Doctor of Healing

Chapter 686 Come, smell the smell of rotten apples

"Doctor Zhao, why are there so many operations in the group?" Seeing that Ji Xiang was not there, Lin Jiuze chatted with Zhao Zhe.

Zhao Zhe shivered, as if taken aback.

But after a period of contact, Zhao Zhe has gradually gotten used to the sudden talk of someone beside him, and his reaction is not as violent as before.

"It's normal." Zhao Zhe replied, "Xiaoji participated in variety shows, and the coverage is too large. He has popularized a lot of related content and let others know about the existence of interventional surgery..."

"No, that's not what I meant." After thinking about it for a while, Lin Jiu brought up the old matter again, "A few years ago, there was a survey and statistics in the Japanese medical field, which stated that the average time for cancer patients in Japan from discovery to surgery is 2 Months and 3 days, significantly ahead of Europe and the United States."

"Huh?" Zhao Zhe was a little puzzled, and he looked at Lin Jiuze in a daze.

He just said this not long ago.

"I think...for example, this patient had a kidney space-occupying lesion found in a physical examination four days ago, and he was hospitalized for surgery today." Lin Jiuze pointed to the computer screen and said about the medical records in front of him.

"This...isn't it normal?" Zhao Zhe and Lin Jiuze's minds were not on the same plane, and they couldn't understand what Lin Jiuze was talking about.

This involves the psychological state of the emergency patients and their family members. You can't go on the rampage just because you want to accumulate a little clinical experience, no matter what people think.

"Oh?!" Hearing what Ji Xiang said, Zhao Zhe suddenly regained his energy.

In the emergency rescue, Zhao Zhe grinned and sighed.

Ji Xiang is running!

"It's okay. I've been admitted to the hospital. The boss who is seriously ill will come and push the person back. It will take about 3 days of treatment before being transferred out. It should not be life-threatening."

"What... what's the situation?"

If everyone is serious about it, and all kinds of old doctors and experts come to consult in an endless stream, it is estimated that they can prepare to go to the ICU, and they can even think about hiring a husband.

"Xiao... Xiao... Ji... Ho Ho Ho~" Zhao Zhe's bronchial convulsions had already begun after running several hundred meters because his body was a little weak.

"Brother Zhao, your body. How about I take you for a morning run?" Ji Xiang didn't go in either, he stood outside and looked around.

Blessings will not be enjoyed, Zhao Zhe slandered Ji Xiang in his heart.

Even if there is only a fracture, as long as the skin is not punctured, it will be fine for 24 hours, and there is no need to rush to the stage for surgery.

The key is that Meng Qingfei also made a special call to Ji Xiang, and other departments of the Second Affiliated Hospital seemed to be more interested in this.

"Brother Zhao!" Ji Xiang suddenly ran back in a hurry.

Xiaoji is really energetic, why does he like the emergency department so much?

Zhao Zhe trotted and wanted to catch up with Ji Xiang, but Ji Xiang was tall and long-legged, one step was two steps ahead of Zhao Zhe, and Zhao Zhe almost chased him to the emergency department before catching up with Ji Xiang.

Lin Jiuze was also very helpless. He and Zhao Zhe talked about it like a chicken talking to a duck.

Lin Jiuze's words made Zhao Zhe feel very helpless. He thought for a long time, scratched his head, and finally smiled, not knowing what to say.

"Uh... what if it's transferred?"

Ji Xiang didn't rush in directly, and couldn't wait to get close to the patient's mouth to smell the smell of rotten apples, but stood at the door and watched.

The patient was a little sluggish, lying on the emergency flat car, and Ji Xiang came over.

In the ward, if there is no urgent matter, who will run around.Running, in order to save time, the only reason is - there are emergency patients!
"Emergency department!" Ji Xiang didn't have time to elaborate, he only said three words, turned around and ran away.

"I received a call from Teacher Meng, saying that the emergency department encountered a patient with ketoacidosis."

Fault!

They even had a lighthearted joke.

"Go ahead and smell rotten apples," said the emergency physician. "I even think it smells good."

"Teacher, how is the patient?"

"I'll go!" Zhao Zhe was surprised, "Why is it taking so long? Isn't Massachusetts General Hospital the top three hospitals in the world."

It's over, Zhao Zhe thought to himself.

When the physician went out, Ji Xiang stopped her.

The emergency physician smiled. She and Ji Xiang were familiar. After all, as long as he was in Meng Qingfei's class during this period, Ji Xiang would come back to "join in the fun".

In front of you is...

"Can I take a look?" Ji Xiang asked in a low voice.

To Ji Xiang's surprise, the patient was very young, only about 20 years old, and seemed to be a college student.

"In Massachusetts, similar patients have to wait for 3 months, and the average is about 4 months."

"What's wrong, Xiaoji!" Zhao Zhe stood up immediately.

That's right, it's worth a look.

Even if there are traumas such as fractures, they can wait and see, and departments that involve internal organs, such as liver and gallbladder, gastrointestinal, cardiothoracic, and neurological departments, are given priority.

Several "patient family members" are also of the same age, and they should be classmates in the same dormitory.

"Hey." Ji Xiang smiled and walked in.

But I have never encountered it before. Although Zhao Zhe is an old attending doctor with rich clinical experience, it depends on luck whether he can encounter some things.

"Mr. Meng said that when the patient breathes, the smell is the typical smell of rotten apples!" Ji Xiang said, "He hasn't encountered such a typical smell in more than ten years, and he is driving here."

"!!!" Zhao Zhe was speechless.

Department of orthopedics generally does not participate in emergency rescue.

At least Zhao Zhe has never encountered a similar situation.

With the improvement of people's living standards and the enhancement of medical awareness, although ketoacidosis is not uncommon, it is very rare for diabetics who can exhale the breath of rotten apples.

and many more!

There is a joke that patients who go to the operating room for surgery should actually hope that the doctors and nurses are talking and laughing, which means that the operation is very simple, at least there are no mistakes.

"That's a call from God."

Ketoacidosis, what the hell is there to see.

At this time, Zhao Zhe also realized that something was wrong.

After taking a look, Zhao Zhe felt that something was wrong, and when Ji Xiang stopped, he finally caught up with Ji Xiang, bent down and supported his knees, gasping for breath.

Zhang Wang's doctors are relatively young, and there are a few old doctors in the emergency room, and they don't seem nervous.

A group of people in white clothes can be seen outside the door of the emergency room.

Zhao Zhe saw the problem.

"queue."

According to the book, the breath of patients with ketoacidosis will smell of rotten apples in the breath.

Take a deep breath, and the act of breathing brings the ketoacidosis smell into the nasal cavity.

The absorption of the epithelial mucosa spreads to the cilia of the olfactory cells. There is a special olfactory receptor on the cilia that combines with the olfactory substance of ketoacidosis, and then further produces the second messenger substance to open the calcium channel.

Sodium ions and potassium ions enter the cells, and the olfactory cells are depolarized at the same time, and action potentials are generated, which are transmitted to the olfactory bulb and then to the olfactory center, thus triggering the sense of smell in Jixiang's brain.

It really smells like rotten apples!

(End of this chapter)