Chapter 48
: Besides causing blood congestion, it can also administer blood transfusions and IV drips
Chapter 48: Besides causing blood congestion, it can also administer blood transfusions and IV drips? This must be a cheat code!
Dean Zhao's gaze towards Ji Xiang was consistently odd.
It was a complete surprise that he remembered such a lowly resident trainee.
Because Zhao Tianjiao was a fellow resident in the same standardized training program...
Because of the perfect solution to that case analysis question.
Because he is also called Jixiang (吉祥).
Dean Zhao has been thinking about this young man quite often lately, whether intentionally or unintentionally.
Today, when Dean Zhao saw Ji Xiang being taken into the emergency room by Elder Gu, he felt a mix of emotions that were hard to describe.
He knew it was jealousy.
He himself was a successful hospital director, while Ji Xiang was just a resident physician who hadn't even passed the professional medical examination and was not considered a doctor at all.
This jealousy came out of nowhere.
But it really exists.
Seeing Ji Xiang's "reckless" actions, even city leaders raised objections. Dean Zhao followed the chief dean into the emergency room and sternly asked, "Who are you? Do you have a license? Who will be responsible if something goes wrong?"
The emergency room was completely silent.
The medical staff, who had been whispering and discussing Ji Xiang's outlandish idea, fell silent.
This is a classic case of trying to find someone to take the blame!
That's it, that young man is doomed!!
It is only natural for resident trainees to have hands-on practice; otherwise, what's the point of them coming to the hospital if they come for standardized training but are not allowed to do anything?
However you can put it this way, there's no need to overstate it. In large-scale emergency care, the actions of young resident trainees are indeed violations and a major cause of patient death.
What will happen next is obvious to everyone.
"I had a few drinks today, so I can't operate it."
The brief silence was broken by Old Gu's words.
"Dr. Xiao Ji was performing the procedure under the guidance of a senior doctor. Was there a problem?"
Old Gu glanced sideways at Dean Zhao, then at Dean Chen of the Second Affiliated Hospital.
Although he has grown old, his sharp edge when arguing remains as strong and shrewd as ever.
Uh……
Dean Zhao was speechless.
Ji Xiang didn't even look at the people around him; he was completely absorbed in the operation.
The feeling of the needle of syringe #6 piercing the white membrane was very clear, just like the feeling I had during countless training sessions in the operating room.
At first, Ji Xiang didn't quite grasp it, but with the guidance of the system NPC and his own strong comprehension, he successfully grasped the feeling through a hundred or so piercings.
Everything was just right. The needle of syringe #6 pierced the white membrane and went in 0.5cm, no more, no less.
Ji Xiang waved, but no one moved.
He waited for two seconds, glanced back, and said, "Secure it, start the saline solution."
Reality is still not as good as the system's operating room. In the system's operating room, by the time this step is achieved, the system NPCs have already done all of this.
Old Gu only said one sentence. Seeing that the operation was delayed, he gave Dean Zhao a deep look, then took off his gloves, fixed the needle that Ji Xiang had inserted, and then connected the infusion tube.
With the flow rate set to maximum, Old Gu watched intently.
The absence of a bulge at the injection site indicates that the saline solution successfully entered the corpus cavernosum and then the venous sinuses behind it.
Mr. Gu knew the operation had succeeded! But he was cautious and waited another 20 seconds.
Time ticked by, the injection site remained the same, and the liquid gushed in.
Old Gu seemed to be able to feel the entire process of the fluid entering the venous sinuses through the corpus cavernosum and then entering the systemic circulation.
Regardless, the fluid gave the patient a glimmer of hope.
A stone fell to the ground, and he unconsciously let out a long sigh of relief.
The operation was simple, but the approach was unusual; Old Gu had his own judgment.
"Did the fluid enter the circulatory system or the bladder?" a director who came to participate in the rescue asked in a low voice.
"Go back and review the autopsy." Old Gu's tone was no longer gentle.
When faced with provocation, blame-shifting, and questioning, the more mild-mannered you are, the more likely people will take advantage of you.
The key issue is that many people keep kicking their feet even after applying the product to their faces, leaving no room for retreat.
At this point, we must be firm and cut off any potential negative possibilities.
When it's time to turn against someone, do it without hesitation. There's never a way for a gentle, kind person to survive in this world.
"Connect the three-way valve, administer vasopressors and red blood cells, and send the patient to the ICU," said Dr. Gu. "Once the blood pressure rises and the veins become slightly fuller, perform a central venous puncture. Blood vessels are precious; find your best technicians."
One medical order after another was issued, and no one said no.
"Give it to Ling Ge in three hours."
Another childish voice came from behind, and everyone was taken aback.
It's Ji Xiang!
That resident trainee!
He was actually supplementing Old Master Gu's medical orders!
"After administering 500ml of 706 plasma substitute, the vital signs stabilized. Two hours after the femoral vein access was established, the intravenous infusion in the corpus cavernosum can be discontinued."
Ji Xiang acted like a top expert, taking off his sterile gloves while giving verbal medical orders.
That powerful aura weighed heavily on everyone's hearts.
"Ji Xiang... why does he look so strange?" Lu Kai, a chubby, lewd-looking resident trainee who came with them, asked Liu Yunqing in a low voice.
Liu Yunqing is usually absent-minded, but when she watched Ji Xiang's actions, her eyes lit up like stars, and she entered a completely different state.
"I don't know either, but judging from Ji Xiang's appearance, he seems like a real doctor," Liu Yunqing said enviously.
The deputy director of the nursing department and his team immediately took the call and carried out the doctor's orders.
Watching the liquid flow into the IV tubing...
The veteran nurse felt like it was a dream.
Since I started working, all the IV infusions I've ever seen have been administered through blood vessels; no one ever imagined that IV infusions could be administered through the corpora cavernosa.
The veteran nurses have experienced countless emergency rescues.
If it's hemorrhagic shock, the blood pressure is undetectable, and the veins are as flat as a piece of paper. The doctor makes an incision, uses hemostatic forceps to lift the "paper," and then skillfully finds it, immediately sending an IV line directly into the inferior vena cava from the femoral vein.
In the case of deep vein puncture, an experienced doctor may succeed in drawing blood on the first attempt, even in seemingly impossible situations, and the patient may be saved.
but!
No one has ever seen intravenous infusion via the corpus cavernosum.
That thing has this kind of use? Like carrying an IV line around? Is this some kind of biological cheat code?
After the patient was taken away, Mr. Gu did not go to see him; instead, he spoke quietly with Ji Xiang.
"I see only a slight increase in girth, no congestion, so it should be fine," said Old Gu.
Ji Xiang heard the "ding-dong~" sound indicating the task was completed, but he didn't check it carefully. Instead, he talked with Elder Gu.
"The IV infusion went smoothly. The needle of the size 6 syringe went 0.5cm below the tunica albuginea, so theoretically there shouldn't be any abnormalities. I've also observed it, and you're right, the lack of congestion shouldn't affect the infusion rate," Ji Xiang said.
"Dr. Ji, how did you know about intravenous infusion?"
"I saw it in a journal," Ji Xiang replied frankly. "It's a sub-journal of The Lancet. In 2016, there was a case report about intracavernosal infusion."
"!!!"
Professor Zhou and Colonel Wang stood to the side, listening to Ji Xiang talk about The Lancet and its sub-journals, and felt a sense of dread.
They looked at Ji Xiang as if he were the big boss in a horror movie.
Especially Colonel Wang, whose eyes were filled with fear when he looked at Ji Xiang.
He wouldn't be too surprised if it were just a junior resident trainee chatting and laughing with a top urology expert.
It could be a friendship between people of different ages, or it could be good luck.
But Ji Xiang's actions just now were absolutely terrifying!
Colonel Wang has spent half his life in the urology department. He may not be the young prince of the provincial capital, but he is an experienced doctor who has seen and experienced many things.
Even he never imagined that the lower body and corpus cavernosum that he saw every day could be used for blood transfusions and intravenous infusions in addition to being filled with blood.
How did Ji Xiang manage to do that?
"That's right, are you reading English journals?" Professor Gu asked. "Because of language barriers, many clinicians don't have access to top-tier journals."
"Yes, Professor Gu," Ji Xiang said. "When I was reading the literature, I felt that the logic was sound, but I had never actually done it."
"How did you control the feeling of emptiness when you pierced the white membrane?"
Old Gu was shrewd and experienced; he went straight to the most important question.
"I carefully feel everything during each surgery," Ji Xiang replied casually.
The rescue operation has temporarily ended, but the bigger battle is still underway in the ICU.
The city leaders knew nothing about medicine, but the medical experts all came over to greet Old Gu and then rushed to the intensive care unit.
Most of them didn't know that Ji Xiang was a resident trainee; they all thought that this young man was Gu Lao's last disciple.
As the crowd thinned out, Mr. Gu and Ji Xiang continued their conversation.
Professor Zhou Tianbo's expression was somewhat grim. "Colonel Wang, is Ji Xiang really just a resident trainee?"
"Yes."
"How could I...?"
"Does it feel like watching a horror movie?" Colonel Wang asked.
"Do you believe he saw it in a Lancet sub-journal?" Professor Zhou asked, as if to Colonel Wang, or perhaps to himself.
Colonel Wang remained silent.
"Horror movies, really." Professor Zhou sighed. "When I was in school, my best friend in the dorm was reading a horror novel and got terrified, so he asked me to throw the book into the sea with him."
"It's not that bad, it's not that bad," Colonel Wang said with a smile.
"I was naughty back then. I bought a new book, soaked it in water, and then stuffed it into his drawer."
"..." Colonel Wang's smile was somewhat stiff.
"Colonel Wang, I just watched Dr. Ji perform a corpus cavernosum puncture, and that's exactly the feeling," Professor Zhou said.
Colonel Wang understood Professor Zhou's meaning.
Ji Xiang's rescue was no longer just a simple success; it was a terrifying act, like the work of a great demon.
"Professor Zhou, I feel ashamed to hear Dr. Ji say that," Colonel Wang tried to change the subject. "I haven't even read the main issue of The Lancet, let alone its sub-journals."
As they were talking, Old Gu and Ji Xiang walked over.
"I'm back," Old Gu said with a smile.
His eyebrows danced with excitement; Professor Zhou was familiar with that expression.
When I ranked first in the national medical licensing exam back then, my boss had the same expression when he approached me.
Does this mean I'm going to have another junior brother?
Professor Zhou glanced blankly at the boss, then at Ji Xiang.
"Dr. Ji, are you going to the urology hospital for surgery again tomorrow?" Old Gu asked.
"We should go."
"See you tomorrow then." Old Gu patted Ji Xiang on the shoulder. "Not bad, not bad."
Hearing his boss praise a young man like that, Zhou Tianbo felt a mix of emotions, unable to describe the feeling.
Perhaps, this is jealousy.
(End of this chapter)