Doctor of Healing

"The general probability of occurrence is 1/4000. The inducement can be trauma, sports, but more spontaneous spermatic cord torsion, which mostly occurs when waking up from sleep. The reason is that the sudden contraction of the cremaster muscle causes the spermatic cord to twist Circle."

"Teacher, are young people healthy?" Ji Xiang suddenly asked.

"There is a possibility of this." System NPC said, "Testicular torsion is more common on the left side, which may be related to the longer spermatic cord on the left side. In the diagnosis, the typical acute testicular torsion is manifested as acute penile pain, but there are also patients with pain. Not obvious, or gradual."

"There are several conditions that are more difficult to diagnose, and one of them is the patient you experience similar to appendicitis, and the other is the intermittent pain patient."

The system NPC explained in detail, and Jixiang listened carefully.

He has a good memory and almost never forgets it. In addition, he has learned this knowledge before, but it is not as detailed as the system NPC.

Moreover, after Jixiang's personal experience, he has some nuanced experiences. Whenever the system NPC talks about a place, Jixiang and his own personal experience will refer to each other, and ask questions if there is something he doesn't understand.

Diagnostic and operational levels are constantly growing.

Jixiang understands that the meaning of empathy is to allow oneself to experience the pain of patients, and more importantly, to let oneself know the pathogenesis of a disease well.

Although it was only a possibility, after experiencing it once, I entered a brand new world.

……

……

Note: I was that unlucky little doctor. I was restless that night. All the checks were fine, but I just felt something was wrong.In the middle of the night, the director was called and the problem was solved.

It still feels weird to think about it now.

Chapter 103 Continuous Missions

"Here!" Mr. Wu beckoned. He was facing Ji Xiang, but he was defeated by the damn familiarity the moment he spoke, and turned to greet Lu Kai, "Take the patient to the B-ultrasound room, do a B-ultrasound, and then Reset."

Ji Xiang followed up to help.

"Mr. Wu, I don't see any problem." Lu Kai was puzzled.

"Appendicitis is fatal, but testicular torsion is fatal. No matter whether it is true or not, we must first check it!" Mr. Wu said in the spirit of killing mistakes rather than letting them go.

The patient's family members were puzzled and mumbled a few words in a low voice, feeling a little unhappy.

Mr. Wu didn't care too much. We have seen many similar situations.If the testis is really torsion and the necrosis is removed, these people will be the most troublesome.

"Mr. Wu, is this okay?"

When pushing the patient for the examination, Lu Kai asked in a low voice.

"I heard from my boss that when there was no CT in China many years ago, guess how to diagnose cerebral hemorrhage and cerebral infarction?"

"Uh……"

This question was so difficult that Lu Kai couldn't answer it at all.

"If a hole is made in the skull, bleeding is a cerebral hemorrhage, and if there is no bleeding, it is a cerebral infarction."

"..." Lu Kai was dumbfounded.

"Now you can make a diagnosis with a CT that costs 120-220 yuan." Mr. Wu said with a smile, "Actually, we can diagnose testicular torsion and just reset it, but there is still time, and B-ultrasound is also a standard diagnosis and treatment process. what?"

"But I think the patient's family members seem to have an opinion." Lu Kai lowered his voice very low, whispering in his ear.

Mr. Wu stayed away a little bit, if he changed to a beautiful woman, he might accept it.As for Lu Kai, no matter how familiar he is.

"It's not that the family members of the patient don't understand, nor do they dislike using the equipment, but they dislike making them spend money." Mr. Wu said with a smile, "Understand, everyone understands."

"That's understandable!" Lu Kai said helplessly.

"Of course, don't you want to think about discounts when you're shopping? It's human nature, so there's nothing to worry about." Mr. Wu took it easy and said casually.

When I came to the B-ultrasound room, the doctor on duty today was not very proficient in B-ultrasound scanning blood flow, so Mr. Wu simply operated it himself.

"Really!" Mr. Wu pressed the B-ultrasound probe on the operation area and said in surprise when he saw the change in blood flow, which was basically in line with the characteristics of testicular torsion.

"Mr. Wu, you are amazing!" Lu Kai half-truthfully praised.

"Mr. Wu, you use the B-ultrasound probe to scan the blood vessels, and I will reset it?" Ji Xiang said suddenly.

Under normal circumstances, it is safest to reset while monitoring with B-ultrasound.But……

As soon as Mr. Wu hesitated, that damn familiar feeling lingered in his heart again.

He glanced at Ji Xiang suspiciously. Although he said that resetting is a trivial matter, once it is reversed and causes greater damage to the patient, it will be fucked.

"I have read the book of Mr. Chen Zhaodian from Zhejiang University. The direction of testicular torsion is from the outside to the midline. Therefore, when the right testis is reset, the affected testis should be rotated counterclockwise, and the left one should be rotated clockwise." Ji Xiang was in Mr. Wu's ear whispered.

The operation is indeed like this, and Ji Xiang mentioned Chen Zhaodian, the expert in urology, it seems that he really understands it.

But Mr. Wu was still a little worried.

But after thinking about it, Ji Xiang "taught" himself the tertiary surgery such as laser lithotripsy, so Mr. Wu felt calm.

"Come on, I'll do a B-ultrasound." Mr. Wu said, and then added, "Slow down, don't tell me to stop at any time, don't be too fast or too hard! Be gentle, remember to be gentle."

Ji Xiang understood Mr. Wu's meaning, so he nodded.

At the moment of reset, Jixiang felt the patient's whole body relax.It turned out that the muscles that were tense due to pain were relaxed, and the whole person felt much more comfortable.

"The blood flow has recovered!" Mr. Wu said happily.

"Do you feel comfortable?" Ji Xiang asked.

"I feel relieved all of a sudden, the doctor is amazing." The patient replied.

"The testicular testis on the affected side decreased, and the tenderness was relieved." Ji Xiang reported to Mr. Wu after the physical examination, and then began to perform the leg raising test on the patient.

Mr. Wu was not surprised. Isn't it normal for a doctor who can reset accurately to do a leg raising test after reset.

Resetting a testicular torsion in the emergency department, who is still a patient who is super easy to misdiagnose, Mr. Wu is in a good mood.If it weren't for the need to be serious in front of the patient's family, he barely blew the whistle.

The patient's leg raising test was negative, and Ji Xiang was relieved.

"Ding dong~"

The sound of system task completion sounds.

[Emergency Mission: Emergency!emergency! !Phase one completed.

Congratulations, you have corrected this testis torsion and successfully reset it, and you have gained 1000 experience points. 】

What?The first stage?

These four words were not there before, and Ji Xiang looked at the system task with some doubts.

[Emergency Mission: Emergency!emergency! !second stage

Task content: Correctly treat an emergency patient.

Task time: 12 hours.

Task reward: 3000 experience points, 3 surgery points. 】

Immediately, the second task appeared.

This time it marks the second stage.

When Jixiang saw the task, he felt that the system had been broken by himself, and the system that used to be used for rewards began to be abnormal.

"Send the patient back to the stomach and intestines." Mr. Wu left the B-ultrasound room, in a happy mood, and waved to arrange for Lu Kai to send the patient.

According to Lu Kai's words, he pushed the wheelchair and took the patient's family members back to the stomach and intestines.

Mr. Wu and Ji Xiang went back to the ward.

"Doctor Xiaoji, do you know why the patient was sent back?" Mr. Wu asked with a smile.

"We don't need to write medical records." Ji Xiang replied.

These are some small clinical methods. After the problem is solved, the work that should not be done is not done. Who asked the emergency department to send the patient to the gastrointestinal tract.

If you want to complain, go to the doctor in the emergency department. It has nothing to do with Mr. Wu of the Urology Department.

Wu always thought so.

"Dr. Xiaoji, your surgical talent is really high." Mr. Wu said with emotion as he walked, "Which department are you interested in?"

"Mr. Wu has a recommendation?" Ji Xiang asked.

"Golden Eye Department, Silver Surgery Department, Dirty and Tired Obstetrics and Gynecology Department, Noisy Pediatric Department, Nowhere to Go Infectious Disease Department, Mixed Food and Drink Nutrition Department, Never Go to the Emergency Department."

Mr. Wu said a jingle.

"Looking at my experience over the years... In fact, I regret it to death."

"how?"

"Let's put it this way, Dr. Xiaoji. You may have heard that the Department of Cardiology does interventional surgery to make money, right." Mr. Wu said.

"Yes."

"But it was all earned by the big front, and has nothing to do with the little doctor." Mr. Wu said, "I don't recommend it, I suggest you... If I have to choose again, I will choose oral cavity."

"But!" Mr. Wu emphasized his tone, "Not all stomatology is good, and you must not be dry!"

"Prosthetics, orthodontics, are teeth repairs, I know." Ji Xiang smiled.

Just as he was talking, Mr. Wu's cell phone rang.

Mr. Wu was a little irritable, just about to take a look at Jixiang, they brought the emergency department!But that damned sense of familiarity lingered again, Mr. Wu lowered his head embarrassingly, and connected the phone.

"What emergency room?"

"I'll go! Really!"

Chapter 104 It's Fish!

"What patient?" Ji Xiang asked after Mr. Wu hung up the phone.

"Another testicular torsion." Mr. Wu said helplessly, "Doctor Xiaoji, do you know why I'm so cautious?"

"Because you recruit patients?" Ji Xiang asked.

He remembered the unlucky doctor who had suffered 8 rib fractures combined with aortic dissection in 6 years, which the NPC of the system said.

"Oh, don't mention it." Mr. Wu was frustrated, but he quickened his pace, almost trotting all the way to the emergency department, "The torsion of the testicles that I encountered in the first three years of hospitalization was not as many as I encountered in one month. I met 4 on the first day!"

Tsk tsk, Ji Xiang sighed a little, this luck is no one else.

"I always walk by the river. There is no one with wet shoes. Be careful." Mr. Wu trotted all the way, and went straight to the emergency department without touching the ground, complaining, "I regret it all the time. How good it was to learn oral cavity back then. Let me tell you, Dr. Xiaoji, I have a classmate whose practice certificate was not strict back then, so he finally changed his ship and went to the oral cavity.”

"Excellent?"

"The unit does not count. The first year of entering the clinic is 5. The second year is based on the workload. Generally, the commission is 15% to 20%. The general monthly workload is 10, and the monthly salary can reach 1.5-2."

"A front root canal plus a porcelain crown charges 2, which is still a conscience fee. It is enough to do 50 front teeth a month. Let me ask you, it is not easy.

At the level of a professor, 30 yuan can be done in one day for full-mouth planting, 10 million yuan for 300 units a month, and the commission is about 50 yuan.

This is done by experts and professors. Don’t think about junior dentists. Specialist stomatology or stomatology technology only costs about 3 after graduation. If you work hard, 7 to [-] a month for three years. "

"Let's not talk about the income, there is no emergency room!"

"Men are afraid of choosing the wrong job, and women are afraid of marrying the wrong man. Doctor Xiaoji, you must choose carefully!"

Ji Xiang knew that Mr. Wu said these words for his own benefit, and they were heartfelt words.

This guy is nice and can deliver.

When he came to the emergency department, the emergency surgeon pointed to the emergency rescue room with a tired face, "Inside, the B-ultrasound has been called for you. I said Mr. Wu, when will you not be the chief inpatient."

"You think I think, if I come to the emergency department four times today, I will resign tomorrow, and I won't bring such troublesome people."

After Mr. Wu finished speaking, he had already entered the emergency room.

The symptoms of this patient are quite typical, and they belong to the kind that is difficult to misdiagnose. Various symptoms have clearly labeled testicular torsion.

Mr. Wu is still the old rule, check the body first, and then pick up the B-ultrasound to do it yourself after confirming.

"Doctor, can't you reset it directly?" the patient's family asked.

"Inspection is always done." Mr. Wu applied coupling agent and quickly pressed it on the reset area.

"It's so obvious, we still need to do an examination!" The patient's family members were slightly unhappy.

"Ham, look at what you said." Mr. Wu said, "The emergency department charges less than normal. Isn't it for safety that we do a B-ultrasound to observe the blood supply?"

"The blood flow on the left side is abnormal, and it must be reversed. Xiaoji is going to reset." Mr. Wu looked at the B-ultrasound machine, and said what he saw in his mouth. He was quite professional and handsome.