Healing Doctor

Chapter 420 The Difference Between Offense and Defense

Zhao Mengmeng was a little confused. She looked at the patient's lab results on the computer and said dryly, "The patient's alanine aminotransferase is 325 U/L, aspartate aminotransferase is 104 U/L, alkaline phosphatase is 165 IU/L, and total bilirubin is 140 μmol/L..."

"The patient's admission tests showed elevated transaminase and bilirubin levels, suggesting acute liver injury." Zhai Yuhan interrupted Zhao Mengmeng's recitation of the prepared statement, "Now, let me ask you this question."

"I'm an emergency room doctor, and you're the chief residents."

"The patient's medical history is that they started experiencing pain around 1 PM and had been in pain for two hours by the time they arrived at our hospital. After arriving, we had an ultrasound done. And then, is there anything else you'd like to know?"

Zhai Yuhan spoke very quickly and with great pressure, leaving Zhao Mengmeng almost no time to think.

She looked at Zhai Yuhan with a blank expression, carefully considering the question she had just asked.

"Uh..." Zhao Mengmeng was a little confused. When she saw Zhai Yuhan looking at her, she answered timidly, "I will ask the patient if he has abdominal pain first."

"Yes, the patient had surgery two years ago, and the laparoscopic surgery scar is visible on the abdomen," Zhai Yuhan said quickly. "And then?"

"I will ask patients if they have a history of high blood pressure or diabetes."

"I have high blood pressure and diabetes." Zhai Yuhan looked directly at Zhao Mengmeng, while glancing at Ji Xiang out of the corner of her eye.

"Well... I need to ask the patient what else is bothering them besides the abdominal pain," Zhao Mengmeng said instinctively.

"He complained of abdominal discomfort, but his gallbladder had been removed two years ago."

Does he have any other medical conditions? For example, a family history of genetic diseases.

"no."

Zhao Mengmeng was somewhat bewildered. She stared straight ahead, completely unsure of what to ask next.

"Teacher," Ji Xiang broke the awkward silence.

"You said, Dr. Xiao Ji." Zhai Yuhan smiled slightly.

Ji Xiang is finally going to jump in.

"Why do I see patients in my past medical records who, upon admission, did not undergo MRI or ERCP examinations, but only received intravenous antibiotics?"

"..."

Zhai Yuhan didn't expect that Ji Xiang wouldn't answer her question, but instead started asking questions like a senior doctor conducting a hospital-wide consultation.

Asking questions is one thing, but Ji Xiang's questions were like a knife, hitting the nail on the head.

……

……

In the comments section.

"This is too serious."

"Mao Mao, are all doctors like this? Dr. Zhai's speaking speed and attitude just now scared me half to death."

"I feel like Zhao Mengmeng doesn't know what to do anymore, and neither does Ji Xiang. He's started asking questions instead of answering them."

Among the guests, the only serious-looking doctor frowned.

"Teacher Shen, what's your opinion?" the host asked.

"Ji Xiang is right. Dr. Zhai's questions and answers just now were off-topic," Professor Shen said. "I also found it strange."

Wow.

Wow.

The audience was amazed after hearing the professional opinions in the comments section.

Although they didn't understand what Professor Shen meant, they thought it was very impressive.

Dr. Zhai raised a lot of questions, and although Ji Xiang and Zhao Mengmeng hadn't spent much time looking at the medical records, Ji Xiang was able to hit the nail on the head, just like Professor Shen's point of view.

This is undoubtedly a surprising thing.

……

……

"You've finally gotten to the point." Zhai Yuhan said with a hint of helplessness. She looked at Ji Xiang seriously and had a feeling that this young resident trainee was not only able to get full marks on the exam, but also had some clinical experience. He was really something else.

"When the patient experienced abdominal pain for the first time after surgery, we recommended an MRI. It takes 2-3 days to schedule an MRI. During this time, the patient's condition improved, and the patient subsequently requested to be discharged."

Therefore, there was never a chance to give him a more comprehensive examination.

"Dr. Xiao Ji, not bad." Zhai Yuhan said casually after explaining.

Although she was very annoyed by the reality show as a whole and felt that Ji Xiang was arrogant to an extreme degree, giving her a very bad impression, Zhai Yuhan still praised Ji Xiang for hitting the nail on the head.

"But when I looked at the ultrasound from my first hospital stay after surgery, I felt there was something wrong with the image." Ji Xiang wasn't happy about Zhai Yuhan's praise; instead, he frowned, opened a report, and stared intently at the screen.

question?!

Zhai Yuhan was taken aback.

Clinicians only look at the final result when reviewing ultrasound reports; the process is the responsibility of the ultrasound technician.

How could Ji Xiang tell something was wrong with the ultrasound? Or is there something wrong with his memory?

Zhai Yuhan followed Ji Xiang's gaze and looked at the ultrasound report. She was very familiar with it; she had read it many times and knew the final conclusion without even scrolling down.

Zhai Yuhan would admit that Ji Xiang understands some clinical details. But to say that Ji Xiang can see the details in an ultrasound report is, in her opinion, a pipe dream.

"Teacher Zhai, please wait a moment, I'll go ask about the patient's specific condition," Ji Xiang suddenly said, standing up.

Zhai Yuhan frowned, but seeing Ji Xiang bowing so politely, and with the camera right behind her, she couldn't bring herself to say anything unpleasant and swallowed her words.

What was he going to ask? Zhai Yuhan was a little puzzled.

The photographers exchanged glances, and the second photography team followed Ji Xiang to the ward.

Zhai Yuhan hesitated for a moment, but instead of rushing, she looked at the ultrasound scan taken during the patient's first hospitalization after surgery again.

She compared the earliest and most recent ultrasound scans, and it was still all in the dark.

What did Ji Xiang go to ask?

Is there any other medical history that you haven't noticed?

He's talking nonsense to make people think he's more capable, which is why he's pulling all sorts of tricks.

Zhai Yuhan did not question it immediately, but stood up and walked to ward 12 while deep in thought.

"What's going on?" the cameraman asked in a low voice.

Those around him shook their heads, looking puzzled.

One second they were experienced doctors from the First Affiliated Hospital training novice doctors with extremely authoritative language, and the next second everyone's preconceived notions were shattered.

The cameraman followed behind Zhai Yuhan. Zhai Yuhan's back looked hurried, and she took big steps, unlike her previous confident demeanor.

Upon arriving at ward number 12, the door was ajar. Zhai Yuhan pushed the door open, and Ji Xiang's voice came from inside.

"Has this happened so many times already? Does the color of your urine change each time it hurts?"

"They all need to be deeper."

"And what about the color of the stool?"

"I didn't notice."

"Okay, I understand." Ji Xiang smiled. "It's a minor issue. I'll come back later."

"Um."

Facing the camera, the patient appeared extremely gentle, with an awkward yet polite smile on his face.

In his opinion, this young doctor seems capable, but it's good that he doesn't cause trouble.

Ji Xiang turned around and saw Zhai Yuhan standing at the door. He smiled and said, "Teacher Zhai, I have a few questions for you."

Zhai Yuhan was taken aback.

The tone of his voice suggested that he had just asked Zhao Mengmeng.

How did the balance of power shift so quickly without us even noticing?

(End of this chapter)