Doctor of Healing

Chapter 103 I Can't Help You

Ji Xiang smiled and moved a little bit, without any complaints of discomfort, so he was relieved.

"Teacher, the situation was critical just now, and the matter was urgent. If the procedure is followed normally, if I think I have appendicitis, I will have to be stabbed." Ji Xiang said frankly.

The system NPC was noncommittal, changed the subject and asked, "Tell me, what experience do you have?"

Ji Xiang thought for a while, "Teacher, do you have to experience accidental situations every time you feel empathy?"

"mostly."

"Tursion of the testis on the right side is relatively rare, and it also manifests as clinical symptoms of appendicitis. It is estimated that there will be no case in a lifetime." Ji Xiang complained.

"I've seen two cases, and neither was misdiagnosed." The system NPC said.

"!!!"

Ji Xiang froze for a moment.

"Teacher, how did you do it?"

"intuition."

Ji Xiang never dreamed that the extremely professional system NPC would give such an answer.

Seeing a doctor by intuition?Do you want to count?
"If you see a lot of patients, you will naturally develop a natural intuition. This is the accumulation of experience, and it is also a lucky outbreak." The system NPC said very flatly.

"Teacher, look at what you said."

"That's the truth." The system NPC said, "You'll understand when you go to the clinical duty. Some people are lucky and sleep until dawn. Some people are trembling. Every night shift has a bunch of emergency patients."

"This has nothing to do with the diagnosis." Ji Xiang felt that the words of the system NPC were a bit off.

"I used to have a little doctor under me, and his class was very busy." The system NPC smiled, "And all kinds of rare cases came in his class. Let me ask you, which emergency department in thoracic surgery is the rarest and deadliest?"

"..." Ji Xiang was at a loss and shook his head.

"Rib fracture complicated with aortic dissection." The system NPC explained, "The pain of aortic dissection tear is covered by the pain of rib fracture, and it is only a rib fracture, so 64-slice CT will not be performed routinely."

"So some patients died suddenly and inexplicably."

The hair on Ji Xiang's back stood up all of a sudden.

The rib fracture combined with aortic dissection mentioned by the system NPC is not well understood by him, but the torsion of the testicular testis just experienced is manifested as the symptoms of acute appendicitis, which he has just experienced.

That's why I knew the purpose of the system, so I managed to avoid it in the end.If it is an ordinary person, it is estimated that necrosis will be removed.

In many cases, it is true that life is fate, and it is not in the slightest.

Doctors are also part of fate, and the system NPC makes sense.

"Teacher, what happened to that little doctor under your command?"

"In 8 years, a total of 6 patients with rib fracture and aortic dissection were treated. Once he picked up the patient, the chief resident and the second-line professor on duty denied the diagnosis. He was restless and called me at 2 o'clock in the middle of the night. .”

"He only said one sentence, boss, all the inspections are fine, but I always feel something is wrong."

"!!!"

Ji Xiang was shocked by this reason, how can a doctor be like this?
Just kidding.

"The patient had a normal CT scan, and the image was fine in my opinion. But I knew him well, and I pushed the patient together in the middle of the night to do a bunch of examinations, and it was determined to be aortic dissection, which was a big case in the emergency department." (Note)
"Amazing." Ji Xiang murmured in praise.

"Do you know why I agree with you to add freedom attribute points to luck?"

It turns out that there is such a saying, Ji Xiang is awe-inspiring.

Not all diseases can be solved by surgery up to LV9. There is always a limit to manpower under the limitation of technological level.

"People, there will always be some inexplicable sudden death." The system NPC continued, "I went to eat once, and I have a quirk. I like to sit in the lobby when I go out to eat. There are too many people and it is lively."

"Teacher, you like the fireworks in the world." Ji Xiang smiled.

The NPC of the system waved his hand. He didn't seem to be able to listen to this kind of literary description.

"At that time, a man choked on food and had difficulty breathing. What if it was you?"

"Heimlich First Aid."

"Well, that's what I did at the time." The system NPC said, "In the end, it failed."

"!!!" Ji Xiang was puzzled. The first aid level of the system NPC must be quite high. He even suspected that the system NPC could directly cut the patient's throat with a knife to ensure the most basic breathing after Heimlich's first aid failed.

How could it fail!

"The freshly cut live octopus that the patient ate was the kind where the legs of a plate of octopus that had just been cut were still moving. Because the suction cups on the legs firmly sucked the throat and airway, causing suffocation."

"I first used Heimlich first aid, but it didn't work. Then I did a cricothyroidotomy right away, and it still didn't work after opening it. The octopus leg was actually in the airway..."

The system NPC has some regrets.

Ji Xiang is awe-inspiring.

With the level and ability of the system NPC, he was helpless against a foreign body in the airway.

"So, as a doctor, you need to know that the ceiling of your level and ability is limited by basic disciplines." The system NPC looked at Ji Xiang and said seriously, "Misdiagnosis and mistreatment are inevitable, and the probability can only be reduced."

"Teacher, I understand." Ji Xiang nodded obediently.

"Okay, let's learn how to reset testicular torsion."

"Testicular torsion is often caused by a lack of normal anchorage around the spermatic cord within the penis, resulting in an abnormally mobile testicle."

"The general probability of occurrence is 1/4000. The inducement can be trauma, sports, but more spontaneous spermatic cord torsion, which mostly occurs when waking up from sleep. The reason is that the sudden contraction of the cremaster muscle causes the spermatic cord to twist Circle."

"Teacher, are young people healthy?" Ji Xiang suddenly asked.

"There is a possibility of this." System NPC said, "Testicular torsion is more common on the left side, which may be related to the longer spermatic cord on the left side. In the diagnosis, the typical acute testicular torsion is manifested as acute vaginal pain, but there are also patients with Pain is insignificant or progressive."

"There are several conditions that are more difficult to diagnose, and one of them is the patient you experience similar to appendicitis, and the other is the intermittent pain patient."

The system NPC explained in detail, and Jixiang listened carefully.

He has a good memory and almost never forgets it. In addition, he has learned this knowledge before, but it is not as detailed as the system NPC.

Moreover, after Jixiang's personal experience, he has some nuanced experiences. Whenever the system NPC talks about a place, Jixiang and his own personal experience will refer to each other, and ask questions if there is something he doesn't understand.

Diagnostic and operational levels are constantly growing.

Jixiang understands that the meaning of empathy is to allow oneself to experience the pain of patients, and more importantly, to let oneself know the pathogenesis of a disease well.

Although it was only a possibility, after experiencing it once, I entered a brand new world.

……

……

Note: I was that unlucky little doctor. I was restless that night. All the checks were fine, but I just felt something was wrong.In the middle of the night, the director was called and the problem was solved.

It still feels weird to think about it now.

(End of this chapter)