Doctor of Healing

however……

Ji Xiang moved forward with difficulty, and when he was still a step away, a roar came from the corridor of the urology department.

"What's wrong with me asking for leave! Employees can't have their holidays? You're cheating."

"Reason? Didn't I tell you, to attend the funeral. Can't understand people's language?"

"Whose? Don't care! If you don't agree, it's yours!"

It should be the nurse on the night shift... How fierce, Dududu silenced the person on the other end of the phone like a machine gun.

"Doctor, my stomach hurts."

Ji Xiang walked into the urology ward with difficulty. If there were no bigger things, Ji Xiang would not want to provoke such a violent nurse.

A 30-year-old nurse was angrily holding her mobile phone. Her hands were clenched so hard that she could vaguely hear the creaking sound from far away.

Seeing a prawn walk in, the nurse seemed like a master at changing faces, the anger all over her body disappeared in an instant, and her voice became infinitely gentler.

"what happened to you?"

"..." Ji Xiang froze for a moment.

He is still a rookie in the clinic, and whenever he sees nurses treating patients gently, he feels that he should.

But the person I met today was ready to die with someone one second, and it was really not easy to smile at him the next second.

"I have a stomachache. Is the second-line professor here? Is the hospital always there?" Ji Xiang asked.

"Stone?" The nurse looked at Ji Xiang carefully, "Are you a medical student?"

"Well, I'm a student, and I think it's testicular torsion." Ji Xiang immediately stated the diagnosis.

The performance of the nurse is the same as that of the emergency doctor. It seems that the four words testicular torsion have magic power, like a needle, sticking on the doctor and nurse, driving them to run.

"Old Zhu, Lao Zhu, come out quickly!"

The nurse regained her aggressiveness, standing in the corridor and yelling loudly.

There was a reply on the other side, and the nurse brought Ji Xiang to the treatment room after hearing it.

She helped Ji Xiang lie on the bed, "Take off your pants."

Looking at the nurse, Ji Xiang was a little embarrassed.

When he saw a similar situation before, he also found it inconceivable. What time is it? How could he still feel embarrassed?

But when it happened to me, it was so smooth.

Fear of testicular torsion, necrosis, and resection did not affect shyness and embarrassment.

"Gentlemen, I'm not afraid to look at it, but you're even shy." The nurse said contemptuously, "Hurry up, who cares to look at it. It's been a few hours, and it will have to be cut off later, so you can cry."

"It took more than two hours, but the symptoms were not typical. I went to the emergency department to diagnose acute appendicitis." Ji Xiang said in a straightforward manner.

"What? Appendicitis?" A middle-aged man ran in panting.

After only a few steps, he began to breathe heavily, wearing slippers on one foot and bare on the other.

"Teacher, I think it's a testicular torsion." Ji Xiang tried his best to build up the character of Gui Peisheng, he was afraid that the doctor would throw him out.

"Left and right?" asked the doctor who came in.

"right……"

"The spermatic cord on the right side is relatively short, and it rarely appears on the right side." The doctor frowned and began to check the body.

A few minutes later, he looked at Ji Xiang suspiciously.

"Young man, how can you be sure that the testis is torsion?"

"Professor Zhu, I've had it before!" Ji Xiangfu said a rare lie to his heart.

The second-line professor frowned and looked at Ji Xiang. After a few minutes, he said, "Go for a B-ultrasound. I will take it with you. If there is any problem, just reset the technique."

Ji Xiang let out a long breath.

Professor Zhu turned around to make a phone call, and the nurse reassured, "You are lucky, the person who does this B-ultrasound must be of a high level."

"I know, teacher." Ji Xiangke spoke politely to the nurse.

"The mouth is quite sweet." The nurse smiled. "It's only been two hours. It's not a big problem. Don't worry too much."

Soon, Professor Zhu and the chief resident helped Ji Xiang to the wheelchair and pushed him for examination.

"It's a pity that I wasted time, otherwise I could try 99m technetium scanning." Professor Zhu said.

"What is a 99m technetium scan?" Ji Xiang asked.

"It's all reversed and still curious." Professor Zhu scolded.

Ji Xiang shut his mouth, remembered the term 99m technetium scan, and asked when he was about to return to the system space.

When he came to the B-ultrasound room, Professor Zhu gave Ji Xiang a B-ultrasound.

Soon, it was determined that there was indeed a problem with the blood supply on the right side!

Professor Zhu tentatively rotated about 30° counterclockwise and asked, "Do you feel relaxed?"

Small movements, but like magic, the results are immediate!

Jixiang immediately felt his lower right abdomen loosen, and the pain was relieved immediately.

I go!

The effect is so good! ! !

Ji Xiang was surprised.

Professor Zhu knew it would work just by looking at Jixiang's expression, but he smiled and said after getting a definite answer, "Come on, let's do an experiment."

Ji Xiang knew about the straight leg raising test.

It is generally used in the examination of patients with sciatica and lumbar disc herniation.

The positive rate can reach more than 90%, which can reflect the severity of sciatica, lumbar disc herniation and nerve root compression in a certain sense.

But testicular torsion also uses this check.

feminine!

Ji Xiang let out a sigh of relief.

Light and shadow flickered, empathy ended, and Ji Xiang returned to the operating room of the system.

"You don't blush when you tell a lie?" the system NPC asked jokingly.

Chapter 102 I Can't Help You

Ji Xiang smiled and moved a little bit, without any complaints of discomfort, so he was relieved.

"Teacher, the situation was critical just now, and the matter was urgent. If the procedure is followed normally, if I think I have appendicitis, I will have to be stabbed." Ji Xiang said frankly.

The system NPC was noncommittal, changed the subject and asked, "Tell me, what experience do you have?"

Ji Xiang thought for a while, "Teacher, do you have to experience accidental situations every time you feel empathy?"

"mostly."

"Tursion of the testis on the right side is relatively rare, and it also manifests as clinical symptoms of appendicitis. It is estimated that there will be no case in a lifetime." Ji Xiang complained.

"I've seen two cases, and neither was misdiagnosed." The system NPC said.

"!!!"

Ji Xiang froze for a moment.

"Teacher, how did you do it?"

"intuition."

Ji Xiang never dreamed that the extremely professional system NPC would give such an answer.

Seeing a doctor by intuition?Do you want to count?

"If you see a lot of patients, you will naturally develop a natural intuition. This is the accumulation of experience, and it is also a lucky outbreak." The system NPC said very flatly.

"Teacher, look at what you said."

"That's the truth." The system NPC said, "You'll understand when you go to the clinical duty. Some people are lucky and sleep until dawn. Some people are trembling. Every night shift has a bunch of emergency patients."

"This has nothing to do with the diagnosis." Ji Xiang felt that the words of the system NPC were a bit off.

"I used to have a little doctor under me, and his class was very busy." The system NPC smiled, "And all kinds of rare cases came in his class. Let me ask you, which emergency department in thoracic surgery is the rarest and deadliest?"

"..." Ji Xiang was at a loss and shook his head.

"Rib fracture complicated with aortic dissection." The system NPC explained, "The pain of aortic dissection tear is covered by the pain of rib fracture, and it is only a rib fracture, so 64-slice CT will not be performed routinely."

"So some patients died suddenly and inexplicably."

The hair on Ji Xiang's back stood up all of a sudden.

The rib fracture combined with aortic dissection mentioned by the system NPC is not well understood by him, but the torsion of the testicular testis just experienced is manifested as the symptoms of acute appendicitis, which he has just experienced.

That's why I knew the purpose of the system, so I managed to avoid it in the end.If it is an ordinary person, it is estimated that necrosis will be removed.

In many cases, it is true that life is fate, and it is not in the slightest.

Doctors are also part of fate, and the system NPC makes sense.

"Teacher, what happened to that little doctor under your command?"

"In 8 years, a total of 6 patients with rib fracture and aortic dissection were treated. Once he picked up the patient, the chief resident and the second-line professor on duty denied the diagnosis. He was restless and called me at 2 o'clock in the middle of the night. .”

"He only said one sentence, boss, all the inspections are fine, but I always feel something is wrong."

"!!!"

Ji Xiang was shocked by this reason, how can a doctor be like this?

Just kidding.

"The patient had a normal CT scan, and the image was fine in my opinion. But I knew him well, and I pushed the patient together in the middle of the night to do a bunch of examinations, and it was determined to be aortic dissection, which was a big case in the emergency department." (Note)

"Amazing." Ji Xiang murmured in praise.

"Do you know why I agree with you to add freedom attribute points to luck?"

It turns out that there is such a saying, Ji Xiang is awe-inspiring.

Not all diseases can be solved by surgery up to LV9. There is always a limit to manpower under the limitation of technological level.

"People, there will always be some inexplicable sudden death." The system NPC continued, "I went to eat once, and I have a quirk. I like to sit in the lobby when I go out to eat. There are too many people and it is lively."

"Teacher, you like the fireworks in the world." Ji Xiang smiled.

The NPC of the system waved his hand. He didn't seem to be able to listen to this kind of literary description.

"At that time, someone choked on food and had difficulty breathing. What if it were you?"

"Heimlich First Aid."

"Well, that's what I did at the time." The system NPC said, "In the end, it failed."

"!!!" Ji Xiang was puzzled. The first aid level of the system NPC must be quite high. He even suspected that the system NPC could directly cut the patient's throat with a knife to ensure the most basic breathing after Heimlich's first aid failed.

How could it fail!

"The freshly cut live octopus that the patient ate was the kind where the legs of a plate of octopus that had just been cut were still moving. Because the suction cups on the legs firmly sucked the throat and airway, causing suffocation."

"I first used Heimlich first aid, but it didn't work. Then I did a cricothyroidotomy right away, and it still didn't work after opening it. The octopus leg was actually in the airway..."

The system NPC has some regrets.

Ji Xiang is awe-inspiring.

With the level and ability of the system NPC, he was helpless against a foreign body in the airway.

"So, as a doctor, you need to know that the ceiling of your level and ability is limited by basic disciplines." The system NPC looked at Ji Xiang and said seriously, "Misdiagnosis and mistreatment are inevitable, and the probability can only be reduced."

"Teacher, I understand." Ji Xiang nodded obediently.

"Okay, let's learn how to reset testicular torsion."

"Testicular torsion is often caused by a lack of normal anchorage around the part of the spermatic cord inside the penis, resulting in an abnormally mobile testicle."