Chapter 657: The seemingly inappropriate body check

"I read the medical record and wrote that you have an inguinal hernia?" Ji Xiang "finally" remembered that he was a doctor and asked a topic related to medical treatment.

But Director Bai said he was helpless.

Although inguinal hernia is a medical field, it has nothing to do with the patient's postoperative bleeding from internal hemorrhoids.

"Don't mention it. I'm having a sports hernia. Many people who play basketball have this problem, saying that there is something wrong with the core muscle group. When I was young, I was thinking about surgery, but one was afraid of pain and the other was busy with work, so I forgot."

Ji Xiang and the patient started chatting along the inguinal hernia, and Ji Xiang even conducted a physical examination on the hernia.

If someone else is changed, Director Bai will go up and kick him in the butt and tell him to get out.

The purpose of the consultation is to solve the patient's postoperative bleeding of internal hemorrhoids, not inguinal hernia after exercise!

As the name suggests, inguinal hernia after exercise refers to a disease that occurs only when it is vigorously exercised, and it can basically be replenished. It can be strangled with a hernia belt, which is an indifferent disease.

Ji Xiang...

It's really a deviant place.

He was shocked by the patient's family as he spoke.

He guessed that Ji Xiang had a clear diagnosis, but he didn't explain it clearly. Could it be that Lin Jiuze jumped out and took the lead?

Ji Xiang's words connected everything together to form a perfect closed loop.

Director Bai also thought so when he looked at Ji Xiang, who was examining his body and explaining the inguinal hernia to the patient.

"It's very strange. I don't have any opinions for the time being." Lin Jiuze said helplessly, "Doctor Ji Xiang probably has no opinions either."

Ji Xiang was doing useless work, and Director Bai did not disturb him, but stood patiently at the door and watched.

Director Bai felt a little strange.

"Everyone ignored a small amount of abdominal effusion. Because the amount is small, it is normal to ignore it, but I don't think so." Ji Xiang said, "In addition, the patient has inguinal hernia and continuous bleeding after internal hemorrhoid surgery, so my initial diagnosis is Buga syndrome."

Both of them are extremely smart and are also top medical figures. After Ji Xiang talked about his diagnosis, both Director Bai and Lin Jiuze had an epiphany almost at the same time.

Director Bai confirmed his guess and turned around and corrected his eyes while chatting with Ji Xiang.

"I'll talk about my opinion, don't worry, it will be cured soon." Ji Xiang and the patient held each other with four hands, Xixi said goodbye.

"Hello, Director Bai." Lin Jiuze greeted Director Bai with a notebook in his hand, with a harmless expression on his face.

"Does there be many similar patients at Massachusetts General Hospital?"

This disease is divided into acute, subacute and chronic.

Director Bai and Lin Jiuze were both stunned for a moment.

"80%." Ji Xiang gave a reasonable answer.

This diagnosis,

Impressive.

But he still didn't say anything, and didn't look at Lin Jiuze, just pretending that he didn't exist.

"It's very simple. It's okay to do vascular and interventional departments, it's okay to do it. It depends on who has done it. Similar situations are rare. Chronic Bugat syndrome + normal liver function, and it's difficult to diagnose." Ji Xiang said.

As long as you don’t look at him, the dizziness will be much lighter. Director Bai quickly found a way to deal with Lin Jiuze.

"I don't know, the specialty I'm engaged in has nothing to do with this type of disease."

Director Bai’s judgment on Lin Jiuze was that his professional level was better than the directors of the Second Affiliated Hospital, even if hemorrhoids were not his profession.

Director Bai understood half of what Lin Jiuze wrote in the notebook, which was probably similar to the guesses of the directors in the office, but Lin Jiuze also wrote about treatment, which was more detailed.

"Xiao Ji, how did you see it?" Director Bai asked with a frown.

The moment he turned around, Director Bai was a little dizzy, and he immediately looked back at the discomfort in his body.

But Lin Jiuze is also a human being. He doesn't speak at all, just like he has really disappeared.

In five or six minutes, they didn't notice that there was someone standing here.

Director Bai didn't say anything, he had specialized in his profession, and it was normal for Lin Jiu to not understand it.

"Professor Lin, what do you think?" Director Bai looked ahead, not looking at Lin Jiuze at all.

"Doctor Ji Xiang's consultation is very strange. Don't you think Director Bai?" Lin Jiuze suddenly spoke.

"I've done the B-ultrasound, but didn't you see it?" Director Bai immediately realized that he seemed to be wrong, "Xiao Ji, where do you want to see?"

Most patients with chronic Buga syndrome will show a bad fluid state or a spider-human state.

Especially for the differential diagnosis of rare diseases, Lin Jiuze’s technical level is beyond words.

"good."

"Your institute really values ​​talents." Lin Jiuze said a stupid sentence.

“!!!”

Director Bai nodded, and he turned around and went to the office with Ji Xiang.

However, there are a very small number of patients who do not have special surface characteristics. In addition to a small amount of abdominal fluid, there will be hernia and hemorrhoids.

Director Bai heard a little provocative smell.

"Director Bai, the patient's inguinal hernia is very strange." Ji Xiang said the first sentence after leaving the house.

After leaving the ward, Director Bai looked at Ji Xiang and said nothing as soon as possible.

"After the physical examination, I found that the vein in the lower abdomen of the patient was slightly irritated, including the patient's jugular vein. Of course, these are my guesses, so I'd better do the examination first."

Add some very rare diseases.

"Xiao Ji, how accurate do you think is the diagnosis?" Director Bai asked.

It seems that I can only consult Union Medical College, and Director Bai has a headache.

Buga syndrome is a posterior portal hypertension characterized by obstructive lesions of the hepatic vein and its opening above the hepatic vein is often characterized by inferior vena cava hypertension.

A few minutes later, Ji Xiang and the patient said goodbye with a smile. Although the time was short, the two seemed to have a good relationship, so they just had to cut off the chicken's head on the spot and burn yellow paper to pay their respects.

Lin Jiuze did not follow him, but stood in the ward and wrote something on his notebook. As he was writing, he looked up at the patient.

“!!!”

"Yes, the surgery should be very simple."

"I consider that the patient has chronic Buga syndrome and want to see the location and length of the hepatic vein and inferior vena cava obstruction at the top of the diaphragm surface to determine whether it is diaphragmatic."

Director Bai couldn't see through Ji Xiang, and didn't know whether his guess was true or not. Ji Xiang immediately said, "I suggest you have a B-ultrasound."

Under normal circumstances, he doesn't want to use the relationship between Union and Union. After all, it's very troublesome to maintain relationships.

Director Bai smiled slightly and looked at Ji Xiang.

In contrast, Ji Xiang has a kind face, while Lin Jiu is like a devil.

"I didn't mean that." Ji Xiang saw what he wanted to say from Director Bai's eyes and quickly explained.

"Hahaha, it's okay, I know you want to say something nice to all the directors." Director Bai said, "Look for an ultrasound consultation. By the way, Xiao Ji, if you have any difficulties in your own department, just call me directly."
Chapter completed!