Zhu Yan: Haha, this kid is still the same, and has not changed at all.

Boss Chang: He is Qi Jing? Are you a little over-young?

Mr. Liu: It turned out that there was a misunderstanding, but it was definitely not easy for the two major directors to be attracted by this kid.

Lao He: With a delicate little face and black and beautiful hair, why doesn’t this director Qi Jing even have wrinkles? He is too good at taking care of himself?

Several people sat aside and whispered, and were surprised when they heard Lao He's speech. At this time, this guy would probably be the only guy who would slow down thinking that the young man in front of him was still a senior director.

Lao He: Isn’t it?

Everyone: Isn’t this nonsense? Have you ever seen such a young director?

Guo Jian was the only one who was different from that. He reacted as soon as he saw Qi Jing. Isn’t this the old classmate whom his son brought to meet him just now? It turned out that he took the medical school after graduating from high school. Now he should have just graduated.

Qi Jing...Qi~Jing~

Oh, it was that Qi Jing! The most troublesome student in the whole grade at that time in high school...

In the past, my son held a parent-teacher meeting in high school. When he went there, he often heard the name from the teacher. Basically, he was half the time of the parent-teacher meeting, and he could take up at least half of the time at the parent-teacher meeting. Guo Jian didn't ask about the name in detail just now. If he had known it was him, he would have known it in advance.

But it's not too late now.

"I just wonder why this name is so familiar. It turns out to be Xiao Qi." Guo Jian pulled up with a smile.

"Uncle Guo, I'm sorry for the class reunion just now."

"If that's the case, you and my naughty son are good friends. You used to come to my house to play, so you don't have to be so polite." Guo Jian handed over the menu, "Let's see what you want to eat, even if you order, today it's Boss Zhu to pay for it.?m Oh oh oh oh oh oh oh.

It was Zhu Yan, and Qi Jing did not forget to say hello: "Boss Zhu, long time no see."

"You two know each other?"

"Of course I know it." Zhu Yan nodded and introduced, "Three months ago, I held a seminar in the United States, and he surpassed hundreds of young doctors and became the top voter. They were all selected by the top doctors in the United States, and it is not simple."

"Boss Zhu lifted it up." Qi Jing smiled.

"It has been more than three months since the United States left. How are you doing recently?"

"It's okay."

When Xin Cheng saw him say this, he was a little embarrassed: "You are too modest. These big bosses may not understand, but I am different from your Teacher Wang."

"Recently, while you are dealing with the postgraduate entrance examination, you have completed two papers one after another, one after another, and you have to apply for SCI. In addition, you have to spend about ten hours in the hospital every day... You just mentioned this kind of work intensity in three words?"

Qi Jing was turned over and could only smile awkwardly: "Actually, I personally think it's okay."

"Haha, if Cui Yuhong hears this, he will slap the table and curse people again!"

After Ji Guanghao's introduction, they realized that it was Qi Jing who saw through his cause of the disease at first sight and pulled him back from the brink of death. It was precisely because of his experience of life and death in IICU that he had the desire to establish a foundation.

"How is the exam these two days?" Ji Guanghao asked, "Is the question difficult?"

"Not difficult, it's quite simple."

"Brother Ji, don't worry about such things. With his ability, the master's entrance examination is not worth mentioning." Zhu Yan smiled and said his opinion, "I can read the future of the practice exam, the master's thesis, and the doctoral entrance examinations, and the future of the practice exam are also easy."

"Three years of attending, five years of deputy senior, and the next one is the director!"

"Oh, in fact, the titles are all false, and medical skills are the most important. I think Brother Qi has already had some director style, and he is not panicked at all while sitting next to the two senior directors. I admire him."

"Everyone is right, I want to take a time..."

Even if Qi Jing's thick skin is flattered to this level, he will feel a little uncomfortable.

It was not until now that he knew how sweet the mouths of these big guys who licked blood in the shopping malls were. They struggled in the chain of intrigue and deceitful interests every day. These are survival skills that must be learned. The sweeter the mouth today, the sharper the knife hanging behind the back will be.

These words can only be heard...

Qi Jing sat between Wang Ting and Zhu Yan, poured himself a cup of tea and paid for it: "It's really a coincidence that I bumped into a car with the classmate next door. I just ran over from the next door, so forgive me."

“What a big deal ~”

"Class reunions are also very important. Contacting and contacting can also relieve work pressure."

Qi Jing smiled and turned on the flattery mode: "There are all business elites and leaders in various industries in China. Today we can't get together here just for a simple meal, right?"

"Of course not." Ji Guanghao said, "There is a patient who needs help."

"Well, this patient is living in our general surgery department, and I have decided to give some research funds to help with the diagnosis." Xin Cheng said, "Now with Boss Ji and "Everyone's help, I think the patient's condition will be given a reasonable explanation."

Difficult and complicated diseases?

Qi Jing suddenly became interested.

"Brother Qi, don't worry. Since everyone has arrived, let's eat and chat." Guo Jian called the waiter and asked him to serve the dishes. "Jinyan Bazhen Tower is my golden signboard when I started from scratch. The eight treasures are divided into three types, the middle and the lower three types. I will try them out for you today."

Qi Jing had already eaten some next door. Although he deliberately kept his stomach, he rarely had the motivation to raise chopsticks when looking at the dining table that kept serving food. Fortunately, the bosses' dinner party was not for dinner, and they talked more about the foundation.

The money shared by everyone is not much, but it has exceeded one million.

More than one million people say more than one million, and less is not much, so it still needs a dedicated person to manage it.

Who can manage it to make the fund continuously increase its value? Do you need to inject funds into the foundation regularly? What conditions do patients need to meet to become the target of assistance? What is the specific amount that each patient can allocate?

These need to be specified one by one.

Brothers must settle the score clearly. There are competitors among these people, and they still need some explicit regulations and necessary signatures to make people feel at ease.

Qi Jing was not interested in these things, and he cared more about the patient Wang Ting mentioned, which was the patient Ji Guanghao wanted to help first. If Ji Guanghao was attracted to him, he was poor enough. Secondly, he was really sick. He had been to the hospital and could not come up with a decent diagnosis because he had no money for further examinations.

Only when all three are met can they become the target.

"The patient, male, 63 years old, was a patient who had splenectomy in a general public surgery." Xin Cheng began to introduce the patient's details.

A week ago, the person was sent to the hospital from 120, and the situation was very serious. After entering the emergency room, the crystal colloid began to fall off before the blood pressure was raised, and it fell directly into a state of shock. According to the only basic complaints of abdominal pain and mild abdominal distension, combined with upper shock, it was suspected that there was internal bleeding in the abdominal cavity.

Time waited for no one, and the doctor of the emergency department immediately performed an abdominal puncture and drew out a large amount of blood without coagulation.

"A few major blood vessels in the abdomen are broken? Or are the liver and spleen broken?" There are only these three types of severe bleeding that Qi Jing can think of.

Of course, there is a more dangerous rupture of the abdominal aorta, and the amount of bleeding will be lost in a few minutes. It is definitely too late to send the hospital to the hospital after the disease occurs, so it is not within his consideration. "We did an emergency abdominal cavity exploration to clean up the blood clots, and finally found that it was a problem with the spleen. A hole of about 4cm is more than 1cm deep." Xin Cheng gestured with his fingers, showing the length and rough walking of the rupture. "Fortunately, it is far away from the spleen gate, so we sutured it after stopping the bleeding."

Spleen rupture sounds very simple, and can be summarized in just three words.

But in clinical practice, spleen rupture can be divided into many situations according to the anatomical structure and the degree of rupture. The domestic system is roughly divided into four grades, and each corresponding surgical method is different. It is not as simple as cutting off the spleen in one-size-fits-all manner.

The patient's condition is between levels i-ii, and you only need to suture and stop bleeding.

When the business bosses around them chat, they would listen to these surgeries. They thought it was boring, but they really sounded quite interesting.

"Is it okay in the end?" Lao He heard that the patient had undergone surgery, so he stuffed the fried belly slices that had been hanging in the air for a while and started chewing them. "I became nervous when I heard them."

"The operation was very successful." Xin Cheng smiled a little, "There was no sign of bleeding again after the surgery."

"Hu..." Old He breathed a sigh of relief, "Oh, it's fine if it's fine, it's fine if it's fine."

"You are stupid. How could you be attracted to Brother Ji when you are fine?"

"Yes, there must be something to be done before we can be qualified to be on the list of our foundation."

"Uh..." Lao He was speechless, "That's right."

Qi Jing said at this time: "The key problem is not whether the surgery is successful, but how does spleen rupture occur, right?"

Xin Cheng nodded: "The spleen rarely ruptures spontaneously, and even if there are, there are certain external stimulation. But the patient suddenly had stomach pain while sleeping. Seeing that something was wrong, the family immediately called 120 to save his life."

Qi Jing thought it would be a cough or sneeze, which made the originally fragile spleen crack. The explosion point of this spleen rupture often occurs during daily work.

But he didn't expect that the patient had a cleft spleen in his stomach.

However, even so, there will be no such a big deal. The spleen rupture has been sutured, and as long as there is no further bleeding, there is no need to deal with it.

Unless, he has other problems.

"Yes, there are many problems." Xin Cheng said.

In fact, the patient was sent to him and found that he had jaundice. He urgently checked that his liver function was somewhat elevated. He was temporarily suspected to be viral hepatitis. Time was tight and it was impossible to wait for the result of viral hepatitis before going to the surgery, so this question was brought to the postoperative period.

After the operation, I found that this was not the first time the patient had come to Danyang Hospital. I had been staying in the gastroenterology department for a short time before.

Xin Cheng specially found his doctor to retrieve his previous hospitalization record, which was personally diagnosed by Director Yu Tao of the Gastroenterology Department: alcoholic cirrhosis may be caused by biliary infection.

"Alcoholic cirrhosis?" Qi Jing raised his eyebrows and felt a little strange.

With the development of society, especially in big cities, people pay more and more attention to maintenance, and few people can drink alcohol to the level of cirrhosis. Moreover, many people who consume a lot of alcohol for a long time often have cancer before their livers can become hardened.

Therefore, pure alcoholic cirrhosis is rare.

Uncommon diagnosis is a disguised stimulation for Qi Jing, and he will pay special attention when he hears it. This diagnosis does have some impression of him, and he seems to have heard it somewhere, but the specific time and character have long forgotten.

"Ciligo..." Qi Jing thought for a while and asked, "The liver should have been checked during the operation, right?"

"Yes, since it is bleeding in the abdominal cavity, you will never let the liver go when you do the investigation." Xin Cheng then said something strange about the patient, "His liver is slightly larger than normal, and it is not hard to touch, and it is not cirrhosis at all."

"It's a bit strange." Qi Jing said lightly, "Director Yu Tao will not make such a low-level mistake."

"Yes, Lao Yu has always been rigorous." Xin Cheng paused and continued, "So I think since he had received this suspected diagnosis, it means that the patient's condition forced him to give this diagnosis. On the third day after the operation, we studied the previous course of the disease together and discovered some incredible things."

At this time, Qi Jing suddenly remembered a past incident. When contacting alcoholic cirrhosis, an unusual type of cirrhosis, I couldn't help but speak: "Did he vomit blood and black stools before?"

Xin Cheng was stunned for a while, a little surprised: "Yes, I was about to say it, how did you know?"

In fact, Hu Dongsheng had already told Qi Jing about this patient during a long-distance run more than three months ago.

The patient came to the outpatient clinic of the gastrointestinal department because of poor and weak urine, but actually wanted to prescribe some medicine to regulate gastrointestinal function. The outpatient doctor saw that his skin was yellow, so he asked him to have a checkup. The liver function was a bit poor. Bilirubin was found in urine routine, and all the problems were pointed to the liver.

However, the subsequent laboratory examinations and imaging examination results went their separate ways and completely went to two completely different paths.

The laboratory examination pointed the finger at the liver, put forward a bunch of data and logical analysis, and said that the liver was the culprit. However, B-ultrasound, mrcp took out the surveillance video and said that the liver was absent, and it was impossible to break the case.

Director Yu Tao from the Department of Gastroenterology led his team to take over this case, imitating alcoholic cirrhosis, and hopes to find the answer directly from the liver.

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Chapter completed!