Mr. Xu, you said that Dr. Merz is sick?"
"Preliminary diagnosis of acute tailitis." Mr. Xu smiled, "Maybe it's not adaptable." ”
Ji Xiang suddenly remembered that a paper said that the water and soil adaptation was probably related to local epidemic bacteria and antibodies.
But acute tailitis is far from this explanation.
"Mr. Zhao of the stomach and intestines said that he wanted to find you as a translator, I think he wanted to ......," Mr. Xu said half of the words with a smile.
I took advantage of it enough, and Mr. Xu was not embarrassed.
"I'll take a look." Ji Xiang said, "But it seems a little difficult to write a paper for acute tailitis." ”
"Hahaha."
Xu Leyu laughed.
If Ji Xiang could write a paper on acute endicitis and publish it on a slightly higher-grade SCI, then he would definitely lie on the ground and bow down.
It's impossible, Mr. Zhao is also greedy, and the result is nonsense.
Ji Xiang didn't talk much with Xu Leyu, and went directly to the gastrointestinal surgery.
Dr. Merz bent over the bed in pain, like a large dried prawn, still cooked.
After seeing Ji Xiang coming, Dr. Merz's expression was a little strange, and he seemed to forget the pain for a moment.
"Dr. Melz, is the medical examination all done? Is the test done? Ji Xiang asked.
"My ...... to your medical care"
Dr. Merz had only said half a sentence, presumably because of a sudden burst of pain that brought his words to an abrupt halt.
"What's wrong with our medical care?" Ji Xiang was stunned for a moment, and looked back at Mr. Zhao of the Department of Gastrointestinal Surgery, "Hello Mr. Zhao." ”
"Harm, don't be so polite." Mr. Zhao hurriedly said, "Some of the existing examinations have not come back, although it can diagnose acute tailitis, but I think it is a little strange and want to do CT." ”
"Dr. Merz said it wasn't necessary."
Mr. Zhao briefly talked about the situation.
He then began to "report" the differential diagnosis to Ji Xiang as if he were reporting his condition to a senior doctor.
Acute tailitis, acute cholecystitis, acute pyelonephritis, ureteral stones, bacterial enteritis or appendicitis and amoebic colitis.
Mr. Zhao said in detail.
Ji Xiang was looking through the existing inspection reports.
Initial blood tests show leukocytosis in the acute phase at 14x109/L, elevated C-reactive protein at 39 mg/dL, and normal hemoglobin and platelet counts.
Liver and kidney function were normal, and serum amylase and lipase were not elevated. Urinalysis and microscopy were normal, and stool examination did not reveal any ova or cysts.
Clinically, urinary stones are mainly investigated, and Mr. Zhao has done a very detailed job and checked some extremely rare differential diagnoses.
Ji Xiang was a little puzzled.
"Mr. Zhao, it's all done like this, what questions does Dr. Merz have?" Ji Xiang asked.
"He said that too many tests were done and that emergency surgery was required."
Ji Xiang knew that Mr. Zhao still had something to say.
He didn't say it explicitly, but looked up at Mr. Zhao.
"Ultrasound of the abdomen shows an uneven hyperechoic mesentery in the right iliac fossa and lumbar region with mild free fluid and an invisible tail."
"After all, I didn't see the tail, the B ultrasound is a little strange, I want to do a CT for him."
Mr. Zhao was a little embarrassed, lowered his voice and explained to Ji Xiang.
Ji Xiang held his breath and came to the system operating room.
The disagreement between Mr. Zhao and Dr. Melz, Ji Xiang has reservations.
It may be said that Mr. Zhao is too cautious, but what if? Therefore, it is best to come to the system operating room and ask the opinions of the system NPCs.
Mr. Zhao looked at Ji Xiang, and seeing that Ji Xiang was deep in thought, he shook his head, "I contacted Professor Sun on duty, he will come soon, I estimate that he will have emergency surgery." ”
"Or do a CT." Ji Xiang pondered for a short time and then suddenly said, "B ultrasound didn't see the tail, who knows what the situation will be." ”
After speaking, Ji Xiang began to communicate with Dr. Melz.
Mr. Zhao looked at Ji Xiang in a daze, he never expected that Ji Xiang would support him.
In fact, Mr. Zhao has no theoretical basis, but simply wants to be cautious, after all, Dr. Merz is a foreigner.
It's not that foreigners have priority in everything, it's just that Mr. Zhao doesn't know what kind of trouble they will cause.
A few years ago, a cake seller got sick, and there were countless troubles in the end, so Mr. Zhao was subconsciously cautious.
But Ji Xiang is very serious about "helping" himself to speak.
Mr. Zhao immediately saw Dr. Merz enduring the pain and waving his arms weakly to express his anger and denial.
Ji Xiang was explaining to Dr. Merz with a calm expression.
It's no wonder that publishing SCI papers is as simple as drinking water, eating, and breathing, and the oral language alone makes Mr. Zhao envious to the core.
Communicating with Dr. Melz, Mr. Zhao can also do it, but some unique professional terms and fluency are 108,000 miles worse than Ji Xiang.
“no,no,no!” Dr. Merz said three nos in a row to express his opinion.
Ji Xiang couldn't help it, "Teacher Zhao, you contact your director, and I will contact Director Bai." ”
“!
! ”
"Dr. Merz did not agree to do a non-contrast CT scan, believing that it was just a simple acute tailitis that required anti-inflammatory and surgical treatment."
"Or do it." Mr. Zhao said with a lake.
"Contact the senior doctor, if nothing happens, it's not easy to do." Ji Xiang said, "Doctor-patient communication in Chinese and English...... I got it? ”
Mr. Zhao was embarrassed.
Do you also want to write doctor-patient communication in Chinese and English?
Is Ji Xiang trying to fight a lawsuit with the diplomatic staff of the embassy?
It's just a simple acute tailitis, and all the clinical evidence is obvious, so I should be cautious.
Xiao Ji is speaking for himself, but doing ...... It seems a little too hard.
Mr. Zhao was stunned all of a sudden, and when he saw Ji Xiang turn around, he followed, wanting to make it clear to Ji Xiang that he was just talking casually, and he didn't have to give Dr. Merz an abdominal CT.
But I didn't expect Ji Xiang to take out his mobile phone and start making calls.
Contact information appears on the mobile phone screen - Director Bai of the Medical Department.
Ji Xiang actually came to really!
He really called Director Bai, and it was ...... in the middle of the night. Mr. Zhao sweated on his back.
For Mr. Zhao, Director Bai is the king of Hades who asks for his life, who wants to contact him if he is fine.
"Hello, Director Bai, I'm Ji Xiang."
"Dr. Merz, who came to Massachusetts General Hospital to observe and study, is sick, and now the initial diagnosis is acute tailitis, and Dr. Merz thinks so and calls for emergency surgery."
"My view is that the diagnosis is not yet clear, and there are several key differential diagnoses that need to be done with abdominal CT."
"Yes, yes, when it comes to foreign disputes, we are not easy to deal with."
"I'm really sorry for the hard work of Director Bai, although Dr. Merz is here to learn and communicate, but after all, he may be involved in foreign affairs disputes, so he can only ask you for help."
"Okay, then I'll wait for your news."
After Ji Xiang finished speaking, he hung up the phone.
"What did Director Bai say?" Mr. Zhao asked worriedly.
What he means is that it is better to listen to the advice of front-line clinicians and be cautious than to open your stomach and see the unexpected."
“!
! ”
Mr. Zhao almost didn't cry.
I just said casually, since Dr. Merz, who is a patient, is against it, then just go to the stage.
The reason why he "reported" to Ji Xiang was that Mr. Zhao also wanted to show his professionalism.
After all, it is not easy to mix SCI papers far away.
But Mr. Zhao never dreamed that Ji Xiang would be so serious!
His heart was filled with sorrow.
"Xiao Ji...... I didn't mean that. Mr. Zhao explained in a whisper.
"Mr. Zhao, I think your judgment is very correct." Ji Xiang looked at Mr. Zhao and said seriously, "Dr. Merz's auxiliary examination does look like acute tailitis, but I always feel that something is strange." ”
Saying that, Ji Xiang saw that Mr. Zhao's expression was strange, so he said with a smile, "Don't worry, I will not embarrass you when I talk to Director Bai." ”
“……”
Mr. Zhao has heard that Ji Xiang is bright and generous, after all, there are no doctors who give away top SCI at will.
It is normal for many substitute professors and their graduate and doctoral students to turn against each other because of one or two papers.
The first time I got in touch with Ji Xiang, this kid is even more eccentric than the legend.
Indeed, in Mr. Zhao's opinion, the number of SCI papers is not too much, and it is strange to be able to give them away.
Ji Xiang is not only like this, but when facing Dr. Melz, he is even more attentive than himself.
What's going on?
Ji Xiang ignored Mr. Zhao, he went to the doctor's office to write a doctor-patient communication document in Chinese and English, and printed it out in triplicate and took it to the pharmacy.
"Dr. Merz, this is communication, if you want to have surgery, you can, sign, and we'll be on stage now."
Ji Xiang handed the English version to Dr. Melz.
Dr. Melz looked at it twice, and his expression was extremely ugly, similar to the expression of President Zhao who was watching the Chinese version.
Ji Xiang wrote very clearly in the communication document - the surgical team believes that before any surgical intervention, CT examination should be performed first, and if possible, it is recommended to have emergency contrast enhanced CT examination.
Not only did he have to do an ordinary CT examination, but Ji Xiang even suggested that he should do an enhanced CT!
In an instant, a strange thought appeared in the hearts of both Mr. Zhao and Dr. Melz - Ji Xiang did it on purpose.
He deliberately made the little things bigger, just to get Dr. Merz.
Public weapons for private use, communiqué for personal vendetta, these bad words appeared in Mr. Zhao's mind, and he even began to regret it.
I didn't expect Ji Xiang to be this kind of person.
Also, I heard that when he was in the magic capital, he had a very bad attitude towards Boss Qin of the hepatobiliary surgery.
Mr. Zhao's hands and feet were numb, and he felt that he couldn't get off the stage.
"Dr. Melz, if you insist on surgery, sign it. If you agree with our treatment, hurry up now and do a CT of the abdomen. ”
Dr. Merz angrily waved the communication document in his hand, perhaps because the movement was too big, and he screamed, his face pale.
But Dr. Merz still looked at Ji Xiang viciously, like a righteous knight who fell at the feet of the Great Demon King.
"It's an abuse of CT." Dr. Merz said hatefully.
"Whether you are abusing it or not, now you are not at the Massachusetts General Hospital, but in the Second Affiliated Hospital." Ji Xiang said very calmly, "It's just a sign, if you want to have surgery, sign it, otherwise when you open your stomach, you won't see that it's tailitis but other diseases, and we can explain to you and the diplomatic department." ”
"You! I'm the doctor who came to observe the surgery, you can't do that to me! Dr. Merz shouted in a hoarse voice.
"Normal medical procedures, it's really hard." Ji Xiang looked at Dr. Merz and shook his head helplessly, "Could it be that you didn't have a similar situation when you diagnosed and consulted at Massachusetts General Hospital?" ”
Dr. Merz was stunned.
"No, as one of the top five large general hospitals in the world, I don't think the technical capabilities of Massachusetts General Hospital should be so bad."
"It's a simple acute tailitis, you want to do abdominal CT, what disease do you want to identify?" Dr. Merz asked indignantly after resting for more than ten seconds and having some energy.
"It's always something that a patient can know."
"Oh, I suspect it's an omentum infarction."
“……”
“……”
Dr. Merz and Mr. Zhao were stunned when they heard Ji Xiang talk about omental infarction.
Omentum infarction?!
Dr. Merz didn't specialize in gastrointestinal surgery, so he didn't know anything about these diseases.
Mr. Zhao knows, but he has also seen it in the corners of textbooks and in the literature of world medical journals.
In fact, he had never met a similar patient in real life.
JI Xiang,
Must be making excuses!
Mr. Zhao thought in his heart.
What omental infarction, simply impossible! Dr. Merz's diagnosis was acute tailitis!