Kidney Rupture Imminent

Chapter 62 Kidney Rupture Imminent

Urgent task: Even minor illnesses can be fatal.

Mission objective: To treat a patient with a ruptured kidney.

Task duration: 24 hours.

Task Rewards: 5000 experience points, 20 surgery points.

The mission rewards were ordinary, and didn't include anything Ji Xiang wanted.

His gaze fell on the words "ruptured kidney," which, as the name suggests, should be an emergency.

Although the urology department claims to have no emergency department, patients with urinary tract stones will receive symptomatic treatment in the emergency department.

However, there are also cases of external injuries such as kidney rupture, as well as rarer cases such as kidney torsion and necrosis.

Since it was a ruptured kidney, it must have been a car accident, Ji Xiang made that judgment immediately.

The kidneys are located in a relatively safer area than the spleen, surrounded by layers of fat pads. Therefore, spleen rupture is more common than kidney rupture, occurring at least 10 times more frequently.

Director Liu went downstairs on his own, with Ji Xiang following behind him.

Originally, Ji Xiang was supposed to return to the ward to learn how to write medical records from Colonel Wang and Mo Chenggui, but the system mission indirectly told Ji Xiang that following Director Liu might lead to encountering the emergency patient mentioned in the mission.

Director Liu went straight to the ward without knocking and pushed the door open.

"Brother Liu, you've finally arrived!" A middle-aged man said anxiously as Director Liu entered.

"What's the rush?" Director Liu said nonchalantly, glancing at the patient with an air of understanding.

The patient was lying in the hospital bed, next to which was a toilet filled with bright red liquid.

Director Liu had seen similar situations many times and was no longer surprised.

"Brother Liu, weren't all the stones removed? Why is there still blood in your urine?" the middle-aged man said worriedly.

"Don't rush." ​​Director Liu was clearly familiar with the patient's family, so he didn't stand on ceremony and plopped down on the sofa after entering the ward. "Didn't I tell you before the surgery that some patients would have blood in their urine for 2-3 days?"

The middle-aged man nodded, but his gaze remained worried when it fell on the bedpan filled with bright red urine.

"How do you feel now?" Director Liu asked.

The middle-aged man let out an "Ah".

"I wasn't asking you, I was asking your brother."

"Brother Liu, my lower back is very swollen," the patient replied honestly from his bed.

Ji Xiang observed carefully and found that the patient's breathing was not weak, so he guessed that he was frightened by seeing the blood in his urine.

"When the ureteroscope goes into your kidney, there will be some swelling. Also, laser lithotripsy will cause some damage to the kidney. Post-operative discomfort and bloating are normal reactions," Director Liu reassured you simply.

"Brother Liu, are you really alright?"

"Of course," Director Liu said. "Look at the patient next door. He had an incision made to remove stones last night, and he can already get out of bed."

"With your hospital fees so high, my brother wouldn't dare get out of bed easily." Seeing Director Liu's relaxed and unfazed demeanor, the middle-aged man felt a little less intimidated and relaxed as well, chuckling as he made a joke.

"A hospital stay will bankrupt us. If we were to die, we two brothers wouldn't even be able to afford a burial plot right now."

"..."

Ji Xiang remained silent.

Although he didn't have much clinical experience, Ji Xiang knew that patients and their families were particularly averse to the word "death."

Even online, the character for "death" is often replaced with the character for "mouth".

I wonder if future generations studying the Chinese language will be misled.

The person in front of me has no sense of restraint when joking; he just blurts out things like death and graveyards.

Director Liu laughed and said, "Don't buy a cemetery plot! It's a tiny piece of land, more expensive than a luxury house. Isn't that a rip-off?"

"There are many apartments in the Badakou area of ​​our provincial capital that have been sold but are not lived in. They're just used to store urns containing ashes, electronic incense, and electronic chanting on repeat," the middle-aged man chuckled and began to talk nonsense.

"It's just plain unreliable," Director Liu said, scoffing.

After a day of surgery, his lower limbs were swollen and he was no more relaxed than the patients.

Sitting on the sofa with his legs stretched out, Director Liu pounded his legs with his fist as he said, "Let's not even talk about using a loudspeaker to chant sutras on repeat, or prayer wheels and stuff. Just the act of burning incense is not proper."

"Burning incense opens a channel for information transmission between three-dimensional space and higher-dimensional space through distributed condensed matter reactions!"

"..."

"..."

Ji Xiang sighed inwardly.

Director Liu may not know whether he drives fast or not, but his nonsensical thinking is truly out of control.

"Haha, I've heard people say that this kind of electronic chanting is also wrong." The middle-aged man and Director Liu were obviously on very good terms. He said with a smile as he got into the conversation, "If you can accumulate merit by turning around once, someone is already preparing to engrave the scriptures into the memory of a mining machine. When it's turned on, it will buzz around and one day is equivalent to ten thousand years for someone else."

"..."

Ji Xiang glanced at the patient helplessly.

The patient lay in bed, seemingly without any problems, listening with great interest as his brother and Director Liu chatted and talked about various topics.

Seeing that nothing was wrong, Ji Xiang was preoccupied with the patient who was about to have a ruptured kidney, and absentmindedly listened to Director Liu and the patient's family chatting.

"Buying a house to store an urn is outdated," Director Liu said, tapping his leg. "I heard recently that some people have started renting bank safe deposit boxes."

"Huh? A safe?" The middle-aged man was taken aback.

"The cheapest safe deposit box from the Agricultural Bank of China, measuring 50.5cm x 105cm x 6cm, costs 127 yuan per year."

Director Liu said smugly.

The middle-aged man looked somewhat bewildered.

"Divide it into small 5x5x6 cubicles, the annual rent is only 127, and it can accommodate a family of more than ten people. It's neat and tidy, fireproof and theft-proof, with professional security, national reputation. Go there once a year, take it out of the safe and worship it, and get some of the good fortune."

"..."

"..."

"..."

Apart from Director Liu, the other three people in the room, including Ji Xiang and the patient, were all astonished.

Trying to bask in some air of nobility? What air of nobility whatsoever.

"The coolest thing is that you can tell people when you're drinking that the president of a certain bank visits your father's grave every day."

"!!!"

Ji Xiang scratched his head.

This line of thinking is a bit too unconventional.

After catching his breath, Director Liu, supporting his back, slowly stood up from the sofa with a soft "hmm".

Men who are a bit older are all like this; middle-aged men understand.

Dr. Liu then conducted a physical examination. The patient did not have any special positive signs. Dr. Liu believed that the discomfort in the kidney area was a normal postoperative reaction, mainly caused by the patient and their family scaring themselves after seeing the hematuria.

After leaving the ward, Ji Xiang did not go to the director's office with Director Liu. Instead, he went to the nurses' station to inquire about the situation. There were no patients with ruptured kidneys or suspected ruptured kidneys.

No wonder they gave a whole day; the patient probably hasn't arrived yet, Ji Xiang thought to himself.

When Ji Xiang consulted with Colonel Wang about medical records, he helplessly discovered that Colonel Wang's medical record writing skills were at least three levels below his own.

If I were in the medical records department, I could easily classify Colonel Wang's medical record as a Class B medical record.

These surgeons really don't write medical records... Ji Xiang had worked in internal medicine during his internship, and with his high comprehension, his skill level is indeed quite high.

But Colonel Wang didn't care or feel ashamed. It seemed that his idea was that as long as the surgery was done well and the patient was communicated well, the medical records were not important.

With some time left before he was about to leave work, Ji Xiang waited quietly for the emergency patients to arrive.

This feeling is quite unpleasant; you know there will be problems, but you can't stop them.

More than an hour passed, and the patient with the ruptured kidney still hadn't arrived. Ji Xiang found a secluded spot, held his breath, and entered the system space.

In fact, Ji Xiang had already entered a meditative state for quite some time, but he still subconsciously sought out a quiet place.

"You're here," the system NPC greeted.

"Teacher, I'm waiting for a patient with a ruptured kidney." Ji Xiang walked over, bowed, and asked, "What can I do for emergency treatment and surgery for a ruptured kidney?"

The system NPC looked Ji Xiang up and down and shook his head slightly.

Ji Xiang found it strange.

"It's not an external injury. You should have seen the patient with a ruptured kidney just now," the system NPC said slowly.

"What?!" Ji Xiang was taken aback.

I just walked around the wards, and there weren't many critically ill patients.

"Tell me about the complications of gravel," the system NPC asked.

Ji Xiang immediately explained the possible complications of lithotripsy, but stopped abruptly when he mentioned kidney rupture.

In fact, Ji Xiang is just following the instructions without understanding when or what complications might occur.

Moreover, he didn't know the probability of each complication.

"Give it a try?" The system NPC, knowing that Ji Xiang had realized he had forgotten something, asked with a smile.

"Okay!" Ji Xiang said without hesitation.

The system NPC looked at Ji Xiang with a gentle gaze, carrying a hint of approval.

Upon entering the next room, Ji Xiang felt a deep sense of empathy.

"Here, these are your kidney stones."

The light from the shadowless lamp is no longer a concern for surgeons; what they care about is the angle of the light and whether there will be any shadows.

Ji Xiang lay on the operating table, feeling the lights were too bright and a little cold.

A hand wearing a sterile glove reached out and was placed beside me. On the glove was a strangely shaped stone less than 1 cm in size.

"I wonder if this gallstone can be used as a medicinal ingredient," a thought suddenly popped into Ji Xiang's mind.

"Look how many sharp spikes have grown," the surgeon laughed. "This is only less than a third of the stone; it simply can't pass on its own. There are three narrow points in the ureter, and it can't even get through one of them."

"Thank you," Ji Xiang said politely, lying on the operating table.

Because it was continuous epidural anesthesia, Ji Xiang did not feel any pain.

And the kidney stone has already been removed... Wait! Ji Xiang immediately thought of the system NPC who made him empathize with the kidney rupture after laser lithotripsy!

"It's nothing serious. You might experience hematuria for 1-2 days after it's removed, but don't worry." The surgeon only showed Ji Xiang the stone once before putting it away and continuing the surgery. "You'll normally be discharged in about 3 days."

"Is it done with lasers to break up the stone?" Ji Xiang asked nervously.

"Of course, but don't worry, it's not like the laser you're thinking of. It won't penetrate." The surgeon laughed. "Being able to shatter a stone is already quite impressive. It definitely won't damage your kidneys. I'm sure of it."

Accurate?

Ji Xiang doesn't think so.

Otherwise, why would the system NPC make him experience a ruptured kidney?

(End of this chapter)