Doctor of Healing

Chapter 62 Kidney Rupture Imminent

[Urgent task: Even a minor illness can kill you.

Task content: Rescue a patient with a ruptured kidney.

Task time: 24 hours.

Task reward: 5000 experience points, 20 surgery points. 】

The task rewards are ordinary, and there is nothing Ji Xiang wants.

His eyes fell on the words ruptured kidney, as the name suggests, it should be an emergency.

Although the Department of Urology claims that there is no emergency department, patients with urinary stones will receive symptomatic treatment in the emergency department.

However, there are also traumas such as kidney rupture, and rarer cases such as GW torsion and necrosis.

Since it was a ruptured kidney, it should have been a car accident. Ji Xiang judged immediately.

The location of the kidney is safer than the spleen, surrounded by layers of fat pads.Therefore, rupture of the spleen is more common than rupture of the kidney, and the probability of occurrence is at least 10 times that of rupture of the kidney.

Director Liu went downstairs on his own, and Ji Xiang followed behind him.

Originally, when Ji Xiang returned to the ward, he had to learn how to write medical records with Colonel Wang and Mo Chenggui, but the system task told Ji Xiang from the side that if he followed Director Liu, he might encounter the emergency patient mentioned in the task.

When he came straight to the ward, Director Liu pushed the door open without knocking.

"Brother Liu, you are here." A middle-aged man said anxiously when he saw Director Liu coming in.

"What's the rush?" Director Liu didn't care, and took a leisurely glance at the patient, knowing what to expect.

The patient was lying on the hospital bed, and there was a toilet next to the bed, and there was bright red liquid in the toilet.

Director Liu has seen similar situations a lot, and he is no stranger to them.

"Brother Liu, haven't all the stones been taken out? Why are you still peeing blood?" the middle-aged man said worriedly.

"Don't worry." Director Liu knew at a glance that he was very familiar with the patient's family, and he was not polite. After entering the high room, he sat down on the sofa, "Didn't I tell you before the operation that some patients will urinate blood 2- 3 days."

The middle-aged man nodded, but still worried when his eyes fell on the bedpan with bright red urine.

"How do you feel now?" Director Liu asked.

The middle-aged man let out an "ah".

"I didn't ask you, I asked my younger brother."

"Brother Liu, my waist is swollen." The patient replied honestly while lying on the bed.

Ji Xiang observed carefully, and found that the patient's breath was not weak when speaking, probably because he was frightened by seeing hematuria.

"When the ureteroscope is inserted into your kidney, there will be edema to some extent. Moreover, laser lithotripsy will cause a little damage to the kidney. It is a normal reaction to feel swollen and uncomfortable after the operation." Director Liu simply reassured.

"Brother Liu, are you all right?"

"Of course." Director Liu said, "Look at the patient next door. The incision made last night to remove stones can now go to the ground."

"Your hospital fees are so expensive, my brother doesn't dare to go to the farm easily." The middle-aged man felt a little bit depressed when he saw Director Liu's relaxed look. He also relaxed and joked.

"Live in a hospital and lose everything. If we die, now we brothers can't even afford a cemetery."

"..."

Ji Xiang was speechless.

Although the clinical experience is not rich, even so Jixiang knows that the word "death" is taboo for patients and their families.

Even the dead characters on the Internet are often replaced by the word "mouth".

I really don't know whether future generations will be misled when they study Chinese in a few years.

The one in front of him, when he was joking, he didn't have a clue in his mouth, he just opened his mouth to talk about the dead or the cemetery.

Director Liu laughed, "Don't buy a cemetery, a piece of land the size of your palm is more expensive than any mansion, isn't it a scam."

"There are a lot of houses sold in the neighborhood of Badaokou in our provincial capital, and none of them are inhabited. There is an urn in it, electronic incense, and electronic chanting scriptures." The middle-aged man chuckled and started talking nonsense.

"That's right, it's so unreliable." Director Liu curled his lips.

After a day of surgery, his lower limbs were swollen, no more relaxed than the patient.

Sitting on the sofa and stretching his legs, Director Liu beat his legs with his fist and said, "Let's not talk about using a loudspeaker to recite scriptures in a loop, and there are prayer wheels and so on. Just burning incense is not normal."

"Burning incense, that is to open the information transmission channel between the three-dimensional space and the high-dimensional space through the distributed condensed matter reaction!"

"..."

"..."

Ji Xiang sighed inwardly.

I don't know whether Director Liu is driving fast or not, but his nonsense thinking is really divergent.

"Hahaha, I've heard people say that this kind of electronic sound chanting is not right." The middle-aged man and Director Liu obviously have a very good relationship, and he said with a smile when he chatted, "If you turn around, you will get a circle of merit. I am going to engrave the scriptures on the memory of the mining machine, and when I turn it on, it will buzz and turn, and it will last 1 years for others a day."

"..."

Ji Xiang looked helplessly at the patient.

The patient was lying on the bed, and seemed to be fine, listening to his brother and Director Liu talking about the mountains and the dragon gate with great interest.

Seeing that nothing was wrong, Ji Xiang was thinking about the patient whose kidney rupture was about to happen, and absent-mindedly listened to the nonsense between Director Liu and the patient's family.

"It's outdated to buy a house for urns." Director Liu thumped his legs, "I heard a while ago that people have started renting safes from banks."

"Ah? Safe?" The middle-aged man was taken aback.

"The cheapest safe deposit box in the Agricultural Bank of China with a size of 50.5cmx105cmx6cm costs 127 yuan a year."

Director Liu said proudly.

The middle-aged man was a little dazed.

"Divide it into a small grid of 5x5x6, and the annual rent is only 127, which can accommodate a dozen people in the whole family, and it is neat, fireproof and anti-theft, professional security, national reputation, go there once a year, and pull it out of the safe Let's pay respects, let's be extravagant."

"..."

"..."

"..."

Except Director Liu, the three people in the room including Ji Xiang and the patient were all stunned.

It is also stained with extravagance, the luxury of woolen yarn.

"The most amazing thing is that when you drink in the future, you can tell people that the president of a certain bank visits your father's grave every day."

"!!!"

Ji Xiang scratched his head.

This way of thinking is also a little too unrestrained.

Director Liu slowed down a bit, supported his waist, and slowly stood up from the sofa with an "um".

Older men are like this, middle-aged men understand.

Director Liu just went for a physical examination. The patient had no special positive signs. Director Liu believed that the discomfort in the kidney area was a normal postoperative reaction, which was mainly caused by the patient and his family members scaring themselves after seeing the hematuria.

After leaving the ward, Ji Xiang didn't go to the director's office with Director Liu. He ran to the nurse's station to inquire about the situation. There was no patient with kidney rupture or suspected kidney rupture.

No wonder it takes a day, probably because the patient hasn't come yet, Ji Xiang thought to himself.

When he asked Colonel Wang for advice on medical records, Ji Xiang found helplessly that Colonel Wang's level of writing medical records was at least 3 grades weaker than his own.

If he was a member of the medical record room, there would be no problem at all with Colonel Wang's medical records directly classified as Class B medical records.

This group of surgeons really don't write medical records... Jixiang had a good experience in internal medicine during his internship, and he has a high level of comprehension, so his level is not low.

But Colonel Wang didn't care, and he wasn't ashamed. It seemed that he thought in his heart that as long as the operation was done well and the patient communicated well, the medical records were not important.

There was still some time before get off work, and Ji Xiang quietly waited for the emergency patients to come.

This feeling is quite bad, knowing that there will be problems, but I can't stop it.

More than an hour later, the patient with a ruptured kidney still did not come.Ji Xiang found a secluded place, held his breath and entered the system space.

In fact, it didn't take long for Jixiang to enter the meditation state, but he still found a quiet place subconsciously.

"Here we come." The system NPC greeted.

"Teacher, I'm waiting for a patient with a ruptured kidney." Ji Xiang walked over and bowed, "What can I do for emergency treatment and surgery for a ruptured kidney?"

The system NPC looked Ji Xiang up and down, shaking his head slightly.

Ji Xiang was a little strange.

"It's not trauma, you should have seen a patient with a ruptured kidney just now." The system NPC said slowly.

"What?!" Ji Xiang was taken aback.

I just walked around the ward by myself, and there were no critically ill patients.

"Tell me about the complication of gravel." The system NPC asked.

Ji Xiang immediately talked about the possible complications of stone crushing, and stopped when he talked about kidney rupture.

In fact, the current Jixiang is just following the scriptures, and has no idea when and what complications will arise.

And he doesn't know how likely each complication is.

"Try it?" The system NPC knew that Ji Xiang had realized what he had forgotten, and asked with a smile.

"Okay!" Ji Xiang said without hesitation.

The NPC of the system looked at Ji Xiang very gently, with some approval.

Coming to the next room, Ji Xiang entered the empathetic scene.

"Here, this is your stone."

The light of the shadowless lamp has long been ignored by the surgeons. What they care about is the angle of the light and whether there will be shadow projection.

Ji Xiang was lying on the operating table, feeling the glare of the light and a little cold.

A hand wearing a sterile glove was stretched out and placed beside it. There was a small odd-shaped calculus less than 1 cm on the glove.

I don't know if this stone can be used as a medicine introduction, but a thought suddenly appeared in Ji Xiang's mind.

"Look, how many spikes have grown." The surgeon laughed. "This is less than 1/3 of the stones, and there is no way to pass them out on their own. There are 3 narrow places in the ureter, and it can't get through even one."

"Thank you." Ji Xiang said politely while lying on the operating table.

Because of continuous epidural anesthesia, Jixiang did not feel any pain.

And the stones have been taken out... No!Jixiang immediately thought that what the system NPC made him feel was the kidney rupture after laser lithotripsy!
"It's okay. There may be hematuria for 1-2 days after taking it out. Don't be afraid." The operator only gave Ji Xiang a look, then took the stone back and continued the operation. "It will be discharged in about 3 days."

"Did you use a laser to break up the stone?" Ji Xiang asked anxiously.

"Of course, but don't worry, it's different from the laser you think, it can't penetrate it." The operator smiled, "It is already very powerful if it can break the stone, and it will definitely not damage the kidney. I am sure."

Are you sure?

Jixiang doesn't think so.

Otherwise, why would the system NPC let himself feel the kidney rupture.

(End of this chapter)