Healing Doctor

Chapter 268 Character Collapse

"Urinary cyst? Dr. Ji, you must be joking." Lu Gang stood ramrod straight, resting his chin on his hand as he carefully examined the images. After confirming the diagnosis, he smiled slightly, exuding a refined academic air.

However, the last strand of his hair drooped down his sterile cap a little, which wasn't very professional. The circulating nurse had wanted to say something to him for a long time, but the anesthesiologist stopped her and whispered that this guy was a big shot from the medical affairs office, so she shouldn't offend him.

"I'm not kidding," Ji Xiang said.

"Urocysts generally occur due to congenital malformation of the paraurethral glands, which prevents toxins and secretions from being expelled from the urethral gland ducts, easily leading to the formation of urethral orifice cysts," Lu Gang explained. "The patient we're dealing with now has an external injury, and you're telling me it's a urocyst?"

"Trauma can also cause ureteral rupture."

"Dr. Ji, you're being a bit unreasonable." Lu Gang smiled slightly, convinced that Ji Xiang was only good at surgery, but his diagnostic skills were... simply mediocre.

"The ureter is located in the retroperitoneal space, surrounded by adipose tissue and connective tissue, and it's like an air mattress, making it difficult to see in trauma. Ureteral rupture usually occurs due to errors in clinical practice."

"What are you talking about? I didn't open the retroperitoneum," the chief resident of hepatobiliary surgery said quickly when he saw the urology team arguing.

"Are you talking to me?" Lu Gang asked, frowning.

"Oh dear," the chief resident of hepatobiliary surgery quickly explained, "Director Lu, how could I dare? I mean, you're right!"

Lu Gang nodded. He was used to similar situations and believed that it was essential for junior doctors to show respect to senior doctors.

"Teacher Lu, is there no surprise?" Ji Xiang asked.

"Dr. Xiao Ji, do you know how likely it is that a blunt trauma to the ureter could lead to rupture or breakage?" Lu Gang smiled, trying his best to demonstrate his professional competence.

He had a strong competitive spirit and harbored some resentment towards Director Bai's arrangements. However, the strand of hair in front of his sterile cap looked rather odd, completely unrelated to his profession.

Now that he has seen Ji Xiang make another "blind" diagnosis, Lu Gang is prepared to show Ji Xiang the qualities that a clinical doctor should have, at least to prevent Ji Xiang from becoming too proud.

"A probability of three in ten thousand, Dr. Ji," Lu Gang smiled, giving a rather professional figure. "We clinicians can't talk about events with extremely low probability."

"Professor Lu, the imaging has already confirmed the presence of a urinary cyst. If it's not treated, the patient won't be able to urinate after the procedure, and we'll have to go through the ordeal again."

Lu Gang really didn't know who gave Ji Xiang the courage.

I guess it's because Director Bai spoiled him.

No wonder, it's understandable that someone who achieves success at a young age would be a bit arrogant.

If it weren't for the operating room, Lu Gang would have made a bet with Ji Xiang and taught him a lesson.

"Dr. Ji, there's nothing to worry about. It's just an artifact in the image," Lu Gang said calmly. "These kinds of artifacts often appear in CT images."

In the United States, practicing medicine independently is a 4+4+3-7 resident program, which requires at least 11 years. Young people like Ji Xiang are not qualified to stand in front of me and speak.

Lu Gang subconsciously overlooked one point—in fact, no one in China is qualified either; it's just that Ji Xiang is a special case.

Having only been in standardized residency training for a few months and not even having left his first department, he already achieved the top score in the province. No wonder Ji Xiang is so arrogant and dares to challenge himself.

"How about we get a CT scan?" Ji Xiang suggested.

Lu Gang sighed. "Dr. Ji, the patient is under general anesthesia and in hemorrhagic shock. It's not a good idea to take him to the CT room after he wakes up from anesthesia. If we intubate him and squeeze him like a balloon, his life could be in danger at any time."

He was already getting impatient, but he still tried to keep his tone calm and project his refined and easygoing image.

Even though Director Bai had no idea why he had asked Lu Gang to work as Ji Xiang's assistant, Lu Gang was still resentful deep down.

He looked at Ji Xiang with a helpless gaze, but Ji Xiang turned his head and his gaze was equally helpless.

Lu Gang was taken aback. He could understand his own helplessness, but why would Ji Xiang have such emotions? Did he think Ji Xiang was definitely right? This young man was really arrogant.

"Professor Lu, this is the emergency operating room, the hybrid operating room. The DSA machine can do CT scans, so there's no need for any hassle, it only takes a few minutes," Ji Xiang explained.

"..." Lu Gang was dumbfounded when he heard Ji Xiang's explanation.

I've never done hybrid surgery myself, so I had no idea that the DSA machine had this function!

"I suggest you get checked, just in case. Otherwise, if you go down and there's no more urine, you'll have to go up again," Ji Xiang continued.

Lu Gang remained silent.

"I think it's a good idea," Mr. Wu said decisively.

He was the chief resident, the doctor who came for the consultation. If Chief Physician Wu didn't speak, nothing anyone said would make a difference.

"Mr. Wu, you've changed your tune today," the chief resident of hepatobiliary surgery said with a smile. "I thought you'd just come up, take a quick look at my abdominal surgery, and then leave."

"It's better to be cautious."

The hepatobiliary surgeon quickly removed the shattered spleen and turned to look at General Manager Wu, asking, "Should I go down?"

"Come down, I'll help you close your abdomen if there are any problems."

The resident in the hepatobiliary surgery department took off his blood-stained gloves, looked at Ji Xiang carefully, but didn't say anything.

It was already after get off work hours, there were no technicians available, and since neither the medical staff nor the general surgery department used the DSA machine very often, Ji Xiang simply took matters into his own hands and operated the DSA machine to perform a CT scan.

Looking at the familiar operating room filled with the roar of machines, the resident in the hepatobiliary surgery department was quite moved. "In all these years, this is the first time I've ever known that this thing can do CT scans."

Who isn't like that? Lu Gang felt his professional persona was about to crumble, and he gritted his teeth as he watched Ji Xiang's actions.

He was so skilled that Lu Gang had the illusion that Ji Xiang had been working with DSA machines for at least 20 years.

"It's rarely needed, and even less so during interventional surgeries. The CT scanner is far inferior to our CT room; it can only provide a barely adequate view," Ji Xiang explained.

"It's impressive that you even know that." The resident in hepatobiliary surgery looked at Ji Xiang with great interest. "Dr. Ji, you're the one who broke Dean Zhao's knot-tying record, right?"

"That's all in the past. If you hadn't mentioned it, I wouldn't have remembered that Xiao Ji ever did that," Mr. Wu said, staring at the screen.

"What?" The resident in hepatobiliary surgery was surprised. "You've forgotten something this important? Mr. Wu, are you jealous?"

No way.

Some things can't be said outright, and Mr. Wu has truly forgotten all about the knot.

A second CT scan revealed increased contrast in the perirenal retroperitoneum on both sides, and Ji Xiang compared it with the CT scan taken in the emergency room.

The location of the urinary cyst becomes clearer with a comparison.

There are problems on both sides.

The image is clearer than the previous one.

Lu Gang stared at the image in utter astonishment.

In a case that occurs in only 3 out of 10,000 patients with traumatic or blunt traumatic injuries, a ureteral rupture has been discovered!

Click~

Lu Gang felt that his public image had completely collapsed.

(End of this chapter)