Doctor of Healing

"Bring it." Xie Kai replied simply, then looked at Zhao Zhe and said, "Zhao Zhe, what is the level of Deputy Director Zou? Don't find us a weak professor with a low level and goof around."

"Let me tell you, this is my child's teacher, you know it." Xie Kai was still worried, and reminded him again.

Of course Zhao Zhe knew the importance of a teacher.

"Don't worry, Deputy Director Zou is an expert from the First Affiliated Hospital. We have been in contact with it, and the level is quite high." Zhao Zhe was still indifferent to Xie Kai's sarcasm, as if he hadn't heard it, and replied with a smile, "Lower digestive tract bleeding , resection after radiography, you know."

"I know." Hearing what Zhao Zhe said, Xie Kai's expression immediately became solemn.

This operation is not very well-known, because many hospitals dare not do it. After all, it is a destructive operation and there are many things to do.If you are not careful, there will be serious consequences.

"In the First Affiliated Hospital, Deputy Director Zou performs this kind of surgery."

Xie Kai nodded, and went to explain a few words to Mr. Sun.

"Doctor Ji Xiang!"

Just as everyone was about to leave, Lin Jiu appeared and waved to Ji Xiang.

"Hello, Doctor Lin." Ji Xiang smiled, "Have you returned to the United States yet?"

Lin Jiu seemed to be hesitant, but only for a moment, he walked to Ji Xiang, "I want to wait and see, there are still some days left for the holiday, so don't rush back."

"You are..."

"There is a patient with blood in the stool, I will take her to Deputy Director Zou to have a look."

Lin Jiuze took a look at the patient, and then talked to Ji Xiang about the last episode of the program last night.

He is very familiar, not as cold as facing other people, Ji Xiang doesn't care, and Lin Jiu talks about whatever he says.

When he came to the Department of Gastrointestinal Surgery, Deputy Director Zou took the patient to the pharmacy for a physical examination.

Ask about the medical history first. The patient is a 31-year-old female who denies a history of hypertension. She went to the emergency department of LY City Hospital because of intermittent abdominal pain for more than a month, anorexia, vomiting, and diarrhea for more than 10 days.

The gastrointestinal endoscopy report was handed over to Deputy Director Zou, and he took the report to examine it carefully.

The patient's condition looked simple, but Ji Xiang always felt that something was wrong.He looked at the patient intently, pondering the specific situation.

"Doctor Ji Xiang, what do you think of the patient's condition?" Lin Jiuze asked with a smile.

"I don't know. Normally, intestinal tumors or vascular diseases are considered, but the patient's condition is a bit strange. Let me think about it again."

Lin Jiu smiled slightly. He took out a notebook from his pocket and wrote and drew on it. After finishing writing, he looked up at the patient, then lowered his head and continued writing.

Indeed, as Ji Xiang said, the patient's condition seems very simple and simple.

But once you dig deeper and make differential diagnoses, you will find that each diagnosis has nothing to do with her blood in the stool.

Clinically, we will encounter similar situations, such as fever, there is a kind of fever with no known cause, which is actually a diagnostic name.

It is indeed tricky.

Just as Lin Jiuze stopped writing, Ji Xiang concentrated and entered the operating room of the system.

At the same time, Lin Jiuze frowned more and more.

The diagnosis and treatment he wrote were not correct, and the patient's situation was quite special.

This was something Lin Jiu did not expect.

Originally, he wanted to show Ji Xiang a hand, but Lin Jiuze had complicated thoughts, but he bumped his head against the iron plate.

Deputy Director Zou let out a mouthful of saliva, and was also concentrating on it.

"Deputy Director Zou, what do you think is the situation?" Xie Kaike asked politely.

When meeting a doctor from a higher-level hospital, Xie Kai immediately became much more honest, without the domineering vigor he had when he was talking to Zhao Zhe.

"let me think again."

Deputy Director Zou was very embarrassed.

The patient's examination at the local hospital was complete, and all evidence pointed to intestinal polyps.

But if the polyp has blood in the stool, it seems that something is wrong.

Generally speaking, polyps will bleed, but the patient has undergone gastrointestinal endoscopy, and the description of polyps under the microscope is that the surface is smooth and there is no ulcer.

The pathological changes of polyps begin with ulcers, corroded blood vessels, and bleeding, but the situation seen under the microscope is different from the patient's symptoms.

The diagnosis of colon polyps can be taken lightly, but after that?
There are doctors around the patient, and the reason why they come to the higher-level hospital is because they do not believe in this diagnosis.

Deputy Director Zou encountered a problem.

And Lin Jiu also encountered a problem.

One of the two was drooling, the other frowned, lowered his head to write, and looked up at the patient.

The atmosphere in the drug changing room became a little weird.

It is impossible to face each other without talking, and then Deputy Director Zou is going to ask the patient to do more related examinations, and take the method of elimination to investigate bit by bit.

He thinks there is only such a way now.

"Excuse me, is your urination normal recently?" Ji Xiang's voice suddenly appeared, breaking the silence.

Deputy Director Zou and Lin Jiu were taken aback at the same time.

The patient had intestinal bleeding, Ji Xiang asked the patient to urinate...

Although similar situations are described in normal medical records, there are also descriptions of lower body in the medical records. You can't just let them take off their clothes and pants when they meet a patient.

If you do this, it is estimated that it will be on the hot search before the next day.

Xiao Jiguipei's first department is said to be urology. Does he have a physiological reflex?When knocking down a patient, the first thing to check is whether it is a urological disease?

Although Deputy Director Zou felt that Ji Xiang's question was out of his mind, he remained silent and did not stop him.

"Doctor Ji Xiang, it shouldn't be a urinary system disease." Lin Jiu didn't have so many worries. He had already written 4 pages, and his hair was about to stand on end.

"Problems with urine output should not all be caused by urology or nephrology." Ji Xiang said lightly.

"..." Lin Jiu was taken aback.

What does Ji Xiang mean?
"I had oliguria a while ago, but it has recovered recently..." the patient hesitated, "but it seems to have recovered a little too much. Recently, I drank a lot of water and urinated a lot."

As he said that, the patient blushed, "Sorry, I want to go to the bathroom."

After the patient left, the eyes of several doctors became much deeper, as if there was some problem, but frequent urination and urgency are usually caused by urinary tract infection.

However, the patient's chief complaint was blood in the stool.

Could it be diabetes?

Is it hyperkalemia?

Could it be hypercalcemia?
Countless possibilities appeared in an instant, and Deputy Director Zou looked serious, "Doctor Xiaoji, what do you think?"

"After the patient comes back, let's measure the blood pressure." Ji Xiang did not answer Deputy Director Zou's question directly, but suggested that the patient measure the blood pressure.

"Measure blood pressure? The patient said she has no history of high blood pressure." Lin Jiuze said.

"Normal physical examination, measure blood pressure and see."

"Dr. Jixiang, are you considering the blood in the stool caused by the patient's high blood pressure?"

As soon as Lin Jiuze asked this question, he himself thought it was ridiculous.

High blood pressure does not cause blood in the stool.

What does that mean?
Lin Jiu looked at Ji Xiang suspiciously.