Entering the operating room, the system anesthesiologist has anesthetized the simulator.

Ji Xiang actually felt that this was unnecessary, after all, he was a simulator, and he didn't feel pain.

But the system NPC insisted, and he didn't say anything.

It's good to be regular, it's good to be regular, Ji Xiang told himself in his heart, so as not to familiarize himself with the rhythm in the system, and if there is anything wrong after returning to reality.

Sterilization, laying of sterile sheets, and the operation begins.

The NPCs of the system did not simply do surgery as usual, but mixed some actions of Gu Lao's surgery to explain the advantages and disadvantages to Ji Xiang.

The main thing is to adapt to local conditions, and use different surgical methods according to different conditions of patients.

This operation was done extremely slowly, at least twice as slow as the previous operation in which Ji Xiang and the system NPCs learned the lengthening surgery.

Ke Jixiang has gained a lot.

Throughout the operation, he kept having this feeling.

And the experience points are also climbing rapidly, and a teaching operation has brought Ji Xiang nearly 5,000 experience points.

At the end of the operation, Ji Xiang looked at the harvest in surprise.

"Teacher, would you like another one?" Ji Xiang didn't think it was enjoyable, so he asked.

The system NPC doing surgery is really picturesque.

This feeling Ji Xiang didn't have before, and when his circumcision reached LV7, the surgical picture had a qualitative change.

Ji Xiang knows that this is growth.

"Make your own." The system NPC rejects Ji Xiang's idea, "You can only progress by doing surgery." ”

Ji Xiang did not refute, he assisted the anesthesiologist and nurse in the operating room of the system to lift the patient on the flat car and send him away, and then took the next patient in.

The anesthesiologist anesthetizes, and Ji Xiang and the system NPCs go to brush their hands and put on clothes again.

Ji Xiang already has his own understanding of the extension surgery in his heart, saying that it is impossible to bring forth the new, but if you talk about the depth of the understanding of the operation, it is definitely a first-class level in the province.

Coupled with the LV9 circumcision, the technique has changed qualitatively, and Ji Xiang is confident that he will take the operation down.

In fact, he is also very worried, in case the operation is messed up, the system NPC has to empathize with it on a whim.

Ji Xiang was extremely patient in this operation, from open skin to blunt separation, one by one.

Ji Xiang's hand speed is very slow, and he deliberately suppresses the effect of the hand speed bonus, making the operation a little slower, and a little slower, striving for a one-time success.

The early stage of the operation was very smooth, although Ji Xiang didn't look at the system NPC, he could feel his expectant and appreciative gaze.

This is a redundant mental activity, although Ji Xiang understands, he still feels a little proud in his heart.

When he cut the Y wound, suddenly Ji Xiang felt that the operation area moved, and he almost touched the tip of the sharp knife.

This startled Ji Xiang.

For the first time, Ji Xiang thought that there was a problem with his endurance value, so that he was dazzled.

Otherwise, how could there be abnormal movements in the operation area?

However, there are still 8 stamina points on the system panel in the upper right corner of the field of vision, so there is no problem.

In the next second, Ji Xiang was stunned to see ...... See...... The simulated human's cavernous body began to become congested, and the operation area changed in just a moment.

"Teacher ......"

Ji Xiang didn't expect this to happen, wasn't he anesthetized? How could there be such an anomaly?

He had no choice but to ask for help from the system NPCs.

"It's a rare, but not uncommon, situation." The system NPC said lightly, "Sterile ice packs." ”

The system nurse immediately went to get the sterile ice pack, and before that, Ji Xiang didn't know that the operating room was still equipped with such a high-end thing as a sterile ice pack.

"Nothing surprising." The system NPC seemed to understand Ji Xiang's inner surprise, "There is a certain probability that this situation will occur during the operation, there are spare sterile ice packs in the operating room, do you think you have nothing to do?" ”

Ji Xiang nodded, he didn't do anything, but looked at the operation of the system NPC.

This is an intraoperative emergency, and it seems that the system NPCs did not expect it. In other words, the operating room of the system is set up well, and these accidents are available.

The Itinerant Nurse takes an ice pack and gives it to the system NPC.

The system NPC applied ice packs to the roots, and Ji Xiang looked carefully at the operation area, but there was no reaction at all.

The corpora cavernosa is still congested, and the color looks a little abnormal.

However, the NPCs in the system seemed to be commonplace, and they were not nervous, but explained lightly and Ji Xiang, "Although this disease is not common, the consequences are serious, and it needs to be effectively diagnosed and treated as soon as possible. ”

Necrosis......

Ji Xiang has already made up his mind that if the system NPC makes him empathize, he will definitely refuse.

"Teacher, how did this anomaly come about?" Ji Xiang asked.

"Reflex congestion refers to the stimulation of the surgical area and other sexually sensitive areas from the outside, or from the stimulation of visceral receptors, through a part of the nerve afferent into the sacral medullary center, mainly sacral 2~4, and through the parasympathetic nerve efferent impulse to cause congestion."

The NPC of the system explained to Ji Xiang the origin of this anomaly.

Ji Xiang listened to the ...... Absent-minded.

The congestion of the simulated person seems to be a little abnormal, and the operation area is black and purple, and if it is not treated in time, necrosis will occur.

Resolutely not necrotic!

Ji Xiang unconsciously has a part of his consciousness into the system of empathy, and he is afraid from the bottom of his heart that necrosis will need to be removed.

"Don't worry, apply ice packs for 15 minutes, and 60% of the abnormalities can be alleviated." The system NPC said gently, "Wait. ”

"When the anesthesia of the epidural block is incomplete, the patient's psychosexual activities, or reflex stimuli such as sterilization, drape, and placement of relevant instruments in the surgical area, cause psychological or reflex congestion.

The innervation of the operation area includes autonomic nerve and somatic nerve, the former is divided into sympathetic and parasympathetic nerves, the parasympathetic nerve is the main congestive nerve, from the sacral 2~4 parasympathetic center, and the sacral 2~4 must be blocked during neuraxial anesthesia to block the congested nerve. ”

The system NPC continued to explain to Ji Xiang.

However, 15 minutes passed in a blink of an eye, and the operation area still did not return to normal.

"Lidocaine." The system NPC stretched out his hand, and the instrument nurse slapped the syringe that had been diluted into the syringe.

Ji Xiang was a little envious, but he knew that this should be a system program.

In reality, how can there be such a tacit cooperation.

Dorsal nerve block is performed by pushing 10 ml of 2% lidocaine layer by layer from subcutaneous layer by layer on both sides of the midline of the root.

However, after the block, the simulator's surgical area continued to be congested, which was useless.

After waiting for 30 minutes, he stepped down and cooperated with the anesthesiologist to inject 10 ml of 2% lidocaine through sacral puncture.

Another 30 minutes passed, and the analogue's congestion still did not improve.

"It's stubborn." System NPCs brush their hands, come to the stage, "Prepare for phenylephrine." ”

Soon, the syringe slapped in his hand.

Intracavernous injection of 0.2% phenylephrine 1ml, this time is the moment to witness the miracle.

1 minute, it only took 1 minute, and the effect of the medicine was almost immediate.

However, Ji Xiang quickly noticed that the eyes of the system NPCs did not stay in the operation area, and he kept staring at the ECG monitor.

Ji Xiang immediately swallowed all the doubts in his heart.

The simulated person's blood pressure rose by 15 mmHg, and the system NPC said, "Give 5 mg of urapidil." ”

With a bolus of the drug, the simulated person's blood pressure quickly returned to normal.

After a delay of more than an hour, the surgical area that had been stimulated and congested for unknown reasons was finally restored to normal, and Ji Xiang let out a sigh of relief.

If a few days ago, when he first came to the operating room, he would have thought that this was a simulator, and it would be a big deal to change it.

But after experiencing a few empathies, Ji Xiang unconsciously changed.

"Go ahead with the operation." The system NPC stood in the position of the assistant, looked at Ji Xiang and said.

Ji Xiang nodded and continued to operate.

The operation went relatively smoothly, and Ji Xiang intermittently looked up at the ECG monitoring.

He speculated that the reason why the system NPCs ended up giving phenylephrine was because the drug could affect blood pressure and cause more unpredictable consequences.

As for the specific reason, the system NPC didn't say, and Ji Xiang didn't ask, he was going to go back and find it out by himself.

Although it is said that there are system NPCs that are useful, what if the system is far away from itself one day?

Do it yourself, have plenty of food and clothing.

……

……

When Ji Xiang was training hard in the system, Professor Zhou Tianbo and Dean Li were eating with Gu Lao.

"Boss, you always say that you are old, and it can be said that your surgery is perfect, and your skills have increased compared to half a year ago." Professor Zhou said sincerely.

"Where." Gu Lao shook his head, "I know where my upper limit is, I know in my heart, I have to do surgery for a lifetime, and that's it, I can't make any more progress." Still, that's enough. ”

"It's enough, it's enough!" Dean Li said with a smile on the side, his smile overflowing.

Gu Lao's surgery was quite powerful, and the postoperative effect was also obvious, and several patients who were waiting were persuaded to decide to operate.

Those sons and brothers are not short of money in their families, and they are also like things, and they learned that they have invited the country's top experts to come to the provincial capital for surgery, so they are all concerned.

These people are Dean Li's target customers, how much money can ordinary people have even if they shave off the flesh of their whole body? To put it mildly, that bit of mosquito meat can't catch up with the target customer's one-day hospitalization fee.

Therefore, even if Gu Lao always made Dean Li unhappy openly and secretly, he still rushed to pat himself on the back, and went all out to please Gu Lao and leave a good fate.

"Xiao Zhou, what do you think of the level of that young man today?" Gu Lao suddenly asked.

"Ji Xiang?" Professor Zhou frowned slightly, "I think it's a pure talent flow operation, after all, his medical practitioner certificate has not yet been examined, and theoretically speaking, few surgeons are willing to let him do surgery." ”

This was said very simply, but Professor Zhou saw his boss shake his head slightly.

"I don't think so." Gu Lao said.