Healing Doctor

Chapter 483 Content with a modest fortune

Ji Xiang then told several stories about himself and that teacher Meng, and Zhai Yuhan suddenly realized what was going on.

How did I end up listening to an intern's lecture?

The intern in front of her was different from the others, which Zhai Yuhan could understand and approved of.

But Ji Xiang is so young. Judging from Zhai Yuhan's social and clinical experience, Ji Xiang should be extremely lacking in this area.

But Ji Xiang was surprisingly not at all inferior when it came to similar issues, which made Zhai Yuhan somewhat unconvinced.

But it was just a matter of being unconvinced.

In just a few days, Zhai Yuhan had changed her attitude towards the interns participating in the reality show, though she hadn't realized it yet.

"Dr. Xiao Ji, what impressed you the most when you first came to the hospital and started clinical work?" Zhai Yuhan asked, changing the subject.

She wanted to steer the conversation to a rhythm she was comfortable with.

"What impressed me most were, of course, the internal medicine doctors writing medical records and taking patient histories; the surgery doctors performing surgeries and..."

"With what?"

"Drive." Ji Xiang scratched his head.

"I noticed that Director Yang was very serious when he performed surgery." Zhao Mengmeng had never been to the clinic and knew nothing about it, mistakenly taking Director Yang's behavior when the TV crew was present as normal.

"Then tell me about the one that left the deepest impression on you," Zhai Yuhan said.

"On my first day of clinical residency training, I heard my instructors and patients say that scars are a man's most dazzling badge, the brightest one... hahaha."

Zhai Yuhan knew the joke, and she frowned slightly, giving Ji Xiang a look that said, "That's it."

Ji Xiang thought for a moment, "I remember once I went to the men's hospital with two teachers for surgery. I usually assisted them, and they took turns being the surgeons. During holidays, there were more children getting circumcisions, more than a dozen surgeries a day, and the most I've done was 22."

"One day, Teacher Wang seemed a little tired. He didn't want to go into surgery, so he sat on the side and refused to wash his hands, asking Teacher Mo to go in for him. Teacher Mo asked a couple of questions, and Teacher Wang said it was a test for him."

"A test? What kind of test?" Zhai Yuhan asked.

"Whoever performs the surgery pays the fee," Ji Xiang explained. "Teacher Wang said it's so you can earn more money. They're in the same team, and they're used to joking around like this; it's not that they really want to do less work and earn more money. Teacher Mo said he has enough money and doesn't need it."

"Make money." Zhai Yuhan hesitated for a moment, she really couldn't understand what the problem was. Even the fastest driver on Mount Akina would probably find it hard to drive something that could be described as shameful.

"Teacher Wang said..." Ji Xiang imitated Colonel Wang, raising his hand to rub his hair, "hongkongdoll, can you believe that a rich woman with 15 million in assets is making videos on Pornhub? Look at her, and then look at yourself. Content with a little wealth, so pathetic."

"..."

"..."

Zhai Yuhan and Zhao Mengmeng were both taken aback. Zhai Yuhan genuinely didn't know about Pixiv, while Zhao Mengmeng knew about it but didn't know who hongkongdoll was.

Ji Xiang hesitated for a moment. Although it was Zhai Yuhan who suggested driving, it was still somewhat inappropriate.

The joke went a bit too far.

How could you casually say something like what Teacher Wang, that old rogue, said?

"Emmmm..." Ji Xiang wanted to change the subject.

Zhai Yuhan took out her phone and started searching as Ji Xiang had instructed, while Zhao Mengmeng leaned over to watch along.

A dozen seconds later, the two of them had slightly strange expressions.

Many surgeons speak recklessly on the operating table, but most of them are just making blunt, thoughtless remarks.

Although I understand what Ji Xiang is talking about, I don't quite understand it and need to search for it.

She steadied herself, determined to beat Ji Xiang at least once.

Suddenly, Zhai Yuhan had a bright idea and said with a smile, "Mengmeng has never been to the clinic before, so she's not used to it. Dr. Xiao Ji, I'll test you on a clinical case and see if you can answer it."

"Okay." As soon as Ji Xiang heard that there were clinical cases, he immediately sat up straight, put his hands on his knees, and his whole demeanor changed abruptly.

Zhai Yuhan was somewhat surprised by Ji Xiang's attitude after hearing the case, but she still found the case that left the deepest impression on her during her medical career and was the one that was most easily misdiagnosed.

"The patient is a 37-year-old male who was admitted to the hospital with the chief complaint of 'weakness in both lower limbs for 2 days, which worsened and was accompanied by paralysis and blurred vision in both lower limbs for 5 hours.'"

"Darkness?" Zhao Mengmeng grasped the key point and whispered.

She wanted to perform well, after all, she had always been a top student since childhood. Unexpectedly, she was completely outmatched by Ji Xiang on a reality show.

Blurred vision is a symptom of significant diagnostic importance.

It often indicates that the ipsilateral carotid artery is about to become blocked, so it is often regarded as a precursor to carotid artery disease in clinical practice. 70% to 97% of patients with transient visual disturbances can be predicted to have carotid artery disease.

But since Teacher Zhai Yuhan was able to use this case to "test" Ji Xiang, it shouldn't be that simple.

Upon hearing the chief complaint, Ji Xiang's expression remained unchanged. He quietly watched Zhai Yuhan wait for the present medical history.

Two days ago, the patient experienced weakness in both lower limbs and a systolic blood pressure of 240 mmHg. After taking hydrochlorothiazide and losartan orally, the systolic blood pressure dropped to 160 mmHg.

The weakness in both lower limbs has slightly subsided, and no hospital treatment was sought.

Five hours ago, the patient experienced paralysis of both lower limbs, accompanied by blurred vision. One week ago, the patient had intermittent headaches, without vomiting or fever. The patient has a 3-year history of hypertension, taking medication intermittently, but has not taken antihypertensive medication for the past 10 months. The patient denies any history of diabetes or peripheral vascular disease.

"Physical examination on admission: blood pressure 152/86 mmHg, alert and conscious, no murmurs heard on cardiac auscultation, systolic murmurs heard in the right subclavian and carotid artery areas, normal radial artery pulses bilaterally, muscle strength grade 0 in both lower limbs, muscle strength grade 4 in both upper limbs, normal dorsalis pedis artery pulses bilaterally, and negative pathological reflexes bilaterally."

"Ji Xiang, Meng Meng, what are your thoughts?"

After listening to Zhai Yuhan's account of her current and past medical history, Zhao Mengmeng already had the answer. This question wasn't difficult, at least not for a doctor who knew the definition of eczema.

"Teacher Zhai, it's cerebral ischemia caused by carotid artery stenosis," Zhao Mengmeng said confidently.

Zhai Yuhan remained noncommittal and looked at Ji Xiang.

Ji Xiang pondered for nearly ten seconds.

"Teacher Zhai, what did the patient's head CT scan report?" Ji Xiang asked.

"Head MRI findings: bilateral acute parietal-occipital lobular infarction; small ischemic lesion in the left centrum semiovale"

Zhao Mengmeng was taken aback.

Based on my judgment, the patient's head MRI should show ischemic lesions, so how could it be an acute cerebral infarction?

However, hearing murmurs and experiencing blurred vision in the carotid artery area are signs of carotid artery disease.

"Didn't you have a carotid artery ultrasound?" Ji Xiang asked.

"I did it, it's fine." Zhai Yuhan smiled slightly and pointed out the key point.

Ji Xiang was also stumped. His thoughts were the same as Zhao Mengmeng's, but Zhai Yuhan had clearly dug many traps in the case study questions.

Holding his breath, Ji Xiang entered the system's operating room.

(End of this chapter)