Chapter 292: The Old Fox

Director Xu, full of suspicion, took the patient to the Urology Department to prepare for a ureteroscope.

The patient arrived at the small Treatment Room of the Urology Department for Anesthesia; Ji Xiang positioned the patient in the Lithotomy Position, with both lower limbs spread outward and elevated, and the upper body lying flat.

"Don't be nervous, just a quick look. It will be a bit uncomfortable, but it won't be too serious," Ji Xiang comforted with a smile.

"Doctor, I... I'm not going to die, am I?" the patient asked, full of worry.

"Why are you thinking about dying? It's just a minor issue," Ji Xiang asked while positioning the patient.

"After I was hospitalized, I saw other people..." the patient trailed off.

"It's fine," Ji Xiang smiled. "When I was in school, a classmate had an Appendectomy. After the surgery, little crystal-like rashes grew all over his body. At the time, we were teasing him that his sarira relics were popping out while also studying what on earth it was."

"What was it?"

The patient asked.

Director Xu was also confused; a rash on the skin after an Appendectomy, and crystal-like at that? Could it really be that so many sarira relics had formed that they were erupting from the skin?

"A dermatologist came to take a look and said it was Crystal Miliaria. You have to admit, the name of this condition is quite sloppy—it looks like crystals, so it's called Crystal Miliaria, right?"

"Can it be cured?"

"My classmate was afraid of catching a cold after surgery, so he was purely 'steamed' by being wrapped up too tightly," Ji Xiang laughed. "After the dermatologist saw it, he scolded us, saying there was nothing wrong to begin with, but we had scared the patient."

Hearing Ji Xiang's explanation, the patient's mood improved a little.

Director Liu was already used to Ji Xiang saying random things to patients before surgery; in this regard, he was really very similar to Wang Daxiao.

With Ji Xiang acting as his assistant, Director Liu inserted the ureteroscope, which was as thick as an electrical wire, into the bladder.

Under the endoscope, the urine in the bladder could be seen to be turbid with white flocculent matter; white crystals were visible at both ureteral orifices, and the entire length of both ureters was filled with white, debris-like crystals.

Director Liu understood the situation; such fine, fragmented material would not be visible on a CT scan.

The patient had no urine, which was because the ureters were blocked, compounded by calcified crystals inside the kidneys.

Seeing is believing; Ji Xiang's previous judgment was correct.

"It's like this, isn't it, Doctor Ji Xiang?" Director Liu showed Ji Xiang a look.

Seeing the changes under the endoscope, Ji Xiang nodded without saying much.

"Let me see."

Director Xu leaned in.

When she saw the white, debris-like crystals covering the field of view, she was dumbfounded.

She had just found the package insert for Ceftriaxone, and it was clearly written there that there was an extremely low probability it could cause Gallstones.

Now that stones were also seen in the kidneys—and they were fragmented, crystal-like substances—the answer was obvious.

"Using sodium bicarbonate to alkalize the urine should work, right?" Director Xu asked tentatively.

After all, she was the head director of the Department of Nephrology at the Provincial Hospital; once she knew the ins and outs, treatment was not difficult. However, Director Xu still asked Director Liu and Ji Xiang, not acting on her own initiative.

She had never seen a similar situation, so being cautious was appropriate.

Director Liu caught Ji Xiang nodding slightly, so he said, "Yes, alkalize the urine first and supplement fluids according to urine output."

They withdrew the endoscope, placed a Double-J Stent, and sent the patient back.

Director Liu was curious; when it was time to get off work, he didn't rush home, but went to the Department of Nephrology to take a look first.

After alkalizing the urine, the patient's symptoms of anuria were rapidly relieved; in just a few hours, they had already passed about 1400ml of urine.

The Department of Nephrology had already begun fluid replacement therapy for the patient.

It really was like that; Director Liu's Experience Points +1.

No one had expected that the commonly used Ceftriaxone could have such a serious complication.

"Director Liu, impressive!" Director Xu praised.

"It's alright, it's alright," Director Liu said with a smile.

In his heart, he cursed "old fox"; Bai Chuzhang's intentions were clear as day.

Just like the situation at hand—not to mention how Ji Xiang arrived at the diagnosis, his ability to handle matters alone surpassed that of himself and Director Xu, two senior clinical directors.

Bai Chuzhang had gone to such great lengths actually just to keep Ji Xiang, even if it meant increasing the chances by only a little bit, he would spare no effort.

If he couldn't keep him, he had to find a doctor with a good relationship with Ji Xiang to call at any time.

He even had the nerve to goad him into applying for a provincial natural science project for Ji Xiang; it was clearly the Medical Affairs Department that would reap the greatest benefits.

Director Liu chuckled, not angry. In the game set up by Bai Chuzhang, everyone benefited, and everyone contributed.

Transferring a doctor from a lower-level hospital was something Bai Chuzhang could indeed do, but it would certainly come at a quite heavy price. If it were him, he definitely wouldn't be as determined as Lao Bai.

Looking at it now, everything was worth it.

Lao Bai's vision was still unique; Director Liu was very impressed.

"Director Liu, is that young doctor by your side a new arrival?"

"No, he's a Standardized Training Doctor. Have you heard of Ji Xiang?"

"The one who broke the record for Tying Knots in the grand competition?" Director Xu's eyes lit up.

"Yes."

"Which department is he going to next? While he's still fresh, hurry and send him to our Department of Nephrology," Director Xu felt a bit eager.

"Don't even think about it," Director Liu laughed, feeling a bit of gloom in his heart.

Sure enough, once people see a capable, good seedling, everyone wants to snatch them. Fortunately, he had acted early, even going so far as to use the provincial natural science project to achieve his goal by a roundabout way, enticing Zhao Zhe.

"Director Liu, I think that kid is quite good."

"Right? I took a fancy to this kid at first sight," Director Liu put on the air of a talent scout.

"What are you so proud of? He'll be rotating to the next department soon," Director Xu looked down on Director Liu's smug expression and gave him a jab.

This was indeed a problem, but if things went according to the current plan, it should be feasible.

Director Liu happily prepared to get off work; upon returning to his department, he saw Zhao Zhe standing at the door of his office, brows tightly furrowed like a philosopher, looking full of sorrow.

If one didn't know, they would think this middle-aged man was a Family Member.

"Zhao Yisheng, what's wrong?" Liu Zhuren asked.

"Zhuren, I... I..."

Seeing Zhao Zhe's constipated expression, Liu Zhuren felt a slight chill in his heart.

Could there really be a grassroots doctor who would pass up the Second Affiliated Hospital and stay in their hometown to grow old and die in obscurity? It looked like Zhao Zhe wasn't doing well back home either; a young doctor on duty could snap at him however they wanted, so what was there to be hung up about?

"Zhao Yisheng, come in and talk."

After entering the office, Liu Zhuren feigned a relaxed tone and asked, "It's fine, if you can't come, you can't come. I can find someone else to do it."

"..." Zhao Zhe's face was flushed red from holding it in.

The chatterbox had suddenly switched to a mode where he couldn't speak; he looked exactly like a case of Laryngeal edema, making Liu Zhuren's hands itch to perform a Tracheotomy on him.

"Speak slowly, no rush."

Zhao Zhe was clearly very nervous; his hands were shaking a little, pressing hard against Liu Zhuren's desk, his nail beds pale.

Liu Zhuren sighed inwardly, guessing there was a tigress at home who didn't agree to them living apart.

Liu Zhuren had seen similar things before.

(End of chapter)