Doctor of Healing
Page 530
Jixiang was fine this time, and read his "own" memory for the first time.
It turned out that my own grandfather had terminal lung cancer and had no possibility of treatment and was waiting to die.
"I" is a doctor, and I take turns taking care of my grandfather with other family members.
But since grandpa was hospitalized, "I" knew very well that he would not live long, so I have been insomnia and anxious recently, and have not slept for several days.
After changing shifts and taking a break, I lay on the bed but didn't feel sleepy at all, I could only think wildly.
Ugh.
Ji Xiang sighed helplessly.
Sadness and joy, this is the normal state of the world, there is no way.
It's just that "my" grandfather is in the terminal stage of lung cancer, so surgery should not be involved.
eccentric.
When Jixiang is searching for memories, he is often disturbed by his "own" memories.
"I" lived with my grandfather when I was young, and my memory is full of childhood warmth.
There is elm money, and there is... silly roe deer.
Grandpa took a shotgun and took "myself" to hunt, and the prey was a silly roe deer.
That thing is really stupid, Ji Xiang is very helpless to the stupidity of the roe deer.
It seems that my silly roe deer is much smarter.
The warmer the memory, the more uncomfortable it is at this time.
People, definitely can't stay, "I" can only stay in the department day and night, spending the last time with the old man.
Although I was exhausted, "I" couldn't feel it at all. I lay silently on the bed, didn't sleep, just looked up at the sky.
"Brother Ji! Our grandpa said he couldn't breathe, so take a look."
The nurse opened the door and came in and said hastily.
"Myself" jumped up immediately.
"Bang" hit his head on the second floor bunk, "I" didn't care about the pain, and trotted to the ward with my slippers on.
The old man has a haggard face and sits up to breathe. Every time he inhales, the supraclavicular fossa, suprasternal fossa, and intercostal space are simultaneously depressed, which is a typical three-concave sign.
"Grandpa." Ji Xiang called out in a low voice.
The old man sat on the bed and waved his hands lightly.
The simple movement made it more difficult for him to breathe, especially the depression in the supraclavicular fossa was deep enough to hold a bowl of water.
Ji Xiang hurriedly took out the stethoscope.
The old man has lung cancer in the right lung with systemic metastasis, and there were a small amount of breath sounds on the right side.
But there was no breath sound on the right side during auscultation!
Ji Xiang immediately performed percussion and confirmed that it was pneumothorax with a large amount of pleural effusion.
And it should have appeared suddenly, because it didn't happen earlier in the morning.
What's next?
"Prepare for closed chest drainage!" "Myself" said loudly.
The nurse went to prepare things right away.
Ji Xiang recalled that when he felt the same way, he was undergoing closed thoracic drainage, and the doctor almost put him on the wall.
What a pain!
However, it was a young man, who suffered local tension after trauma, and caused the muscles and pleura to tighten.
If it is an elderly person, it should not have such a big reaction.
and……
Ji Xiang hoped that the nurses would bring in high-value consumable chest tubes.
As one wishes, the nurse brought in a bunch of things, including chest tubes with high-value consumables.
This kind of chest tube is thinner than ordinary ones, and has a steel core in the middle, which makes it easier to poke into the chest cavity.
Even if the pleura and muscles are tense, there will be no such thing as the patient hitting the wall.
"I" is a thoracic doctor, so there shouldn't be any difficulty in such a small treatment as closed thoracic drainage.
Is it...
Ji Xiang suddenly remembered the content of empathy this time.
Could it be that he couldn't even handle such a small matter?
"Myself" opened the incision bag, and the nurse quickly filled the chest bottle with topical salt and opened a bottle of ropivacaine.
Anesthesia was withdrawn from a 5ml syringe and diluted with saline to prepare for local anesthesia.
Although Ji Xiang is not a thoracic surgeon, he still understands the most basic principles.
In the case of the elderly, there is no need for B-ultrasound positioning at all, and the chest tube can be directly inserted in the 6th and 7th intercostal space on the midaxillary line.
After taking the anesthetic, "I" behaved normally, and Ji Xiang was observing calmly.
Disinfect the area, lay a drapery, pick up a 5ml syringe, and then push the air out.
The movements are skilled and stable. It is a bit exaggerated to say that the clouds are flowing, but there is absolutely nothing to choose.
Ji Xiang watched the movements of "myself" intently, holding the syringe in sterile gloves, and the moment the needle tip touched the skin, "myself" suddenly stopped.
Uh……
Ji Xiang could feel that "my" mind was blank, and his hands began to shake, not to mention using a knife, even the simplest anesthesia couldn't do it.
At this time, Jixiang really wanted to seize control of his body and start anesthesia and closed chest drainage.
Such a simple little operation!
But "I" was very hopeless, my hands were shaking so much, even my muscle memory was gone, my body was a little weak, and stars began to appear in front of my eyes.
"I" stabilized my mind and took a deep breath.
As the fresh air was drawn in, "I" seemed to be a little more refreshed.
try again.
When the tip of the needle touched Grandpa's skin, "I" froze again.
The muscle memory mentioned by the system npc has also completely disappeared, and "I" is like a rookie who doesn't know how to perform surgery, holding a syringe in a daze.
"Jigo?"
The little nurse was a little surprised and asked in a low voice.
Ji Xiang could already feel the cold sweat on "my" back, and the cold sweat instantly wet the white clothes.
Why is it so useless!
Ji Xiang scolded "himself" and even more scolded himself.
I dare not do a simple disposal, is there such a useless thing?
Recalling his strange behavior in the operating room, Ji Xiang understood a little bit, but he was not satisfied.
The situation I am facing is far worse than what I am facing, it is just some accumulation of empathy, and I can't even perform surgery, it is really useless.
But in front of him, he was facing the grandfather who had brought him up since he was a child, and he didn't dare to make a move...
It doesn't seem like it should either.
The old man sat upright and breathed, every second he was in pain.
Solve it early and let the elderly breathe a sigh of relief earlier, this is what should be done.
But "I" just can't do it.
Seeing "myself" trembling, Ji Xiang was anxious and eager to take over.
A few seconds later, "I" put the syringe in the incision bag, took off the sterile gloves, and didn't explain anything to my family. After cursing, I turned around and left the ward.
"Brother Lang, I, Xiaoji."
After going out, "I" started calling.
"Is it convenient for you, my grandfather needs closed drainage, I can't get it... I can't do it."
"Then thank you, Brother Lang."
"I" finished calling Shen Lang, my legs were weak, and I slowly slid on the ground with my back against the wall.
The patients and family members of the patients in the corridor looked at "myself" with strange eyes.
They don't understand, but Ji Xiang understands.
This time it was different than usual.
In the past, I had feelings in the virtual world, and then they acted in reality.
But this time, Ji Xiang "forgot" how to do the surgery in reality, and came to the virtual world to seek answers.
"I" just sat on the ground like this, holding my head in my hands.
Although his eyes were closed, there were stars flying in front of his eyes, and there was a buzzing sound in his ears.
If the operation is performed earlier, the elderly can suffer less. This is very clear to me, but I can't do it.
Ji Xiang sighed, indeed.
He compared the difference between reality and the system, and seemed to have a clue.
"Xiaoji, I'm here."
Shen Lang appeared in front of his eyes, he didn't smile, but turned around to change his clothes, and then trotted over.
"Have you filmed yet?"
"No, the physical examination is confirmed."
"Okay, I'll go and have a look, let's talk about the tube first."
Shen Lang was also unambiguous, and went directly to start the physical examination.
Everything was ready, Shen Lang applied anesthesia, cut the skin, bluntly separated the subcutaneous tissue, and gradually came to the pleura.
The pleura was opened, and the bloody pleural effusion flowed out directly.
Shen Lang pressed the incision with gauze, took a chest tube with a steel core and sent it in.
"I" was still in a daze, the nurse was quick-eyed, and before Shen Lang could speak, he clamped off the chest tube and began to connect it to the tube of the chest bottle.
Then the nurse squatted on the ground and opened the clamped chest tube, and bloody pleural effusion and gas were drawn out.
"Brother Lang, how much?" the nurse asked.
"500 first, and then 400 after half an hour. The old man is weak, so come here a little bit." Shen Lang said, "Your brother Ji is already dead, you can help me watch."
"Okay." The nurse responded quickly.
The atmosphere in the department is so good, Ji Xiang felt emotional.
Shen Lang's operation took about 1 minute from beginning to end, but "I" couldn't do it at all with such a simple operation.
"Keep an eye on it, and take a look every few minutes." Shen Lang said something long-winded again, then pulled "myself" away.
"Xiaoji, smoke a cigarette and take it easy. Look at your back, it's full of sweat." Shen Lang didn't laugh at "myself", but comforted, "It's okay, I can't do anything."
"Brother Lang, I...are really useless."
"What are you talking about?" Shen Lang lit a cigarette, stuffed it into "myself" mouth, and then he lit another one and smoked.
"You think everyone looks like the director! He's a beast."
"what?"
Ji Xiang was taken aback when Shen Lang described Professor Zhou in this way.
Livestock!Shen Lang actually described Professor Zhou like this.
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