Healing Doctor

Chapter 481 So-called Clinical Experience

"Teacher Li, you're too kind."

At the same time, Ji Xiang and Director Li spoke politely.

"Even if you don't stay after the show, Dr. Ji, you must come and talk to me more," Director Li said, patting Ji Xiang's shoulder forcefully.

After saying that, Director Li raised his head slightly, looked into Ji Xiang's eyes, and said seriously, "Dr. Ji, before you, I didn't really believe in talent, but after seeing your superselective surgery, I really believe it."

Ji Xiang scratched his head.

"Speaking of which, when I first heard the news that Boss Qin insisted on taking you on as his last disciple, I found it completely unbelievable. Now, looking back, Boss Qin... hahaha, I won't gossip behind his back, but at least Boss Qin's judgment is quite accurate. In terms of business, he is a leader in the industry."

Director Li spoke only about business matters, and Ji Xiang understood what Director Li meant.

"Teacher Li, I'll head back now," Ji Xiang said.

"Okay, okay, we'll talk about it again when we have time."

Director Li escorted Ji Xiang to the ward entrance, then enthusiastically took Ji Xiang's hand.

Ji Xiang returned to the hepatobiliary surgery department and saw Zhai Yuhan and Zhao Mengmeng writing medical records. He went up to her and asked, "Teacher Zhai, I'm back. Let me write them."

Zhai Yuhan looked up and glanced at Ji Xiang twice.

"Did the surgery go smoothly?" Zhai Yuhan asked.

"smoothly."

Zhai Yuhan let out a soft sigh.

Interventional surgery is something that hepatobiliary surgeons have encountered quite a bit of, and Zhai Yuhan knows how difficult these kinds of surgeries are.

However, Director Li Ming of the Interventional Radiology Department showed special regard for Ji Xiang, which made Zhai Yuhan develop different feelings for Ji Xiang as well.

It's natural that you can't treat this person like an intern.

Zhai Yuhan never expected that Ji Xiang would perform such a major surgery in the interventional operating room; she never dreamed of it.

"Dr. Ji, please sit down," Zhai Yuhan said. "Interventional surgery requires wearing a lead apron, which is very tiring. You should rest first; there's no rush. By the way, I see you have a lot of clinical experience. Were you often at the hospital during your internships and clinical rotations?"

"When I was at the Second Affiliated Hospital, I met a teacher in the emergency department. He was very skilled, so I would observe him whenever I had free time. I guess you could say I got some clinical exposure?" Ji Xiang said with a smile.

"Clinical experience certainly does," Zhai Yuhan said ambiguously.

"What is it?" Zhao Mengmeng had been listening intently, but Zhai Yuhan stopped abruptly halfway through her sentence. She was a little confused and blurted out the question.

"Hehe." Zhai Yuhan compared the bewildered Zhao Mengmeng with the calm Ji Xiang, and knew in her heart that their understanding of this matter was completely different.

"Let me give you an example." Zhai Yuhan put down her work, preparing to take a break. "I encountered a patient a few years ago when I was an intern."

"The patient was diagnosed with a herniated lumbar disc and radiating pain in his lower limbs. His symptoms were very severe before the surgery; he was so painful in his left lower limb that he couldn't move it. My teacher admitted him to the hospital, and he later underwent surgery."

"The surgery went smoothly, and the nerve root decompression was ideal. The symptoms improved significantly in the first week after the operation, and from my perspective, the patient can be discharged in a few more days. Unlike here, our affiliated hospital doesn't require a few more days of stay or recovery."

"However, on the eighth day after the surgery, the patient complained of significant pain in his left lower limb, and the clinical examination showed a rapid decline. So now the question is, how do you make a judgment?"

As Zhai Yuhan spoke, her gaze turned to Ji Xiang.

Ji Xiang didn't answer, only smiled slightly. Zhao Mengmeng said, "Teacher Zhai, how was the patient's physical examination?"

"Physical examination revealed that the patient's muscle tone was grade 1, which was even worse than before the surgery. All tests were positive, and the patient cried out in pain at the slightest touch."

"Could it be a reaction after the nerve root was damaged and the swelling subsided? Did you have an MRI?" Zhao Mengmeng continued to ask.

"The MRI showed no hematoma or nerve compression, the CT scan showed the rod-and-pin fusion device was in the correct position, and the electromyography showed no evidence of nerve damage." Zhai Yuhan rattled off all the main examination results.

Zhao Mengmeng was now in a bind; she had absolutely no idea what the patient's condition was.

The auxiliary examinations were normal, but the patient reported that the symptoms were very severe. In layman's terms, the physical examination and the objective examination results contradicted each other.

Seeing Zhao Mengmeng's blank expression, Zhai Yuhan asked Ji Xiang, "Dr. Ji, what do you think?"

"Teacher Zhai, the patient is faking illness," Ji Xiang said calmly.

"Oh? Why?" Zhai Yuhan asked.

"Within a week after surgery, patients are usually very cooperative because they are worried about recovery. But after a week, once they know they are fine, they start to pretend to be sick in an attempt to extort money. Such cases are not uncommon," Ji Xiang said with a smile.

"No way, why would a patient fake being sick?" Zhao Mengmeng frowned and retorted in confusion.

"I heard from Director Bai of our hospital's medical affairs department about a case where a patient had tetracycline-stained teeth and underwent root canal treatment at our hospital's dental department. After the treatment, he said that the tetracycline staining was caused by the root canal treatment."

"..." Zhao Mengmeng looked at Ji Xiang innocently, completely unaware of what Ji Xiang was saying.

Zhai Yuhan knew very well that this top student had always been in an ivory tower and had no idea how treacherous people could be or how difficult clinical practice was.

She looked at Ji Xiang with great interest, not expecting that Ji Xiang was actually quite familiar with the head of the medical affairs department of his hospital.

"How did you handle this matter, or rather, resolve it?" Zhai Yuhan asked.

"The patient was dressed in tattered clothes and looked very poor. He came in crying and said that his family was not well-off. Director Bai said that tetracycline teeth mainly appeared in the late 1970s and early 1980s. At that time, tetracycline was rare and very few people could afford it."

"Therefore, this disease is a disease of the rich."

"Director Bai didn't believe the patient could be so poor, so he had someone keep an eye on him. Sure enough, one time the patient came on a shared bicycle, chatted for a morning, and then left, riding his bicycle out of the hospital and driving away in an Audi A6."

"..." Even Zhai Yuhan was a little confused this time.

While people who drive Audi A6s may not be extremely wealthy, it's quite normal for them to have some money.

This kind of person will keep causing trouble for the hospital with an absurd reason, just to extort a little money.

"No way," Zhao Mengmeng said in surprise.

"That's what they say. Later, it seems that Director Bai was conducting a clinical inspection when a doctor made a mistake and went to the medical affairs office for a reprimand. So he assigned that doctor to take responsibility for the patient."

"Responsible?"

"It's basically chatting with the person who filed the complaint; they can't refuse to chat even if they want to."

"This is such a shameless method..." Zhai Yuhan never expected that Director Bai would come up with such a trick.

The person who filed the complaint arrived on a bicycle, clearly not wanting anyone to know he was actually wealthy. A doctor kept pestering him, preventing him from driving off in his Audi A6.

When two scoundrels meet, it's a test of patience.

How could someone who complains about a hospital possibly have more patience than a doctor who is being reprimanded? Zhai Yuhan already knew the outcome.

(End of this chapter)