Doctor of Healing

Chapter 28 Prudence
Listening to lectures consumes a part of mental power, a very small part.

It was just a self-amputation of the kidney. Ji Xiang has a superb memory, which can be considered a talent. Ji Xiang did not completely consume his basic stamina like in surgical training and was driven away by the system NPC.

After the knowledge about kidney autotomy was finished, the system NPC looked at Ji Xiang kindly, full of expectations.

"Doctor Xiaoji, do you understand?"

"Understood." Ji Xiang nodded.

"Then tell me about your understanding of the medical incident you just felt." The system NPC said.

He said he understood, but what Ji Xiang understood was kidney self-amputation and related complications.

Because of the ignorance shown by his furious emotions at that time, Ji Xiang subconsciously put this matter behind him.

It's like making a mistake when I was a child, and I'm afraid my parents will know.

Patients and their family members can be angry, but they are a doctor, even if it is only Gui Peisheng.Being angry with oneself shows ignorance and inferiority.

Ji Xiang has a lot to say, but he has so many threads, he doesn't know where to start.

After hesitating again and again, Ji Xiang said sincerely, "Teacher, you should say it."

"I don't know if the urologist explained similar complications to the patient after the emergency operation 3 years ago, but even if he did, he probably didn't explain it to the patient and the patient's family in detail. This was a mistake. point."

Ji Xiang nodded, the system NPC said it was fair.

"But this is only a secondary issue. The most important thing is the doctor in the CT room." The system NPC emphasized, "He can't even be called a doctor, he can only be called a CT operator."

Uh……

Ji Xiang could hear strong dissatisfaction from the calm tone of the system NPC.

Even if it was just a complaint, the system NPC also expressed his attitude.

"Looking at video data, watching movies, how can it be so simple." The system NPC said lightly, "The right kidney is missing, this is a fact, but! Is it only possible to be cut off?"

"Teacher, you are right." Ji Xiang bent down very dog-leggedly, and praised him respectfully.

The system NPC is scolding the doctor in the CT room, but he is actually scolding Ji Xiang.

Not enough level is not enough, Jixiang admits this.

"I am not good enough, and I am not responsible enough to say that my right kidney has been removed in an extremely positive tone."

"Maybe...maybe the hospital is too small?" Ji Xiang subconsciously made up for it.

"No." The system NPC shook his head, "That's a large third-class hospital in central China, a top local hospital, otherwise the patients and their families would not trust the doctors in the CT room so much."

"!!!"

"The quality of doctors varies. Their own level is low, but their sense of justice is overwhelming. In the end, the trouble is out of control. With such a strong sense of justice, why don't you read the book a few more times and improve your basic diagnosis level?"

The system NPC's words slapped Ji Xiang's face like a slap in the face.

When feeling empathy, Ji Xiang understood the feelings of the doctor in the CT room quite well, and even at that time Ji Xiang felt that the doctor was too conservative.

But in the eyes of the system NPC, that doctor has become an operator, not even qualified for diagnosis.

Ji Xiang was ashamed, feeling ashamed inexplicably.

I have indeed made progress, but I am not yet a formal doctor.

"That's about it. Go back and think about today's case carefully." The system NPC said.

"Teacher, then I'll go first." Ji Xiang bowed respectfully again, ninety degrees, expressing his respect for the old man with body language.

Coming out of the system, the morning meeting has not yet been held, but Ji Xiang has experienced a long time, the events reversed and reversed, and a rare disease was mastered by Ji Xiang.

But this matter is complicated and the consequences are serious, which makes Jixiang feel a little bit vicissitudes.

Will I be prematurely aging because of this?Ji Xiang thought to himself.

During the morning meeting and handover, Ji Xiang didn't see Professor Mo and Colonel Wang.

Then the director of the Department of Urology randomly assigned the three regular trainees to the assistant doctor of Corey, and asked him to assign them as teachers.

In the end, I still didn’t forget to remind him, “His name is Ji Xiang, and Professor Mo told me twice that he would take him with him.”

The doctor who has been following the director is the chief resident of the Department of Urology.

The hospital manager took a deep look at Jixiang.

Originally, Ji Xiang was tall, sunny and handsome, so he was very eye-catching.In addition, Professor Mo repeatedly talked to the director about Ji Xiang, is there any gossip in it?

Surgery was very busy early in the morning, and the nurses from the anesthesiology department had already come to pick up the patients.The director just made a simple arrangement, and he didn't care about the few Gui Peisheng students.

After the hospital staff assigned Lu Kai, a pudgy and wretched man, and Liu Yunqing, who looked like he was not awake, to the two professors' residents, he said to Ji Xiang, "Professor Mo and Colonel Wang are out of the clinic this week and will be back soon. You can go to the outpatient clinic to find them."

"Okay, Mr. Wu." Ji Xiang understood the name of the clinic. He saw the name on the badge of the hospital manager and said with a smile.

"Xiao Wu, remember to go to see the patient with kidney contusion, and explain it carefully." The voice of the director of urology came from the director's office.

Mr. Wu smiled wryly. There were many things in the morning. Although he was always in charge of emergency and other things in the hospital, he always wanted to learn more, perform more surgeries, and follow along on the stage.

At this time, only Ji Xiang was idle.

"Who is that, go and see the patient." The hospital chief arranged, and unquestionably told Ji Xiang the ward and name of the patient.

Ji Xiang just wanted to see the patient, and he would definitely not refuse.

……

……

Director Liu of the Department of Urology rushed to the operating room after finishing his shift and took a shower.

The operating room is like a big bathroom. Not only do the surgeons have to take a shower after the operation, but some directors also take a shower before the operation to refresh themselves.

Director Liu didn't have this habit, but was called up by the second-line professor on duty in the middle of the night to participate in the rescue of a group car accident, and he was very tired.

While taking a shower, he heard the chatter of the hospital manager in the locker room.

What the hell, Director Liu frowned, hurry up and come out.

"Xiao Wu, didn't I ask you to go and see that patient in the liver and gallbladder." Director Liu reprimanded displeased.

"Director, I'll go right after the operation." Mr. Wu didn't know why Director Liu ignored a patient who had undergone partial nephrectomy in the ICU, and instead focused on a patient who had nothing to do with the Department of Urology.

Director Liu's face darkened.

This matter is not big or small.

The key is that he never understood what he meant when he was hospitalized, which shows that his understanding of kidney contusion is not in place.

Forget it, they are all young people.

Director Liu had already forgiven the ignorant general manager in his heart.

He is humble and usually does not get angry.

"Wait for the operation, get ready first, let's go and see the patient." Director Liu said.

"Director..." The inpatient was stunned.

"Hehe." Director Liu put on his white clothes, put on plastic shoe covers and left without changing his shoes.

The plastic shoe covers under his feet were rattling, very noisy.

The inpatient always followed up quickly. He seemed to feel that he had made a mistake, but after careful consideration, he didn't know what was wrong, so he could only follow Director Liu embarrassingly.

"Xiao Wu, patients with kidney contusion should pay special attention, especially when explaining." Director Liu said patiently.

"Explain?"

"It's all standard, just print it out and ask the patient's family to sign it. But it's not enough." Director Liu said as he walked forward, "Let me ask you, which point is the content of the communication with the patient's family early this morning? the most important?"

"Hemorrhage after contusion may lead to the death of the patient." Mr. Wu believed that he was right, and he was full of confidence.

"No." Director Liu directly denied, "The patient lives in the Department of Hepatobiliary Surgery, and the doctor there has been watching. It has nothing to do with the sudden death of the patient."

This is a bit cold-blooded, but it is the truth.

Hospitalization always ponders.

What else could be more important than a hematoma bursting and bleeding after a contusion?
"Xiao Wu, a classmate of mine encountered a similar patient a few years ago." Director Liu told the general manager of the past while walking to the hepatobiliary surgery department.

"It was later on the news channel."

"!!!"

"Well, the patient and the patient's family insisted that it was the chief surgeon who removed the kidney for transplantation."

"They don't understand, just talking nonsense." Mr. Wu said, "What kind of injury did he suffer, Director."

"The car accident caused the rupture of the left lung, diaphragm, and spleen. The left kidney and part of the intestine were herniated in the chest cavity. The joint incision was followed by a urologist from the local hospital. It was found that the left kidney had good blood circulation. After resetting, it went down."

"Could it be a self-amputation of the kidney?" Mr. Wu only remembered such a diagnosis at this time.

"Yes." Director Liu nodded, "According to the probability of occurrence, the possibility of rupture and bleeding after renal contusion is much higher than that of traumatic self-amputation. But what about the consequences..."

He pondered for a while, then shook his head helplessly, "Ordinary people can understand hematoma rupture and bleeding, and they will almost always choose to observe between cutting the kidney and keeping it for observation. After all, it is a kidney."

"However, the patient cannot accept the ischemic necrosis, atrophy, or disappearance of the kidney after one month or even longer after the operation."

Mr. Wu was silent. He vaguely understood what the director meant, but felt that the director was making a fuss out of a molehill.

The incidence rate of traumatic self-amputation is very low. As the director said, a kidney suddenly disappears. The patient thinks that he will never encounter such a thing as a transplanted organ during the operation.

When Director Liu saw Mr. Wu was silent, he looked back and understood.

Mr. Wu didn't think what would happen to such a small probability event.

This has something to do with a person's personality. Director Liu is the kind of obsessive-compulsive person who always wants to be perfect.

"In the future, similar patients must repeatedly explain to the patient's family." Regardless of whether Director Liu admits to his statement in the hospital, he emphasized, "At least three times, and the patient should also explain it to the patient after he wakes up, and he must sign .”

"Director, it's not necessary." Mr. Wu chuckled.

While talking, the two came to the Department of Hepatobiliary Surgery and went straight to the postoperative patient's ward.

Mr. Wu quickly walked a few steps and opened the door.

"There is a rare possibility, let me emphasize it. When the kidney is contused, the renal artery may..."

Director Liu's footsteps stopped, and Mr. Wu's face changed slightly.

That voice was explaining the source of kidney autotomy and the serious consequences to the family members of the patient.

Director Liu listened, and the expression on his face gradually became serious.

(End of this chapter)