Doctor of Healing
Page 168
"..."
Ji Xiang didn't expect the system NPC to be so irritable when he was young.
"I'm really angry, especially when I see the messy things they wrote." The system NPC said with emotion, "Later, I found it very interesting to throw reports on other people's faces during the school and battle. Once, a family Consumables suppliers apply for drug-loaded stents..."
Ji Xiang silently listened to the system NPC's story about how a poorly made drug-loaded stent in the second phase of clinical trials entered China but was slapped in the face by the system NPC, and then recalled that he smashed the document on Ling Tian's face.
It's really cool, Ji Xiang thought to himself.
But in a flash, Ji Xiang repeatedly warned himself that he was a training doctor, and he didn't want to ask his mother for help if something happened to him.
After the system NPC finished speaking, Ji Xiang turned the topic back, "Teacher, today Teacher Mo and Teacher Wang asked me to go to the hospital to observe a patient who needs to undergo a total resection of cancer."
"Oh." The system NPC nodded, "You really should take a look, especially the psychological reconstruction of patients after surgery, which is a very profound course."
"Teacher, can you explain it carefully?" Ji Xiang asked.
The system NPC looked at Jixiang seriously, with expectations in his eyes.
Ji Xiang thinks that it must be his more and more empathy that makes the system NPC have an illusion.
"I don't." Ji Xiang said firmly.
"Hehe." The system NPC smiled and didn't force it. "There are several points to solve this matter. The first is early detection, early diagnosis, and early treatment. If the discovery time is relatively early, partial resection + prolongation can be used." It can be resolved surgically without affecting the life of the patient.”
The system NPC did not force Ji Xiang to empathize, but began to give lectures to Ji Xiang.
Partial resection + lengthening surgery for the treatment of early Ding cancer, the system NPC explained very thoroughly, and began to take Jixiang for surgery.
Simulators were sent in, and the medical team of the entire system became busy.
Continuous epidural anesthesia was performed, and the simulated man took the lithotomy position. Seeing that the anesthesia was complete, Ji Xiang went to brush his hands, disinfect and put on his clothes.
Then the system NPC puts on clothes and goes on stage.
"Knife!" The system NPC stretched out his hand, clapping a scalpel in his hand.
"Teacher, why didn't you say the knife?" Ji Xiang asked.
"Did I say that?" The system NPC was puzzled, but he was very steady, and he had already made a fusiform skin incision around the root of the operation area while speaking.
"Said."
"Maybe Shen Lang has led me into trouble." The system NPC smiled, "Shen Lang fell in love with a novel for a while, and from then on he would yell for a knife when he underwent surgery."
"Ha." Ji Xiang asked happily, "Who is Shen Lang?"
"A little guy in Zhou Congwen's medical team, the advantage is that he has a hard life."
"Fate hard?" Ji Xiang wondered.
"Well, you won't die if you get rabies, do you think your life is hard enough?" The NPC of the system bluntly dissected the subcutaneous tissue, fat and deep fascia at the base of the operation area while talking.
"Awesome, isn't rabies a [-]% mortality rate?" Ji Xiang was taken aback.
"It's not 99%, but [-]% of them will die forever."
With that said, the system NPC has already determined the location of the tumor.
He cut off the urethra and urethral cavernous body 2 cm away from the tumor with an electric knife, and kept a certain length of urethra as a stoma. When separating the urethral cavernous body, he used proximal separation measures to avoid damage to the urethra.
Immediately, the NPC of the system made an incision in the middle between the anus and the base of the capsule in the operation area, and led out the spongy body of the proximal urethra from the incision, leaving a length of 1 cm, and cutting off the excess.
The surgery performed by the system NPC is extremely sophisticated, and Ji Xiang is delighted to see it.
In addition, the system NPC did not force him to empathize with him, which was quite humane. Ji Xiang's restless heart gradually stabilized and he concentrated on the operation.
The NPC of the system transects the end of the urethra, and the upper and lower flaps of the mucosa are everted and sutured with the skin edge to fix the urethral opening.
Then the suspensory ligament of the operation area was cut at the midline, the fascia of the operation area was cut, the dorsal deep vein, dorsal artery and nerve were separated, and the operation area was cut off and ligated.
Finally, along the stem cavernous body, separate to the attachment of the pubic branch, cut off the stem cavernous body, and suture the stump.
After the surgical resection, the wound was cleaned, the midpoint of the incision margin of the capsule and the suprapubic incision were sutured, and the capsule was raised to avoid sagging.
Partial resection, the operation was very clean, and the lymph nodes were also cleaned.After the treatment of the tumor, the system NPC performed an extension operation to ensure the postoperative life and mental health of the patient.
"Here, this is the basic procedure of the operation." The system NPC was quite satisfied after finishing the operation, "Do you know what Ding cancer is most afraid of?"
"Fear the most?" Ji Xiang didn't understand.
"Ding cancer mostly occurs in men aged 40 to 60. The typical clinical symptoms are purulent or bloody secretions from the mouth of the skin. Papules, papillary or flat protrusions and plaques are often seen in the lesions, accompanied by ulcers in the lesions and foul-smelling secretions. wait."
The system NPC said, paused for a moment, and said in an emphatic tone, "The most fearful thing is that the patient judges that the initial pimples and flat bumps are genital warts and other diseases, and the treatment is in the wrong direction or the treatment is delayed. cut."
"What I just showed you is the treatment method for early-stage cancer. Lymph node dissection is not required. If it is in an advanced stage, it can only be completely removed."
"I probably understand." Ji Xiang was a little worried, and glanced at the system NPC.
The system NPC did not force Ji Xiang to empathize with him, so Ji Xiang felt relieved immediately.
Ji Xiang is not stupid, nor is he reckless. If castration falls on him, even if it is just empathy in the system space, Ji Xiang will subconsciously refuse.
Chapter 208 You Are Really Back!
Coming out of the system space, Ji Xiang carefully tasted the last words of the system NPC.
The system NPC probably lost his temper as he got older, and became much milder. He seldom emphasized what he said to himself, and he was not as irritable as he described himself.
But the tone of what he said was very serious, and Ji Xiang had to think about it.
Early detection, early diagnosis, early treatment?
or something else?
Ji Xiang thought about it for a long time, and this matter is not something he can solve by himself, and it will be better if there are more patients who need to get rich for physical examination.
He sat silently recalling the operation just performed by the NPC of the system. After a long time, he stood up, patted his pants, and strode towards Corey.
"Don't eat meat, just think about how cute those cows and sheep are, do you have the heart to eat them?"
Ji Xiang walked into the urology department and heard someone in the office talk.
"How about we order fish to eat?"
"It's not good for fish either, everything is psychic."
"Sister, I don't even dare to smoke by your side." Mr. Wu laughed, "What if you accidentally burned dozens of relics?"
"I'll order it myself," the nurse said.
"Don't tell me, let's be on duty together. I'll come. I really convinced you. You don't eat this or that. How can you be sure that plants are not spiritual? You are discriminating, do you know that?" Mr. Wu babbled , while starting to order takeaway on the mobile phone.
When Ji Xiang walked into the office, Mr. Wu was drinking a glass of apple juice.After seeing Ji Xiang, he paused for the cup in his hand, as if he forgot to swallow, and almost spilled the apple juice all over his body.
"Jixiang, you...you...you're really back!" Mr. Wu stood up all of a sudden, and said suddenly.
But then he choked on the apple juice, and Mr. Wu coughed violently.
"Doctor Xiaoji, Boss Wu has been talking about you." Seeing Ji Xiang coming in, the nurse asked with a smile, "Didn't you say you were going to stay in Shanghai? Why did you come back?"
"Just kidding, it's so easy to stay in Shanghai, I'm still Gui Peisheng." Ji Xiang reached out and patted Mr. Wu on the back, "Be careful."
"Little...cough cough cough...Dr. Ji, you are really back."
"Well, I had a one-day operation with Teacher Mo and Teacher Wang." Ji Xiang said, "Be careful."
Mr. Wu coughed for a while, his face flushed, and he got better.
He tasted what was in his mouth and let out a pooh.
"Have stones?" Lu Kai smiled.
"Bah, say something nice." Mr. Wu then looked at Ji Xiang, sizing him up and down, "Xiaoji, you're really back."
"I'm Gui Peisheng..." Ji Xiang was speechless, "Where can I go if I don't come back?"
"Come, come, let me tell you something." Mr. Wu pulled Ji Xiang to sit down, and didn't care what Ji Xiang was going to do when he came to the hospital. "I heard that they are all spreading flowers! This is a big deal."
"Nothing happened, just started learning and came back." Ji Xiang said helplessly.
"Doctor Xiaoji." Mr. Wu joked, "I'm so familiar with you, why are you still picking it up?"
"Tell me." Lu Kai was also very curious.
Although he doesn't have any mentality of comparing with Ji Xiang, but they always come together, and the most basic curiosity is still there.
"It's nothing."
Ji Xiang spread his hands.
"Look, you're not right." Mr. Wu forced him to ask, but Ji Xiang didn't say anything, and Mr. Wu couldn't help it in the end.
"It's more interesting to chat with Lu Kai." Mr. Wu said, "Lu Kai's family introduced him to a girlfriend. By the way, Xiaoji, do you have a girlfriend?"
"not yet."
"Me neither. Guess what my family said." Seeing the awkward atmosphere, especially Mr. Wu's embarrassment, Lu Kai said with a smile. drag her down."
"Tell me, is this something mom can say?"
"It can't be so casual." Mr. Wu said.
"But my mother didn't do it. She said hurry up and find a partner. If she really can't find a woman, she will accept a man. If you can't even find a man who is out of breath, marriage will do."
"!!!"
"Hahaha."
Mr. Wu laughed out loud.
The embarrassing atmosphere had eased just now, but Mr. Wu was still curious. Just as he was about to say something, a nurse's roar came from the corridor.
"What are you doing!"
It was as if a spring had been installed under Mr. Wu's buttocks, and his whole body bounced up, rushing out like the wind.
Lu Kai followed Mr. Wu, but a figure was faster than him.
"Ji Xiang, slow down." Lu Kai pulled Ji Xiang, "Hey, tell me..."
"I'll go and see what's wrong." Ji Xiang was a little anxious, and almost in a second he was going to pick up Lu Kai and run to see what happened.
"The patient is probably cooking by himself." Lu Kai said, "There is often one in the ward, and they insist on making one themselves if they are not allowed to use an induction cooker."
Ji Xiang slowed down, "Induction cooker?"
"You'll know if you visit the department more often." Lu Kai said with a smile, "Some patients are not rich financially, so they think about saving some money. The ones sold in the hospital canteen are expensive and unpalatable. Cook a bowl of noodles by yourself. It's normal, but the courtyard said they were afraid of a fire, so they resolutely stopped it."
"so."
"Some time ago, a family member of a patient in Gastrointestinal had a hot dish, but the head nurse from the Nursing Department saw it and scolded the nurse."
It turned out that this was the case. Ji Xiang thought it was a fight between the nurse and the patient, so he stopped worrying.
"Ji Xiang, you are amazing, do you have time to teach me?" Lu Kai and Ji Xiang walked to the ward, whispering to Ji Xiang.
"Uh, I can't say I can teach, but I have a chance." Ji Xiang smiled.
It is almost impossible to teach Lu Kai.
The two former trainees are going to have surgery, isn't that just asking for trouble, neither of them has a doctor's certificate, so what a joke.
Once caught, I'm afraid I won't be able to kill him with one bite. This is a violation of the rules.
When someone questioned himself during the cavernous body puncture, Mr. Gu could answer the objection with a casual sentence.
But if he and Lu Kai had surgery...
The two walked into the ward, Mr. Wu took the nurse and made mud in the middle.And while he was talking, he winked at the nurse, and his eyeballs almost flew out.
This kind of look means that the matter has come to an end, and there will be no good fruit for anyone if the trouble continues.
Although the nurse was angry, she restrained herself under the gesture of Mr. Wu's eyes.
"Old well, don't do this." Mr. Wu pushed the nurse away and squatted in front of the patient, and said gently, "I know your family is in trouble, but if it catches fire, it will be a big deal, and some patients are still in bed You can't run away from lying down."
A middle-aged man squatted on the ground with his head down, unable to see his face clearly.
Jixiang scanned the ward, estimated the bed number, and added the special surname—Jing, so he knew that this person should be Jing Liang, a cancer patient.
The operation has not yet been performed, and the patient's mood looks wrong.Although the expression could not be seen clearly, the depression and despair in the patient were visible to the naked eye.
Chapter 209 It's different from what I imagined
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