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15 A good surgeon must be a good physician

"Old Mo, it's not that I don't believe you. I always feel that a student cannot answer this difficult case analysis." Director Sun said bluntly.

Not to mention students, what about those experts and professors back then? They are all embarrassed and like a stray dog.

He looked at the standard answer on the test paper and thought of the tall figure who seemed to shine, and his mind was a little confused.

"Call Ji to ask his problem-solving ideas in person." Dean Zhao said.

The little clerk next to Director Sun immediately looked for Ji Xiang's phone number and dialed it.

Professor Mo was a little excited, not ordinary excitement, he vaguely saw a treasure.

In Professor Mo's mind, this reserve training student has been upgraded from a student to a treasure, or even a treasure.

A good surgeon must be a good internal physician. This is what his teacher said. Professor Mo believes that he can't do this, but Ji Xiang did it!

Thinking of the deceased teacher, Professor Mo was shaken and slightly sad.

"Chronichou Sun, why do you always feel it is impossible?" Professor Mo retorted.

"Not to mention the regular trainees, your surgical diagnosis is rough, you don't know what you think?" Director Sun said in a very straightforward manner.

"A good surgeon must be a good internal physician." Professor Mo defended, "This is what my teacher said. Although he has passed away unexpectedly for more than 20 years, I still remember it."

When Professor Mo mentioned his teacher, even Dean Zhao did not refute it.

The urology giant had a bright future and was at its peak, but he passed away because of a robbery, which really made people sigh.

Usually, Professor Mo is a ghostly and wise man who is not willing to argue with others, but when he mentions his deceased teacher, he becomes a different person.

He was extremely tough, as if every word from his teacher was regarded as a guibi and could not be desecrated.

...

After Ji Xiang handed out the paper, he found a secluded and shady place, sitting cross-legged on the ground casually, closed his eyes and focused, and entered the system space.

The exam questions are indeed difficult, but they can't resist his system.

The system NPC is very strong. When Ji Xiang saw the subsequent case analysis, he knew that the teacher who set the questions deliberately made people difficult.

He also wanted to make things difficult for the system NPC and see how the system is.

Unexpectedly, after hearing Ji Xiang's words, the system NPC gave the answer, and there were also possible values ​​for the inspection data that did not appear in the question.

Ji Xiang knew that this was not a prediction, but an extremely profound clinical experience.

At this point, his admiration for the system NPC has risen a little further.

The operation was done well, which was the duty of a surgeon, and Ji Xiang had psychological expectations about it.

However, the person in front of me can still analyze clinical cases, and the system is indeed very good and advanced.

Wake up by the phone, Ji Xiang came out of the system space to answer the phone.

When Ji Xiang learned that the Science and Education Department was looking for him to go back, he probably knew why. He stood up and patted his pants, and strode back to the office building.

"Student Ji, this side." Director Sun of the Science and Education Department stood at the elevator door waiting for Ji Xiang.

The elevator door slowly opened, and he saw Ji Xiang's tall figure as if he was glowing.

Director Sun's child hole shrank and reflected sensitively to light, like looking directly at the sun.

Professor Mo also came out, and he pulled Ji Xiang in a familiar way and scolded, "How can I hand over the papers in the exam so early? It would be better to check it again."

"Teacher Mo, why are you here?" Ji Xiang greeted Director Sun and asked Professor Mo.

"Look at your exam and have time to find you to go to the outpatient clinic."

At the same time, a crisp sound of "Ding Dong" came from Ji Xiang's ears, and the system issued a new task.

[General task: assembly line.

Task content: Complete the circumcision surgery for at least 20 staplers under the surplus.

Mission time: 24 hours.

Task reward: Basic reward 1: 2 points of surgery. After completing 20 surgeries, there will be a reward of 0.3 points of surgery for each additional surgery. Basic reward 2: Experience value +3000.]

Huh? Not bad.

Ji Xiang smiled and looked at the task posted on the system panel in the upper right corner of his vision, and his hands began to feel a little itchy.

"I'm still laughing." Professor Mo patted Ji Xiang on the shoulder and comforted him, "You can shoot the first bird. Even if you answer the questions quickly, you have to wait for other students to hand in the paper before handing in the paper. Do you remember?"

"Thank you, Professor Mo." Ji Xiang knew that Professor Mo was telling him the truth, so he said thank you very sincerely.

"Student Ji, are you writing the final case analysis randomly?" Director Sun took Ji Xiang to the conference room and asked while walking.

"No." Ji Xiang replied.

"It's so simple, I don't even write about the idea of ​​solving the problem."

"I wrote it out the final problem of case analysis. I didn't explain the dissolution idea, so I didn't write it."

Director Sun was choked by Ji Xiang's words.

Professor Mo sighed in his heart. The young and energetic ones said that Ji Xiang was like this.

But he didn't say much, and Professor Mo was also curious about Ji Xiang. What brain circuit did Ji Xiang use to get the correct answer in such a complicated case?

When he arrived at the conference room, President Zhao sat up and looked at Ji Xiang carefully, and asked with a smile, "Student Ji, tell me about your problem-solving ideas for case analysis."

Regarding the problem solving, Ji Xiang has heard from the NPPC of the system and quoted many related cases and some tests that the questioner intentionally or unintentionally missed.

Ji Xiang is talented and has almost never forgotten what he said. The system NPC clearly remembers what he said.

"That's it." Ji Xiang stood casually in front of many teachers and deans, as if he was conducting a graduation thesis defense.

"For the final case analysis, I think there is less clinical data, which is probably related to the fact that the question stem cannot be too long."

"Hmm?" Director Sun frowned and said no.

The title was written by him, and Director Sun did consider this at that time. Ji Xiang expressed his mood at that time.

"At least there is no consultation information for nephrology."

“…”

Director Sun was stunned for a moment, and he began to suspect that the student Ji in front of him had the ability to see through his inner self.

"I won't talk about these things for now. I'll talk about the diagnostic ideas for this patient. Teachers will give you more opinions."

Ji Xiang smiled, looked around and began to explain.

"There are only two major reasons for low blood sodium. Either less enter or more come out.

This is estimated that the endocrinology consultation will continue to supplement sodium and use diuretics with caution - let more sodium enter and less sodium discharge.

But when I looked at the question of the case, I found that although the patient's appetite was not very good, the blood sodium suddenly dropped so quickly.

When the blood sodium is slightly lower a few days before the critical value appears, the clinician will probably ask him to eat saltier food, or will remind the patient to take oral salt capsules.

Even if I couldn't eat so many pickles or salt capsules, the sodium the doctor gave the patient at that time was enough.

Therefore, the reason why there are fewer people entering is not valid.

As for whether there are too many out, the electrolytes that have urinated for 24 hours..."

Ji Xiang said, raising his hand and scratching his head.

"There is no 24-hour test report for urine electrolytes here, which makes me confused."

Director Sun followed Ji Xiang's words and felt like he was slapped hard when he heard this.

At that time, it was indeed because the question was too long and Director Sun did not think that the reserve training students had the ability to solve this problem, so he deleted a report sheet.

He felt that this report was not very important, but Ji Xiang pointed out this matter in person, and Director Sun knew that he had missed a major reference material.

This is so embarrassing.

"Since there is no report, how did you solve the problem?" Dean Zhao asked with a kind face.

"It was guessed based on the patient's status before and after." Ji Xiang calmly said what the NPC in the system said at that time.

“…”

“…”

"What is the test value you guessed?" Dean Zhao asked.

Ji Xiang in front of him was full of enthusiasm, which made Dean Zhao a little envious. It would be great if it were his son.

No, if his son could talk so well in front of the experts of the Second Affiliated Hospital, he would be without fear, as if he was the expert and was teaching a group of students a lesson.

If so, how good it would be!

When Ji Xiang heard Dean Zhao say this, he picked up a pen and paper and wrote down the values ​​given by the system NPC.

Two years have passed, and there is no orthopedic or kidney in the presence of the endocrine expert, and no one remembers the results of the 24-hour urine electrolyte test.

Even the experts at that time were there, they wouldn't remember it.

Professor Mo took a few glances and felt that what Ji Xiang wrote made some sense, but the clinical test results were ever-changing, so Ji Xiang was still too subjective.

"You go to the clinic to get medical records." Director Sun asked his clerk to get medical records.

This was a little stingy, Professor Mo shook his head helplessly.

He observed Ji Xiang's expression and saw Ji Xiang's relaxed look that he did not agree with it, knowing that this is the reason why young people have not yet been clinically tempered.

Soon, the medical records were brought in, and Director Sun flipped through the old medical records.

Although the medical records are well preserved, they still have a bit of rotten smell.

"There must be an error, and Ji provided an idea." Professor Mo helped Ji Xiang prepare the steps in advance.

Dean Zhao smiled gently, glanced at Ji Xiang, and shook his head in his heart.

Can missing clinical data be supplemented by brain supplementation alone?

Isn't this a joke?

Even ordinary laboratory data cannot be imagined by brain supplementation, let alone the patient's consultations in the hospital so many times back then, which is a difficult case.

Finally, the problem was solved by a deputy director of orthopedics. He called to consult his teacher and his teacher gave advice.

But there is no need to talk about these things to this young man.

This young man is indeed good, he is a little sharp and too confident.

It's really inexplicable confidence.

President Zhao thought, a hint of ridicule appeared on the corner of his mouth, and his eyes fell from Ji Xiang to Director Sun...

Director Sun stood there like a fairy who had been imposed by a monkey.

Well, no wonder the monkey is only interested in the peaches, and it is impossible for him to be interested in Director Sun.

Seeing Director Sun's mouth being opened wide and the saliva that was about to flow out of the corners of his mouth, Director Zhao vaguely guessed what was going on.

"Director Sun?" Professor Mo pushed Director Sun for a moment, but he didn't expect that he almost pushed Director Sun staggered.

"Be careful." Professor Mo supported Director Sun.

He was very surprised. Did Director Sun have a sudden cerebral infarction?

The moment Professor Mo's eyes fell on the test form that was concentratedly printed in the medical record, he was also stopped.

The values ​​on the 24-hour urine electrolyte report form are somewhat different from those written by Ji Xiang, but they are not very different. Although they are not exactly the same, it is proved by facts that Ji Xiang must have derived it with his extremely profound clinical skills.

Derivation...

Medicine is not mathematics, how to deduce it?

For a moment, Professor Mo's mind went blank.

...

...
Chapter completed!
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