Doctor of Healing

Chapter 64
"Teacher, I..." Ji Xiang rarely interrupted the system NPC.

"how?"

The thin and withered body of the system NPC looks a bit tall, which makes Ji Xiang confused for a while.

"Let's talk." The system NPC gently comforted Ji Xiang.

"Teacher, what do you think is the similar situation after laser lithotripsy?" Ji Xiang asked.

"Not many, it can even be said to be very rare." The system NPC said, "Because the patients are basically fine after the operation, once something happens, it will be a big deal."

Ji Xiang was silent.

"For example, 99.99% of patients in the internal and external hemorrhoid surgery in the anorectal department are fine. But once the ligature is loosened, the patient starts to bleed in the middle of the night and has no feeling during sleep. Once he feels it, it is too late."

Ji Xiang nodded, admitting that the system NPC was right.

I have just experienced all this, and the feeling of loneliness and helplessness is too bad.

Although the pain is not particularly obvious, it cannot be compared with the previous experience.

Can……

Ji Xiang would rather have another urinary calculus than lie quietly on the bed and wait to die.

"That's roughly what it means, I believe you can understand it. And as the clinical experience becomes more and more abundant, the understanding of this will change." The system NPC said.

Jixiang felt that the eyes of the system NPC became deeper and deeper.

"Teacher, I'm sorry to interrupt your lecture just now." Ji Xiang bowed slightly, "You continue."

"The most common cause of renal rupture is hydronephrosis, especially hydronephrosis caused by ureteral obstruction caused by stones. In this case, due to fibrosis and adhesion around the renal pelvis, surgical stimulation leads to spontaneous rupture and bleeding of the kidney after surgery. The possibilities skyrocket."

"Under normal conditions, when the pressure in the renal pelvis rises, urine will spontaneously leak out through the calyceal vault, and lymphatic reflux of the renal tubules, renal sinuses, and renal pelvis will occur. This is a protective response that reduces the renal pelvis. internal pressure to avoid serious consequences.”

"However, after ureteral obstruction causes hydronephrosis, the pressure above the obstruction continues to increase, and urine leaks into the perirenal area, leading to fibrosis and adhesions around the renal pelvis. When the ureteral obstruction is suddenly relieved, the hypertonic state disappears, and the kidneys and The surrounding tissue retracts, causing the kidney to rupture."

"Teacher, many patients with kidney stones are accompanied by hydronephrosis." Ji Xiang asked.

"The probability has been increased, but we can't say everything." The system NPC said.

In the system space, the system NPC began to explain to Ji Xiang the principles of disease occurrence, how to judge, and how to prevent and treat it.

Unknowingly, after a long time, Ji Xiang's brain became a little hot. The CPU is running at high speed, which consumes a lot of mental energy.

Although it was just a "minor problem", the NPC of the system quoted widely and continued to expand, telling 16 cases to Ji Xiang.

There was even some talk about what the doctor thought was a "minor surgery" and they didn't pay attention to it after the surgery. The system NPC talked about it for at least two hours.

And Ji Xiang listened very seriously because of his previous empathy, as if he was lying on the hospital bed now, as long as he can learn, he can't die.

"Mental power is gone." The system NPC sighed and shook his head slightly.

Ji Xiang also felt strange.

My mental strength will not be exhausted after a day of surgery, and the consumption is extremely limited. How can I consume it so quickly after listening to the three views instilled by the system NPC.

"Teacher, then I'll go back first." Ji Xiang bowed. Although he couldn't stand the chicken soup and three views instilled by the system NPC, he was still polite.

"Go."

……

……

Ji Xiang came back to his senses and frowned slightly.

The patient with a ruptured kidney must be the one Director Liu knew.

Lumbar pain, it is estimated that it is still in the early stage, if you hurry up, the patient should be fine.

After Ji Xiang figured it out, he felt a little sad again.

Director Liu firmly does not think that there is a problem with the patient, and he can recognize it from seeing the patient and chatting with him.

Do you want to use that second skill?
When Ji Xiang thought of the skill of the superior doctor's gaze, he had a splitting headache.

The skills are really easy to use, and the blood is suppressed. Whether it is Zhou Tianbo, Professor Zhou or Boss Wu, they all put on the appearance of a low-level doctor, very well-behaved.

But Ji Xiang was inexplicably embarrassed.

If the name is not correct, the words will not go well. I am still a training doctor, and I haven't even got a practicing certificate, but I have to point fingers in the clinic...

It's like a bronze command king how to play the game.

Although the great god is wearing a bronze vest, after all, there are great hidden dangers in the middle.

Ji Xiang thought for a while, but there was still no solution, so he had to put the solution aside.

The first step is to determine that the patient has ruptured kidney, that is, to make a clear diagnosis.

Ji Xiang straightened his mind and decided to see the patient first.

Whether the task is completed or not is second to none. Ji Xiang experienced the feeling of lying in bed waiting to die in the dead of night, with only one thought in his mind-diagnosis and treatment.

Even, Jixiang just wants to care about the lonely patients.

When he came to the door of the ward, Ji Xiang raised his hand and knocked on the door, then pushed the door open and entered.

The family members of the patient were sitting on the sofa and talking, when they saw Ji Xiang coming in, they stood up and greeted Ji Xiang.

"How do you feel now?" Ji Xiang asked with a smile.

"It's still the same, Director Liu said, it's a normal reaction after surgery." The patient's family members were not nervous, and they didn't pay much attention to this young doctor.

Being young is one of the biggest disadvantages of doctors.

Ji Xiang didn't know what he was going to do. He stood beside the patient's bed, and the patient's symptoms were not typical.If you want to prove yourself, you need to give the patient an examination.

"Does it hurt very much?" Ji Xiang hesitated for a moment, then said cautiously, "Why don't we do an auxiliary examination."

"No need." The patient's family members were emotionally stable, and looked at Ji Xiang with a smile, "Thank you, little doctor."

Ji Xiang took out the ballpoint pen and scanned around, but did not see any A4 paper.

He felt a little regretful, and originally wanted to tell the patient's family members about the "knowledge points" mentioned by the system NPC in the system.

But Ji Xiang was disappointed. He pressed the ballpoint pen subconsciously, making a clicking sound.

"Did you just come here?" the patient's family asked.

"Well, I'm Doctor Guipei." Ji Xiang replied honestly.

The patient has no symptoms of hemorrhagic shock yet, but Ji Xiang knows that in a few hours, the patient is likely to have problems.

"Little doctor, you need to listen to our director more and learn more." The patient's family member said calmly.

"Your TV is pregnant?" The patient lay on the bed and looked at Ji Xiang in surprise.

"..." Ji Xiang was dumbfounded.

TV pregnant?What is this all about?Where did the patient's brain circuit come from!
Could it be that the blood pressure has dropped and the blood supply to the brain is insufficient? !

When Ji Xiang thought of this, his heart tightened suddenly, and he turned and ran to the nurse's station to get a mercury sphygmomanometer.

When he ran back, he saw the patient and his family talking and laughing.

Although the patient is still uncomfortable, it seems that there is no major problem.

"I'll take your blood pressure." Ji Xiang said.

"Little doctor, what do you mean your TV is pregnant?" The patient's family members were also a little puzzled and asked Ji Xiang.

"I did not say."

Jixiang tied the cuff on the patient, found a place to insert the stethoscope, and began to measure blood pressure.

The patient's blood pressure is normal, 128/74Mmmhg.

How is this going?Ji Xiang was puzzled.

"Just now you pressed the ballpoint pen, the rhythm is very clear, and you can read it with Morse code." The patient tried to force a smile at Ji Xiang, "I thought you told me that your TV was pregnant."

"..." Ji Xiang scratched his head.

I was a little anxious, and I accidentally pressed the ballpoint pen, and I made an oolong.

"I feel better." The patient said, "Before, my waist was swollen and it was very uncomfortable. Now I feel much more relaxed. Don't worry, little doctor."

Ruined!
Jixiang could vaguely sense that the patient's condition had progressed.

He left the ward sadly holding the blood pressure monitor.

Director Liu just walked out of the director's office. He saw Ji Xiang holding the sphygmomanometer and smiled appreciatively.

He even nodded at Jixiang to show his approval.

"Director Liu." Ji Xiang was a little anxious.

"what happened?"

Director Liu took the key and locked the door, ready to go home from get off work.

"I read in a book that for patients with hydronephrosis, laser lithotripsy and stone extraction under ureteroscopy may lead to kidney rupture."

"Oh, that's written in a book. It's better to have no books than to believe in books. You can see it in the clinic." Director Liu didn't feel that Ji Xiang was challenging his own diagnosis and operation, and said kindly, "The probability is too high." Low, there is no need to care."

"But what if it happens?" Ji Xiang asked.

"When you see a trick, you are afraid of the east and the west. We can't do clinical work." Director Liu laughed, "It's like the cavernous body puncture that you and Mr. Gu did. I checked the information in the past two days. There are also many complications."

Ji Xiang knew that Director Liu had misunderstood what he meant, and wanted to make it clear, and at this moment he had the idea of ​​using skills.

But Director Liu seemed to have something to do, so he hurriedly turned and left, leaving Ji Xiang behind.

This……

"Let's check the ring room and see the patients. On duty, we must know what we know."

A familiar voice came.

It's Mr. Wu!
Accurate skill throwing is not as accurate as skill receiving. Mr. Wu is really good at receiving skills!

They are all old acquaintances. It is estimated that Mr. Wu is used to the gaze of the superior doctor. Ji Xiang found a reason for himself.

Even if you are not used to it, you will get used to it after being watched!
Yes, it is him!
Ji Xiang didn't come up and used his skills against Mr. Wu, but followed Mr. Wu obediently, and followed Mr. Wu to make rounds with Lu Kai and Liu Yunqing.

"All patients must know what they are doing. Their minds are in a daze and they can't tell the key points at all. This is a big taboo in clinical practice." Mr. Wu dared not look at Ji Xiang. explained.

In every room, Lu Kai opened the door like a dog licking the dog, letting Mr. Wu in first.

When he came to the high room, Mr. Wu saw the postoperative patients and found nothing unusual, so he turned to leave.

The moment he turned around, a familiar feeling enveloped his whole body.

Again!

Mr. Wu almost didn't cry.

This feeling is so familiar, this damn familiar feeling, why on earth!
(End of this chapter)