Senior surgeons are very busy, with constant surgeries from morning to night, and they only have time to rest during the noon surgery. If you encounter complex surgery, you may have to stand from morning to night.

This is a temporary case discussion. It is not easy for Huo Zhiye to find so many orthopedic doctors.

In fact, Qi Jing had considered these things before and did not want to make too much noise when he came to the orthopedic ward. He just wanted to talk to Huo Zhiye about the patient's situation and express his own opinions. Although the two did not know each other, there were photos of all the experts in the corridor of the inpatient department, so it was not difficult to recognize them.

As for whether to adopt his own point of view in the end, Qi Jing was not very sure and could not use force. After all, it was in the outer courtyard. Without his dad's halo, he still had to restrain himself against the deputy high school.

Unexpectedly, when he walked out of the elevator, Qi Jing heard the case discussion, and the object of the discussion was Wang Pingshi on Bed 19. As a last resort, he changed his original strategy, covered his face with a mask, and then changed it in his own hospital to lean on the white coat on his body and sneak into the office first.

After they have almost finished their discussion, they will get up and kick the iron plate.

However, who would know that interns in the first hospital were so difficult to manage. They didn’t stay in the department for lunch break and went back to the dormitory to rest.

Huo Zhiye came up and asked the hospital bed to be grouped. Qi Jing immediately smelled the smell, and he was looking for a temporary worker.

The temporary worker in case discussions is nothing more than medical history report and copying. He doesn't want to do such a mess, so he refused at the beginning. The method of rejection is very simple, just stagger his group with Wang Pingshi's.

There are 66 beds in orthopedics, and there are less than 80 extra beds. Including the number of experts, Xie Zongpei has a total of 11, and each person has an average of about 7 beds. In terms of the simple grouping method of the hospital, Wang Pingshi's 19 beds will only be the third group.

So Qi Jing said that he was in the second group.

But after he said it, he changed his mind again.

Since God made such arrangements and God’s will, why don’t he go with the flow? So in Huo Zhiye’s subsequent inquiry, he tried his best to rely on Wang Pingshi’s medical records and successfully became a temporary worker.

When he first saw Shi Ruilin when he entered the office, Qi Jing knew that this intern was unreliable. He exchanged a useless medical record for his right to report his medical history.

At this point, the starting point and development direction of case discussion were all in his hands.

At this point, the offensive rhythm is completely different from being involved in the crowd and provoking trouble. Qi Jing felt that there was no need to be more tactful at this critical moment, so he had the straightforward dialogue just now. It was so straightforward that people were overwhelmed. At least the doctors in the audience did not expect that a good case discussion would develop to this point.

"Don't get me wrong. I just see that everyone is very tired. I will finish the discussion early and end it early. This way I can have time to rest and rest, and I will be better during the afternoon surgery."

The director-level speech was definitely like an intern.

Shi Ruilin had long been confused. He had seen interns having conflicts with teachers, but he had never seen anyone who used professional knowledge to argue with him. It was completely beyond his cognition.

As a teaching guide, Li Xin has already been under a lot of pressure.

The internship team leader is a three-ply plate, but he is not much better. At best, he is a little bigger than Shi Ruilin's one. He has been in orthopedics for five years and worked as a surgeon for one year last year. He claims that he has met many students, but he has never seen the one in front of him.

Where did this little ancestor come from? He is so arrogant...

Li Xin's brain tightened and his ears buzzed. No matter who the other party was, his first reaction was to get up and scold him before talking. However, before he could stand up, Huo Zhiye, who was sitting in the front row, had already spoken: "Who are you? And what did you mean by what you just said?"

Compared to Qi Jing's attitude, Huo Zhiye cared more about Wang Pingshi's diagnosis.

It was really that the phone call last night was too stimulating, which made him quite touched. He always felt that some parts of the medical history were indeed worth pondering. But what Huo Zhiye wanted was the tactful scrutiny between his colleagues, not to overturn it directly! He denied all the diagnosis as soon as he came up, so where would he put his old face?

Moreover, Huo Zhiye was just a little doubtful, but he was actually quite confident in the final diagnosis.

Even if you take a step back, there is really a problem with the diagnosis, which is also a problem with the cause. When the compressive fracture reaches this level, no matter what the cause is, surgery will be required.

What Huo Zhiye wants to clarify most is the problem of surgical indications and postoperative recovery. At the same time, he also hopes that while clarifying these two contents, he will have new discoveries on the cause. Of course, it would be better if Xie Zongpei was present to help him maintain his bottom line. With the judgment of the chief director as a basis, if something goes wrong, the pressure on Huo Zhiye will be less.

But who would have known that Cheng Yaojin came out halfway, and his axe was swung around and the matter was completely disrupted.

Qi Jing's words were naturally full of sarcasm, which made the sleepy surgeons present excited.

Many of them were just going through the motions, after all, they were not patients in their own group. They just came here to hold a place for Huo Zhiye to listen to the news. But now, some people have come forward to refute it, and they are so direct, that's different.

Some people are more interesting than simple cases to discuss. There are not many clinical infighting dramas that can be seen every day.

"I mean very simple." Qi Jing said, "The diagnosis was wrong."

"The diagnosis was wrong?" Huo Zhiye couldn't help but laugh and asked, "Isn't he a compression fracture of the spine?"

"Of course it's a compression fracture." Qi Jing nodded, and had no objection to the diagnosis. "The patient was obviously affected by vertical external forces, which caused damage to the vertebrae after compression, and the protrusion compressed the spinal cord nerves in the spinal canal."

"Do you think that the judgment of surgical indications is wrong? This level of fracture does not require surgery?"

"The surgical indications are of course correct." Qi Jing would admit that they would not have any psychological burden in diagnosis. "If the surgery is not performed, the protruding part of the vertebral body may continue to expand or break into pieces, which is a high probability of damage to the spinal cord nerves and causing paralysis in the lower body."

"Since my judgment on the condition is correct, my judgment on the indications of surgery is correct," Huo Zhiye asked with a smile, "Where is the wrong diagnosis?"

Qi Jing sighed: "Since Teacher Huo thinks the diagnosis is correct and the patient's condition is as simple as it seems, then what case discussion meeting will be held? Everyone has undergone the surgery all morning and is very tired. Let's go and rest."

"This..." Huo Zhiye was speechless and lost all his face.

The first round of the two ended, but the result was a bit shocking. Huo Zhiye, who has always been good at using professional knowledge to criticize others, met a young man who also liked to do this, and suddenly there was nothing he could do.

Li Xin looked at Qi Jing in front of the stage and had no choice but to call Shi Ruilin, who was standing stupidly, to the front: "Is this your classmate?"

"Of course not."

"Who is that?"

"I don't know either." Shi Ruilin was crying without tears. "It would be fine if he was really an intern. Just before, the intern scolded and taught, and our team leader was called to a meeting and had to be strictly disciplined. Now..."

Li Xin shook his head helplessly: "Now I'm just going to attack the deputy senior."

"It's over..."

Among the young doctors present, it was probably only Li Xin and Shi Ruilin who decided this matter to be a vicious incident, while the others all had a mentality of not having to worry about their own affairs.

Faced with today's headlines in the hospital, these small hospitalization attendees were also talking. While communicating quietly, some people did not forget to pick up their phones and gave Qi Jing a photo to prepare some additional topics for the upcoming afternoon surgery.

I have to say that Huo Zhiye is also a person who has experienced great storms.

Although he was so upset by a student's words, his adaptability and adjustment ability were pretty good, and he kept calm. And gradually, he discovered a very strange place.

This guy's voice is a bit familiar, and he seems to have heard it somewhere.

The previous medical history statement was nothing, but the last sentence was obviously intended to put pressure on him. In order to cooperate with these words, he would deliberately use a very beating tone to slightly raise his tone.

Huo Zhiye has an impression of this mysterious tone, and the more he listens, the more suspicious he becomes.

In fact, the answer was right next to him, but he couldn't say it.

Huo Zhiye wanted to figure out the person first, and then slowly argue with him about diagnosis: "Are you an intern in orthopedics? What's your name? Why have I never seen you?"

After saying that, he looked at Li Xin beside him and Shi Ruilin who shook his head straight, and had already guessed: "The orthopedics are now doing a big discussion on cases. If it is not the orthopedic doctor in our hospital, please leave and don't disturb our normal work."

Qi Jing set off and prepared to fight Huo Zhiye.

He is not afraid that the other party is too strong, but he is afraid that the other party will not dare to go against him or play in a roundabout way. This behavior that directly points to his identity is a disguised way to avoid it.

Qi Jing really has no good idea for this method, so he has to find the real person in charge.

"Old Huo, don't worry about this for now, all patients are given priority."

Xie Zongpei and Qi Jing had a look in their eyes and immediately understood what he meant. After looking at the watch, it was indeed getting late, so he asked: "Classmate, I understand what you mean. You mean that the cause of the disease is not solved. Even if the fracture is cured, there will definitely be another fracture. Then this operation will be in vain."

"Yes, that's what it means." Qi Jing said, "The patients have always had chronic coughs. I think coughs are related to fractures."

"I also know that you suspect tuberculosis. The tuberculin test is positive, but the treatment is not effective." Xie Zongpei waved to Shi Ruilin, who had been stunned when he watched the gods fight, "Let me take a look at the medical record."

Although Shi Ruilin handed over the medical record, he complained: "Director, this medical record is messy."

"Is it messy?" Xie Zongpei was puzzled.

“This is a long story…”

"You can read it even if it is messed up, so I'll find the discharge summary on June 10, 2019. It's you..." Qi Jing quickly realized something was wrong, coughed twice and fooled the tongue, "I'll find the discharge summary of the respiratory department of our hospital."

The discharge summary in the 1990s was not yet printed, and almost all of them were handwritten.

Without printing, there will be no fixed paper specifications and no fixed templates. The paper used in each hospital is different. Although the writing content is not different, there will be slight differences in the order of the front and back.

The paper for discharge summary of the first hospital is smaller than that of Danyang Hospital. There is no fill-in-the-blank form in the middle, but it is very simple to underline the thin lines. In fact, for doctors who have been working in clinical practice for many years, they just need to look up and follow the time to determine which one it is.

Sure enough, within a while, Xie Zongpei found this discharge summary.

The words "isoniazid and rifampicin" are listed, and the treatment time is not short for tuberculosis. The 41-day treatment did not improve at all, and the diagnosis of tuberculosis can be regarded as wrong.

"Do you still suspect that this situation is tuberculosis?" Xie Zongpei asked.

"I also think it's not tuberculosis," said Qi Jing. "I think it's another respiratory infection. After determining that the patient was not tuberculosis infection, he did not further dig into the cause of his disease. Instead, he listed the tuberculin experiment as false positives."

"But the x-ray that the patient had at that time was normal..." Xie Zongpei noticed the loophole before he finished speaking. "You mean that his lungs were normal before, but now it may not be necessary?"

Qi Jing nodded: "But since the patient is going to have surgery, he should have had a routine chest X-ray examination."

Huo Zhiye looked at Xie Zongpei's gaze and seemed a little embarrassed: "The patient's family has no money and can't even perform surgery, so I didn't ask for the hospitalization fee. Now that I have money, I want to have a good chat with the patient's family after the discussion meeting and determine the time of the operation."

"No matter whether the surgery is performed or not, check the chest x-ray first."

Huo Zhiye nodded: "Okay."

The chief director's order was directly reflected in the action. Li Xin took the doctor's order and wrote the doctor's order to check the chest radiograph. Shi Ruilin, who was standing beside him, became the messenger leading to the nurse's desk.

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Chapter completed!