"What's your problem?" Zhai Yuhan waited for Ji Xiang to leave the ward. She closed the door and asked doubtfully.

"The patient has pain in the right upper quadrant that does not dissipate. It is intermittent and progressive severe pain. The score is 6/10. The pain has no obvious aggravating or alleviating factors. The relationship with eating is unclear. It is related to nausea, jaundice, deepening of urine, lighter color of stool, and self-consciousness.

Fever related.”

"I saw that these things were not written in the medical records. Teacher Zhai, you and the director both know about it."

"..." Zhai Yuhan was startled for a moment, and then became angry.

Is Ji Xiang provoking himself?

Just now, she asked him and Zhao Mengmeng some simple basic clinical knowledge and consultation knowledge in the tone of a superior doctor, but Ji Xiang turned around and started to fight back.

What a very arrogant and aggressive young man.

"I'm considering having an MRI to confirm. By the way, our department has an ERCP room, right?" Ji Xiang went up and asked "casually".

He had not yet rotated to the Department of Hepatobiliary and Pancreatic Surgery at the Second Affiliated Hospital of Baiyi University. When he went to experience the same thing, he remembered that the gastrointestinal surgery department of a large hospital had a gastroscope, so he asked.

Zhai Yuhan's face became even more ugly.

Ercp is performed by gastroenterologists. There are not many hepatobiliary and pancreatic surgeons in the country who can do ercp. Only a few hospitals in the capital city have ercp rooms in the hepatobiliary surgery department.

Is this a slap in the face?

Seeing that Zhai Yuhan didn't speak, Ji Xiang hesitated and smiled bitterly, "I'm sorry, Teacher Zhai. If not, it's okay. I suggest you do an emergency MRI and then ask an ERCP teacher for consultation tomorrow."

"Doctor Xiaoji." Zhai Yuhan suppressed the anger in her heart and tried to be as calm as possible in front of the camera to avoid being criticized.

"Teacher Zhai, that's it." Ji Xiang's eyes were very bright, and his face exuded a warm luster, as if a lighting engineer had cast a beam of light on his face.

Zhai Yuhan was startled and lost consciousness for a moment.

This is so pretty!

She is not a pretty girl, but at this moment, Ji Xiang's surroundings seem to be filled with flowers and sounds.

But Zhai Yuhan woke up quickly and became slightly angry from embarrassment.

"What do you think?" Zhai Yuhan asked unhappily.

She didn't want to talk to Ji Xiang at all, but there were cameras after all.

"Teacher Zhai, the patient has a rare mirizzi syndrome. There should be no problem, but an MRI is needed to confirm the diagnosis."

"Mirizzi syndrome? Classmate Xiaoji, the patient's gallbladder has been removed!" Zhai Yuhan said seriously.

"It's not mirizzi syndrome caused by the compression of the gallbladder neck by stones, but..."

Ji Xiang said as he strode towards the doctor's office.

The camera team behind him was completely stunned. What kind of plot was this? Was it arranged by the director?

Is the patient also looking for extras?

Ji Xiang's affirmative tone made them think that everything was arranged.

I was deceived, everything was a script, but the director controlled everything behind the scenes.

The photographer was a little sleepy at first, but he suddenly woke up when he saw this scene.

…

…

In the comment room, the host's bald head was shiny and he looked at Professor Shen blankly.

"mirizzi syndrome..." Professor Shen lowered his head and flipped through his phone to search for the professional term mirizzi syndrome.

He is not a hepatobiliary and pancreatic surgeon, so when he encounters an extremely professional term like mirizzi syndrome, he needs to search online.

Soon, Professor Shen raised his head, a look of confusion on his elegant face.

In his opinion, Ji Xiang is just a regular trainee, Zhai Yuhan is the chief resident of the First Affiliated Hospital, and this patient is obviously an old patient of the First Affiliated Hospital. The director has seen him countless times, so why did Ji Xiang give a new diagnosis?

diagnosis?

Impossible,

This is not scientific!

But all doubts were shaken in Ji Xiang's determined eyes.

The comment room was quiet and the atmosphere was a bit awkward, but Director Fan was extremely excited and his eyes were bright.

This is what he wants!

Ordinary people are interested in the work and life of doctors, which is one of the selling points of the show.

And everyone knows that junior doctors will be ravaged in various ways when they enter clinical practice, which is reasonable.

But if you want to make a hit, you need to be reasonable and unexpected.

Now Ji Xiang showed all this in front of Director Fan.

Reminiscing that Ji Xiang brought his own "working group", and that the working group also included an "old" director who graduated from Xiehe University, his expectations for Ji Xiang were suddenly raised to the highest level.

"The first group, the first group, keep up! The camera is facing Ji Xiang. The second group, the camera is facing Dr. Zhai from the side." Director Fan ignored the presence of the host and guests in the comment room and had already begun directing his photographers to work.

…

…

The cameraman followed Ji Xiang's footsteps and trotted.

He cursed in his heart, Ji Xiang's legs were really long. He took big steps and he had to trot to keep up.

Back in the doctor's office, Ji Xiang sat in front of the computer and called up the B-ultrasound image.

"Teacher Zhai, look here."

"Ultrasound examination showed an increase in curled cystic structures at the gallbladder bed, consistent with an increase in gallbladder remnants, and no ultrasound evidence of biliary stones was found."

Zhai Yuhan was startled, "Doctor Xiaoji, do you know what you are talking about?"

"I know that although the image on the B-ultrasound is not certain, there is an image below in the department that is close to an artifact."

Ji Xiang pointed his finger at the screen.

"Do you feel something is wrong with this video?"

"Something's wrong? What's wrong?" Zhai Yuhan looked blankly at the image of Ji Xiang's finger, not knowing what Ji Xiang was talking about.

"The image shows that the bile duct is slightly thicker than the normal bile duct." Ji Xiang said, "If magnetic resonance cholangiopancreatography is performed to further evaluate the biliary tree, I estimate that we can find cystic duct stump stones, accompanied by compression of the common bile duct and dilation of the upstream bile duct.

.”

"Here, this is it. Although there is only a little afterimage, but combined with the patient's medical history, we can predict the situation inside."

"!

!”

Zhai Yuhan was speechless.

Estimate?

How dare he say this based on only a short section of images from the B-ultrasound report?

"Teacher Zhai, our department does not have an ERCP room. You can always make an appointment for an MRI in the evening."

Hearing Ji Xiang talking to him in this tone, Zhai Yuhan really wanted to hold his ear and tell him that MRI could indeed be done at night, but the director needed to call.

"Are you sure?" Zhai Yuhan asked.

"Absolutely, Teacher Zhai, how much do you know about mirizzi syndrome?"

Zhai Yuhan glanced at Ji Xiang cautiously. She saw Ji Xiang looking at the computer screen intently, not as if he was provoking herself, but she became competitive and recalled the knowledge about mirizzi syndrome in her mind.

"Mirizzi syndrome usually refers to the impact of stones in the gallbladder neck or cystic duct and..."

Zhai Yuhan was explaining professional terms. He was indeed the chief resident of a high-level tertiary hospital, and his basic quality was extremely good.

But when they saw this scene, the eyes of everyone in the comment room almost popped out.
Chapter completed!