Listening to lectures consumes a part of mental energy, and a very small part.

It's just a kidney self-amputation, Ji Xiang himself has an excellent memory, which is also a talent, Ji Xiang didn't consume all the basic endurance like surgical training and then was driven away by the system NPC.

After talking about the knowledge of kidney self-amputation, the system NPC looked at Ji Xiang kindly, full of expectations.

"Doctor Koji, do you understand?"

"Got it." Ji Xiang nodded.

"Then tell me about your perception of the medical incident that you just empathized with." System NPC Path.

said that he understood, but what Ji Xiang understood was kidney self-amputation and related complications.

Because of the ignorance shown by his angry emotions at that time, Ji Xiang subconsciously put this matter behind him.

It's like making a mistake when you were a child, and you're afraid your parents will know.

Patients and their families can be angry, but they are a doctor, even if they are just regular trainees. His own anger shows ignorance and inferiority.

Ji Xiang has a lot to say, but he doesn't know where to start.

After hesitating and hesitating, Ji Xiang said sincerely, "Teacher, let's talk about it." ”

"I don't know if the urologist explained similar complications to the patient after the emergency surgery three years ago, but even if he did, he probably didn't explain it to the patient and the patient's family in detail and focus, which is a mistake."

Ji Xiang nodded, what the system NPC said was more fair.

"But that's just a secondary issue, the main one is the CT room doctor." The system NPC accentuated, "He can't even be called a doctor, only a CT operator." ”

Belch......

Ji Xiang could hear a strong dissatisfaction from the calm tone of the system NPC.

Even if it's just whining, the system NPCs express their attitude.

"Looking at the video materials, watching the film, how can it be so simple." The system NPC said lightly, "The right kidney is missing, this is a fact, but!" Is there only one possibility of being cut off? ”

"You're right, teacher." Ji Xiang bent over very dogged, respectfully pouting.

The system NPC is scolding the doctor in the CT room, but in fact, it is also scolding Ji Xiang.

Not enough is not enough, Ji Xiang admits this.

"My level is not enough, and I irresponsibly said in an extremely positive tone that my right kidney was cut off."

"Probably...... Could it be that the hospital is too small? Ji Xiang subconsciously made amends.

"Nope." The system NPC shook his head, "That's a large tertiary hospital in central China, the top local hospital, otherwise patients and their families wouldn't believe the words of the doctors in the CT room so much." ”

“！！！”

"The quality of the doctors is uneven, and the level itself is low, but the sense of justice is bursting, and in the end it is out of control. If you have such a strong sense of justice, why don't you read the book several times and enhance your basic diagnosis level more? ”

The words of the system NPC slapped Ji Xiang in the face like a slap.

When empathizing, Ji Xiang was quite aware of the feelings of the doctor in the CT room, and even at that time, Ji Xiang felt that the doctor was too conservative.

But in the eyes of the system NPCs, the doctor has become an operator, and he is not even qualified to diagnose.

Ji Xiang was embarrassed, and he was ashamed in his heart.

I've made progress, but I'm not a full-fledged doctor.

"That's about it, you go back and think about today's case." System NPC Path.

"Teacher, then I'll go first." Ji Xiang bowed respectfully again, ninety degrees, and expressed his respect for this old man with body language.

Coming out of the system, the morning meeting has not yet started, but Ji Xiang has experienced a long time, the event is reversed and reversed, and a rare disease is mastered by Ji Xiang.

But this matter is complicated and the consequences are serious, which makes Ji Xiang's whole person a little vicissitudes.

Will you have premature aging because of this? Ji Xiang thought to himself.

At the morning meeting, Ji Xiang didn't see Professor Mo and Colonel Wang.

Subsequently, the director of the Department of Urology randomly assigned the three regular trainees to the doctors who were assistant professors in the department and asked him to assign them to teach teachers.

In the end, I didn't forget to tell him, "His name is Ji Xiang, and Professor Mo told me twice that he wanted to take him." ”

The doctor who had been following the director was the general inpatient of the Department of Urology.

The hospitalized boss took a deep look at Ji Xiang.

Originally, Ji Xiang was tall and handsome, so he was very eye-catching. In addition, Professor Mo has asked the director for Ji Xiang several times, is there any gossip here?

The surgery department was busy early in the morning, and the nurses from the anesthesiology department had already come to pick up the patients. The director just made a simple arrangement, and he didn't care about a few regular trainees.

After the hospitalization always arranged for Lu Kai, a short and fat obscene man, and Liu Yunqing, who looked like he hadn't woken up, to the resident doctors under the two professors, He Jixiang said, "Professor Mo and Colonel Wang are out of the outpatient clinic this week, and they are coming back soon, you can go to the outpatient clinic to find them." ”

"Okay, Mr. Wu." Ji Xiang understands the clinical title, he saw the name on the badge of the hospitalized boss, and said with a smile.

"Xiao Wu, remember to go to see the patient with a kidney contusion and explain it well." The voice of the director of urology came from the director's office.

Mr. Wu smiled bitterly, there were many things in the morning, although he said that he was always responsible for emergency and other things when he was hospitalized, but he always wanted to learn more, do more surgeries, and follow the stage.

At this time, only Ji Xiang was idle.

"Who, you go and see the patient." The hospitalization was always arranged, and there was no doubt that Ji Xiang told the ward and name of the patient.

Ji Xiang just wanted to see the patient, and he would definitely not refuse.

……

……

Director Liu of the Department of Urology rushed to the operating room to take a shower after finishing his shift.

The operating room is a large bathhouse, not only after the operation, the surgeon has to take a bath, but some directors also take a shower before the operation.

Director Liu didn't have this fetish, but he was called up by the second-line professor on duty in the middle of the night to participate in the rescue of the collective car accident, and he was very tired.

While taking a shower, he heard the voice of the resident boss chatting in the locker room.

It's really special, Director Liu frowned, and hurried to come out.

"Xiao Wu, didn't you go to the liver and gallbladder to see that patient?" Director Liu reprimanded unhappily.

"Director, I'll go after the operation." Mr. Wu didn't know why Director Liu didn't pay attention to a partial nephrectomy patient in the ICU, but focused on a patient who had nothing to do with urology.

Director Liu's face darkened.

It's not a big deal, it's not a big deal.

The key is that he never understood what he meant when he was hospitalized, which showed that his understanding of kidney contusion was not in place.

Forget it, it's all young people.

Director Liu had already forgiven the ignorant hospitalizer in his heart.

He is a humble man and generally does not get angry.

"Wait a little bit for the operation, let's get ready first, let's take a look at the patient." Director Liu said.

"Director......" was always stunned when he was hospitalized.

"Huh." Director Liu put on a white suit, did not change his shoes, put on plastic shoe covers and walked out.

The plastic shoe covers under his feet rattled and rattled, and it was very noisy.

The hospitalist always kept up quickly, and he seemed to feel that he had made a mistake, but after thinking about it carefully, he didn't know what was wrong, so he had to follow Director Liu in a curt.

"Xiao Wu, patients with kidney contusion should pay special attention, especially when making explanations." Director Liu patiently spoke.

"Confession?"

"It's all standard, just print it out and ask the patient's family to sign it. But this is not enough. Director Liu said as he walked forward, "Let me ask you, which point is the most important in the content of communication with the patient's family in the early hours of this morning?" ”

"Bleeding after a contusion, which can lead to the death of the patient." Mr. Wu believed that what he said was right, and he was full of confidence.

"That's not right." Director Liu directly denied, "The patient lives in the hepatobiliary surgery, and the doctor on the other side has been staring at it, and he didn't find that the patient's sudden death has nothing to do with us." ”

It's a bit cold-blooded, but it's true.

Hospitalization groans.

What could be more important than a ruptured hematoma and bleeding after a contusion?

"Xiao Wu, a few years ago, a classmate of mine encountered a similar patient." Director Liu walked to the Department of Hepatobiliary Surgery and told the general manager about the old past.

"Later, it was on the news channel."

“！！！”

"Well, the patient and the patient's family insisted that the surgeon had removed the kidneys for transplantation."

"They don't understand, it's nonsense." Mr. Wu said, "What kind of injury did he suffer, director." ”

"The car accident resulted in a ruptured left lung, ruptured diaphragm, ruptured spleen. The left kidney and part of the intestine are herniated in the chest. Combined incision, the urologist of the local hospital followed up to the stage to see that the blood luck of the left kidney was good, but it was only a contusion, and it was reduced without resection. ”

"Could it be a self-amputation of the kidney?" It was only then that Mr. Wu remembered such a diagnosis.

"Hmm." Director Liu nodded, "According to the probability of occurrence, the possibility of rupture and bleeding after kidney contusion and laceration is much higher than that of traumatic renal self-amputation. But what are the consequences......

He pondered for a moment and shook his head helplessly, "Ordinary people can understand the rupture and bleeding of the hematoma, and almost all of them will choose to observe in the choice of cutting the kidney and retaining the observation, after all, it is the kidney." ”

"However, the patient cannot accept the avascular necrosis, atrophy, and disappearance of the kidneys after a month or more after surgery."

Mr. Wu was silent, he vaguely understood what the director meant, but he felt that the director was making a big fuss.

The incidence of traumatic kidney self-amputation is very low, as the director said, a kidney suddenly disappears, and the patient thinks that it will not be encountered in his life if it is cut off during surgery and used as a transplanted organ.

Director Liu saw that Mr. Wu was silent, he glanced back and knew it in his heart.

Mr. Wu didn't think that this kind of small probability event would happen.

This has something to do with people's personalities, Director Liu is the kind of person with some obsessive-compulsive disorder, always thinking about perfection.

"In the future, similar patients must repeatedly explain to the patient's family." Director Liu always agreed with his statement regardless of whether he was hospitalized, he emphasized, "At least three times, after the patient is awake, he must also say it to the patient, and he must also focus on signing." ”

"Director, there's no need." Mr. Wu smiled.

While talking, the two came to the Department of Hepatobiliary Surgery and walked straight to the postoperative patient's ward.

Mr. Wu walked a few steps quickly and pushed open the door.

"There is a rare possibility, I will emphasize. In the case of a kidney contusion, the renal artery may ......"

Director Liu's footsteps paused, and Mr. Wu's face changed slightly.

The voice was explaining to the patient's family the source of the self-amputation of the kidney and the serious consequences that would result.

Director Liu listened, and the expression on his face gradually became serious.