Chapter 420: The Shift in Offensive and Defensive Posture
Zhao Mengmeng was a bit dazed; she found the Patient's lab report on the computer and said dryly, "The Patient's alanine aminotransferase is 325U/L, aspartate aminotransferase is 104U/L, alkaline phosphatase is 165IU/L, total bilirubin is 140μmol/L..."
"The Patient was admitted with high transaminase and high bilirubin; we are considering acute liver injury." Zhai Yuhan interrupted Zhao Mengmeng's rote recitation, "Now, I'm going to ask you both this."
"I am the Doctor in the emergency room, and you are the Resident Chief."
"The medical history is that the Patient started feeling pain after 1 o'clock, and by the time they arrived at our hospital, they had been in pain for 2 hours. After arriving at the hospital, an Ultrasound was performed, and now, what else do you want to know?"
Zhai Yuhan's speaking speed was very fast and full of pressure, leaving Zhao Mengmeng almost no time to think.
She looked at Zhai Yuhan with a blank expression, carefully ruminating on the question just asked.
"Uh..." Zhao Mengmeng was a bit dazed. Seeing Zhai Yuhan looking at her, she replied timidly, "I would first ask the Patient if they have abdominal pain."
"Yes, the Patient had surgery 2 years ago, and a Laparoscopic Surgery scar can be seen on the abdomen." Zhai Yuhan said very quickly, "What next?"
"I would ask the Patient if they have a history of hypertension or diabetes."
"They have hypertension and diabetes." Zhai Yuhan looked straight at Zhao Mengmeng, her peripheral vision fixed on Ji Xiang.
"Then... I would ask the Patient if they have any other discomfort besides abdominal pain." Zhao Mengmeng said subconsciously.
"They just say they have abdominal discomfort, but the Patient's Gallbladder was already removed 2 years ago."
"Do they have any other diseases? For example, a family history of genetic diseases."
"No."
Zhao Mengmeng was somewhat lost; she stared straight ahead, having no idea what to ask next.
"Teacher." Ji Xiang broke the awkward silence.
"Go ahead, Doctor Xiao Ji." Zhai Yuhan smiled slightly.
Ji Xiang was finally going to jump in.
"Why do I see that after the Patient was admitted, they didn't undergo Magnetic Resonance Imaging or ERCP examinations, but were only given intravenous Antibiotic?"
"..."
Zhai Yuhan did not expect that instead of answering her question, Ji Xiang would start asking questions like a senior Doctor at a hospital-wide consultation.
Asking questions was one thing, but Ji Xiang's question was like a knife, hitting the vital point.
In the Review Room.
"That was really serious."
"Mao Mao, are all Doctors like this? Doctor Zhai's speed and attitude just now scared the life out of me."
"I feel like student Zhao Mengmeng already doesn't know how to proceed, and student Ji Xiang is the same; he actually started asking questions instead of answering them."
Among the guests, the only real Doctor frowned.
"Teacher Shen, what is your take?" the host asked.
"Ji Xiang asked the right question; Doctor Zhai's questions and answers just now were not on the main point." Professor Shen said, "I also find it strange."
"Wow."
"Wow."
After hearing the professional opinion in the Review Room, there was a chorus of exclamations.
Although they didn't know what Professor Shen meant, they felt it was very impressive.
Doctor Zhai raised a bunch of questions, and although Ji Xiang and Zhao Mengmeng hadn't looked at the Medical Record for long, Ji Xiang was able to hit the nail on the head, matching Professor Shen's view.
This was undoubtedly a surprising thing.
"You finally asked about the main point." Zhai Yuhan was slightly helpless. She looked at Ji Xiang seriously; she now had a feeling in her heart—this young Standardized Training Student not only could score full marks on exams, but he also possessed a certain amount of Clinical experience; he was truly not simple.
"When the Patient first experienced abdominal pain after surgery, we suggested an MRI, but scheduling a Magnetic Resonance Imaging takes 2-3 days. During that time, the Patient's condition had already improved, and they subsequently requested discharge.
Therefore, there was never an opportunity to perform a more comprehensive examination."
"Doctor Xiao Ji, not bad." After Zhai Yuhan finished explaining, she casually offered a compliment.
Although she was annoyed by the reality show as a whole and felt that Ji Xiang was arrogantly boundless, leaving a very poor impression, she still did not hesitate to praise Ji Xiang for hitting the nail on the head.
"But looking at the Ultrasound from the first hospitalization after surgery, I feel there is a problem with the imaging." Ji Xiang was not happy because of Zhai Yuhan's praise; instead, he frowned, opened a report, and stared intently at the screen.
A problem?!
Zhai Yuhan was startled.
Clinical Doctors only look at the final results of Ultrasound reports; as for the process, that is the business of the Doctors in the Ultrasound Room.
Could Ji Xiang see something wrong with the Ultrasound? Or was there a problem with her own memory?
Zhai Yuhan followed Ji Xiang's gaze; the Ultrasound report was very familiar, she had read it many times, and she knew what the final conclusion said without even scrolling down.
If one were to say Ji Xiang understood some Clinical details, Zhai Yuhan would admit it. But to say Ji Xiang could see details on an Ultrasound report, Zhai Yuhan felt that was a fantasy.
"Teacher Zhai, please wait a moment, I'm going to ask about the Patient's specific situation." Ji Xiang suddenly stood up and said.
Zhai Yuhan frowned, but seeing Ji Xiang bow, being very polite, and with the camera right behind them, she couldn't say anything unpleasant and swallowed her words.
What was he going to ask? Zhai Yuhan was a bit curious.
The cameraman exchanged a look, and the second camera crew followed Ji Xiang to the ward.
Zhai Yuhan hesitated for a moment; she wasn't in a hurry, but instead read the Ultrasound from the Patient's first post-operative hospitalization again.
She compared the earliest and the most recent two Ultrasounds, but she was still completely baffled.
What was Ji Xiang going to ask?
Was there any medical history she hadn't noticed?
Was he just spouting nonsense to make people think he was capable, so he was playing all these fancy tricks?
Zhai Yuhan did not question it immediately, but instead stood up and walked toward Hao Bing Fang while deep in thought.
"What's going on?" the cameraman asked in a low voice.
The people around him also shook their heads, their faces full of confusion.
One second, an experienced Doctor from the Affiliated Hospital was training a novice Doctor with an incredibly oppressive tone, and the next second, the fixed impression in everyone's minds was shattered.
The cameraman followed behind Zhai Yuhan; Zhai Yuhan's back looked somewhat hurried, and the strides were large, not like the confident demeanor from before.
Arriving at Hao Bing Fang, the door was left ajar; Zhai Yuhan pushed the door open, and Ji Xiang's voice came from inside.
"It has happened so many times already; does the color of your urine change every time it hurts?"
"It's always a bit darker."
"What about the color of your stool?"
"I didn't notice."
"Alright, then I know." Ji Xiang smiled, "A minor issue, I'll come back in a while."
"Mm."
The Patient faced the camera, appearing extremely gentle, with an awkward yet polite smile on his face.
In his view, this young Doctor was making a fuss; he looked capable, but in reality, it would be good enough if he didn't cause trouble.
Ji Xiang turned around, saw Zhai Yuhan standing at the doorway, and smiled, "Teacher Zhai, I have a few things to ask you."
Zhai Yuhan was stunned.
This tone was exactly like how she had just questioned Zhao Mengmeng.
How, without realizing it, had the roles of attacker and defender been reversed?
(End of chapter)
End of Chapter
