Healing Doctor

Chapter 292 Cunning Old Man

Full of suspicion, Director Xu took the patient to the urology department to prepare for a ureteroscopy.

The patient was brought to the small treatment room of the urology department for anesthesia. Ji Xiang positioned the patient in the lithotomy position with both lower limbs turned outward and raised, and the upper body lying flat.

"Don't be nervous, just take a look. It might feel a little uncomfortable, but it won't be serious," Ji Xiang comforted her with a smile.

"Doctor, I... I can't die, can I?" the patient asked anxiously.

"Why are you so worried about it? It's just a minor problem," Ji Xiang asked while positioning the patient.

"After I was hospitalized, I saw other people..." the patient hesitated before continuing.

"It's nothing." Ji Xiang smiled. "When I was in school, I had a classmate who had an appendectomy. After the surgery, he developed small, crystal-like rashes all over his body. At the time, we laughed at him, saying that his relics were popping out, while we also tried to figure out what those things were."

"What's that?"

"The patient asked."

Director Xu was also covered in sweat. After his appendectomy, he developed a rash on his skin, which was crystal-like. Could it be that there were so many relics emerging from his skin?

"The dermatologist took a look and said it was miliaria crystallina. You know, what a terrible name for this disease. It looks like crystal, so it's called miliaria crystallina, right?"

"Can it be cured?"

"My classmate is afraid of the wind after the surgery, it's all because he was kept too warm," Ji Xiang laughed. "The dermatologist scolded us after seeing him, saying that there was nothing wrong with him, but we scared the patient."

After hearing Ji Xiang's explanation, the patient felt better.

Director Liu was already used to Ji Xiang chatting with patients about random things before surgery, which was very similar to Colonel Wang.

With Ji Xiang as his assistant, Director Liu inserted a ureteroscope, about the thickness of an electric wire, into the bladder.

Microscopic examination revealed cloudy urine with white flocculent material in the bladder, white crystals at both ureteral orifices, and white dandruff-like crystals throughout both ureters.

Director Liu understood that such fragmented things wouldn't be visible on a CT scan.

The patient's inability to urinate is due to a blockage in the ureter, coupled with calcification in the kidneys.

Seeing is believing, and Ji Xiang's previous judgment was correct.

"Is that so, Dr. Ji?" Director Liu glanced at Ji Xiang.

Ji Xiang nodded after seeing the changes in the mirror, without saying anything more.

"Let me see."

Director Xu leaned closer.

She was speechless when she saw white, shard-like crystals covering her field of vision.

She just found the ceftriaxone instructions, which clearly state that there is an extremely low probability that it may cause gallstones.

Now, stones have been found in the kidneys, and they are fragmented crystalline substances. The answer is obvious.

"Wouldn't it be fine to alkalize the urine with sodium bicarbonate?" Director Xu asked tentatively.

After all, he was the head of the nephrology department in the provincial capital, so once he knew the whole story, treatment wouldn't have been difficult. However, Director Xu still consulted with Director Liu and Ji Xiang, refusing to make a decision on his own.

She had never seen a similar situation before, so it was only right to be cautious.

Director Liu noticed that Ji Xiang nodded slightly, so he said, "Okay, first alkalize the urine, then replenish fluids according to the amount of urine."

Remove the endoscope, insert a double-J stent, and send the patient home.

Curious, Director Liu didn't rush home before leaving get off work; he went to the nephrology department first.

After alkalizing the urine, the patient's anuria was quickly relieved, and within just a few hours, he had urinated about 1400ml.

The nephrology department has already started fluid replacement therapy for the patient.

That's really true. Director Liu's experience points increased by 1.

No one expected that the commonly used ceftriaxone would cause such serious complications.

"Director Liu, you're amazing!" Director Xu praised.

"Not bad, not bad," Director Liu said with a smile.

He cursed Bai the old fox in his heart; Bai's intentions were obvious.

In the current situation, regardless of how Ji Xiang made the diagnosis, his ability to handle things alone surpasses that of both himself and Director Xu, the two chief clinical directors.

Director Bai went to such great lengths just to keep Ji Xiang here, and he was willing to do anything to increase the chances.

If you can't stay, find a doctor who has a good relationship with Ji Xiang and call them anytime, anywhere.

He even had the audacity to suggest that he apply for provincial self-funded science for Ji Xiang, clearly so that the medical affairs office could get the biggest benefit.

Director Liu chuckled, not angry at all. In the scheme set up by Director Bai, everyone benefited, but everyone also made sacrifices.

Transferring a doctor from a lower-level hospital is something Director Bai could certainly do, but it would come at a terrible cost. If it were me, I certainly wouldn't be as resolute as Director Bai.

Looking back now, it was all worth it.

Old Bai's insight is still unique, and Director Liu admires him very much.

"Director Liu, is that young doctor next to you new?"

"No, he's a resident physician. Ji Xiang, have you heard of him?"

"The one who broke the knot-tying record in the competition?" Director Xu's eyes lit up.

"Um."

"Where's your next department? Come to our nephrology department while things are still fresh in your mind." Director Xu was quite eager to help.

"Don't even think about it." Director Liu laughed, but a shadow fell over his heart.

Sure enough, everyone wanted to snatch up any promising young talent. Luckily, I acted early, even going so far as to use a provincial science and technology project as a roundabout way to lure Zhao Zhe.

"Director Liu, I think that child is promising."

"Right? I took a liking to this child at first sight." Director Liu struck a pose like a talent scout.

"What's with the smug look? He'll be rotating to the next department soon." Director Xu remarked, disapproving of Director Liu's smug expression.

This is indeed a problem, but it should be feasible if we follow the existing plan.

Director Liu was happily preparing to leave work when he returned to his department. There he saw Zhao Zhe standing at the door of his office, his brows furrowed like a philosopher's, looking sad.

If you didn't know better, you'd think this middle-aged man was a patient's family member.

"Dr. Zhao, what's wrong?" Director Liu asked.

"Director, I...I..."

Director Liu felt a chill run down his spine when he saw Zhao Zhe's constipated appearance.

Are there still grassroots doctors who would rather stay in their hometowns and die alone than come to the Second Affiliated Hospital? Look at Zhao Zhe, he's not doing well in his hometown either. A young doctor on duty can criticize him however he wants. What's there to hold a grudge about?

"Dr. Zhao, come in."

Upon entering the director's office, Director Liu asked casually, "It's alright, if you can't come, you can't come. I can find someone else to do it."

"..." Zhao Zhe's face turned red from holding back his anger.

The usually talkative man suddenly became speechless, looking exactly like he had laryngeal edema, which made Director Liu itchy to perform a tracheotomy on him.

"Take your time, there's no rush."

Zhao Zhe was visibly nervous; his hands trembled slightly as he pressed them hard against Director Liu's desk, his nail beds turning pale.

Director Liu sighed inwardly, guessing that his wife was a shrew and wouldn't agree to their living apart.

Director Liu had seen similar things before.

(End of this chapter)