Doctor of Healing

Another thing is that I am a patient with urinary stones, and I have to pay the fee.There's no one around, and it's really frustrating.

Ji Xiang has done clinical practice and heard complaints from teachers and nurses.At least half of all expenses of patients who evade fees will be borne by the department.

Not so much if everyone stays kind.

If seeing a doctor didn't cost money, there wouldn't be so many problems.

Ji Xiang is not an expert in sociology, and he doesn't want to solve this problem at all. He just wants to help a group of patients.

Although this patient has an escort, it is also a good thing to save some time.

Ji Xiang immediately ran back to the department to change into white clothes.

Wearing white clothes, even if he is young, he can speak powerfully.

If you are in plain clothes, go up and tell me what to do, for fear that the patient and the family members of the patient will beat him out of hemiplegia.

He ran into Boss Wu head-on in the department, and he was slightly taken aback when he saw Ji Xiang.

"Hello, Mr. Wu." Ji Xiang walked over quickly, and greeted Mr. Wu by the way.

"Hey, you still know to come?" Boss Wu muttered in a low voice very unhappy.

If it were yesterday, it would have been even worse.

But he saw with his own eyes that Jixiang was performing cavernous body puncture and infusion on burn patients. That kind of unconstrained operation had already left Boss Wu speechless, even if he complained, he could only mutter in a low voice.

Ji Xiang didn't hear clearly, he was all about helping the patients, even if it was just a visit.

All the way, I recalled that when I felt the same way, I insisted on paying the fee. I wasted a lot of time and suffered a lot of crimes. Ji Xiang felt uncomfortable all over.

Changing into white clothes, Ji Xiang ran away in a hurry.

"Why does Ji Xiang come and go?" Lu Kai asked in surprise seeing Ji Xiang come and go in a hurry.

"Hey." Boss Wu didn't say anything, he vaguely felt that there was something wrong with Ji Xiang, and he had better not provoke this person and cause trouble for himself.

"Today I will teach you percutaneous nephrolithotomy and holmium laser lithotripsy." Boss Wu glanced at Ji Xiang's leaving direction intentionally or unintentionally, and smiled, "Urinary calculi were troublesome in the past. I heard from the teacher that he was young. When the lithotripter was just available, the patients couldn’t even line up.”

"But there aren't many gravels now, why is Mr. Wu?" Lu Kai asked.

Liu Yunqing looked confused, as if she didn't know what to do right now.In comparison, Boss Wu likes Lu Kai better, this kid is smart.

If it wasn't for the fact that Liu Yunqing was quite eye-catching...

Appearance is justice, even if it is just to look at.

"Because extracorporeal lithotripsy has been gradually eliminated, and now only a small number of patients use it. Percutaneous nephrolithotomy holmium laser lithotripsy is also lithotripsy, which is more accurate, and the broken stones are directly taken out with a mirror, and patients do not need to excrete them by themselves." .” Boss Wu explained.

"For stone removal, some patients don't feel anything, and some patients are quite painful. So we don't sleep in the middle of the night and perform the operation on the patient overnight. This is also the responsibility of a doctor."

"Boss Wu, you are really a good doctor with a bodhisattva heart." Lu Kai said with a smile.

Boss Wu is already immune to such words. Boss Wu is a little regretful that this wretched little fat man in front of him can't even get a good job in flattering him.

Relevant examinations are generally required for emergency stone removal, and it is rarely done in the middle of the night. This patient had other reasons.

But Mr. Wu didn't explain.

……

……

Ji Xiang rushed to the emergency department in a white suit.

There is a regular training doctor who comes to help, and no one will refuse.

Although Ji Xiang is not very familiar with the Second Affiliated Hospital, the doctors in his family will be more or less polite when they see it.

Payment, examination, and B-ultrasound showed that the patient had urinary stones, and a large number of red blood cells could be seen under the urine routine microscope.

All kinds of laboratory tests point to urinary stones.

Jixiang sent the patient back and reported the test results to the emergency doctor. The patient quickly injected the symptomatic drug intramuscularly, and the pain symptoms were relieved.

Chapter 55

The task was successfully completed, and Jixiang gained 3000 experience points.

He casually added the experience points to the circumcision under the stapler, but the "mere" 3000 experience points were like muddy cows, and there was only a little change in the experience bar that could be observed with the naked eye.

Ji Xiang didn't care either. He didn't turn around and leave because the system task was completed, but stayed by the patient's side to observe his condition.

When the patient's pain relieved, Jixiang told the patient about his experience.

Landing on your heels when jumping, and squatting to urinate will help even more.

Patients and family members of patients were astonished to hear this method and found it inconceivable.

If Ji Xiang was not wearing white clothes, who would have believed that this weird method would be helpful for stone removal.

The emergency doctor passed by in a hurry. He heard Jixiang explain his condition to the patient and the patient's family, so he took a special look at the young man.

"Young man, come to me after explaining." The emergency doctor said.

"Okay, teacher."

Ji Xiang explained to the patient in detail, after all, he had experienced it personally, and some details Ji Xiang described were particularly profound, and the patients who spoke of them looked sideways.

Gradually, the patient regarded Ji Xiang as his own. Later, he simply took Ji Xiang to sit and discuss the disease.

After the chat, Ji Xiang went to the emergency doctor.

This person was not on duty yesterday, and the emergency department is usually on duty 12 hours or 24 hours. I didn't know that Ji Xiang showed his prowess yesterday and performed cavernous body puncture and infusion.

"What's your name?" the emergency doctor asked after taking a break.

"Auspicious Xiang, auspicious auspicious, flying Xiang."

"The name is good, and the person is very energetic." The emergency doctor smiled, "It is quite detailed to explain the condition to the patient, new to the hospital?"

"Just participated in the regular training."

"Not bad, I heard you talk about squatting to urinate, let me tell you a story to enrich the material for your communication and communication with patients."

Ji Xiang felt that the emergency doctor was a wonderful person and nodded repeatedly.

This happened just in time for the emergency department to have no patients, and the doctor wanted to chat a little more, thinking that his lucky value had exploded, Ji Xiang thought.

"When I first came to work in the department, there were patients squatting in the corridor outside all the year round."

Ok?Ji Xiang was taken aback when he heard what the emergency doctor said.

Squatting, this word is a bit weird.

"I'm also surprised. I wanted to ask the patient why, but I always forgot. The key is that I was young at that time and my skin was too thin." The emergency doctor smiled, "It's not like now."

"Is there any difference now?" Ji Xiang scratched his head.

"There are still some." The emergency doctor did not explain, and continued, "Then one day when we were eating, the nurse told me that there is magic in the bathroom of our emergency department, and the stone passing rate of patients with urinary stones is very high here. high."

"emmm~~~" Ji Xiang seemed to understand something.

"Hospitals, it should be said that materialism occupies the commanding heights, but after you work for a long time, you will know all kinds of idealistic metaphysics." The emergency doctor said, "I didn't believe it at the time, even if it was a consecration, who the hell would consecrate the bathroom? Well, you're right."

"Yes!" Ji Xiang nodded.

"Later, I asked the patients. It was word of mouth among the patients that the bathroom in our emergency department was barbara. I didn't believe it. I asked an old doctor to find out why."

"Is it a matter of squatting?"

"Well." The emergency doctor smiled, "The old doctor told me that the best posture for stone removal is squatting. The house is full of toilets and toilets, and the posture is wrong. The efficiency of stone removal is not as good as that of the emergency department. .”

"After coming and going, some patients summed up their experience. The last time they had an illness, they recovered quickly in the emergency department, but it was not good when they went home. Afterwards, they slowly spread rumors, and the bathroom in the emergency department was opened."

"Hahaha." Ji Xiang laughed.

The emergency doctor said, "If I have time to study, I have one class every four days."

"Okay, teacher."

With that said, a patient came in, the emergency doctor waved, and Ji Xiang left the consulting room.

After doing a system task and getting 3000 experience points, the patient gave him a sympathetic look and listened to a gossip.

Jixiang feels that he has gained a lot.

Back in the department, Jixiang was going to change clothes and go home.

Just as he took off his white clothes, the crisp sound of system tasks suddenly came from his ears.

"Ding dong~"

Ji Xiang is a little satisfied, it seems that the hospital is really a good place to gain experience.

My own 126 surgery points are not enough, the more tasks the better.

However, only in Ji Xiang's flash of thought, the system panel in the upper right corner of the field of vision began to flash a dazzling light.

Um?What does it mean?

Ji Xiang was taken aback.

[Urgent task: air embolism!

Task content: Emergency rescue of a patient with air embolism

Task time: 2 hours

Task reward: 30000 experience points, 40 surgery points. 】

Air embolism?

Air embolism!

Ji Xiang's heart tightened, no wonder the system was flashing a dazzling red light.

Based on Jixiang's understanding of this emergency, as long as it is an air embolism, the patient can basically be declared dead.

Generally speaking, there will be no patients with air embolism in the Department of Urology, and many of them are accidents during the operation.

just now……

Ji Xiang thought about it carefully, held his breath, and came to the system space.

"Teacher, which department is the patient in?" Ji Xiang came in and asked anxiously.

"I don't know either." The system NPC said, "Go and take a look."

to take a look?Is this what you are telling yourself?

Ji Xiang didn't understand what the system NPC meant.He was taken aback for a moment, and then saw the system NPC walk into the operating room with his hands bent and his back bent.

The system knew it, but the system NPC didn't know it. Such a difficult sentence flashed in Ji Xiang's mind.

Probably because he was afraid of touching his privacy, the system was doing well, Ji Xiang thought to himself, and followed the system NPC into the operating room.

The patient is lying on the operating table in the left decubitus position, and the system anesthesiologist is performing anesthesia.

Many times, Ji Xiang wondered why the operating room of the system should be so formal.

The level of rigor with which things are done here is even far beyond the operating room in reality.

系统麻醉医生取左侧卧位行两点腰硬联合麻醉，选T10/T11间隙行硬膜外穿刺并向头端置入硬膜外导管约5cm，硬膜外给予1.5％利多卡因3mL试验剂量。

Then he selected the L3/L4 space for spinal anesthesia, and the drug was 0.5% bupivacaine 2.4mL.

Continuous epidural + spinal anesthesia.

After anesthesia, the patient's vital signs were stable, blood pressure: 109/67mmHg, heart rate: 83 beats/min, oxygen saturation 98%, and the operation was performed in the left decubitus position.

"Give palonosetron hydrochloride 0.15 mg and dezocine 10 mg." The system NPC said to the anesthesiologist after checking the patient's status.

The anesthesiologist quietly carried out the doctor's orders.

"General anesthesia is usually chosen, but I am habitually willing to use continuous epidural anesthesia + spinal anesthesia." The system NPC explained to Ji Xiang.

Ji Xiang nodded.

What the difference was between the two he didn't know, but he was young and had time to figure it out.

The patient was in the prone position. Mr. Huang looked at the film and confirmed that it was a right kidney stone and hydronephrosis on the right side, so he began to brush his hands to disinfect.

Ji Xiang couldn't help, so he could only watch quietly.

System NPC made a 1 cm incision above the right kidney, followed by puncture to establish a channel between the right renal pelvis and the skin.