Doctor of Healing

Chapter 47 Cavernous puncture
Gu Lao shook his head, indicating that he had no other choice.

It is true that he is a medical expert, but the patient is a burn wounded, and Gu Lao can't do anything.Take a look, it's a treat.

"Do everything possible to save him, no matter how many difficulties there are, even if it is a huge one, it will last at least 3 days!" The man in the city said coldly with a cold face.

Dean Chen said nothing with a bitter face.

Medicine is a branch of science, and objective science is science, but it is not so obedient.

How are the patients doing? It's still 3 days?
Dean Chen felt that he couldn't bear it for three hours.

It's unlucky to wait to be scolded after the person is gone, Dean Chen's heart is gloomy.

He is from a clinical background, and he can tell from a glance at the patient's condition that the patient has entered the gate of hell, even more transparent than the death of a sudden cardiac arrest, even though he is still breathing, heart rate, blood pressure, and screaming for pain .

Extensive burns lead to a large amount of exudation, and the fluid cannot be replenished, and the person will die soon.

Miracles are unlikely to occur in similar patients.

"Elder Gu."

Ji Xiang came to Gu Lao's side and bowed slightly.

"Dr. Xiaoji, you are here to participate in the rescue." Mr. Gu shook his head, "It has nothing to do with our urology department, go back."

"I just took a look at the patient from a distance, and I have an idea, let's see if it works." Ji Xiang said in a low voice.

idea?

Elder Gu frowned slightly, Dean Chen's eyes lit up, but seeing a young man speaking, his face darkened immediately.

If it weren't for the presence of people from the city, he really wanted to kick this ignorant kid into the corner.

"This is emergency treatment, not..." Gu Lao half-spoken, winked at Ji Xiang, and then walked out.

Ji Xiang followed Gu Lao, "Gu Lao, the cavernous body is punctured, and the liquid can enter the venous sinus from the cavernous body and then enter the systemic circulation."

Gu Lao's footsteps stopped and he staggered slightly.

This idea...

Gu Lao heard a similar report from another big cow in the circle at an academic conference, but he had never actually operated it.

I didn't expect to hear similar words from a Gui Peisheng.

"Don't talk nonsense!" Professor Zhou scolded.

"Doctor Xiaoji, tell me." Mr. Gu stopped, raised his hand to stop Zhou Tianbo's words, and looked at Ji Xiang intently.

Professor Zhou was taken aback.

What Jixiang was talking about was just a theory, which only exists in theory. He is also an expert in urology, and he has never heard of such a thing.

What's wrong with the boss!Professor Zhou was puzzled.

"Be careful when piercing, especially..." Ji Xiang said the main points that the system NPC taught himself in the system operating room.

"This..." Gu Lao hesitated.

However, the whole process described by Jixiang is quite consistent with the report given by another person in his memory at the society, so you should try it.

"Have you ever done it?" Gu Lao asked.

After asking, Mr. Gu was dumbfounded.

I have been immersed in urology for 40 years and have never done it. How can a small-scale Pearson do it!

I must be dizzy, I must be! !
But Jixiang can't do it, you can try it yourself.

Try?

Gu Lao hesitated.After all, I am old, and I have never done cavernous body puncture, so what should I do if there is a problem.

But this is not the most important thing. I drank alcohol tonight, and Mr. Gu was worried that his hands would slip during the operation.

"Gu Lao, I can try." Ji Xiang said softly.

"Ok?"

"If you know how to do a circumcision, you won't be able to swell?" Professor Zhou's face was quite ugly, "You don't even have the qualifications to practice medicine, so get out of here."

Ji Xiang didn't move, he automatically filtered Professor Zhou's cursing words, but looked directly at Mr. Gu.

Gu Lao and Ji Xiang looked at each other.

Be brave as a doctor!
Gu Lao suddenly remembered what an old doctor said to him when he met a patient who was bitten by a dog when he was young.

A few seconds later, Gu Lao nodded, "Stay calm, you can do half of the circumcision. The puncture is very simple, I will watch it, it will be fine. Try it!"

Professor Zhou was shocked, his face was bruised and purple.

"Dean Chen, I'll take someone to try to see if I can establish a vein." Elder Gu turned around and said to Dean Chen of the Second Affiliated Hospital.

"Mr. Gu, what are you going to do?" Dean Chen had already lost all thoughts, and began to think about how to shirk responsibility and make the leader think that he had done his best.

As for Mr. Gu, a urologist, what can he do!
But out of respect for the seniors, Dean Chen still asked.

"Puncture the cavernous body." Gu Lao just greeted Dean Chen, and then led Ji Xiang into the emergency room.

The patient is exactly the same as the simulator, except that the people around him have changed from the system NPC to Gu Lao.

Ji Xiang concentrated and began to prepare the items for piercing.

"Mr. Gu, Mr. Gu." Dean Chen chased after him, "Did I hear correctly, cavernous body puncture? And this technique?!"

"Behind the cavernous bodies are the venous sinuses, which allow for rehydration."

"!!!"

Everyone in the emergency room was stunned.

In emergency rescue, except for ruptured kidney and ureter, urology is rarely seen.

And through the cavernous body rehydration, do you find a tube to pour the liquid into the urethra? !
This is too serious!

"Ms. Gu, what do you do?" Director Xu of the anesthesiology department asked anxiously, with the sterile cap on his head soaked in sweat.

"Try it, a dead horse is a living horse doctor." Gu Lao said a few words.

Director Xu retreated knowingly, and looked at Mr. Gu very puzzled.

Soon, Ji Xiang finished preparing things, he stood in the position of the surgeon, while Gu Lao stood in the position of the assistant.

When Professor Zhou saw this scene, his heart was a little blocked.

This young man is too arrogant, although it is only a small operation, not a surgery, but he is standing in the position of the surgeon next to his boss!

This undoubtedly made Professor Zhou feel dissatisfied.

"Old Gu." Ji Xiang turned sideways slightly, and politely made a gesture of invitation.

"Rescue." Gu Lao said seriously, "Come here, pay attention to the sense of emptiness when you pierce the albuginea."

Ji Xiang sighed in his heart, he was indeed an old doctor and expert.

It was obvious that Mr. Gu had never done a similar operation, but he could tell the key point of the operation by opening his mouth.

"Old Gu, then I'll start."

After Ji Xiang finished speaking, he began to prepare the skin for the operation.

The patient was diagnosed with extremely severe burns, 35% of the third degree, 50% of the second degree, and burn shock.

In a similar situation, Mr. Gu knew that it was very difficult to live. Apart from the infection, the main reason was that the intravenous access could not be established.

Infusion through the cavernous body, logically no problem, but this way is too wild!
He watched Ji Xiang's operation intently, and if there was anything he was not satisfied with, Mr. Gu was ready to interrupt immediately.

But after only one glance, Gu Lao frowned and narrowed his eyes.

The patient's few remaining intact skins are his hope of survival, which will be relied on for skin grafting in the future.

When preparing the skin, any small damage is a major mistake.

However, Ji Xiang prepared the skin gently and did not demand too much neatness, which seemed to be a fault.But from Gu Lao's point of view, Ji Xiang did just right.

No matter how much the child moves, it may injure the skin; no matter how little it is, the skin is not cleaned, which may cause infection.

Just right, these four words are easy to say, but extremely difficult to do.

Gu Lao thought that he could do it ten years ago, but now, hehe.

Ji Xiang simply cut off the hair residue, disinfected the skin around the operation area, held the operation area with his index finger and thumb, fixed the posterior cavernous body, and took the right side of the cavernous body and the side of the stem without subcutaneous veins.

Gu Lao wanted to help, but Ji Xiang's movements were done in one go, as if he had done countless similar trainings, Gu Lao's eyelids twitched.

This is too arrogant!
The next step is the key point, Mr. Gu didn't have time to sigh, and continued to watch Jixiang's operation.

Ji Xiang didn't even look at it, and twisted the No. 6 syringe needle back.

"Who is that?"

"It seems to be Gu Lao from the Department of Urology."

"No, I said the young man doing the operation."

Behind them, someone started talking.

Although the rescue scene was chaotic, everyone paid attention to this most important patient.

Even the director of the anesthesiology department was defeated, who else would dare to go up!

But when a young man stood in front of the operation area and began to operate, almost all eyes were attracted.

People were surprised and couldn't help murmuring.

"What is he doing? The small veins on it are extremely thin. You can only try to get in with a scalp needle. No. 6 needle, it can't get in."

"I don't know. I just heard from the director that I need to find the Intervention Department to see if it can be done under intervention."

"Can the interventional department work? The infusion port is not set up like this."

"Didn't the leader say it all, you have to live."

"Listen to them! Tsk, if that's the case, send him to stand at the door of the funeral parlor, and everyone can come back from the dead."

"Keep your voice down, Yuan Chen will definitely be scolded, don't hit him with a gun."

Ji Xiang was so engrossed that he didn't listen to what the people around him were talking about. He held the needle of the No. 6 syringe and placed it on the side at a 45° angle.

It's really possible, Mr. Gu did some calculations, but he didn't find anything wrong with Jixiang's operation, so he kept silent all the time.
If there is something wrong, this young man is very proficient, as if he has done at least a hundred examples, and it looks really weird.

"What is he doing? Is he really planning to prick the needle and then get the infusion?"

"That's right, can that thing work? It's not a blood vessel."

"Why didn't a director speak?"

Seeing Ji Xiang holding the No. 6 syringe and trying to pierce it, everyone was stunned.

The classification of the current medical system is very detailed. It can be said that every department is like a mountain.

It's not a blood vessel, and it can be infused with a needle?
People don't believe it.

"Dean Chen, I'm not in the medical field, but I also know that the infusion should be in the blood vessel." The leader of the city looked serious, "Isn't this nonsense! It's used to urinate, it's a place to go out, not a place to go in , you fucking bully me for not understanding!"

Dean Chen also complained endlessly.

"I'll go take a look, leader."

After leaving the crowd, Dean Chen came behind Ji Xiang, and a wave of evil fire suddenly rose in his heart.

Originally, Dean Chen thought that Mr. Gu and the young doctor were looking for small arteries or veins.

No matter how thin it is, as long as the liquid goes in, it's easy to explain.

Can!
Can! !

Can! ! !
The No. 6 needle in Ji Xiang's hand perfectly avoided all blood vessels and went straight in.

What is this rescue?

Could it be that he is really planning to connect a water pipe and pour liquid into it retrograde?
A rookie with no medical knowledge at all!
(End of this chapter)