290 Old and cunning
Director Xu took the patient to the urology department and prepared for a ureteroscopy.
The patient came to the small treatment room of the urology department for anesthesia. Ji Xiang placed the patient in a stone slit position, with both lower limbs facing outward, and raised them, and lie flat on his upper body.
"Don't be nervous, just take a look. It will be a little uncomfortable but not very serious." Ji Xiang comforted with a smile.
"Doctor, I... can't die." The patient asked worriedly.
"How do you think about it? It's just a little problem." Ji Xiang asked while posing his position for the patient.
"I saw other people after I was hospitalized..." The patient stopped talking.
"It's okay." Ji Xiang smiled, "When I was in school, a classmate had an appendectomy. After the operation, he had a small crystal-like rash on his body. At that time, we joked about his relics coming out while studying what it was."
"What is that."
The patient asked.
Director Xu also had a head full of water. After the appendectomy, the rash on his skin was still crystal-like. Could it be that many relics really emerged from the skin?
"The dermatologist took a look and said it was crystal prickly. You just say that the name of this disease is so sloppy. It looks like crystal, it is called crystal prickly, right?"
"Can it be cured?"
"My classmate dared not be exposed to the wind after the academic year, so he was covered up." Ji Xiang smiled. "After seeing the dermatologist, he scolded us, said that nothing was wrong, and we scared the patients."
After hearing Ji Xiang’s explanation, the patient’s mood was better.
Director Liu has long been used to telling patients about anything or not before surgery, which is really similar to Colonel Wang.
Ji Xiang was an assistant, and Director Liu inserted a ureteroscope, which was as thick as a wire, into the bladder.
Under the microscope, you can see the turbid urine in the bladder with white flocs, white crystals can be seen on the mouth of the bilateral ureter, and the bilateral ureters are filled with white debris-like crystals throughout.
Director Liu knew that such a scattered thing would be invisible to make ct.
The patient did not urinate because the ureter was blocked and there were calcified crystals in the kidneys.
Seeing is true, Ji Xiang’s previous judgment is correct.
"That's right, Dr. Xiaoji." Director Liu glanced at Ji Xiang.
Ji Xiang nodded after seeing the changes under the mirror and didn't say much.
"I'll take a look."
Director Xu came over.
When she saw the white debris-like crystals spread throughout her vision, she was dumbfounded.
She just found the instruction manual for ceftriaxone, which clearly stated that it was extremely low probability that it might cause gallbladder stones.
Now I have seen stones in the kidneys, but they are still shattered crystal-like substances, and the answer is about to come out.
"Just use sodium bicarbonate to alkalize the urine." Director Xu asked tentatively.
After all, he is the chief director of the provincial nephrology department, and it is not difficult to treat after knowing the ins and outs of things. But Director Xu still asked Director Liu and Ji Xiang, but he did not make any decisions.
She has never seen similar situations before, so she should be cautious.
Director Liu caught a glimpse of Ji Xiang and nodded slightly, and then said, "Well, alkalize the urine first and replenish the fluid according to the amount of urine."
Pull out the mirror, put the double j tube and send it back to the patient.
Director Liu was curious and didn't rush to go home before getting off work, so he went to the Nephrology Department to take a look.
After alkalizing the urine, the patient's symptoms of anuria were quickly relieved, and he had urinated about 1,400ml in just a few hours.
Nephrology has started rehydration treatment for patients.
That's true, Director Liu's experience value is 1.
No one expected that the commonly used ceftriaxone would have such serious complications.
"Director Liu, amazing!" Director Xu praised.
"It's okay, okay." Director Liu said with a smile.
He cursed the old fox in his heart, and Director Bai's intentions were obvious.
Just like the situation in front of you, let alone how Ji Xiang gave the diagnosis, his ability to handle things alone surpassed his two clinical directors, including Director Xu.
Director Bai has put such great effort into keeping Ji Xiang, even if he has a little more, he may be willing to do so.
If you can't stay, you should also find a doctor with Ji Xiang to call anytime, anywhere.
He actually had the face to instigate himself to apply for a provincial self-study department for Ji Xiang, which clearly means that the Medical Department can get the greatest benefit.
Director Liu smiled and was not angry. Everyone has benefits and has made contributions in the bureau set up by Director Bai.
Director Bai can indeed transfer a doctor from a lower-level hospital to the hospital, but he will definitely pay a very terrible price. If he had changed himself, he would definitely not be as determined as Lao Bai.
Now, it's all worth it.
Lao Bai's vision is still unique, and Director Liu admires it very much.
"Director Liu, is the little doctor next to you a new arrival?"
"No, it's a regular training doctor. Ji Xiang, have you heard of it?"
"The one who broke the record with the competition?" Director Xu's eyes lit up.
"Um."
"Where are you going to next department? Let's hurry up and come to our Nephrology Department while it's hot." Director Xu was a little excited.
"Don't even think about it." Director Liu laughed, feeling a little gloomy.
Sure enough, when I saw the good seedlings, everyone had to grab it. Fortunately, I started early and even used the project of self-study to save the country in a curve and lure Zhao Zhe.
"Director Liu, I think that kid is OK."
"Yes, I fell in love with this child at first sight." Director Liu looked like a man.
"What a pride? I'll be reincarnated in the next department soon." Director Xu looked down on Director Liu's old and comforted look and whined.
This is indeed a problem, but it should be feasible if it is based on the existing plan.
Director Liu was happily preparing to get off work. When he returned to the department, he saw Zhao Zhe frowned like a philosopher, standing at the door of his office with a sad face.
If I didn't know, I would think this middle-aged man was a patient's family.
"Doctor Zhao, what's wrong?" Director Liu asked.
"Director, I...I..."
Director Liu felt a little cold when he saw Zhao Zhe's face was constipated.
There will be grassroots doctors who are not allowed to come to the Second Affiliated Hospital and stay in the local area and die alone? Seeing that Zhao Zhe is not doing well in his hometown, a young doctor on duty can argue with him as he wants. What can’t be left behind?
"Doctor Zhao, come in and talk."
After entering the director's office, Director Liu asked casually, "It's okay, if you can't come, you can't come. I can find someone else to do it."
"..." Zhao Zhe's face turned red.
The talkative man suddenly became a speechless pattern, which looked very edema. It made Director Liu feel itchy and wanted to give him a tracheal incision.
"Speak slowly, don't worry."
Zhao Zhe was obviously very nervous. His hands were a little shaking and he pressed hard on Director Liu's desk, and the nail bed was pale.
Director Liu sighed in his heart. It was probably because he had a tigress at home and did not agree to the separation of the two places.
Director Liu has also seen similar things.
Chapter completed!