Doctor of Healing

Red!

It means that it is fresh blood, which means that the little brother who has been swollen for 6 days is really still breathing.

The bright red color swept away the oppressive atmosphere in the operating room.

"It's really good! It's really saved!" Director Liu said beamingly, and even burst into foul language.

He didn't feel ashamed at all, although he was the one who just said no and wanted to have the patient resected.

The anesthesiologist was dumbfounded.

Why didn't the cross flowers that Jixiang poked out just now with a knife penetrate?There is only one question on the anesthesiologist's mind.

After seeing the bright red blood flowing out, Ji Xiang did not stop, and cut off the black necrotic tissue bit by bit along the incision.

"Doctor Xiaoji, after cutting so many spongy bodies, will it be okay in the future?" The anesthesiologist knew that keeping them would only cause infection, but they were spongy bodies after all, so he asked regretfully.

"According to the research on the ultrastructure of abnormally congested cavernous bodies, epithelial tissue necrosis can be seen after hyperemia exceeds 48 hours, and blood clots form in the cavernous body. It is impossible to keep it, 144 hours, too long. It would be better if it was earlier Yes, there is still a chance." Ji Xiang also felt a little regretful.

"But the excised cavernous body is just right, and theoretically it will not affect the patient's future life."

"!!!"

"Director Liu, your department's...technical strength is getting stronger and stronger." The anesthesiologist didn't know what to say, so he choked out a sentence for a long time.

"That's right, do you know what it's called in Chinese medicine?" Director Liu didn't know what to do, but after Ji Xiang said that, he was in a good mood and began to gossip.

"Does Chinese medicine have an explanation for this?" The anesthesiologist was surprised.

"You think! Our ancestors have summed up a lot of experience." Director Liu said, "This is called yang strength, which is mostly caused by yin deficiency and fire, liver stagnation turning into fire, or blood stasis and sperm blocking collaterals."

"Awesome!" The anesthesiologist praised.

"It's a pity, no matter what it is now, it's called kidney deficiency, tsk tsk."

"Director Liu, this patient was injected with papaverine, which was also used in ancient times?" the anesthesiologist asked back.

"Primary yang is strong and easy to lift. I don't know the specific principle. I rarely see it." Director Liu said, "I guess it was made by those people in ancient times who took pills, such as this loose powder. That scattered."

After finishing speaking, Director Liu asked, "Xiaoji, what should we do after we go down?"

"Broad-spectrum antibiotics, compound Danshen injection, low-molecular dextran, sodium bicarbonate, and oral dipyridamole." Ji Xiang replied immediately.

Ji Xiang made several incisions for decompression, and the cross-stitch openings poked out with a knife were sutured with 4-0 catgut, and the operation ended after bandaging.

This is an open operation, and stepping off the stage does not mean the end of the operation, and the remaining incision will be sutured again in about a week.

Although the delay was relatively long, Director Liu has gotten used to it.

In the early years of laparotomy, patients with deep fat layers were generally not sutured directly, otherwise the fat liquefaction would be serious, and sutures were reserved for 3-4 days after the operation when the condition stabilized.

Director Liu was a little worried, so he stretched out his hand and squeezed out a bright red bloody liquid.

He nodded in satisfaction and watched Ji Xiang complete the finishing touches.

Chapter 251 Home Remedies

After the operation, Ji Xiang wanted to send the patient back to the ward. Director Liu waved, "Dr. Zhao, send the patient back."

"Okay, Director." Zhao Zhe responded.

He is an old clinical attending, and he is the kind of doctor who can do partial nephrectomy by himself. Director Liu is very relieved of him.

It's fine as long as Zhao Zhe doesn't nagging in his ears.

That guy is like Tang Seng, talking endlessly.

"Xiao Ji, the operation is really good." Director Liu took Ji Xiang to change clothes. He said while looking at Ji Xiang, "You have performed a lot of operations during your internship. You are skilled and powerful."

"It's okay, the teacher took good care of me and took me to school." Ji Xiang said.

Director Liu tried a few more words, but Ji Xiang ignored them.

Director Liu was more interested in Ji Xiang's background, but he couldn't help Ji Xiang not to say anything.

Director Liu didn't hesitate, he took his time, he understood why curiosity killed the cat.

"Xiaoji, let me tell you something." Director Liu stopped asking, but changed the subject, "Director Bai of the Medical Affairs Department copied the operation video of the huge hydronephrosis, saying that he was going to participate in the operation competition."

"Competition? Really participate in the competition."

When Jixiang was in Yangcheng, he heard about the surgery competition, but he never participated.I also heard about the provincial urology surgery competition, but Jixiang didn't want to participate.

He didn't even have a doctor's certificate, and the system didn't even give him any tasks. Ji Xiang didn't want to waste his time on it.

"It's a fool." Director Liu was a little disdainful, but he concealed it very well, as if joking, "In order to accumulate experience, young doctors compare each other with surgical videos to see who performs the surgery better."

"Oh."

"There were very few competitions in our surgery before. It is another matter to go to the operating room with a video recorder. Whether it will be infected is another matter. I saw it once. It was an expert from Edinburgh who came to China to perform surgery. In order to improve the level of domestic doctors, it was The whole thing was filmed."

"However, this kind of full-time video recording involves the privacy of patients, and many agreements have to be signed, which is very troublesome. Moreover, the hospitalization fee is waived throughout the whole process. If the expert level of communication is not enough, the hospital leaders will not approve it."

Ji Xiang quietly listened to Director Liu explaining the ins and outs of the surgery competition.

"In the future, we will use laparoscopic surgery. Generally, the video will not be saved in the operation, which is troublesome." Director Liu said, "But a very small number of operations are saved, so that there is no need to apply to the hospital, and the patient can sign it. enough."

"Director Bai wants to participate in the competition with the operation of huge hydronephrosis, this..." Ji Xiang hesitated a little.

It's not because of anything else, but Ji Xiang thought that the surgery could only score 8 points.

After all, it is a young man's heart, and he may hide it very well when he is competitive, but he will still reveal it if he has the opportunity.

"If you're not happy, I'll go to Chief Bai and tell him that that student, Mr. Gu, Zhou Tianbo, is going to brush up his resume to prepare for judging outstanding youths or Changjiang Scholars. There are more bright things on the resume, yes. .”

"It seems that Changjiang scholars don't use these." Ji Xiang said.

Director Liu was taken aback, why did Ji Xiang look more familiar than himself.

Director Liu only knows such things as outstanding youths and Yangtze River scholars, and similar honors have nothing to do with him being a director in a provincial capital and an already quite old director.

Those are all things that only young and middle-aged people who are interested in academicians in the imperial capital and demon capital will care about.

Director Liu didn't want to show timidity, so he said with a smile, "Anyway, it's just for reviewing resumes. Director Bai copied a copy of the operation, and he probably just flattered me. He called me and asked for our opinions, you see Woolen cloth."

Jixiang thought of the first open task arranged by the system NPC for him—the student whose family was struggling and had no money to do laser lithotripsy.

Director Liu solved the problem of hospitalization expenses with just one phone call. It was obvious that he had a very good relationship with Director Bai.

Ask yourself a question, and it is also out of respect.

"I'm fine." Ji Xiang said.

"Are you going to participate?"

"I won't go." Ji Xiang said, "Mr. Wang said on weekends that there are some surgeries at the Andrology Hospital, so I rushed over to do the surgeries."

"It's fine, I'll take care of it after the patient signs, so don't worry."

Director Liu has unconsciously regarded Ji Xiang as an expert with average level to talk to him, without the condescending attitude of the director to subordinate doctors.

"Hard work, Director."

The two changed their clothes and went back to the ward to see the patient.

Ji Xiang knew it well, and the system NPC stamped it.The patient can suture the incision after 1 week, and the operation will basically not affect the life in the future.

At around 3 o'clock in the afternoon, Jixiang was writing medical records in the office. Mr. Wu walked in and patted Jixiang on the shoulder, "Xiaoji, the operation is really good. Have you encountered similar situations before?"

"I saw the teacher did it, but it wasn't caused by the injection of papaverine into the cavernous body." Ji Xiang's face was flat, and he couldn't tell the truth from the fake.

"What's the situation?"

"A student was congested for 28 hours after oral administration of sildenafil out of curiosity." Ji Xiang said, "The patient's time was relatively short, and the one we took today has been nearly 144 hours. If it is not completely necrotic, it has to be said that the patient's body it is good."

"Tsk tsk, let him know about the injection of papaverine into the cavernous body. The key is that he knows it, and he dares to do it. It's not worth it, but he dares to overinject it." Mr. Wu said with emotion.

"Don't understand, the ignorant is fearless." Ji Xiang smiled.

"Mr. Wu, have you seen anything similar?" Lu Kai asked.

Mr. Wu looked Lu Kai up and down, and saw that he was not holding his mobile phone, so he started gossiping in peace.

"There are very few similar cases. The strangest one I have seen is a folk prescription that a patient found somewhere, 1 fur seal kidney, 50g of cistanche, and 500ml of white wine."

"Originally, it's okay to drink a little every day. One day, the patient drank too much and went home to have another meal. As a result, he drank more than a catty at home and wiped out the wine soaked in sea dog kidneys."

"Really useful?"

"Anyway, the congestion has been going down." Mr. Wu said, "The operation was relatively simple, and the patient came early, less than 12 hours. But I didn't sober up, so I didn't dare to take it to the stage immediately, and stayed up for another 8 hours. The stage is only opened when the sky is dark.”

"The operating room didn't scold you, did it?" Lu Kai laughed.

"It must be scolding. The itinerant nurse beat me up and took the anger out on me. But the anesthesiologist is very interested. I think he has memorized all the prescriptions."

"If it's useful, I'll write it down, in case I need it later."

"It is said that Qi Jiguang used this recipe for Zhang Juzheng. Zhang Juzheng drank this kind of wine every day, and then he didn't wear a hat in winter." Mr. Wu gossiped enthusiastically, "But I always feel that something is wrong."

The ringtone of the mobile phone interrupted the gossip, Mr. Wu picked up the phone, and after answering a few times, his face became ugly.

Chapter 252 Suspension

After Mr. Wu hung up the phone, Lu Kai asked curiously, "Mr. Wu, what's the matter, is there an emergency?"

"No." Mr. Wu shook his head and sighed deeply.

Ji Xiang was also a little curious and stared at Mr. Wu.

Mr. Wu took out his mobile phone, found an APP, and entered his account.

"Hey, the backstage sent me a message, and it's so illegal. If you want me to say that our urology department is pornographic, just this name is against the rules."

Mr. Wu shook his phone and said helplessly.He also knew it was useless to complain, so he sighed deeply.

Ji Xiang leaned over, read it through, and shrugged.

[Teacher, because you frequently used sensitive words such as "*" and "****" in your communication with patients, you will be banned for one month and punished. I hope you understand. 】

Mr. Wu sighed, "Although online consultation can only treat some minor ailments, there are still benefits. But our urology department is really not good, and we will be banned if we say anything."

"Haha, Mr. Wu, what did you tell the patient?"

"What can I say to the patient once I pass the sewer." Mr. Wu said, "It's not about those things. But if it involves a little bit, you will be banned from speaking, and online consultation is probably not allowed. This thing is born with urology. If they don’t match, the five elements are mutually restraining.”

With that said, Mr. Wu clicked on an announcement.

[Hi everyone, teachers:

Due to the impact of the current situation, the communication channel is required to add a large number of sensitive words related to "*", "******" and "****" in stages, resulting in poor communication between doctors and patients.

Especially in obstetrics and gynecology, andrology, and urology are more affected.

Special reminder to all doctors, if you encounter unsuccessful sending in communication at present, it is likely to hit a sensitive word, please try to change the wording.

In order to reduce the chance of problems, we will temporarily close the "pre-consultation" service of gynecology, andrology, and other related departments, and instead write and submit medical records by patients themselves.

The quality of medical records will decline, and doctors in obstetrics, urology and related specialties please understand! 】

"Here, let's take a look, our department has been taken off the shelf." Mr. Wu smiled awkwardly, "I think we will be mosaiced one day."

"Hahaha, Mr. Wu, if you visit the doctor with a mosaic face on your face, you will have a special flavor." Lu Kai laughed heartily, not knowing the pain.

What he described was very graphic, and Mr. Wu couldn't help but smile when he thought of the picture of himself visiting the doctor wearing a mosaic.

If so, it is more likely to cause ambiguity.

"Mr. Wu, how many patients have you consulted?" Ji Xiang asked.

"It's okay. Actually, I can't understand anything about the online consultation. I just tell the patient some relevant knowledge, so as to avoid being cheated by other hospitals. Now there is no other channel. Forget it, it has nothing to do with me. .”

"Mr. Wu, you are interested in the online registration fee." Lu Kai laughed.

"It's a little bit, but it's not enough to say that you are attracted to it." Mr. Wu said very frankly, and it can be seen that Mr. Wu is not in a good mood.

"It's normal, Boss Wu, don't mind." Zhao Zhe endured it for a long time, and when no one spoke, he finally started to explode, "I was complained by a patient when I was in our local clinic."

Zhao Zhe was a terribly talkative guy, and he didn't give a shit about it at all. He continued talking on his own without waiting for Mr. Wu and Lu Kai to ask.

"One day when I went out to the clinic, I met a 'girl' with fluttering long hair. It is normal for the patient to go to the wrong door. Mr. Wu, you have experienced many battles, you must know.

When women come to see a doctor in our urology department, I send them to the gynecology department.

As soon as I spoke at that time, the 'girl' with fluttering hair had a low voice, which startled me. "