Corpus cavernosum puncture

Chapter 47 Corpus cavernosum puncture (Part 2)

Old Gu shook his head, indicating that he had no good solution either.

He is indeed a medical expert, but the patient is a burn victim, and even Old Gu is powerless to help. Coming to see him is the least he can do.

"Do everything you can to save them, no matter how difficult it is, even if it's an insurmountable obstacle, at least keep them alive for three days!" The city official said coldly, his face grim.

Dean Chen wore a bitter expression and remained silent.

Medicine is a branch of science, and objective science is science; it won't listen to reason so easily.

What's the patient's condition? And it's still 3 days?

Dean Chen felt he couldn't endure even 3 hours.

After the person died, he was going to get scolded. What bad luck! Dean Chen felt gloomy.

He has a clinical background and can tell at a glance that a patient is on the verge of death, even more so than someone who has suffered cardiac arrest, even if the patient is still breathing, has a heart rate, has blood pressure, and can still cry out in pain.

Extensive burns cause massive exudation, and since the fluids cannot be replenished, the person will die very quickly.

Miracles are unlikely to occur in patients with similar conditions.

"Old Gu."

Ji Xiang approached Old Master Gu and bowed slightly.

"Dr. Ji, you've come to help with the rescue too." Old Gu shook his head. "It has nothing to do with our urology department. Go back."

"I just took a look at the patient from a distance and I have an idea. What do you think?" Ji Xiang said in a low voice.

idea?

Old Gu frowned slightly, and Dean Chen's eyes lit up, but when he saw that the speaker was a young man, his face immediately darkened.

If it weren't for the people from the city there, he would have loved to kick this arrogant brat into a corner.

"This is an emergency resuscitation, not..." Old Gu said, then winked at Ji Xiang before walking out.

Ji Xiang followed beside Old Gu, saying, "Old Gu, with corpus cavernosum puncture, the fluid can enter the venous sinus from the corpus cavernosum and then enter the systemic circulation."

Old Gu paused, his steps faltering slightly.

This line of thinking...

Professor Gu heard another prominent figure in the field give a similar report at an academic conference, but he had never actually done it himself.

I never expected to hear something similar from a resident trainee.

"Don't talk nonsense!" Professor Zhou rebuked.

"Dr. Ji, please tell me." Old Gu stopped in his tracks, raised his hand to stop Zhou Tianbo from speaking, and stared intently at Ji Xiang.

Professor Zhou was taken aback.

Ji Xiang was only talking about theory; it only existed in theory. He considered himself an expert in urology and had never heard of anything like it.

"What's wrong with the boss?" Professor Zhou wondered.

"Be careful during the puncture, especially..." Ji Xiang said, repeating the key points that the system NPC had taught him in the system's operating room.

"This..." Old Gu hesitated.

However, the whole process described by Ji Xiang matched his memory of another person giving a report at the conference quite well, so it should be worth a try.

"Have you done it?" Old Gu asked.

After asking the question, Old Gu was speechless.

I've been immersed in urology for forty years and I've never done it, so why should a junior resident do it?

I must have lost my mind, I must have!!

However, Ji Xiang is not suitable, but I can try it myself.

Try?

Old Gu hesitated. After all, he was getting on in years and had never performed a corpus cavernosum puncture before. What if something went wrong?

But none of that is the most important thing. I had been drinking tonight, and Mr. Gu was worried that I might slip up while operating the device.

"Mr. Gu, I can give it a try," Ji Xiang said softly.

"Um?"

"You're getting all worked up over a simple circumcision?" Professor Zhou's expression was quite unpleasant. "You don't even have a medical license, get out of here."

Ji Xiang didn't move. He automatically filtered out Professor Zhou's cursing and looked directly at Old Gu.

Old Gu and Ji Xiang looked at each other.

Be brave when you're a doctor!

Suddenly, Gu recalled something an old doctor had said to him when he was young, after encountering a patient who had been bitten by a dog.

A few seconds later, Old Gu nodded. "Take it easy. Just perform at half the level you would when you did a circumcision. The puncture is simple; I'll be watching, it'll be fine. Give it a try!"

Professor Zhou was shocked; his face turned a purplish-blue.

"Dean Chen, I'll take some people and try to see if we can establish an intravenous access," said Old Gu, turning to Dean Chen of the Second Affiliated Hospital.

"Mr. Gu, what are you planning to do?" Dean Chen was already completely despondent and began to think about how to shirk responsibility and make the leader think that he had done his best.

As for Old Gu, what can a urologist do?

But out of respect for the senior colleague, Dean Chen still asked a question.

"Perform a corpus cavernosum puncture." Old Gu simply said this to Dean Chen, and then led Ji Xiang into the emergency room.

The patient was exactly the same as the simulator, except that the person next to him was replaced by Old Gu instead of the system NPC.

Ji Xiang concentrated and began preparing the items for the puncture.

"Professor Gu, Professor Gu!" Dean Chen rushed in. "Did I hear that right? Corpus cavernosum puncture? There's such a procedure?!"

"Behind the corpus cavernosum are the venous sinuses, where fluid can be administered."

"!!!"

Everyone in the emergency room was stunned.

In emergency care, urology specialists are rarely seen except for cases of kidney rupture or ureter rupture.

And if we use the corpus cavernosum for fluid replacement, does that mean we have to find a tube and pump the fluid down the urethra?!

This is so unserious!

"Professor Gu, what should I do?" Director Xu of the anesthesiology department asked anxiously, his sterile cap soaked with sweat.

"Let's give it a try, even if it's a long shot," Old Gu said incoherently.

Director Xu tactfully stepped aside, looking at Old Gu with great confusion.

Soon, Ji Xiang finished preparing everything. He stood in the position of the sorcerer, while Old Gu stood in the position of the assistant.

Professor Zhou felt a lump in his throat when he saw this scene.

This young man is too arrogant. Even though it was just a small procedure, not surgery, he stood casually in the surgeon's position next to his boss!

This undoubtedly made Professor Zhou dissatisfied.

"Mr. Gu." Ji Xiang turned slightly to the side and politely gestured for him to enter.

"We're trying to save him," Old Gu said seriously. "You come here and watch for the feeling of emptiness when you pierce the white membrane."

Ji Xiang thought to himself, "He really is an old doctor and an expert."

It's obvious that Mr. Gu hasn't done anything similar, but he can still explain the key points of the operation as soon as he opens his mouth.

"Mr. Gu, I'll begin then."

After Ji Xiang finished speaking, he began preparing the surgical area.

The patient was diagnosed with extremely severe burns, with 35% of the burns being third-degree and 50% being second-degree, and was in burn shock.

In similar situations, Gu Lao knew it would be difficult to survive, mainly because, in addition to infection, an intravenous line could not be established.

Intravenous infusion via the corpora cavernosa is logically sound, but this approach is just too unconventional!

He watched Ji Xiang's actions intently, ready to interrupt immediately if there was anything he was not satisfied with.

But after just one glance, Old Gu's brows furrowed and his eyes narrowed into slits.

The few remaining healthy patches of skin are the patient's only hope for survival; future skin grafts and other procedures will depend on them.

Any minor injury during the skin preparation process is considered a major mistake.

However, Ji Xiang's movements were gentle, and he didn't overly insist on neatness, which seemed like a flaw. But from Old Master Gu's perspective, Ji Xiang did it just right.

If the child moves too much, there is a possibility of skin injury; if the child moves too little, and the skin is not properly prepared, there is a possibility of infection.

Just right—these four words are simple to say, but extremely difficult to achieve.

Old Gu believes he could have done it ten years ago, but now? Haha.

Ji Xiang simply trimmed away the remaining hair, disinfected the skin around the surgical area, held the surgical area with his index finger and thumb, fixed the corpus cavernosum behind it, and took the area on the right side of the corpus cavernosum and the side of the styloid process where there were no subcutaneous veins.

Old Gu wanted to help, but Ji Xiang's movements were so fluid and seamless, as if he had done countless similar training sessions, that Old Gu's eyelids twitched.

That's absolutely amazing!

The next step is crucial. Old Gu had no time for reflection and focused intently on watching Ji Xiang's actions.

Ji Xiang didn't even look at it, and picked up the No. 6 syringe needle with his other hand.

Who is that?

"It seems to be Dr. Gu from the urology department."

"No, I meant the young man who did the operation."

Behind them, people started talking.

Although the rescue scene was chaotic, everyone was focused on this critical patient.

Even the head of the anesthesiology department was defeated, so who else would dare to step up!

But when a young man stands in front of the surgical area and begins to operate, almost all eyes are drawn to him.

People were surprised and couldn't help but mutter under their breath.

"What is he doing? The veins on his skin are incredibly thin; we can only try using a scalp vein needle. A size 6 needle probably won't go in."

"I don't know. I just heard the head doctor say that we should contact the interventional radiology department to see if interventional treatment would be possible."

"Is interventional radiology feasible? Even infusion ports aren't installed like this."

"Didn't the leader say it himself? We have to survive."

"Listen to them! Pshaw, if that's the case, just send him to stand at the entrance of the funeral home, and everyone will come back to life."

"Keep your voice down, Dean Chen is definitely going to get yelled at. Don't go looking for trouble."

Ji Xiang was completely focused and didn't hear what the people around him were saying. He held the needle of the No. 6 syringe at a 45-degree angle to the side.

It might actually work. Old Gu considered it for a moment, but couldn't find any mistakes in Ji Xiang's actions, so he remained silent.

If there's anything wrong with this young man, it's that he handled the case with the ease of someone who had done at least a hundred cases before; he was incredibly skilled, which looked really strange.

"What is he doing? Is he really going to prick me with a needle and then start the IV drip?"

"Yeah, would that thing even work? It's not like a blood vessel."

"Why isn't a single director speaking up?"

Everyone was stunned to see Ji Xiang holding the No. 6 syringe, about to inject.

The current medical system is highly specialized; you could say that each department is like a completely different mountain.

It's not a blood vessel, you can't just insert a needle and start an IV.

No one believed it.

"Dean Chen, I'm not in the medical field, but I know that IV drips are administered through a blood vessel." The city leader's expression was serious. "Isn't this utter nonsense? That's for urination, it's the outlet, not the inlet! You're fucking taking advantage of my ignorance!"

Dean Chen also complained bitterly.

"I'll go check on it, boss."

Pushing aside the crowd, Dean Chen came up behind Ji Xiang, a surge of anger rising in his heart.

Dean Chen originally thought that Dr. Gu and the young doctor were looking for small arteries or veins.

No matter how detailed it is, as long as the liquid gets in, you can explain it yourself.

Can!

Can!!

Can!!!

Ji Xiang's No. 6 needle perfectly avoided all the blood vessels and went straight in.

Is this supposed to be an emergency rescue?

Could it be that he's really planning to connect a water pipe and pump the liquid in backwards?

A complete novice who knows absolutely nothing about medicine!

(End of this chapter)