Chapter 686 Come on, smell the smell of rotten apples

"Doctor Zhao, why are there so many internal surgery?" Lin Jiuze saw that Ji Xiang was not there, so he started talking to Zhao Zhe.

Zhao Zhe shivered, as if he was startled.

But after a period of contact, Zhao Zhe has gradually gotten used to someone around him who suddenly spoke, and he did not react too fiercely.

"This is normal." Zhao Zhe replied, "Xiao Ji participated in a variety show, and the coverage was too large. He popularized a lot of relevant content to let others know the existence of interventional surgery..."

"No, I didn't mean that." Lin Jiuze thought about it and mentioned the old story again, "A few years ago, there was a survey and statistics in the Japanese medical community, which said that the average time from discovery to surgery in Japanese cancer patients was 2.

Month and 3 days, significantly ahead of Europe and the United States.”

"Huh?" Zhao Zhe was a little confused, and he stared at Lin Jiuze in a daze.

He just said this not long ago.

"I think... For example, this patient found a renal place-occupying lesion in his physical examination 4 days ago, and was hospitalized today." Lin Jiuze pointed to the computer screen and said about the medical record in front of him.

"Isn't this... normal?" Zhao Zhe and Lin Jiuze's thinking was not on the same plane, so they didn't understand what Lin Jiuze was talking about.

Lin Jiuze was also helpless. He told Zhao Zhe about this, just like talking to him.

"In Massachusetts, similar patients have to wait 3 months, and the average is about 4 months."

"I'll go!" Zhao Zhe was surprised, "Why did it take so long? Isn't Massachusetts General Hospital the top three hospitals in the world?"

"queue."

"Uh...what if it's transferred?"

“That is God’s call.”

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 ran back hurriedly.

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

Ji Xiang is running!

In the ward, if there is no urgent matter, who would run around? To save time, the only reason is that there are emergency patients!

"Emergency Department!" Ji Xiang didn't have time to say in detail. After only three words, he turned around and ran away.

In the emergency department, Zhao Zhe grinned and sighed.

Xiaoji is really energetic, why does he like emergency departments so much?

Orthopedics generally do not participate in emergency rescue.

Even if there are trauma such as fractures, you can wait and see it. Departments involving internal organs, such as liver and gallbladder, gastrointestinal, heart and chest, and external nerves are preferred.

Even if there is only a fracture, as long as the skin is not pierced, it will be fine for 24 hours, and there is no need to go on stage to operate in a hurry.

If you are blessed, you won’t enjoy it. Zhao Zhe complained to Ji Xiang in his heart.

Zhao Zhe trotted and wanted to catch up with Ji Xiang, but Ji Xiang was tall and long, and he took two steps to Zhao Zhe. Zhao Zhe almost chased him to the emergency department before he caught up with Ji Xiang.

Outside the door of the emergency room, you can see a bunch of people wearing white clothes looking around.

It's over, Zhao Zhe thought to himself.

There is a joke that patients who go to the operating room should actually hope for the most is that the doctor and nurse are talking and laughing, which means that the operation is very simple, at least there are no mistakes.

If everyone was so serious that all the old doctors and experts came to consult continuously, they would probably be ready to go to the iCu, and they could even think about the matter of hiring a teacher.

In front of you, is...

etc!

After taking a look, Zhao Zhe felt something was wrong. When Ji Xiang stopped, he finally caught up with Ji Xiang, bent down and held his knees and breathed heavily.

At this time, Zhao Zhe also realized something was wrong.

"Xiao...xiao...ji... roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo roo

"Brother Zhao, your body. Otherwise, I will take you to run in the morning in the future?" Ji Xiang didn't go in, he stood outside and looked around.

Zhao Zhe saw the problem.

The doctors Zhang Wang were all young, and there were several old doctors in the emergency room, and they didn't seem nervous.

They even talked and joked easily.

"What...what?"

"I received a call from Teacher Meng, saying that I encountered a patient with ketoacidosis in the emergency department."

"!!!" Zhao Zhe was speechless.

Ketoacidosis, what's so good about this?

The key is that Meng Qingfei also called Ji Xiang specifically, and other departments of the Second Affiliated Hospital seemed to be more interested in this.

A problem!

"Teacher Meng said that the patient's smell when he breathes is a typical rotten apple smell!" Ji Xiang said, "He hasn't encountered such a typical one in more than ten years and is driving over."

"Oh?!" Zhao Zhe suddenly became energetic when he heard Ji Xiang say this.

The book says that patients with ketoacidosis will have a smell of rotten apples during their breathing.

But I have never encountered it. Although Zhao Zhe is an old attending agent and has rich clinical experience, he still has to take chances to encounter some things.

As people's living standards improve and medical awareness increases, although ketoacidosis is not uncommon, it is rare for diabetics who can exhale rotten apples now.

At least Zhao Zhe has never encountered a similar situation.

So that's the case, it's really worth checking out.

Ji Xiang did not rush in directly, and couldn't wait to get to the patient's mouth to smell the rotten apples, but stood at the door and watched.

This involves the psychological state of the patients who are rescued in emergency rooms and the patients' families. They cannot rush around just because they have to accumulate some clinical experience, no matter what others think.

The doctor went out and Ji Xiang stopped her.

"Teacher, how about the patient?"

"It's okay. I've been admitted to the hospital. The severely ill boss will come and push the person back. It's estimated that it will take about 3 days of treatment to be transferred out, so there should be no life-threatening."

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

The emergency physician smiled. She and Ji Xiang were also familiar with each other. After all, as long as they catch up with Meng Qingfei's class during this period, Ji Xiang would come back to "join the fun".

"Go and smell the rotten apples." said the emergency physician. "I even think it smells good."

"Hey." Ji Xiang smiled and walked in.

To Ji Xiang's surprise, the patient was very young, only about 20 years old, and it seemed that he was a college student.

Several "patient families" are the same age, and should be classmates in the same dormitory.

The patient was a little listless and lay on the emergency room flat car. Ji Xiang leaned over.

Take a deep breath and breathing action brings the olfactory substance of ketoacidosis into the nasal cavity.

The absorption of the epithelial mucosa further spreads to the cilia of olfactory cells. On the cilia, a special olfactory receptor is combined with the olfactory substance of ketoacidosis, and then a second messenger substance is further produced to open the calcium channel.

Sodium ions and potassium ions enter the cells, and at the same time the olfactory cells depolarize and generate an action potential, which is transmitted to the olfactory bulb and then to the olfactory center, thus triggering the sense of smell in Jixiang's brain.

It's really a rotten apple smell!
Chapter completed!