Healing Doctor

Chapter 433 Highly Rated

A cold wind was blowing.

Apart from Professor Shen and Mao Mao, none of the guests expected the hospital rounds to be so serious, nor did anyone expect that Director Yang, who originally seemed kind and approachable, would suddenly change his expression, making it impossible for anyone to meet his gaze.

"When we filmed the last episode about the law firm, I thought they were too serious. But compared to the doctors in the hospital, they were so gentle."

"Yes, is Director Yang about to yell at someone?"

"Even though I wasn't there, I couldn't stand it; my legs were shaking. Was Director Yang doing this on purpose?"

The guests whispered among themselves.

They lowered their voices unconsciously, as if they were worried that Director Yang on the screen would hear them.

……

"The gallbladder is normally located in the gallbladder fossa at the anterior edge of the left and right hepatic interfaces, and is relatively fixed, making it difficult for it to torsion. To date, the exact cause of gallbladder torsion is still unclear."

"However, the medical community believes there are several possibilities. First, congenital anatomical variations: mesenteric gallbladder, gallbladder free, prolapsed, and with increased mobility."

"Secondly, in older adults, fat atrophy, ligament laxity, and increased gallbladder mobility occur."

"Third, hunchback causes internal organs to sag and change position."

"The fourth triggering factor is changes in body position during exercise or strong peristalsis of the gastrointestinal tract. Even bile stasis or gallstone impaction can induce gallbladder torsion."

"The patient said he had walked briskly before experiencing abdominal pain, which made me suspicious." Ji Xiang was not intimidated by Director Yang's imposing manner and answered questions logically and clearly.

"Intermittent pain, tenderness in the mid-abdomen, differential diagnosis..."

After Ji Xiang finished explaining the triggering factors of gallbladder torsion, he began to discuss differential diagnosis. Director Yang's expression did not change, but Ji Xiang's words stirred up a huge wave in his heart.

Ji Xiang may seem like he's showing off his knowledge, but senior doctors know that he's actually recounting his own emotional journey at the time.

In other words, in that instant, Ji Xiang thought of countless things based on the muscle defense findings during the physical examination.

"In summary."

After 3 minutes and 12 seconds, Ji Xiang finished speaking, still smiling, "Because gallbladder torsion is a relatively rare disease, and there are many differential diagnoses, we can only make a preliminary diagnosis, suspecting gallbladder torsion and recommending that the patient have an upper abdominal and mid-abdomen CT scan."

"Why isn't gallstones mentioned in the diagnosis?" Director Yang suddenly asked an extremely strange question.

"There is no significant correlation between gallstones and gallbladder torsion. Approximately 70% of patients with gallbladder torsion do not have gallstones at the time of diagnosis."

Congenital factors are the main cause of gallbladder torsion in children, while age-related physiological changes are more likely to be the cause of gallbladder torsion in adults.

There was no significant correlation between the direction of gallbladder torsion and the degree of torsion (180°, incomplete torsion, >180°, complete torsion).

"After the patient completed the auxiliary examinations, the above judgment was confirmed, and the diagnosis was clear: gallbladder torsion with acute acalculous cholecystitis."

After listening to Ji Xiang's explanation, Director Yang looked intently at the promising young man before him.

He wanted to give Ji Xiang a difficult problem, but the so-called "difficult problem" was no challenge for him at all, and Ji Xiang answered fluently.

From initial caution to the accidental discovery that the patient's condition was not right, to the directional signs, and then to various judgments, the process was clear, logical, and impeccable.

Director Yang was somewhat dazed. Even if he were to answer this question, he couldn't possibly do it as simply and clearly as Ji Xiang.

"Dr. Ji Xiang, this is a rare disease. How do you know so much about it?"

Director Yang's tone finally softened, and he asked with a calm expression.

"Our local hospital has encountered similar cases," Ji Xiang said with a smile. "Professors Park Hak-yun, Liu Yulin, and Seung-kwang wrote a similar report—a case of laparoscopic cholecystectomy with torsion and necrosis."

Director Yang nodded.

"As for the medical records..."

"When we receive another patient, you can write the report," Director Yang said to Ji Xiang.

"it is good."

……

……

The comment section was completely silent.

The atmosphere was so oppressive that the host's bald head suddenly lit up, and one corner of his mouth twitched slightly as he tried to salvage the situation.

"I didn't expect our reality show interns to be so amazing," the host chuckled.

The lay guests were impressed but didn't understand; even if they wanted to say something, they didn't know how to respond.

Mao Mao, a guest who was somewhat knowledgeable about the subject, stared blankly at Ji Xiang on the screen, seemingly lost in thought.

Professor Shen was the only expert, and he remained silent, ignoring the film crew's repeated reminders, only frowning thoughtfully.

"Professor Shen, are interns like Ji Xiang common in hospitals?" Seeing that no one responded to his question, the host had no choice but to throw out a question to try and liven up the atmosphere.

"An intern?" Professor Shen smiled wryly.

"Yes, he is still a resident physician."

"Let me put it this way," Professor Shen said, his interest waning as the camera switched to another ward. Remembering his role as a guest, he began to speak, "Dr. Ji Xiang gave me the impression that he wasn't an intern with no clinical experience, but rather the kind of person who's been slick and experienced in clinical practice for over a decade..."

As he spoke, Professor Shen realized there was something wrong with his description, and laughed, "Slick is a word we sometimes use to describe someone; cut this part out."

The host chuckled, and the matter was considered closed. As for whether it will be cut in the end, that depends on Director Fan's decision.

"How should I put it, he's like the kind of doctor who's had a medical malpractice incident, almost got sentenced, and carries a deep sense of guilt... I can sense a very strong obsessive-compulsive tendency in him."

"Obsessive-compulsive disorder? What do you mean by that?"

"As everyone knows, there are always low-probability events. In medicine, low-probability events are the most troublesome. We see dozens or even hundreds of patients every day, and even the smallest probability becomes a high-probability event over time."

"Not making mistakes is because you don't see enough patients."

"But the medical industry has its own unique characteristics. What if something goes wrong? It's a matter of human lives. That's why many doctors have obsessive-compulsive tendencies. For example, Dr. Ji Xiang, even after a patient has gone to the emergency room, he's still worried that the emergency room is too busy and the emergency room doctors won't have time to remind the patient to pay attention to their posture when vomiting."

"As for the physical examination, if problems are found, we will definitely continue the investigation, so there's nothing special about that. I'm just impressed that such a young doctor, who hasn't even taken charge of a patient yet, already knows how to be responsible."

"Responsible?" the host asked, somewhat puzzled.

"Yes, interns don't have to take responsibility, so they don't have as much pressure, and they often make mistakes at work. Only when they take care of their own patients and take responsibility can they become a real doctor."

"Leaving aside the issue of treating and saving lives, just considering his dedication, I think Dr. Ji Xiang is already a qualified clinician."

Professor Shen's evaluation was high enough.

(End of this chapter)