Healing Doctor

Chapter 15 A good surgeon is necessarily a good internist

"Old Mo, it's not that I don't believe you, but I just feel that a student couldn't possibly answer a case analysis of this difficulty," Director Sun said frankly.

Let alone the students, what about those experts and professors back then? Aren't they all in a sorry state, like stray dogs?

He looked at the standard answers on the test paper, and thinking of that tall figure that seemed to glow, his mind went blank.

"Call Ji over and ask him about his problem-solving approach in person," Dean Zhao said.

The junior staff member next to Director Sun immediately looked for Ji Xiang's phone number and dialed it.

Professor Mo was quite excited, not just ordinary excited, because he vaguely saw a treasure.

In Professor Mo's mind, this reserve resident trainee had already been upgraded from a student to a treasure, even a precious darling.

A good surgeon must also be a good internist. This is what my teacher said. Professor Mo admitted that he could not do this, but Ji Xiang did!

Thinking of his deceased teacher, Professor Mo was shaken and slightly saddened.

"Director Sun, why do you always think it's impossible?" Professor Mo retorted.

"Don't even mention resident trainees, your diagnoses in surgery are all sloppy, don't you realize that?" Director Sun said bluntly, no longer being subtle.

"A good surgeon is necessarily a good internist," Professor Mo argued. "That's what my teacher said, and although he passed away unexpectedly more than 20 years ago, I still remember it."

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

That top urologist had a promising future and was at the peak of his career, but he died because of a robbery, which is truly a great pity.

Professor Mo is usually very shrewd and doesn't like to argue with people, but he becomes a different person when he talks about his deceased teacher.

He was incredibly tough, as if every word his teacher said was a sacred gem, not to be desecrated.

……

After handing in his paper, Ji Xiang found a quiet, shady spot, casually sat cross-legged on the ground, closed his eyes, and entered the system space.

The exam questions were indeed difficult, but he had the system grandpa to help him.

The system NPCs were very strong; when Ji Xiang saw the case analyses later on, he knew that the teacher who set the questions was deliberately making things difficult for him.

He also wanted to give the system NPC a hard time and see how good the system really was.

To everyone's surprise, the system NPC provided the answer after listening to Ji Xiang's explanation, and even included possible values ​​for checking the data that were not mentioned in the question.

Ji Xiang knew this wasn't prophecy, but rather extremely profound clinical experience.

At this point, his admiration for the system NPCs rose even higher.

Performing a good surgery is a surgeon's duty, and Ji Xiang had that expectation.

However, the system in front of me can also analyze clinical cases, so it is indeed very good and advanced.

Waking up to his phone call, Ji Xiang emerged from the system space to answer it.

Upon learning that the Science and Education Department wanted to see him back, Ji Xiang roughly knew why. He stood up, dusted off his trousers, and strode back to the office building.

"Ji, this way." Director Sun from the Science and Education Department stood at the elevator door waiting for Ji Xiang.

The elevator doors slowly opened, and once again he saw Ji Xiang's tall figure, which seemed to glow like a luminous body.

Director Sun's pupils constricted and became highly sensitive to light, as if he were staring directly at the sun.

Professor Mo also came out, and he familiarly pulled Ji Xiang aside and scolded him, "How could you hand in your exam paper so early? It would be good to check it again."

"Professor Mo, what brings you here?" Ji Xiang greeted Director Sun and then asked Professor Mo.

"Let's see how you are doing with your exams. I'll arrange for you to come to the clinic for a check-up sometime."

At the same time, Ji Xiang heard a crisp "ding-dong" sound, indicating that the system had issued a new task.

General task: assembly line.

Task: Perform at least 20 stapled circumcision surgeries.

Task duration: 24 hours.

任务奖励：基础奖励1：手术点数2点，完成20台手术后，每多完成一台手术会有0.3手术点数的奖励。基础奖励2：经验值+3000。】

Hmm? Not bad.

Ji Xiang smiled as he looked at the tasks posted on the system panel in the upper right corner of his vision, his hands already starting to itch.

"Still laughing." Professor Mo patted Ji Xiang on the shoulder and comforted him, "The nail that sticks out gets hammered down. Even if you answer the questions quickly, you should wait until the other students hand in their papers before you hand them in. Remember that?"

"Thank you, Professor Mo." Ji Xiang knew that Professor Mo was speaking from the heart, so he sincerely thanked him.

"Ji, did you just write the final case analysis haphazardly?" Director Sun asked as he led Ji Xiang to the conference room.

"No," Ji Xiang replied.

"It's written so simply, without even explaining the solution process."

"I wrote out the final question in the case analysis: how to handle the situation. The question itself didn't specify the solution approach, so I didn't write that out."

Director Sun was momentarily speechless at Ji Xiang's words.

Professor Mo sighed inwardly; the phrase "young and impetuous" perfectly described Ji Xiang.

However, he didn't say much. Professor Mo was also curious about Ji Xiang. What kind of brain circuit did Ji Xiang use to arrive at the correct answer for such a complicated case?

Upon entering the conference room, Dean Zhao sat upright, carefully examined Ji Xiang from head to toe, and asked with a smile, "Ji, tell me about your problem-solving approach for the case analysis question."

Regarding the solution to the problem, Ji Xiang had already heard about it from the system NPC. At that time, the system NPC also cited many relevant cases and some laboratory tests that the question setter had intentionally or unintentionally omitted.

Ji Xiang was exceptionally intelligent, possessing an almost perfect memory; he could clearly remember what the system NPCs said.

"That's how it is." Ji Xiang stood casually in front of the many teachers and deans, as if he were defending his graduation thesis.

"Regarding the final case analysis, I think there is a lack of clinical data, which is probably related to the requirement that the question stem cannot be too long."

"Hmm?" Director Sun frowned and hummed in response.

He set the question, and Director Sun had indeed considered that at the time. Ji Xiang's words perfectly captured Director Sun's state of mind at the time.

"At least there is no consultation data from the nephrology department."

"..."

Director Sun was taken aback. He began to doubt whether this student, Ji, had the ability to see through his mind.

"Let's put that aside for now. I'll explain my diagnostic approach for this patient, and I welcome any feedback from the teachers."

Ji Xiang smiled, looked around at everyone present, and began to explain.

"Low blood sodium is caused by two main reasons: either less sodium enters the bloodstream or more sodium exits it."

The reason the endocrinologist consultation recommended continuing sodium supplementation and using diuretics with caution is likely this: to allow more sodium to enter while minimizing sodium excretion.

However, when I looked at the case description, I found that although the patient's appetite was not very good, it shouldn't have caused such a sudden drop in blood sodium.

A few days before a critical value appears, when the blood sodium level is slightly low, the attending physician will probably advise the patient to eat more salty food or instruct the patient to take oral saline capsules.

Even if the patient couldn't eat that much pickled vegetables or salt capsules, the sodium supplements given by the doctor at the time were sufficient.

Therefore, the reason that few people go in is not valid.

As for whether too much came out, the electrolytes in 24-hour urine...

As Ji Xiang spoke, he raised his hand and scratched his head.

"I'm puzzled because there's no 24-hour urine electrolyte test report here."

Director Sun listened to Ji Xiang's words, and when he heard this part, it felt like he had been slapped hard across the face.

At the time, it was indeed because the question was too long, and Director Sun did not believe that the reserve trainees had the ability to solve the question, so one report was cut.

He didn't think the report was very important, but Ji Xiang pointed it out to him, and Director Sun realized that he had missed a key reference.

This is really awkward.

"Since there's no report, how did you solve the problem?" Dean Zhao asked kindly.

"It was guessed based on the patients' conditions before and after," Ji Xiang said frankly, quoting what the system NPC had said at the time.

"..."

"..."

"What did you guess the test result was?" Dean Zhao pressed.

The sight of Ji Xiang standing before him filled Dean Zhao with a sense of pride and admiration; he wished he were his own son.

No, if my son could speak so confidently and fearlessly in front of experts from the Second Affiliated Hospital, it would seem as if he were the expert, lecturing a group of students.

If only that were the case!

Upon hearing what Dean Zhao said, Ji Xiang picked up a pen and paper and wrote down the values ​​given by the system NPC.

Two years have passed, and there were no orthopedic, nephrology, or endocrinology specialists present. No one remembers the results of the 24-hour urine electrolyte test.

Even if the experts from that time were here, they wouldn't remember.

Professor Mo glanced at it and felt that Ji Xiang's writing made some sense, but clinical test results are ever-changing, and Ji Xiang's approach was still too subjective.

"Go to the medical records room and get the medical records," Director Sun instructed his clerk.

That's a bit stingy," Professor Mo shook his head helplessly.

He observed Ji Xiang's expression and saw that Ji Xiang seemed relaxed and unconcerned, which he knew was because the young man had not yet been tempered in clinical practice.

Soon, the medical records were brought over, and Director Sun flipped through the old records with a rustling sound.

Although the medical records were well preserved, they still had a slightly rotten smell.

"There will definitely be some errors, but Ji has provided a suggestion." Professor Mo had prepared a stepping stone for Ji Xiang in advance.

Dean Zhao smiled slightly, glanced at Ji Xiang, and shook his head inwardly.

Can missing clinical data be filled in by simply filling in the gaps in one's mind?

This is no joke.

Even ordinary lab results cannot be imagined by simply filling in the blanks, let alone the fact that this patient was consulted by the entire hospital so many times back then, making it a difficult case.

The problem was ultimately solved when an associate director of orthopedics called his teacher for advice.

However, there's no need to tell this young man these things.

This young man is indeed good, but he is a bit too sharp and overconfident.

That's just inexplicable confidence.

Dean Zhao thought to himself, a smirk playing on his lips, his gaze shifting from Ji Xiang to Director Sun…

Director Sun stood frozen in place, as if a fairy had been frozen in place by a monkey's spell.

Well, no wonder the monkey was only interested in the peaches; I wouldn't be interested in Director Sun either.

Seeing Director Sun's wide-open mouth and the drool about to drip from the corner of his mouth, Dean Zhao vaguely guessed what had happened.

"Director Sun?" Professor Mo nudged Director Sun, but unexpectedly, he nearly made Director Sun stumble.

"Be careful." Professor Mo helped Director Sun up.

He was surprised. Had Director Sun suffered a sudden cerebral infarction?

The moment Professor Mo's gaze fell upon the lab reports printed in the medical record, he too was frozen in place.

The values ​​on the 24-hour urine electrolyte report differed slightly from those written by Ji Xiang, but not by much. Although they weren't exactly the same, they proved that Ji Xiang had definitely derived them based on his profound clinical skills.

Derivation...

Medicine is not mathematics, so how can it be derived?

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

……

……

Note: This title is a tribute to a teacher who sadly passed away.

(End of this chapter)