Healing Doctor

Chapter 686 Come, smell the rotten apple.

"Dr. Zhao, why are there so many surgeries in the group?" Lin Jiu noticed that Ji Xiang wasn't there, so he started chatting with Zhao Zhe.

Zhao Zhe shuddered, as if he had been startled.

But after a period of time, Zhao Zhe gradually got used to someone suddenly speaking to him and no longer reacted as strongly as before.

"That's normal," Zhao Zhe replied. "Xiao Ji participated in a variety show, which had a very wide reach, popularizing a lot of related information and letting people know about interventional surgery..."

"No, that's not what I meant." After thinking for a moment, Lin Jiu brought up the old topic again, "A few years ago, there was a survey in the Japanese medical community that showed that the average time from cancer diagnosis to surgery for Japanese patients was 2 months and 3 days, which is significantly ahead of Europe and the United States."

"Hmm?" Zhao Zhe was a little confused. He stared blankly at Lin Jiuze.

He mentioned this not long ago.

"Look... for example, this patient was found to have a kidney lesion during a physical examination 4 days ago, and was hospitalized for surgery today," Lin Jiu said, pointing to the computer screen and the medical record in front of him.

"Isn't this... normal?" Zhao Zhe and Lin Jiuze were on different planes of thinking, so he couldn't understand what Lin Jiuze was saying at all.

Lin Jiu was also helpless; when he talked to Zhao Zhe about this, it was like talking to a brick wall.

"In Massachusetts, similar patients have to wait 3 months, with an average of about 4 months."

"Wow!" Zhao Zhe exclaimed in surprise, "Why did it take so long? Isn't Massachusetts General Hospital one of the top three hospitals in the world?"

"queue."

"Uh... what if it gets moved?"

"That is God's calling."

Lin Jiuze's words made Zhao Zhe feel particularly helpless. He thought for a long time, scratched his head, and finally smiled, not knowing what to say.

"Brother Zhao!" Ji Xiang suddenly rushed back.

"What's wrong, Xiao Ji!" Zhao Zhe immediately stood up.

Ji Xiang is running!

In the ward, who would be running around unless it's an emergency? The only reason for running, to save time, is—there's an emergency patient!

"Emergency Department!" Ji Xiang didn't have time to explain in detail. He only said three words before turning around and running away.

After a major emergency resuscitation, Zhao Zhe grinned and sighed.

Xiao Ji is really energetic; how come he likes the emergency room so much?

Orthopedics specialists generally do not participate in major emergency resuscitations.

Even for external injuries such as fractures, it is acceptable to wait and see. However, for internal organs, such as hepatobiliary, gastrointestinal, cardiothoracic, and neurosurgery departments, priority is given.

Even if it's just a fracture, as long as the skin isn't broken, you can endure it for 24 hours without needing to rush into surgery.

"He has good fortune but doesn't know how to enjoy it," Zhao Zhe thought to himself, criticizing Ji Xiang.

Zhao Zhe jogged to catch up with Ji Xiang, but Ji Xiang was tall and had long legs, so one step of Ji Xiang was equivalent to two steps of Zhao Zhe's. Zhao Zhe almost reached the emergency room before he caught up with Ji Xiang.

Outside the emergency room, a group of people in white coats could be seen looking around.

"It's all over," Zhao Zhe thought to himself.

There's a joke that says patients going to the operating room should actually hope that the doctors and nurses are chatting and laughing, because that means the surgery is simple and at least there are no mistakes.

If everyone is extremely serious, and all sorts of senior doctors and experts come in for consultations, you might as well prepare to go to the ICU, or even consider hiring a doctor.

Right before my eyes is...

and many more!

After taking a look, Zhao Zhe felt something was wrong. When Ji Xiang stopped, he finally caught up with him, bent over, and gasped for breath while holding his knees.

At this moment, Zhao Zhe also realized that something was wrong.

"Little...little...ji...hoohoohoo~" Zhao Zhe's bronchi started to spasm after running a few hundred meters because he was a little weak.

"Brother Zhao, with your health, how about I take you for a morning run sometime?" Ji Xiang didn't go inside; he stood outside looking around.

Zhao Zhe noticed the problem.

The doctors in Zhangwang were all relatively young, and there were a few older doctors in the emergency room who didn't seem nervous.

They even exchanged a few lighthearted jokes.

"Wha...what's going on?"

"I received a call from Professor Meng, who said that the emergency department had encountered a patient with ketoacidosis."

"!!!" Zhao Zhe was speechless.

Ketoacidosis, what the hell is so interesting about that?

The key point is that Meng Qingfei even made a special phone call to Ji Xiang, and other departments in the Second Affiliated Hospital also seem to be quite interested in this.

Fault!

"Teacher Meng said the patient's breath smelled like rotten apples!" Ji Xiang said. "He hasn't encountered such a typical smell in over ten years, and he's driving over now."

"Oh?!" Zhao Zhe perked up immediately upon hearing Ji Xiang's words.

The book says that patients with ketoacidosis breathe in a breath that smells like rotten apples.

However, I haven't encountered it myself. Although Zhao Zhe is a senior attending physician with rich clinical experience, whether or not you will encounter some things depends on luck.

With the improvement of people's living standards and the enhancement of medical awareness, although ketoacidosis is not uncommon, it is now very rare for a diabetic patient to be able to breathe out the smell of rotten apples.

At least Zhao Zhe had never encountered a similar situation.

I see. Then it's definitely worth a visit.

Ji Xiang didn't rush in immediately, eager to smell the rotten apple from the patient's mouth. Instead, he stood at the door and watched.

This involves the psychological state of patients and their families in emergency care. You can't just rush in recklessly because you want to accumulate some clinical experience, regardless of what other people are thinking.

As the internist was leaving, Ji Xiang stopped her.

"Teacher, how is the patient?"

"He's alright. He's already been admitted to the hospital. The head of the ICU will come to take him back soon. He'll probably need about three days of treatment before he can be transferred out. He shouldn't be in any danger."

"Can I take a look?" Ji Xiang asked in a low voice.

The emergency room doctor smiled. She and Ji Xiang were quite familiar with each other, since Ji Xiang would come back to "join in the fun" whenever he was on Meng Qingfei's shift.

"Go ahead, smell the rotten apple," the ER doctor said. "I even think it smells good."

"Hey." Ji Xiang smiled and went inside.

To Ji Xiang's surprise, the patient was very young, only about 20 years old, and looked like a college student.

The "patient's family members" were all the same age, and were probably classmates from the same dormitory.

The patient was somewhat listless, lying on the emergency room stretcher, and Ji Xiang went over to him.

Take a deep breath; the act of breathing brings the olfactory substances associated with ketoacidosis into the nasal cavity.

The absorption by the epithelial mucosa then spreads to the cilia of the olfactory cells. There is a special olfactory receptor on the cilia that binds to the olfactory substances in ketoacidosis, which then further produces second messenger-like substances that open calcium channels.

Sodium and potassium ions enter the cells, and at the same time, the olfactory cells depolarize and generate action potentials, which are transmitted to the olfactory bulb and then to the olfactory center, thus triggering the sense of smell in Ji Xiang's brain.

It really does taste like a rotten apple!

(End of this chapter)