Doctor of Healing

Obviously, the cavernous body was injected with a large amount of papaverine, and it survived for another 6 days. Even the system NPC has never seen a similar situation.

After one operation after another, Jixiang quickly grasped the patient's condition.

After 12 operations, the system NPC said, "It's about like this. The patient is lucky, at least there is no necrosis. I just heard you said that I thought it was hopeless."

"It's too dangerous, why would you inject papaverine into the cavernous body." Ji Xiang said helplessly.

"There are people trying to do more dangerous things, let's go for surgery." The system NPC waved his hand, and Ji Xiang came out of the system operating room.

With a gloomy face, Director Liu turned around and went to the operating room.

"Xiaoji."

"Director, I'm here." Ji Xiang followed.

"Do you know about the Winter shunt?" Director Liu asked.

"I've seen it." Ji Xiang said modestly.

"Oh?" Director Liu glanced at Ji Xiang sideways, "This patient may not be able to save, and I will try to do Winter shunt in a while. Now shunt is rarely done, so you have to concentrate on it, there are not many opportunities."

Chapter 249 This Terrible Dose

"Director Liu, the patient is really good. Not only did he take 60mg of papaverine, but he was stiff for 6 days. In the era of the Anti-Japanese War, he must be a man.

But that thing seems to be failing. Did you have any arterial pulse when you touched it just now?Are you going to go up and cut it up?

Speaking of this person, the spirit of death is really strong, 60Mg, even the old scalper can't bear such a large dose.I also met a similar patient when I was in Yuanliao, but he was not as awesome..."

"Doctor Zhao, shut up." Director Liu interrupted Zhao Zhe with a frown.

Zhao Zhe covered his mouth with his hand to prevent his words from blurting out.

"It's probably impossible to keep it, alas, how can you be so courageous at such a young age."

"Director, go up and cut directly?" Ji Xiang was startled and asked quickly.

"It can't be cut at the root. I'll go up and have a look. Keep what you can, try your best. Winter shunt, it's really not possible to cut it in half and then do a lengthening operation."

Director Liu sighed.

I'm sure you won't be happy when this happens.

"Director Liu, when I was in our hospital, someone said that in ancient times, those who worked in the urology department were people in the clean room. One knife cut, click." Zhao Zhe resisted his chattering nature, and only said one sentence.

"Who doesn't want to keep it if it can be saved." Director Liu said, "By the way, Dr. Zhao, Xiaoji did a very good job of partial resection + lengthening of the small breast cancer. Please take a look when you have time."

Zhao Zhe let out an "ah" and then covered his mouth.

Jixiang, a regular trainee, has he started to have cancer surgery?

But the doubts were fleeting. Zhao Zhe and Ji Xiang went to the magic city together, and witnessed him standing on the stage majesticly scolding Qin Chu, the leader of domestic intervening disciplines, and taking Ling Tianxun, who was in his prime, as a dog. Same.

It is possible for Dr. Xiaoji to do anything shocking to the world, and Zhao Zhe gave him an envious look.

"Director, is there a possibility...to keep it." Ji Xiang asked.

"Let's go up and see." After Director Liu finished speaking, he gave Ji Xiang a meaningful look, "Well, if I don't think you can keep it, it's up to your opinion. If you think you can keep it, try it. Anyway, it's cut off, try it. Trying is better than not trying.”

Ji Xiang nodded slightly, pursed his lips, not knowing what he was thinking.

Zhao Zhe was inexplicably surprised.

Director Liu's words are already invisibly in the position of a dog.

Several people came to the operating room, changed their clothes and prepared to go in.

Zhao Zhe let out a sigh of relief, "I thought the operating room of the Second Affiliated Hospital was the same as 912, and they wouldn't be allowed in without a ticket.

Back then, Director Liu, you went ahead and I went behind. The 912 new building had just been built, and the operating room was new. One day, Director Qu wanted to take me to the surgery without mentioning my name. As a result, the head nurse kicked me out. The director has lost a lot of money, so it's not okay. "

Remembering what happened on 912 back then, Director Liu smiled.

"Is the head nurse in the operating room so good? The chief director won't even let the doctor take the stage?" Ji Xiang asked.

"Of course, Xiao Ji, if you have a chance to go to 912, you should be careful with the head nurse. Every head nurse is fierce, the kind that makes me have a heart arrhythmia when I stare, especially the head nurse in the operating room.

You say that I have seen the world, but the head nurse looks like a kitten under her eyelids, and she doesn't even dare to breathe. "

"It's okay, just stay in the Second Affiliated Hospital and do a good job." Director Liu said meaningfully.

After changing their clothes, several people entered the operating room.

The anesthesiologist was giving the patient an epidural anesthesia. He asked a few simple questions but didn't dare to ask further.But after hearing that the patient injected 60mg of papaverine into the cavernous body, the anesthetist was surprised and admired inexplicably.

This dude is simply too desperate, or the kind of desperate.

Papaverine, 60mg, this fatal dose.

"Director, is it still safe?" The anesthetist asked in a low voice after finishing the treatment for the patient.

"I don't know, give it a try. Xiaoji, what do you think?" Director Liu asked.

"I think it's possible." Ji Xiang said.

In fact, Jixiang has already performed the same operation on Xiaoshitai, and it will definitely be safe, but he still needs to be "modest".

"Swipe your hands and get on stage," Director Liu said.

Director Liu didn't wait for Ji Xiang to wash his hands and put up the list, but went with Ji Xiang.

"Xiaoji, it's been too long, CO2 retention in the corpus cavernosum, acidosis and hypoxemia, we have to discuss it after surgery." Director Liu urged.

"Director, come here, I just said casually, I mainly learn from you in the operation." Ji Xiang said helplessly.

Director Liu became more and more polite after seeing the operation he had performed, which made Ji Xiang a little uneasy.

"They're all on their own, so what are you afraid of? With me here, you can concentrate on the operation, and I'll be responsible for any accidents." Director Liu said, "I don't like those people in our gynecology department. There are five people and six people in the weekdays. No matter what the problem is, hit the little doctor on the head."

Hearing Director Liu's words, Ji Xiang immediately thought of Professor Li who led the group he met when he felt the same way.

It seems that such people are not uncommon in clinical practice.

"Director, what happened to them later?" Ji Xiang asked confidently.

"Later, there were always accidents, and when there were accidents, there was a big quarrel, and the little doctor was pushed into a hurry, so he jumped the wall in a hurry." Director Liu laughed, "I'm not talking about you, you are really sneaky in the surgery for huge hydronephrosis, and you are still young. Good eyesight, steady hand. I have this talent, why should I show off, you do it, and I will escort you."

Ji Xiang took a deep breath.

Director Liu is simply too open-minded. Although Ji Xiang doesn't know whether Director Liu will stand up for him when something serious happens, it is not easy to say this.

After taking the stage, Director Liu did not release Jixiang at the beginning, but cut the skin of the stem first.

Separation layer by layer, after reaching the position of the spongy body, the naked eye can see that the spongy body is purple-black and covered with blood clots.

Director Liu squeezed the cavernous body, but nothing happened.Not reconciled, he asked for a syringe to pierce it in and suck it a few times, but there was still no blood.

The cavernous tissue was necrotic.

"Oh, I guess I can't keep it." Director Liu shook his head and looked at Ji Xiang.

Zhao Zhe felt strange after seeing Director Liu's expression and movements. How could it be like a subordinate doctor asking a superior doctor?

"Director Liu, may I try?" Ji Xiang whispered.

When Director Liu saw that Ji Xiang had picked it up, he didn't show any pretense, and moved to the side of the patient's head, giving Ji Xiang the position of the surgeon.

Tang Yan was dumbfounded.

Necrosis is followed by excision, which is the most basic common sense. The key point is that the director gave a diagnosis, but in the end he even pampered Ji Xiang to try it.

Tang Yan stared at Ji Xiang with wide eyes.

No wonder the person my boss wants to pursue has a future!

Although Tang Yan didn't work for a long time, it was the first time she saw that the clinical director was so kind to the doctor under him, and he was also a regular trainee.

Zhao Tianjiao, the son of Dean Zhao's family, did not receive such treatment.

Chapter 250 In ancient times, this was called Yang Qiang Yiju

"Director, I would like to try the stem head-stem cavernous body knife piercing shunt." Ji Xiang said softly standing on the operator's seat.

"Give it a try, I'm going to cut it anyway. I'm sure it won't be bad, and there won't be a worse ending than this." Director Liu said.

Ji Xiang was grateful. He knew that what Director Liu said about taking responsibility before was true.

"Come on!" Ji Xiang stretched out his hand.

Tang Yan has cooperated with Ji Xiang in the operation for a period of time, and knows that this guy usually looks very low-key and gentle, but once he stands in the position of the surgeon, he will say "the knife is coming".

A "knife comes" always makes people feel that he is too rampant, which is different from Ji Xiang's usual gentle and elegant appearance.

The scalpel hit Ji Xiang's hand, reflecting the light of the shadowless lamp, giving him a slight chill.

Jixiang picked up the back of the stem head with his hand and pointed it at the spongy body on one side of the stem, and the scalpel in his hand twisted a blade, and pierced vertically with a "poof".

"Ah!" The itinerant nurse who was watching the operation was startled and exclaimed.

"Xiaoji, slow down." Director Liu was also taken aback, and said in a low voice.

In his opinion, Jixiang's surgery, partial nephrectomy, and giant hydronephrosis were performed with caution and delicate movements, quite in the style of the southern school.

No wonder, the university was studied in Yangcheng, the operation should be more delicate, this is Director Liu's understanding.

But just now Jixiang's "reckless" knife fell, and cut the tough albuginea, with a depth of 4-5cm!

Just this knife made Director Liu's eyelids twitch.

Although the patient's little brother couldn't be saved, he couldn't kill the corpse either.

The most basic morality is still there.

Even if it is an autopsy for the general teacher, it is not so "cruel".

He was just thinking about how to persuade Ji Xiang, but then he saw dark red blood flowing out.

There is blood!

Seeing blood in the emergency department is a headache.

But the patient in front of him is necrotic, as long as there is blood, it proves that he can still be saved!

Director Liu had boundless hope in his heart.

Ji Xiang didn't explain, he had a knife in his hand and had already entered a state of concentration.

Here, the sorcerer is the only king.

Ji Xiang waited for the sudden decrease in resistance to flow out dark red blood, then rotated the blade 90°, and cut the buffy membrane again, forming a "cross" shape with the previous blade.

"..."

"..."

"..."

Director Liu and several other people who watched Ji Xiang's operation made creaking sounds in their throats.

Ji Xiang's knife was very deep, and he cut it twice, making a cross.

If it wasn't for the dark red blood flowing out, Director Liu would definitely stop Ji Xiang from continuing.

But the blood proved that the patient's little brother was still alive and could be rescued.

The incision cross plays the role of sufficient drainage, and Ji Xiang should avoid squeezing the operation area to discharge the congestion.

"Syringe... No. 18 syringe needle." Ji Xiang stretched out his hand, and when his hand was empty, he realized that this was the real world. As an equipment nurse, Tang Yan was countless times worse than the nurses in the operating room of the system, and his cooperation was not tacit.

"Sister, get an 18-gauge syringe." Tang Yan and the itinerant nurse said.

One minute later, the syringe needle was handed over to Ji Xiang.

Ji Xiang inserted a 18-gauge thick needle into the spongy body of the stem at the root of the stem, and injected heparin isotonic saline for perfusion and flushing.

"Doctor Xiaoji, there is blood, but is there still breath?" Tang Yan asked.

"Yeah." Ji Xiang nodded.

"Do you want to increase the concentration of heparin?" Director Liu asked.

"No, it's fine, it's fine, and it will be stitched up later." Ji Xiang smiled, and he focused on the incision without raising his head.

After waiting for nearly 3 minutes, the blood that came out of the poking mouth turned bright red!