Blindly believing everything in books is worse than having no books at all.

Chapter 64 Blindly believing everything in books is worse than having no books at all.

"Teacher, I..." Ji Xiang interrupted the system NPC, which was rare for him.

"What's wrong?"

The system NPC's thin and withered body looked rather tall, leaving Ji Xiang bewildered.

"Speak," the system NPC gently soothed Ji Xiang's emotions.

"Teacher, how common are similar cases after laser lithotripsy?" Jixiang asked.

"Not many, you could even say they're very rare," the system NPC said. "Precisely because most patients are fine after surgery, any complications that arise are major issues."

Ji Xiang remained silent.

"For example, in proctology, 99.99% of patients are fine after internal and external hemorrhoid surgery. But once the ligation sutures loosen, patients start bleeding in the middle of the night without feeling anything while sleeping. Once they feel it, it's too late."

Ji Xiang nodded, acknowledging that the system NPC was right.

I just went through all of this myself, and the feeling of loneliness and helplessness was awful.

Although the pain wasn't particularly severe, it was nothing compared to the intense pain I had experienced before.

Can……

Ji Xiang would rather suffer from urinary tract stones again than lie quietly in bed waiting to die.

"That's roughly the idea, I believe you can understand it. And as your clinical experience grows, your understanding of this will change," the system NPC said.

Ji Xiang felt that the system NPC's gaze was becoming increasingly profound.

"Teacher, I'm sorry to have interrupted your lecture." Ji Xiang bowed slightly. "Please continue."

"The most common cause of kidney rupture is hydronephrosis, especially hydronephrosis caused by ureteral obstruction due to stones. In this case, the renal pelvis is fixed by fibrosis and adhesions, and the possibility of spontaneous rupture and bleeding of the kidney after surgery increases dramatically."

"Under normal circumstances, when the pressure inside the renal pelvis increases, urine will spontaneously leak out through the renal calyces and fornix, resulting in lymphatic reflux in the renal tubules, renal sinuses, and renal pelvis. This is a protective response that reduces the pressure inside the renal pelvis and avoids serious consequences."

"However, when ureteral obstruction causes hydronephrosis, the pressure above the obstruction continues to increase, and urine leaks into the perirenal area, leading to fibrosis and adhesions around the renal pelvis. When the ureteral obstruction is suddenly relieved, the hypertonic state disappears, and the kidney and surrounding tissues retract, causing the kidney to rupture."

"Teacher, many patients with kidney stones also have hydronephrosis," Ji Xiang asked.

"It increases the probability, but not all of them," said the system NPC.

In the system space, the system NPC began to explain to Ji Xiang the principles behind the occurrence of the disease, how to diagnose it, and how to prevent and treat it.

A long time passed without him realizing it, and Ji Xiang's mind started to feel hot. His mental energy was being severely depleted, like a CPU running at high speed.

Although it was just a "minor problem," the system NPC drew on a wide range of sources and continued to elaborate, telling Ji Xiang 16 cases.

There was even a story about a doctor who thought it was a "minor surgery" and didn't pay attention to it after the surgery, which led to the system NPC talking for at least two hours.

Because of his previous empathy, Ji Xiang listened very attentively, as if he were lying in a hospital bed and couldn't die as long as he could learn the skills.

"My mental energy is almost gone." The system NPC sighed and shook its head slightly.

Ji Xiang also found it strange.

My mental energy can be used up even after watching surgeries all day, and the consumption is extremely limited. How come it is consumed so quickly just by listening to the system NPC instilling its values?

"Teacher, I'll go back first." Ji Xiang bowed, though he was also a little fed up with the motivational speeches and values ​​instilled by the system NPCs, he was still very polite.

"Go."

……

……

Ji Xiang snapped out of his daze and frowned slightly.

The patient with the ruptured kidney must be the one that Director Liu knows.

The patient is experiencing lower back pain, which is likely still in the early stages. If treatment is prompt, the patient should be fine.

After Ji Xiang figured it out, he became somewhat distressed again.

Director Liu firmly believes that the patient has no problem, which can be discerned from his visits to patients and casual conversations.

Am I supposed to use that stupid skill?

Ji Xiang felt a splitting headache whenever he thought about the skill of the senior doctor's gaze.

The skill was indeed useful; the bloodline suppression made both Professor Zhou Tianbo and General Manager Wu act like junior doctors, behaving very obediently.

But Ji Xiang was inexplicably embarrassed.

If the name is not correct, the words will not be proper. I am still a resident physician and haven't even received my license yet, but I'm already giving orders in clinical practice...

It's like a bronze-level player trying to command a king-level player in a game.

Although it's a master disguised as a bronze-level player, there are still huge hidden dangers involved.

Ji Xiang thought about it for a while, but still couldn't come up with a solution, so he had to put the question of how to solve it aside for the time being.

The first step is to confirm that the patient has a ruptured kidney, that is, to make a definitive diagnosis.

After sorting out his thoughts, Ji Xiang decided to go see the patient first.

Whether the mission was completed or not was secondary. Ji Xiang experienced the feeling of lying in bed waiting to die in the dead of night, with only one thought in his mind—diagnosis and treatment.

In fact, Ji Xiang only wanted to care about lonely patients.

Arriving at the ward door, Ji Xiang raised his hand to knock, then pushed the door open and went inside.

The patient's family members were talking on the sofa when they saw Ji Xiang come in, so they stood up and greeted him.

"How are you feeling now?" Ji Xiang asked with a smile.

"It's still the same. Director Liu said it's a normal postoperative reaction." The patient's family wasn't nervous and didn't take the young doctor seriously.

Youth is one of the biggest disadvantages for doctors.

Ji Xiang didn't know what he was supposed to do. He stood by the patient's bedside; the patient's symptoms weren't typical. To prove himself, he needed to perform an examination on the patient.

"Does it hurt a lot?" Ji Xiang hesitated for a moment, then said cautiously, "How about we do some auxiliary examinations?"

"No need." The patient's family member remained calm, smiling at Ji Xiang. "Thank you for your hard work, young doctor."

Ji Xiang took out his ballpoint pen and scanned the area, but didn't see any A4 paper.

He was somewhat regretful, as he had originally wanted to explain to the patient's family the "knowledge points" mentioned by the system NPC in the system.

But Ji Xiang was disappointed. He subconsciously pressed the ballpoint pen, making a clicking sound.

"You just arrived, right?" the patient's family member asked.

"Yes, I am a resident physician," Ji Xiang answered honestly.

The patient did not yet show symptoms of hemorrhagic shock, but Ji Xiang knew that in a few more hours, the patient would most likely have a problem.

"Young doctor, you should listen to your supervisor more and learn more," the patient's family member said calmly.

"Is your TV pregnant?" The patient lay in bed, looking at Ji Xiang in surprise.

"..." Ji Xiang was speechless.

The TV is pregnant? What is all this nonsense? Where did the patient get their brain circuits from?!

Could it be that blood pressure has dropped and blood supply to the brain is insufficient?!

Thinking of this, Ji Xiang suddenly felt a pang of anxiety, turned around and ran to the nurses' station to get a mercury sphygmomanometer.

When he ran back, he saw the patient and his family chatting and laughing.

Although the patient was still feeling unwell, he didn't seem to have any major problems.

"Let me take your blood pressure," Ji Xiang said.

"Doctor, what do you mean by saying your TV is pregnant?" The patient's family member asked Ji Xiang, somewhat puzzled.

"I didn't say that."

Ji Xiang put a cuff on the patient, found the right position to insert the stethoscope, and began measuring blood pressure.

The patient's blood pressure is normal, 128/74 mmHg.

What's going on? Ji Xiang was puzzled.

"You pressed the ballpoint pen just now, the rhythm was very clear, it can be deciphered using Morse code." The patient forced a smile at Ji Xiang, "I thought you were telling me your TV was pregnant."

"..." Ji Xiang scratched his head.

I was in a bit of a rush and pressed the buttons on the ballpoint pen haphazardly, which resulted in a blunder.

"I feel better," the patient said. "My lower back was swollen and very uncomfortable before. Now it feels much better, don't worry, doctor."

Ruined!

Ji Xiang could vaguely sense that the patient's condition had progressed.

He left the ward carrying the blood pressure monitor, looking distressed.

Director Liu happened to walk out of the director's office. He saw Ji Xiang holding the blood pressure monitor and smiled approvingly.

He even nodded to Ji Xiang to show his approval.

"Director Liu," Ji Xiang said somewhat anxiously.

"What's wrong?"

Director Liu took the key, locked the door, and prepared to go home after get off work.

"I read in a book that patients with hydronephrosis may experience kidney rupture if they undergo ureteroscopic laser lithotripsy or stone removal surgery."

"Oh, that's what's written in the book. Blindly believing everything in books is worse than having no books at all. You'll understand once you see more in the clinic," Director Liu said kindly, not feeling that Ji Xiang was challenging his diagnosis and surgery. "The probability is too low; there's no need to worry about it."

"But what if it happens?" Ji Xiang pressed.

"If we're afraid of everything and everything, we won't be able to get our clinical work done." Director Liu laughed. "Take the corpus cavernosum puncture you and Professor Gu did, for example. I checked the data these past few days, and there are quite a few complications."

Ji Xiang knew that Director Liu had misunderstood him and wanted to clarify, and at that moment he had the idea of ​​using his skill.

But Director Liu seemed to have something to do and hurriedly turned and left, leaving Ji Xiang with only his back view.

This……

"We make our rounds and check on the patients. When we're on duty, we need to be well-informed."

A familiar voice came from behind.

It's General Manager Wu!

It's not as good as being able to catch a skill accurately as throwing it; Mr. Wu is truly a master at catching skills!

They were all old acquaintances; Mr. Wu was probably used to the gaze of his superiors. Ji Xiang gave himself an excuse.

Even if you're not used to it, you'll get used to being watched all the time!

Yes, that's him!

Ji Xiang didn't use his skills on General Manager Wu right away. Instead, he obediently followed behind General Manager Wu, accompanying Lu Kai and Liu Yunqing on their ward rounds.

"You have to be clear about everything for all patients. Being confused and unable to distinguish the important points is a major taboo in clinical practice." General Manager Wu didn't dare to look at Ji Xiang. He explained to the three resident trainees while making rounds.

In each room, Lu Kai would rush to open the door like a devoted lapdog, letting President Wu in first.

Upon arriving at the ward, Mr. Wu examined the post-operative patient, found nothing unusual, and turned to leave.

The moment I turned around, a familiar feeling enveloped my entire body.

Again!

Mr. Wu almost burst into tears.

This feeling is so familiar, this damn familiarity, why is it like this!

(End of this chapter)