Chapter 537: Kindness to a Fault

"Doctor Xiao Ji, the patient... the patient..." Miao Zong wanted to say something, but he was stuttering and very hesitant.

"Teacher Miao, the patient's pain covers a rather large area. May I see the B-ultrasound report from the Emergency Department before admission?" Ji Xiang asked.

Miao Zong felt helpless; he had thought about it a hundred times and still couldn't understand what Ji Xiang was up to.

However, as long as Ji Xiang had a request, that was fine; he took Ji Xiang to look at the patient's Medical Record.

The Medical Record hadn't been written yet, so Miao Zong blushed slightly and glossed over that part.

"This is the patient's B-ultrasound, Doctor Xiao Ji, take a look." Miao Zong took the thin Medical Record and handed it to Ji Xiang.

The Medical Record currently only contained the lab test results from the Emergency Department; everything else was empty.

Ji Xiang didn't seem to mind, as if he hadn't realized there was an issue, and began to examine the B-ultrasound sheet carefully.

What is there to look at in this thing, Miao Zong thought to himself.

As a Clinical Resident Chief, Miao Zong usually only looked at the conclusions and never looked at the images on the report sheet.

Ji Xiang looked over the few lab sheets repeatedly, remaining silent the whole time.

"Doctor Xiao Ji, any thoughts?" Miao Zong asked, just to make conversation.

"The imaging from before the patient's admission looks a bit problematic. Teacher Miao, don't you think her gallbladder is a bit large?"

After hearing Ji Xiang's words, Miao Zong almost burst out laughing.

The gallbladder is a bit large!

Scanning the gallbladder with a B-ultrasound is just the Emergency Department doctors being meddlesome.

They were worried about problems, so they ordered the liver, gallbladder, spleen, and lower right abdomen B-ultrasound all at once, and since the report said no abnormalities were seen, what was there to look at?

The patient's chief complaint now was abdominal pain, and the diagnosis was Acute Appendicitis; he must have been in the Hepatobiliary Surgery Department before, so he learned to look at the gallbladder, while everything else was blank, so...

No!

Miao Zong thought, then suddenly forced himself to interrupt his own train of thought.

This isn't right, absolutely not right!

Ji Xiang was able to provide a diagnosis for a free-floating abdominal Tumor, and he even knew such trivial details as the fact that 14 similar papers had been published in famous journals around the world over the past few decades; a person like this shouldn't be spouting nonsense.

"The gallbladder, is it possible the gallbladder is enlarged because the patient ate?"

Ji Xiang shook his head slightly. He seemed to be stunned for a moment, but in less than a second, all the confusion on his face vanished.

Miao Zong didn't notice the detail, and he continued, "Doctor Xiao Ji, it's not that I'm nagging, I don't know what your relationship with Kong Zhuren is, but I think it's best not to bother Kong Zhuren with small matters."

"Let's take a look together and have Kong Zhuren help take a glance." Ji Xiang smiled slightly, "But Teacher Miao, is the operating room queue bad?"

"It's fine in the morning, there usually aren't many emergencies." Miao Zong said, "I'm just scaring the Family Member; regardless of whether it's Acute Appendicitis, we have to perform surgery immediately. If this drags on, I really wouldn't know what to do."

"That's good then."

Seeing Ji Xiang hand the patient's "Medical Record" back to him, Miao Zong hurriedly took it, placed it by the computer, and then led Ji Xiang to the ward.

Soon, Kong Zhuren brought people over to perform a bedside B-ultrasound.

If it were an ordinary doctor, they would have pushed the cart themselves, but Kong Zhuren had his subordinates push the cart while he walked in front with long strides.

Seeing Ji Xiang in the hallway, Kong Zhuren quickened his pace, came up to him, and patted Ji Xiang's shoulder firmly.

"Xiao Ji, these few episodes of the show were done well. I watched them all, and while watching, I couldn't help but sigh that the saying 'heroes have emerged from the youth since ancient times' is truly correct."

"Teacher Kong, you're here." Ji Xiang said with a smile.

"What do you need me for? In the future, find time to see me after work. You left right after filming the show, and I've been wanting to get together with you again." Kong Zhuren spoke to Ji Xiang with the enthusiasm of an old friend reuniting.

Miao Zong was moved to tears watching this.

This is no treatment for an Intern; it's practically more like a director than a director.

"Alright, Teacher Kong. There is a patient in Gastrointestinal diagnosed with Acute Appendicitis, but I keep feeling like there's a problem in the patient's gallbladder area." Ji Xiang said something aside, immediately pulling the topic back to the patient.

"I'll go take a look. What problem do you think it is?" Kong Zhuren took the cart and pushed it into the ward.

"I feel the gallbladder was too large on last night's emergency B-ultrasound, and it doesn't look like it was caused by eating."

"I'll take a look first. Little Miao, go get yesterday's B-ultrasound sheet for me to see."

By the time Miao Zong returned with the sheet, Kong Zhuren had already finished the B-ultrasound, and Ji Xiang was holding a tissue, wiping the Coupling Agent off the patient.

"Xiao Ji, the gallbladder looks fine." Kong Zhuren said, "Are you suspecting that the large gallbladder is a precursor to Perforation? But gallbladder enlargement, wall thickening, roughness, discontinuity of the gallbladder wall, fluid in the upper right abdomen, and liquid dark areas around the gallbladder—none of these were seen."

Ji Xiang didn't speak, just carefully wiped the Coupling Agent clean, pulled down the hospital gown, and then carefully covered the patient with the quilt and tucked in the corners.

"The appendix is also fine; it's not an Appendiceal Perforation." Kong Zhuren said.

The expression of the Family Member finally relaxed.

"However!" Kong Zhuren said in a deep voice, "Hurry up and get to surgery. There are already signs of Peritonitis. If we wait any longer, I'm worried about Shock."

Shock?

Shock!

The Family Member was stunned for a moment.

Taking the report sheet from yesterday, Kong Zhuren glanced at it, pushed the cart out, and while walking, said to Ji Xiang, "Xiao Ji, gallbladder Perforation is rare in Clinical practice. As a rare disease, it is generally not considered as a primary diagnosis."

Kong Zhuren spoke very colloquially and informally, and Miao Zong was very envious.

He could clearly perceive that Kong Zhuren's attitude toward Ji Xiang was like a teacher toward his favorite student; when the other party made a mistake, not only did he not blame them, but he also poured out his lifelong experience.

"The B-ultrasound shows discontinuous imaging, and the position of the patient's gallbladder fundus does indeed have a tiny bit of discontinuity, but that bit of discontinuity is not considered to be Perforation, but rather gas..."

Kong Zhuren kept talking.

Every sentence was a summary of many years of Clinical experience, full of substance.

Kong Zhuren spoke for at least nearly 5 minutes before smiling slightly, "This time you overthought it. However, thinking more is as it should be."

"Teacher Kong, the patient's physical examination still has issues. When you performed the B-ultrasound, you pressed deep on the gallbladder point, and the patient had a pained expression." Ji Xiang insisted.

Kong Zhuren was stunned for a moment, then laughed out loud, "You child, why are you so stubborn!"

Miao Zong's heart sank; it's over, Kong Zhuren is definitely going to lose his temper next.

I had already explained it to Ji Xiang in such detail, yet he still insisted that the Patient had a problem with their Gallbladder; this was like being given an inch and taking a mile. The key was that after taking that mile, Ji Xiang kept on kicking and kicking, which was truly annoying.

"Your temper is really just like mine when I was young!"

Kong Zhuren patted Ji Xiang on the shoulder again, looking incredibly kind.

"It just so happens I have nothing to do today; I'll join you for the surgery in a while and use facts to show you there's nothing wrong."

Miao Zong let out a "Wah" and burst into tears.

How could the usually stern Kong Zhuren be so good to Ji Xiang!

(End of chapter)