Doctor of Healing

He hadn't thought about turning into a 28-card or something, so he probably felt it from the same perspective as the catfish incident, from the perspective of a doctor.

But the system NPC hesitated, repeated, and finally denied what happened just now.

It seems that there is indeed a problem with the extension technique.

"It's better to teach you the operation directly." The system NPC said, "In the future, when you encounter patients with burns, bites, or sharp instrument injuries, you won't be in a hurry. But the prolongation operation will only teach you for one night, and you should focus on more important things." on the point."

"Teacher, can the treatment time be too short?" Ji Xiang asked.

"Severing the dorsal nerve during the operation can effectively change the sensitive state, and the efficiency is very high," said the system NPC.

"Not [-]%?"

The system NPC glanced at Ji Xiang, his eyes narrowed slightly, and there seemed to be a smile on his face behind the mask.

"There is no such thing as [-]%." ​​The system NPC said, "All a doctor can do is try his best to fight for a chance, which can be endlessly successful, but before the operation is completed and the patient is discharged, no one can say for sure."

"So that's the case." Ji Xiang was slightly disappointed.

"We still have to count on breakthroughs in basic disciplines, which are all in the future, and the right way is to do the work at hand well."

With that said, the system NPC turned to brush his hands.

Ji Xiang followed behind him, step by step.

"By the way, teacher." Ji Xiang suddenly remembered something.

"what happened?"

Ji Xiang recounted that Mo Chenggui and Mr. Gu insisted on rounds yesterday, and that they were very firm in not allowing the Andrology Hospital to do roasting.

Looking at Professor Mo's expression at that time, Ji Xiang could feel the severity, as if they were two enemies facing each other.

He had no doubts that if someone had made electric ovens, Mo Chenggui would have turned against Dean Li of the Andrology Hospital at that time.

"Oh, private hospitals were popular at the beginning, and they gave patients electric shocks in order to earn more money. That thing is useful, but what kind of disease is it?" The system NPC said, "Many patients undergo electric shocks after circumcision surgery, because they feel Insensitivity, poor temperature control, leading to necrosis."

Ji Xiang has heard about this a little bit, but it happened many years ago, and he doesn't remember much.

"A lot of things have happened, and they are all suppressed." The system NPC said, "I ask you, what should I do if something goes wrong?"

"Go to a public hospital." Ji Xiang replied.

"Yes." The system NPC smiled, a little helpless, "At that time, the relationship between the directors and doctors of the private hospitals and the doctors of the public hospitals was very good, because when something happened, someone had to wipe their ass and try to solve the problem first."

"I guess you said that Professor Mo and Gu Lao have seen each other a lot, and you have lingering fears, so you must not have a similar situation happen in your place of practice. Otherwise, if something happens, you will be covered in shit."

"You see, the dean of the private hospital is being polite now. He is asking for help. If something goes wrong and they ask someone to take the blame, they can't escape."

It turned out to be like this, Ji Xiang understood.

It seems that there is no need to think about going to the Andrology Hospital for surgery and improving skills.Ji Xiang didn't want to carry such a big pot on his back when he first came to the hospital, it was pitch black.

"Teacher, there is one more thing." Ji Xiang was a little embarrassed and scratched his head.

"Tell me." The system NPC didn't dislike Ji Xiang's busyness, he looked at Ji Xiang kindly, and answered every question he had.

"Mr. Gu was invited to do the surgery, but I saw that he didn't have a good attitude towards the director of the Andrology Hospital when he spoke."

"Oh, it's normal." The system NPC said, "Even academicians sometimes cannot help themselves."

"Huh? Not even an academician?"

Ji Xiang was taken aback.

In his understanding, academicians in the medical industry have a lot of freedom. A private hospital is just a private hospital. If they don't want to make money, they will definitely not come.

But when Mr. Gu came, he still looked down on Dean Li between the lines, which was a bit strange.

"Sometimes, academicians have to go to the platform alone, with a few words." The system NPC said helplessly, "Knowing that it is unreasonable, knowing that going to the platform will have a huge impact on academic status and future medical history. But people are in the rivers and lakes, and they can't help themselves."

The system NPC didn't explain it in too much detail. Ji Xiang thought about it with reference to the people or things he met since he was a child, and he figured it out.

Indeed, people in the rivers and lakes cannot help themselves.

It is also true that the medical industry is not taken seriously and the ranks are quite low.

"Let's go." The system NPC beckoned, "You will encounter these things in 10-20 years, and it will be too late to talk about them at that time. Now, you should lay a solid foundation and improve the level of medical technology."

"Okay, teacher."

Ji Xiang followed the system NPC into the operating room, ready to start training.

Because of the experience of the whole department of urology, Jixiang directly raised the operation level of the lengthening operation to LV7.

This time there is no skill similar to [Superior Doctor's Gaze], Ji Xiang does not feel regretful.

That second-handed skill, whoever wants to use it, can use it, and I don't use it.

Consuming surgery points is not very important. Ji Xiang can't accept that he beats up Professor Mo when he comes up.

Chapter 44 Intraoperative Accidental Congestion

Entering the operating room, the system anesthesiologist has anesthetized the simulator.

Ji Xiang actually thinks this is unnecessary, after all, he is a simulated human being, and he doesn't feel any pain.

But the system NPC insisted, and he didn't say anything.

It’s better to be regular, better to be regular, Ji Xiang told himself in his heart, lest he be familiar with the rhythm in the system and have any omissions after returning to reality.

Sterilize, lay sterile drapes, and the operation begins.

The system NPC did not simply perform the operation as usual, but mixed some of the actions of Gu Lao's operation to explain the advantages and disadvantages to Jixiang.

The main thing is to adapt measures to local conditions and use different surgical methods according to different conditions of patients.

This operation was performed extremely slowly, at least twice as slow as the previous operation where Ji Xiang and the system NPC learned the lengthening operation.

Ke Jixiang has gained a lot.

During the whole operation, he kept having this feeling.

And the experience value is also rising rapidly. A teaching operation brought Jixiang nearly 5000 experience points.

At the end of the operation, Jixiang looked at the harvest in surprise.

"Teacher, would you like another one?" Ji Xiang asked because he didn't feel satisfied.

The system NPC is really picturesque when performing surgery.

Jixiang didn't feel this way before, but when his circumcision reached LV7, the operation screen had a qualitative change.

Jixiang knows that this is growth.

"You make one yourself." The system NPC denied Ji Xiang's idea, "Only by surgery can we improve."

Ji Xiang did not refute. He assisted the anesthesiologists and nurses in the operating room of the system to carry the patient on a flat car and sent the patient away, before picking up the next patient.

The anesthesiologist anesthetized, and Ji Xiang and the system NPC went to brush their hands and put on clothes again.

Jixiang already has his own understanding of the lengthening surgery in his heart, saying that it is impossible to innovate, but in terms of the depth of his understanding of the surgery, it is definitely first-class in the province.

Coupled with the fact that the LV9 circumcision has brought about a qualitative change in the technique, Jixiang is confident that he will succeed in the operation.

In fact, he is also very worried, what if the system NPC wants to empathize with him on a whim if the operation goes wrong.

Ji Xiang performed this operation very patiently, from skin opening to blunt dissection, every step of the way.

Ji Xiang's hand speed is very slow. He deliberately suppressed the effect of the hand speed bonus to make the operation slower, and then slower, in order to strive for a one-time success.

The early stage of the operation went well. Although Ji Xiang didn't look at the system NPC, he could feel his expectant and admiring eyes.

This is a superfluous mental activity. Although Ji Xiang understands it, he still feels a little proud of it.

When making the Y incision, Jixiang suddenly felt the surgical area move, and almost touched the tip of the sharp knife.

Jixiang was taken aback by this.

At the first moment, Jixiang thought that there was a problem with his stamina, so that he was dazzled.

Otherwise, why would there be a change in the operation area?

However, the stamina value on the system panel in the upper right corner of the field of vision still has 8 points, so there is no problem.

In the next second, Ji Xiang was stunned to see... saw... the cavernous body of the simulated man began to congest, and the surgical area changed in just a split second.

"teacher……"

Ji Xiang didn't expect this to happen, isn't he under anesthesia?How could there be such a mutation?

He had to ask the system NPC for help.

"This is a rare, but not uncommon situation." The system NPC said lightly, "Sterile ice pack."

The system nurse immediately went to get the sterile ice packs. Before that, Ji Xiang didn't know that there were such high-end things as sterile ice packs in the operating room.

"It's nothing to be surprised about." The system NPC seemed to understand Ji Xiang's inner surprise, "There is a certain probability that this will happen during the operation. There are spare sterile ice packs in the operating room. Do you think you are free?"

Ji Xiang nodded, he didn't do anything, but watched the operation of the system NPC.

This is an unexpected situation during the operation, and it seems that the system NPC did not expect it.It is said that the operating room of the system is well set up, and there are all these accidents.

The itinerant nurse took the ice pack and handed it to the system NPC.

The NPC of the system applied ice packs to the root. Ji Xiang looked carefully at the operation area, but there was no reaction at all.

The cavernous body is still congested, and the color looks a little abnormal.

But the NPC of the system seemed to be used to it, and he was not nervous. Instead, he explained to Jixiang lightly, "Although this disease is not common, it has serious consequences. It needs to be diagnosed and treated as early as possible. If it is not handled properly, it will often lead to congestion. Dysfunction or even ischemia and necrosis."

necrotic...

Ji Xiang has made up his mind that if the system NPC asks him to empathize with him, he will definitely refuse.

"Teacher, how did this abnormal situation come about?" Ji Xiang asked.

"Reflex hyperemia refers to external stimulation to the operation area and other sexually sensitive areas, or stimulation from visceral receptors, which is transmitted to the sacral spinal cord center through a part of the nerves, mainly sacrum 2-4, and is caused by the efferent impulse of the parasympathetic nerve. bloodshot."

The system NPC explained to Ji Xiang the whole story of this abnormal situation.

Ji Xiang listened...absently.

The hyperemia of the simulated person seems a bit abnormal, the operation area is black and purple, and it seems that necrosis will occur if it is not treated in time.

Definitely not necrotic!

Unknowingly, part of Ji Xiang's consciousness has entered into the system of empathy. He is afraid of necrosis from the bottom of his heart and needs to be removed.

"Don't worry, apply an ice pack for 15 minutes, and 60% of the abnormalities can be alleviated." The system NPC said gently, "Just wait."

"When the epidural anesthesia block is incomplete, the patient's psychological activities, or reflex stimuli such as disinfection, draping and placement of related instruments in the operation area, will cause psychological or reflex hyperemia.

The innervation of the operation area includes autonomic nerves and somatic nerves. The former is divided into sympathetic and parasympathetic nerves. The parasympathetic nerves are the main congested nerves, which come from the parasympathetic centers of sacrum 2-4. During spinal anesthesia, sacrum 2-4 must be blocked to block. Stagnant congested nerves. "

The system NPC continued to explain to Jixiang.

But 15 minutes passed in a blink of an eye, and the operation area still did not return to normal.

"Lidocaine." The system NPC stretched out his hand, and the equipment nurse immediately slapped the syringe that had been diluted and drawn into the needle tube on his hand.

Ji Xiang is a little envious, but he knows that this should be a system program.

In reality, how could there be such a tacit cooperation.

On both sides of the midline of the root, 2 ml of 10% lidocaine was pushed subcutaneously layer by layer to perform dorsal nerve block.

However, after the block, the operation area of ​​the simulator continued to be congested, which was of no use at all.

The system NPC was still not in a hurry. After waiting for 30 minutes, he stepped down and cooperated with the anesthetist to inject 2 ml of 10% lidocaine through the caudal puncture.

Another 30 minutes passed, and the hyperemia of the simulator still did not improve.

"It's really stubborn." The system NPC brushed his hands and came to the stage, "Prepare the phenylephrine."

Soon, the syringe slapped in his hand.

Intracavernous injection of 0.2% phenylephrine 1ml, this time is the moment to witness the miracle.

1 minute, it only took 1 minute, and the effect of the medicine was almost immediate.

But Ji Xiang quickly noticed that the eyes of the system NPC did not stay on the operation area, he kept staring at the ECG monitor.

Ji Xiang immediately swallowed all the doubts in his heart.

The blood pressure of the simulated person rose by 15mmhg, and the system NPC said, "Give urapidil 5 mg."