Doctor of Healing

Chapter 44 Intraoperative Accidental Congestion
Entering the operating room, the system anesthesiologist has anesthetized the simulator.

Ji Xiang actually thinks this is unnecessary, after all, he is a simulated human being, and he doesn't feel any pain.

But the system NPC insisted, and he didn't say anything.

It’s better to be regular, better to be regular, Ji Xiang told himself in his heart, lest he be familiar with the rhythm in the system and have any omissions after returning to reality.

Sterilize, lay sterile drapes, and the operation begins.

The system NPC did not simply perform the operation as usual, but mixed some of the actions of Gu Lao's operation to explain the advantages and disadvantages to Jixiang.

The main thing is to adapt measures to local conditions and use different surgical methods according to different conditions of patients.

This operation was performed extremely slowly, at least twice as slow as the previous operation where Ji Xiang and the system NPC learned the lengthening operation.

Ke Jixiang has gained a lot.

During the whole operation, he kept having this feeling.

And the experience value is also rising rapidly. A teaching operation brought Jixiang nearly 5000 experience points.

At the end of the operation, Jixiang looked at the harvest in surprise.

"Teacher, would you like another one?" Ji Xiang asked because he didn't feel satisfied.

The system NPC is really picturesque when performing surgery.

Jixiang didn't feel this way before, but when his circumcision reached LV7, the operation screen had a qualitative change.

Jixiang knows that this is growth.

"You make one yourself." The system NPC denied Ji Xiang's idea, "Only by surgery can we improve."

Ji Xiang did not refute. He assisted the anesthesiologists and nurses in the operating room of the system to carry the patient on a flat car and sent the patient away, before picking up the next patient.

The anesthesiologist anesthetized, and Ji Xiang and the system NPC went to brush their hands and put on clothes again.

Jixiang already has his own understanding of the lengthening surgery in his heart, saying that it is impossible to innovate, but in terms of the depth of his understanding of the surgery, it is definitely first-class in the province.

Coupled with the fact that the LV9 circumcision has brought about a qualitative change in the technique, Jixiang is confident that he will succeed in the operation.

In fact, he is also very worried, what if the system NPC wants to empathize with him on a whim if the operation goes wrong.

Ji Xiang performed this operation very patiently, from skin opening to blunt dissection, every step of the way.

Ji Xiang's hand speed is very slow. He deliberately suppressed the effect of the hand speed bonus to make the operation slower, and then slower, in order to strive for a one-time success.

The early stage of the operation went well. Although Ji Xiang didn't look at the system NPC, he could feel his expectant and admiring eyes.

This is a superfluous mental activity. Although Ji Xiang understands it, he still feels a little proud of it.

When making the Y incision, Jixiang suddenly felt the surgical area move, and almost touched the tip of the sharp knife.

Jixiang was taken aback by this.

At the first moment, Jixiang thought that there was a problem with his stamina, so that he was dazzled.

Otherwise, why would there be a change in the operation area?

However, the stamina value on the system panel in the upper right corner of the field of vision still has 8 points, so there is no problem.

In the next second, Ji Xiang was stunned to see... saw... the cavernous body of the simulated man began to congest, and the surgical area changed in just a split second.

"teacher……"

Ji Xiang didn't expect this to happen, isn't he under anesthesia?How could there be such a mutation?

He had to ask the system NPC for help.

"This is a rare, but not uncommon situation." The system NPC said lightly, "Sterile ice pack."

The system nurse immediately went to get the sterile ice packs. Before that, Ji Xiang didn't know that there were such high-end things as sterile ice packs in the operating room.

"It's nothing to be surprised about." The system NPC seemed to understand Ji Xiang's inner surprise, "There is a certain probability that this will happen during the operation. There are spare sterile ice packs in the operating room. Do you think you are free?"

Ji Xiang nodded, he didn't do anything, but watched the operation of the system NPC.

This is an unexpected situation during the operation, and it seems that the system NPC did not expect it.It is said that the operating room of the system is well set up, and there are all these accidents.

The itinerant nurse took the ice pack and handed it to the system NPC.

The NPC of the system applied ice packs to the root. Ji Xiang looked carefully at the operation area, but there was no reaction at all.

The cavernous body is still congested, and the color looks a little abnormal.

But the NPC of the system seemed to be used to it, and he was not nervous. Instead, he explained to Jixiang lightly, "Although this disease is not common, it has serious consequences. It needs to be diagnosed and treated as early as possible. If it is not handled properly, it will often lead to congestion. Dysfunction or even ischemia and necrosis."

necrotic...

Ji Xiang has made up his mind that if the system NPC asks him to empathize with him, he will definitely refuse.

"Teacher, how did this abnormal situation come about?" Ji Xiang asked.

"Reflex hyperemia refers to external stimulation to the operation area and other sexually sensitive areas, or stimulation from visceral receptors, which is transmitted to the sacral spinal cord center through a part of the nerves, mainly sacrum 2-4, and is caused by the efferent impulse of the parasympathetic nerve. bloodshot."

The system NPC explained to Ji Xiang the whole story of this abnormal situation.

Ji Xiang listened...absently.

The hyperemia of the simulated person seems a bit abnormal, the operation area is black and purple, and it seems that necrosis will occur if it is not treated in time.

Definitely not necrotic!

Unknowingly, part of Ji Xiang's consciousness has entered into the system of empathy. He is afraid of necrosis from the bottom of his heart and needs to be removed.

"Don't worry, apply an ice pack for 15 minutes, and 60% of the abnormalities can be alleviated." The system NPC said gently, "Just wait."

"When the epidural anesthesia block is incomplete, the patient's psychological activities, or reflex stimuli such as disinfection, draping and placement of related instruments in the operation area, will cause psychological or reflex hyperemia.

The innervation of the operation area includes autonomic nerves and somatic nerves. The former is divided into sympathetic and parasympathetic nerves. The parasympathetic nerves are the main congested nerves, which come from the parasympathetic centers of sacrum 2-4. During spinal anesthesia, sacrum 2-4 must be blocked to block. Stagnant congested nerves. "

The system NPC continued to explain to Jixiang.

But 15 minutes passed in a blink of an eye, and the operation area still did not return to normal.

"Lidocaine." The system NPC stretched out his hand, and the equipment nurse immediately slapped the syringe that had been diluted and drawn into the needle tube on his hand.

Ji Xiang is a little envious, but he knows that this should be a system program.

In reality, how could there be such a tacit cooperation.

On both sides of the midline of the root, 2 ml of 10% lidocaine was pushed subcutaneously layer by layer to perform dorsal nerve block.

However, after the block, the operation area of ​​the simulator continued to be congested, which was of no use at all.

The system NPC was still not in a hurry. After waiting for 30 minutes, he stepped down and cooperated with the anesthetist to inject 2 ml of 10% lidocaine through the caudal puncture.

Another 30 minutes passed, and the hyperemia of the simulator still did not improve.

"It's really stubborn." The system NPC brushed his hands and came to the stage, "Prepare the phenylephrine."

Soon, the syringe slapped in his hand.

Inject 0.2% phenylephrine 1ml into the cavernous body, this time is the moment to witness the miracle.

1 minute, it only took 1 minute, and the effect of the medicine was almost immediate.

But Ji Xiang quickly noticed that the eyes of the system NPC did not stay on the operation area, he kept staring at the ECG monitor.

Ji Xiang immediately swallowed all the doubts in his heart.

The blood pressure of the simulated person rose by 15mmhg, and the system NPC said, "Give urapidil 5 mg."

After the injection of the drug, the blood pressure of the simulated person quickly returned to normal.

After more than an hour's delay, Ji Xiang let out a long breath after finally restoring the surgical area that was stimulated and congested for unknown reasons.

If a few days ago, when he first came to the operating room of the system, he would think that this is a simulator, at worst, he would just change it.

But after experiencing empathy several times, Jixiang changed unknowingly.

"Continue with the operation." The system NPC stood in the position of the assistant, looked at Ji Xiang and said.

Ji Xiang nodded and continued the operation.

The operation was relatively smooth, and Ji Xiang intermittently looked up at the ECG monitoring.

He speculated that the reason why the system NPC finally gave phenylephrine was because the drug could affect blood pressure and cause more unpredictable consequences.

As for the specific reason, the system NPC didn't say, and Ji Xiang didn't ask, he was going to go back and find out by himself.

Although it is very useful to have a system NPC, what if one day the system is far away from you?

living comfortably without anybody's help.

……

……

While Ji Xiang was training hard in the system, Professor Zhou Tianbo and Dean Li were eating with Mr. Gu.

"Boss, you always say that you are getting old. You can say that your surgery is very good, and your skills have improved compared to half a year ago." Professor Zhou said sincerely.

"Where." Gu Lao shook his head, "I know where my upper limit is. I will do surgery for a lifetime, and that's it. There is no way to make any progress. But, this is enough."

"It's more than enough, it's too much!" Dean Li said with a smile, his smile overflowed.

Mr. Gu's operation was very powerful, and the postoperative effect was also obvious. Several patients who were waiting and watching were persuaded to decide to undergo surgery.

The families of those young masters are not short of money, and birds of a feather flock together. When they learned that top experts from all over the country were invited to the provincial capital for surgery, they all paid attention.

These people are Dean Li's target customers. How much money can ordinary people earn even if they shave off all their flesh?To put it bluntly, that bit of mosquito meat can't keep up with the target customer's one-day hospitalization fee.

So even though Mr. Gu always made Dean Li unhappy overtly and secretly, he still rushed to flatter him and tried his best to please Mr. Gu and leave a good relationship.

"Xiao Zhou, what do you think of that young man's level today?" Elder Gu asked suddenly.

"Jixiang?" Professor Zhou frowned slightly, "I think it's a purely talented surgery. After all, he hasn't passed his medical license yet. In theory, few surgeons are willing to let him have surgery."

These words were very straightforward, but Professor Zhou saw his boss shook his head slightly.

"I don't think so." Gu Lao said.

(End of this chapter)