Healing Doctor

Chapter 788 Once again, the Great Demon King rubbed him against the operating room floor.

"The most important thing is that I don't lack money."

Lin Jiu was speechless, looking at Ji Xiang, knowing that this guy wasn't lying.

Lin Jiuze felt a mix of emotions, including a touch of envy, at being able to say he wasn't short of money so openly.

"Moreover, an annual salary of 600 million is too high. The teachers probably think that the group is going to develop the big health industry and is looking for senior experts to set up a platform, which is why they offered such a high price."

However, there's a problem with this money; it's just a pie in the sky promised by the boss.

Even if the KPI is low, it's not acceptable to receive the full amount.

After two or three years, once everything is sorted out, find an excuse to get rid of them. By then, the director's position will already be filled, and they won't be able to come back.

"Is it really that unregulated in China?" Lin Jiu asked in surprise.

"Ha." Ji Xiang laughed. "Pretty much. Didn't Director Bai say that there are only hole-in-the-wall restaurants in China? Even Michelin-starred chefs aren't worth much in those places anymore. Unlike your side, where everything is controlled by capital and has become a large interest group. Millions of grain transport workers, that's roughly what he meant."

The two were chatting casually when Dr. Meltz suddenly became serious and said unhappily, "Do an intraoperative CT scan."

Dean Zhao had a doctor who was good at English acting as a translator. He was taken aback when he heard what Dr. Meltz said.

"I'm sorry, Dr. Merz, we only have the DSA machine with CT function in the interventional operating room."

Dean Zhao said apologetically.

"This is the biggest joke I've ever heard! You can't do a CT scan during orthopedic surgery! My God, you're practically committing murder!" Dr. Meltz angrily waved his arms.

"..."

Dean Zhao was taken aback by Dr. Meltz's outburst of temper, which even led to the topic of murder. He was unsure how to explain the situation to the Massachusetts expert.

He originally just wanted to find a patient with a simple tibia and fibula fracture to perform surgery and build a relationship. As for whether he could connect with Zhao Tianjiao, he wasn't very confident.

But to everyone's surprise, such a major blunder occurred during the anesthesia stage of a fixation surgery for a tibia and fibula fracture.

As soon as the skin was opened, before the hematoma was treated or the fracture ends were located, the patient's blood pressure plummeted.

No wonder Dr. Meltz was angry.

"They're trying to save you, so keep your voice down and concentrate."

A familiar voice came from inside, and Dean Zhao was taken aback.

Ji Xiang!

Since Zhao Tianjiao's "suicide incident," Dean Zhao has been unwilling to see Ji Xiang.

It wasn't that he disliked Ji Xiang; it was more like someone else's child was academically excellent while his own child was disappointing, which dealt a huge blow to Dean Zhao.

"It's a problem with the anesthesia!" Dr. Meltz's voice was a little softer. He turned around, but instead of scolding Ji Xiang, he seemed to be arguing with a senior doctor.

Lin Jiu was taken aback.

Dr. Meltz's attitude was strange.

In Massachusetts, Dr. Meltz was known for his bad temper, especially before the selection process. Teacher Tang even took her to visit Dr. Meltz in an attempt to change his attitude.

Even now, Lin Jiu can still recall Dr. Meltz's disdainful expression.

Unexpectedly, after being cursed at by Ji Xiang as "fuck your mother" at the Second Affiliated Hospital, Dr. Meltz actually showed some fear when looking at Ji Xiang.

Lin Jiu also knew that it wasn't entirely because of "fuck your mother," but more importantly because of the speed of Wenban Yama's recovery.

But he still preferred to think that way.

"The anesthesia... has been very stable, so it shouldn't be an anesthesia issue," the anesthesiologist explained quietly.

"If it's not a problem with the anesthesia, how could it be my problem?" Dr. Merz looked at the anesthesiologist with disdain.

His reluctance to challenge Ji Xiang does not mean he is afraid to reprimand others.

The translator subconsciously translated the words into English, and Dr. Meltz immediately expressed his dissatisfaction.

These are the rights of senior doctors!

Especially when unexpected situations arise during surgery, disagreements will almost always arise between the surgeon and the anesthesiologist.

"Dr. Merz, please be aware, a resuscitation is underway here," Ji Xiang said coldly, glancing at Dr. Merz.

Dr. Meltz's mask shifted, and before he could finish speaking, he lowered his head and turned away sheepishly.

Dean Zhao was burning with jealousy.

Other people's children are so much better!

If Zhao Tianjiao had half the skill of Ji Xiang… no, even just the difference in the number of knots he could tie during the martial arts competition would be enough, then I wouldn't have to go through all this trouble, being bossed around by that foreigner.

He gave Zhao Tianjiao a deep look, his emotions unspoken.

But Zhao Tianjiao looked completely bewildered; he didn't understand what was going on at all.

Being young, he couldn't yet discern what had happened from the details of Dr. Meltz's attitude before and after.

"The anesthesiologist gave too much medication, which delayed the surgery," Dr. Meltz said dejectedly, though he didn't dare to argue with Ji Xiang.

Lin Jiu shrugged, then suddenly felt that Ji Xiang's aura was stagnant, but it seemed like his imagination. Ji Xiang returned to normal in an instant.

This feeling was rather mysterious, and Lin Jiu also explained why.

But he just felt that something was wrong with Ji Xiang.

"Dr. Meltz, who requested the position?" Ji Xiang asked in American English.

"Me, me?" Dr. Meltz said "me" twice, his tone strange.

What was the patient diagnosed with?

Closed fractures of the tibia and fibula in both lower limbs.

"Is it okay to have the surgery within 48 hours?" Ji Xiang spoke very quickly. At first, the doctor in charge of translating for Dean Zhao could keep up, but after only three sentences, he began to have trouble.

"No...no problem."

"Alright, what are the possible complications from doing this? Tell me," Ji Xiang continued to press.

"!!!" Dr. Meltz was stunned.

The young demon king spoke to him in the tone of a typical senior doctor reprimanding his assistant.

he!

Why should I?!

Dr. Meltz felt a surge of resentment.

But Dr. Meltz didn't dare to speak, swallowing all his grievances.

"Dr. Lin, you're a radiologist, you can do ultrasound, right?" Ji Xiang asked, turning his head when Dr. Meltz didn't speak.

"I know a little," Lin Jiu said with a smile.

He particularly enjoyed watching Dr. Meltz get his comeuppance.

Ji Xiang had never spoken to him in such a stern tone before.

"Brother Liu, does the cardiac surgery department have a transesophageal ultrasound machine in the operating room?"

"Yes." The anesthesiologist was stunned by Ji Xiang's fluent English and was extremely surprised.

"Please bring the machine over."

"What do you suspect?" Dean Zhao asked.

Pulmonary embolism.

"!!!" Dean Zhao was stunned.

Pulmonary embolism!

Ji Xiang actually suspected the patient had a pulmonary embolism!!

No, the patient is young and healthy. It was just a routine general anesthesia surgery. How could a pulmonary embolism happen so coincidentally?!

Dr. Meltz also realized that his emotions were not right, and he felt somewhat ashamed.

How can I bow my head in the face of a dragon or a demon king!

In this situation, you should demonstrate your expertise and defeat him in your area of ​​strength!

Sports medicine is a branch of orthopedics, and Dr. Meltz is an excellent orthopedic surgeon.

He believed this was his domain, and the patient's condition was relatively simple, making it the perfect battleground.

Unlike Achilles tendon surgery, Dr. Mertz did not expect any complications for the patient.

Those are all low-probability events. If doctors were preoccupied with low-probability events, there would be no need to perform surgeries.

"What are you talking about?" Dr. Merz asked.

"The patient may have a pulmonary embolism. I suggest Dr. Lin perform a transesophageal echocardiogram. A CT scan is unnecessary," Ji Xiang replied.

Pulmonary embolism?!

Dr. Meltz was taken aback.

I only mentioned that a CT scan was needed during the surgery, and I didn't expect it to trigger such a series of reactions from the "big boss." This is way too sensitive!

Furthermore, pulmonary embolism is a disease characterized by sudden onset and a series of symptoms such as cerebral hypoxia.

The patient's blood pressure was low, but his blood oxygen saturation remained around 100%.

Dr. Meltz, fearing he might be mistaken, glanced again at the readings on the cardiac monitor; it was indeed 100%.

"Do you provide high-flow-rate pure oxygen?" Dr. Merz asked.

The translator translated his words to the anesthesiologist.

"No, with regular oxygen administration, the patient's blood oxygen saturation has remained very good," the anesthesiologist replied.

"Impossible!" Dr. Meltz, his previous dejection gone, turned to look at Ji Xiang. "The blood oxygen saturation hasn't decreased at all. Why are you diagnosing it as a pulmonary embolism?"

"The patient has already had an incision, so a CT scan is indeed not suitable, but a transesophageal echocardiogram is absolutely not advisable!"

"Invasive procedures, even ultrasound, carry the risk of cardiac arrest."

Dr. Meltz seized on one of Ji Xiang's "mistakes" and spoke loudly.

Apart from the alarms from the cardiac monitors and the beeping of the ventilators, only Dr. Meltz's voice echoed in the operating room.

"We're in the emergency room, keep your voice down." Ji Xiang frowned, looking at Dr. Meltz.

Dr. Meltz sensed a hint of danger in the young Demon King's eyes. He originally wanted to avoid confrontation, but the shame he had just felt made Dr. Meltz refuse to show weakness.

"Based on the current situation, the patient cannot possibly have a pulmonary embolism. The blood oxygen saturation hasn't changed at all, and you're saying it's a pulmonary embolism?! My God, that's the funniest joke I've ever heard in the operating room."

As Dr. Meltz spoke, he glanced at Lin Jiuze, who was standing next to Ji Xiang.

The strange guy wasn't holding a pen or notebook, and he was wearing a protective suit, so there was nowhere for him to put those things.

After seeing it clearly, Dr. Meltz breathed a sigh of relief.

It's good that it wasn't that weirdo Lin Jiuze who gave the diagnosis. Today, as a knight of justice, I'm going to teach this young demon king a lesson.

Although he looks young, he is very strong, and Dr. Meltz does not think he is absolutely confident that he can kill him under normal circumstances.

But things are different now.

The patient clearly has a problem with the anesthetic medication, but Dr. Meltz, not being a specialist, cannot determine the specifics.

But it's definitely not some ridiculous pulmonary embolism.

Dean Zhao felt somewhat annoyed when he saw Ji Xiang directing the anesthesiologist to push the ultrasound machine.

he!

Why?!

Especially since his own mentally challenged son was standing right in front of him.

In fact, Zhao Tianjiao lives up to his name and is indeed a prodigy; otherwise, he wouldn't have broken Zhao Jixiang's decades-long record for knot-tying in martial arts competitions.

Lovely people are most afraid of being compared to each other.

"Dr. Ji Xiang, are you the attending physician for the patient in front of you?" Dean Zhao asked casually, his hands behind his back.

"No," Ji Xiang replied frankly. "I'm just offering a suggestion. Of course, if the patient is ultimately diagnosed with pulmonary embolism, but the rescue is delayed for some special reason, then Dean Zhao can take responsibility."

"!!!"

Zhao Jixiang was cornered by Ji Xiang's words, as if he had been pushed into a wall of reinforced concrete.

He was furious, but he couldn't refute Ji Xiang's words at all.

This is equivalent to playing a "3" in Dou Dizhu (a popular Chinese card game), and Ji Xiang immediately throws out the royal flush and four "2s".

Is it really that serious?

Dean Zhao glared angrily at Ji Xiang.

Is it really that serious?

Is that so?!

His soul underwent one soul-searching test after another.

If it were someone else, Dean Zhao would definitely make things difficult for him.

But this is Ji Xiang. The dean has been valuing him highly lately, and Director Bai has been protecting Ji Xiang like his own son. Moreover, Dean Zhao is not in charge of the medical affairs department, so he really doesn't have any good way to give Ji Xiang a thunderous blow.

The doctors and nurses in the operating room remained silent, none of them willing to join the argument.

Ji Xiang did cross the line, but his morally superior statement—"Will you take responsibility if something goes wrong?"—dealt a heavy blow to everyone's hearts.

Soon, the anesthesiologist brought in the ultrasound equipment.

"Thank you for your hard work, Dr. Lin." Ji Xiang didn't want to embarrass himself, as he didn't have many skills in ultrasound, so it was better to let Lin Jiu handle it.

"My God, I've never seen anyone so naive. I have serious doubts about the medical standards of your hospital," Dr. Meltz grumbled.

His voice wasn't loud; Ji Xiang might not even be able to hear him. He was simply expressing his indomitable efforts.

"Dr. Meltz, are you talking to me?" Ji Xiang asked.

"I mean, there's absolutely no need for the patient to have a transesophageal echocardiogram. It would be better if the anesthesiologist reviewed the medication!" Dr. Meltz's voice grew softer and softer.

He was certain, but for some reason, he never felt confident enough in front of the Great Demon King.

"It won't affect anything," Ji Xiang said calmly. "The anesthesiologist is checking the medication administration. I don't think a CT scan is very meaningful."

"!!!"

"You think the chances of a blood clot forming are slim?"

"..."

"The trauma itself is enough to disrupt the coagulation system in orthopedic patients, leading to blood clots."

In addition, this is not an emergency surgery, but an elective surgery.

Prolonged bed rest significantly increases the incidence of deep vein thrombosis in the lower extremities. During surgery, due to the extensive surgical procedures and circulatory disruptions, thrombi are highly likely to detach. A detached thrombus could potentially travel with the bloodstream and become lodged in the pulmonary artery.

"Simply put, it's because you didn't consider the possibility of venous thrombosis when positioning the patient before the surgery, and the operation was too extensive, that led to the current situation."

Ji Xiang spoke at a measured pace, but in the end, he placed all the blame on Dr. Meltz.

"Impossible!" Dr. Mertz exclaimed angrily. "Elective surgery for closed fractures is in line with clinical treatment guidelines, and the patient is so young that the chance of blood clots is negligible."

"If it doesn't happen, the probability is zero; if it does happen, the probability is one hundred percent."

"!!!" Dr. Meltz was hit by Ji Xiang's 100% preparation.

Dr. Meltz was completely overwhelmed by Ji Xiang's imposing manner.

Like Dean Zhao, Dr. Meltz was also unable to refute what Ji Xiang said.

If this were at Massachusetts General Hospital, Dr. Meltz would have countless ways to solve the problem at hand. But this is abroad, in a "broken" hospital in the operating room that can't even do a CT scan!

Out of the corner of his eye, Dr. Meltz saw Lin Jiu moving the patient's endotracheal tube, preparing to make room for a color Doppler ultrasound of the esophagus.

"Damn it, this is irresponsible of you to do this to the patients!" Dr. Merz complained.

"Then how do you take responsibility?" Ji Xiang asked without hesitation.

"I should...I should..." Dr. Meltz hesitated for a moment.

He has provided all the necessary treatments, so what did he do wrong?

Dr. Meltz couldn't say.

Although he thought the young villain was stubborn and absurd, he had no advice to give when asked what to do.

Ji Xiang had no interest in arguing with Dr. Meltz and Dean Zhao.

He stood beside Lin Jiuze with his hands behind his back, intently watching the screen.

As the ultrasound probe moved forward in the esophagus, Ji Xiang gradually relaxed. Lin Jiuze's operation was extremely skillful, especially in his control of small details, which revealed a wealth of experience.

Soon, the ultrasound probe reached the esophagus, near the heart.

This is especially crucial.

Transesophageal color Doppler echocardiography is rarely performed because it is a highly technical procedure, far exceeding that of ordinary external ultrasound.

But the advantage is that it's very clear.

Just like now, Lin Jiu changed the angle of his wrist a few times and applied slight force, placing the probe at the junction of the esophagus and heart within the range that the patient's heart could withstand.

"There is a pulmonary embolism, with approximately 3 x 4 emboli..." Lin Jiu began to "report" to Ji Xiang based on what he had seen.

The anesthesiologist was dumbfounded.

This device is not commonly used in cardiac surgery, and few people know how to use it. Those who can perform transesophageal echocardiography during surgery are all highly skilled.

At least in the eyes of the anesthesiologists at the Second Affiliated Hospital, they were all top-notch.

Surprisingly, a patient whose blood pressure suddenly dropped after anesthesia was actually accurately diagnosed with a pulmonary embolism!

Dr. Meltz was also stunned.

The pulmonary embolism was clearly visible on the image, and Lin Jiuze's skill level was very high, but Dr. Meltz just refused to accept these facts.

How could I be so unlucky? During a closed tibia and fibula fracture surgery, I encountered such a rare case of pulmonary embolism!

Even Dr. Merz felt his luck had hit rock bottom; dark clouds loomed overhead, with constant flashes of lightning and thunder.

The lightning struck the metal armor, leaving the user charred and burned.

Before the young Demon King could even make a move, the knight fell once again.

"Get a cardiac surgeon to handle this," Ji Xiang said to the nurse after clearly seeing the location of the pulmonary embolism.

"Oh, oh, oh." The circulating nurse looked up at Dean Zhao, then at the orthopedic professor, and seeing them all staring blankly at the echocardiogram screen, she knew it was probably a pulmonary embolism, and ran out.

Pulmonary embolism is a life-threatening emergency; every second counts!

She quickly ran out of the operating room and called the cardiac surgery department.

Ji Xiang felt relieved after seeing Lin Jiu describe the necessary positioning points so that the anesthesiologist could record them for the cardiac surgeon's reference and to keep the images.

In Ji Xiang's mind, there was no intention to attack Dr. Meltz or to have a conflict with Dean Zhao.

It was all for the patients, Ji Xiang thought to himself.

Soon, cardiac surgeons rushed over, and after seeing the echocardiogram images, they sprang into action as if wound up.

"Let's go." Ji Xiang said to Lin Jiuze in a low voice as Lin Jiuze came down.

Lin Jiu nodded, but instead of turning around, he leaned close to Dr. Meltz's ear and said, "Dr. Meltz, your skill level is really low. It's because Massachusetts has doctors like you that it can never compete with Mayo Clinic."

After saying that, Lin Jiu turned around and left with Ji Xiang.

Dr. Meltz's face was ashen, as if it were about to rain. He stared at the open wound without saying a word.

Soon, the cardiac surgeons began to disinfect again, the orthopedic surgeons sutured the incision, and waited for the cardiac surgeons to perform external surgery before reopening it.

Dr. Meltz was extremely frustrated.

He felt that nothing he did went smoothly ever since he came to this godforsaken place.

I've had all the necessary surgeries done, but I still don't understand them.

He was invited to perform a minor surgery, but instead encountered a rare pulmonary embolism.

Wenban Yama's recovery is progressing well, and the speed of his recovery is beyond his comprehension.

All of this seems to be related to the Great Demon King, yet it also seems to have nothing to do with him.

"Dr. Meltz, let's go take a rest first." Seeing that Dr. Meltz seemed unwilling and remained standing in the surgeon's position without moving, Dean Zhao had no choice but to offer words of comfort.

"Impossible, absolutely impossible," Dr. Meltz muttered under his breath.

Through the disposable sterile cap, one could vaguely see Dr. Meltz's golden hair burning.

……

"Dr. Ji Xiang, how did you make that diagnosis?"

Lin Jiu and Ji Xiang went to the changing room to change clothes, and Lin Jiu asked curiously.

Ji Xiang smiled but didn't say anything.

Did the system NPC tell me this? Do I need to say it?

Moreover, the matter was not over. After learning about the situation, the system NPC instructed Ji Xiang to come to him after the diagnosis.

This was the first time Ji Xiang had heard a system NPC ask him to go back after the rescue. He was very curious about what the system NPC wanted to tell him.

Therefore, he simply smiled and brushed off Lin Jiuze's questions.

After stepping down from the operating table, Ji Xiang first checked on the patients he had operated on, then chatted with Zhao Zhe for a few minutes before heading to the fire escape.

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

"Hello, teacher."

"Hmm, is the rescue over?" the system NPC asked, hands behind his back and bowing.

"The diagnosis is complete, and the cardiac surgeons are performing the operation."

"Is the level of interventional vascular surgery at the Second Affiliated Hospital really that low?" the system NPC asked.

Ji Xiang was taken aback, only then realizing the problem. He had heard similar things from Director Bai and Director Liu during casual conversations, but not many.

It seems that the surgeon's skill level in vascular and cardiac interventional surgery is not high, and they are not confident in using minimally invasive methods to remove the thrombus from the pulmonary embolism.

"Teacher, it seems so," Ji Xiang said.

"Hmm, let's not talk about that. The background you mentioned back then was quite interesting." The system NPC smiled slightly. "How did you do it?"

(End of this chapter)