Healing Doctor

Chapter 421 How Much Do You Know About Mirizzi's Comprehensive Recruitment?

"What's wrong with you?" Zhai Yuhan asked, closing the door behind her as Ji Xiang left the ward.

"The patient experienced intermittent, progressive, and severe pain in the right upper quadrant of the abdomen without radiating direction. The pain score was 6/10. There were no obvious factors that aggravated or relieved the pain. The relationship with eating was unclear, but it was related to nausea, jaundice, darker urine, lighter stool color, and a feeling of fever."

"I didn't see these things written in the medical records, Professor Zhai, you and the head doctor know about them, right?"

"..." Zhai Yuhan was stunned for a moment, then felt annoyed.

Is Ji Xiang provoking me?

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

He's a really arrogant and aggressive young man.

"I'm thinking of doing an MRI to confirm. By the way, does our department have an ERCP room?" Ji Xiang asked casually.

He hadn't yet rotated to the Department of Hepatobiliary and Pancreatic Surgery at the Second Affiliated Hospital of Baiyi Medical University. He remembered that once when he went to empathize with others, he recalled that the Department of Gastrointestinal Surgery at a large hospital had gastroscopy, so he asked about it.

Zhai Yuhan's face turned even uglier.

ERCP is performed by gastroenterologists. There are not many hepatobiliary and pancreatic surgeons in the country who can perform ERCP. Only a few hospitals in Beijing and Shanghai have ERCP rooms.

Is this a slap in the face?

Seeing that Zhai Yuhan didn't speak, Ji Xiang hesitated for a moment, then smiled wryly, "I'm sorry, Professor Zhai, it's okay if you don't have one. I suggest doing an emergency MRI, and then having an ERCP specialist come for a consultation tomorrow."

"Dr. Xiao Ji." Zhai Yuhan suppressed her anger and tried her best to appear calm in front of the camera to avoid being criticized.

"Teacher Zhai, it's like this." Ji Xiang's eyes were bright, and his face radiated a warm glow, as if a lighting technician had shone a light on his face.

Zhai Yuhan was stunned and momentarily lost in thought.

This is so beautiful!

She wasn't a sucker for good looks, but in that instant, Ji Xiang seemed to be showered with praise and eloquent pronouncements.

But Zhai Yuhan woke up quickly, slightly embarrassed and angry.

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

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

"Professor Zhai, the patient has the rare Mirizzi syndrome, which should be fine, but an MRI is still needed for definitive diagnosis."

"Mirizzi syndrome? Xiao Ji, the patient's gallbladder has already been removed!" Zhai Yuhan said seriously.

"It's not Mirizzi syndrome caused by gallstones compressing the gallbladder neck, but rather..."

As Ji Xiang spoke, he strode toward the doctor's office.

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

Was the patient also a hired extra?

Ji Xiang's confident tone led them to believe that everything was pre-arranged.

I was deceived; it was all a script, and the director was controlling everything behind the scenes.

The photographer, who was a little sleepy, was instantly wide awake upon seeing this scene.

……

……

In the commentary room, the host, with his bald head gleaming, stared blankly at Professor Shen.

"Mirizzi syndrome..." Professor Shen looked down at his phone and searched for the professional term Mirizzi syndrome.

He wasn't a hepatobiliary or pancreatic surgeon, and even he needed to search online for highly specialized terms like Mirizzi syndrome.

Soon, Professor Shen raised his head, a hint of confusion on his refined face.

In his view, Ji Xiang was just a resident trainee, while Zhai Yuhan was the chief resident of the First Affiliated Hospital. Moreover, this patient was clearly a long-time patient of the First Affiliated Hospital, and the director had seen him countless times. How could Ji Xiang have given a new diagnosis?

That's impossible.

This unscientific!

But all these doubts were shaken by Ji Xiang's unwavering gaze.

The comment room was quiet and the atmosphere was a little awkward, but Director Fan was extremely excited, his eyes shining brightly.

That's exactly what he wanted!

The fact that ordinary people are interested in the work and life of doctors is one of the selling points of the program.

Everyone knows that junior doctors are subjected to all sorts of hardships when they enter clinical practice, which is to be expected.

However, to create a hit product, it needs to be both logical and unexpected.

Now Ji Xiang is showing all of this to Director Fan.

Recalling that Ji Xiang had brought his own "working group," which included a "veteran" director who had graduated from Peking Union Medical College, his expectations for Ji Xiang immediately soared to their highest level.

"First group, first group, keep up! Camera on Ji Xiang. Second group, side shot to Dr. Zhai." Director Fan, ignoring the presence of the host and guests in the commentary room, had already begun directing his cameramen.

……

……

The cameraman jogged after Ji Xiang.

He thought to himself, "Ji Xiang's legs are really long. He takes big strides, and I have to jog to keep up."

Back in the doctor's office, Ji Xiang sat in front of the computer and pulled up the ultrasound images.

"Teacher Zhai, look here."

"Ultrasound examination showed an enlarged tortuous cystic structure in the gallbladder bed, consistent with the increase in gallbladder residue, but no ultrasound evidence of bile duct stones was found."

Zhai Yuhan was taken aback. "Dr. Xiao Ji, do you know what you're talking about?"

"I know that although the image on the ultrasound is not certain, there is an image below that looks like an artifact."

Ji Xiang pointed at the screen.

"Don't you think something's off about this video?"

"Something's not right? What's wrong?" Zhai Yuhan stared blankly at the image Ji Xiang was pointing at, completely unaware of what Ji Xiang was talking about.

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

"Look, this is it. Although it's just a blurry image, we can estimate the situation inside by combining it with the patient's medical history."

"!!!"

Zhai Yuhan was speechless.

Forecast?

How dare he say that based on just a short image from an ultrasound report?

"Professor Zhai, our department doesn't have an ERCP room, but we can always schedule an MRI at night, right?"

Hearing Ji Xiang speak to her in that tone, Zhai Yuhan really wanted to grab his ear and tell him that the MRI could indeed be done that night, but the director would need to call.

"Are you sure?" Zhai Yuhan asked.

"Almost there, Professor Zhai. How much do you know about Mirizzi General Training?"

Zhai Yuhan glanced cautiously at Ji Xiang. She saw that Ji Xiang was focused on the computer screen and did not seem to be provoking her, but her competitive spirit arose, and she recalled the knowledge about Mirizzi syndrome in her mind again.

"Mirizzi syndrome is often caused by impacted stones in the neck of the gallbladder or the cystic duct, and..."

Zhai Yuhan was explaining the professional terminology; she was indeed a chief resident at a top-tier tertiary hospital, with exceptionally high basic qualifications.

But when they saw this, everyone in the comment section almost had their eyes pop out.

If people previously only felt that the roles of teacher and intern had changed, then Ji Xiang's question completely erased that feeling.

(End of this chapter)