55 Toilets that have been opened
The mission was completed smoothly, and Ji Xiang gained 3,000 experience points.
He casually added experience points to the circumcision under the stapler, but the "meas" 3,000 experience points were like a mud cow entering the sea, and the experience bar only had a slight change that was observed by the naked eye.
Ji Xiang didn't care, he didn't turn around and leave because the system task was completed, but stayed with the patient to observe his situation.
When the patient's pain is relieved, Ji Xiang tells the patient about his experience.
Landing on the heels when jumping, and squatting to urinate will be more helpful.
Patients and their families were stunned to hear this and found it incredible.
If it weren't for Ji Xiang wearing a white suit, who would have believed that this strange method would actually help to discharge stones.
The emergency doctor hurriedly passed by, and he heard Ji Xiang explain his condition to the patient and the patient's family, and deliberately glanced at this young man.
"Come to me, young man, after explaining." Emergency Physician tracted.
"Okay, teacher."
Ji Xiang and the patient said in detail, after all, it was a personal experience, and some details Ji Xiang described particularly profoundly, and the patient said that he was sideways.
Gradually, the patients regarded Ji Xiang as their own, and when they said that later, they simply pulled Ji Xiang to sit aside and discuss the condition.
After chatting, Ji Xiang went to the emergency doctor.
This person was not on duty yesterday, and the emergency department is generally on duty 12 hours a day or 24 hours, and he didn't know that Ji Xiang showed his might yesterday and did a cavernosis infusion.
"What's your name?" The emergency doctor asked in a moment's time.
"Ji Xiang, auspicious Ji, flying Xiang."
"The name is good, and people listen to the spirit." The emergency doctor smiled, "Explain the patient's condition in detail, new to the hospital?" ”
"I just participated in the regular training."
"Yes, yes, I heard you say about squatting and urinating, let me tell you a story to enrich the materials for you to communicate and communicate with patients."
Ji Xiang felt that this emergency doctor was a wonderful person, and nodded again and again.
This is also just in time for the emergency department to have no patients now, and the doctor wants to talk more, which can be regarded as his luck outbreak, Ji Xiang thought.
"When I first came to work in Corey, there were patients in the corridor outside all year round."
Well? Ji Xiang was stunned when he heard what the emergency doctor said.
Squatting, the word is a little odd.
"I'm also curious, I want to ask the patient why, but I always forget. The point is that I was young and thin-skinned. The emergency doctor laughed, "Not like now." ”
"Is there a difference now?" Ji Xiang scratched his head.
"There are still some." The emergency doctor did not explain, but continued, "Then one day at dinner, the nurse told me that the bathroom in our emergency department has magic, and patients with urinary stones have a particularly high rate of passing stones here. ”
"emmm~~~" Ji Xiang seemed to understand something.
"Hospital, it is said that materialism should occupy the commanding heights, but when you work for a long time, you will know all kinds of idealistic metaphysics." The emergency doctor said, "I didn't believe it at the time, even if it was open, who would open the bathroom, right?" ”
"Yes!" Ji Xiang nodded.
"Later, I questioned the patients, and there was a word of mouth among the patients, saying that the bathroom in our emergency department was balabala. I didn't believe it, so I asked an old doctor to find out why. ”
"Is it a matter of squatting?"
"Hmm." The emergency doctor smiled, "The old doctor told me about the best posture for removing stones, which is to squat in a pit. The home is full of toilets and toilets, and if the body position is not right, the efficiency of stone removal is not as good as the squatting pit in the emergency department. ”
"As I came and went, some patients summed up their experience and learned that the last time they were sick in the emergency department, they got better quickly, but they didn't go home well. Later, it slowly spread falsehood, and the health level of the emergency department was opened. ”
"Hahaha." Ji Xiang laughed.
The emergency doctor said, "I have time to study, and I work in four shifts." ”
"Okay, teacher."
As he spoke, a patient came in, the emergency doctor waved his hand, and Ji Xiang left the consultation room.
After doing a system task and gaining 3,000 experience points, the patient cast a sympathetic look at himself and listened to a piece of gossip.
Ji Xiang feels that he has gained a lot.
Back in the department, Ji Xiang was going to change his clothes and go home.
As soon as I took off my white clothes, I suddenly heard the crisp sound of the system task in my ears.
"Ding Dong~"
Ji Xiang is a little satisfied, it seems that the hospital is really a good place to brush up experience.
Your 126 surgical points are completely insufficient, and the more tasks you have, the better.
However, only in the flash of Ji Xiang's thoughts, the system panel in the upper right corner of the field of vision began to flicker with a dazzling light.
Well? What does that mean?
Ji Xiang was stunned.
[Urgent Mission: Air Embolism!]
Mission: Rescue an air embolic patient
Mission duration: 2 hours
Rewards: 30,000 XP and 40 Surgery Points. 】
Air embolism?
Air embolism!
Ji Xiang's heart tightened, no wonder the system was shining with a dazzling red light.
With Ji Xiang's understanding of this emergency, as long as it is an air embolism, the patient can basically be declared dead.
In general, there are no patients with air embolism in urology, and many of them are accidents during surgery.
Right now......
Ji Xiang thought about it carefully, held his breath, and came to the system space.
"Teacher, where is the patient?" Ji Xiang came in and asked urgently.
"I don't know." The system NPC said, "You go and take a look." ”
Take a look? Is this talking to yourself?
Ji Xiang didn't understand what the system NPC meant. He was stunned for a moment, and then saw the system NPC hunched over his back and walked into the operating room.
The system knows, but the system NPC doesn't know, Ji Xiang flashed such awkward words in his mind.
It is estimated that he is afraid of touching his privacy, and the system is doing well, Ji Xiang thought to himself, and followed the system NPC into the operating room.
The patient lies on the operating table in the left lateral decubitus position, and the system anesthesiologist is administering the anesthesia.
Many times, Ji Xiang couldn't figure out why the system operating room should be so formal.
With the rigor of doing things here, it is even far beyond the reality of the operating room.
The systemic anesthesiologist performed two-point combined spinal-epidural anesthesia in the left decubitus position, selected the T10/T11 space for epidural puncture, and inserted an epidural catheter of about 5 cm at the cephalad, and gave a 3mL test dose of 1.5% lidocaine to the epidural.
He then chose the L3/L4 space for spinal anesthesia with 2.4 mL of 0.5% bupivacaine.
Continuous epidural + spinal anesthesia.
After anesthesia, the patient's vital signs were stable, blood pressure: 109/67mmHg, heart rate: 83 beats/min, oxygen saturation 98%, and then the left decubitus position was taken for surgery.
"Give palonosetron hydrochloride 0.15 mg and dizocine 10 mg." The system NPC said to the anesthesiologist after checking the patient's status.
The anesthesiologist quietly carried out the doctor's orders.
"Generally, I would choose general anesthesia, but I am habitually willing to use continuous epidural anesthesia + spinal anesthesia." The system NPC explained to Ji Xiang.
Ji Xiang nodded.
He didn't know what the difference between the two was, but he was still young and had time to figure it out.
The patient was in the prone position, Huang Lao watched the film, determined that it was a right kidney stone, and the right hydronephrosis, and began to brush his hands to disinfect.
Ji Xiang couldn't help, so he could only watch quietly.
The system NPC makes a 1cm incision above the right kidney, and then performs a puncture to establish a passage between the renal pelvis and the skin of the right kidney.
Dilated along the passage, a 22cm nephroscope was fed along the passage.
Once the stone is found, the stone is crushed with a holmium laser.
The kidney stones are broken, and the system NPCs take out the large stones, and the debris is rinsed with salt water.
The surgery was done quickly and cleanly.
Finally, the indwelling fistula was placed and the operation was declared over.
Ji Xiang waited for the entire operation, and his eyes repeatedly jumped sideways between the operation process of the NPC in the system and the monitor.
But until the operation was over and the simulator was sent away, Ji Xiang still didn't see anything wrong.
What about air embolism?
What about the big rescue?
How come there is nothing?
Ji Xiang had countless questions in his heart, he endured and endured, and finally asked, "Teacher, there are no accidents?" ”
"I had surgery, and of course there were no accidents." The system NPC said lightly.
“……”
Ji Xiang smelled the smell of Versailles again.
The NPC of the system has a gentle temper, the lectures are clear and clear, and he is indeed a top good teacher.
But I don't know when Versailles fell from the sky, which made Ji Xiang a little difficult to accept.
Even if Ji Xiang knew that what the system NPC said was the truth.
It's good to get used to it, people are qualified to say so, and Jixiang comforts himself.
"How?"
The system NPC raised its eyes to look at Ji Xiang.
"Teacher, you're fine, but don't you think you're not humble enough?" Ji Xiang was also straight-tempered and asked directly.
"It's already humble." The system NPC said lightly.
Ji Xiang was speechless.
"As for the system task, you will know what the problem is after you have watched my surgery, studied the surgery, and then compared the surgeon's surgery."
Ji Xiang was still a little flustered, "Teacher, that's an air embolism." ”
"I know, but based on the patient's condition, it shouldn't be a big problem." System NPC Path.
Air embolism, the problem is not big, Jixiang has countless old troughs that can't be spit out.
"Let's practice surgery first." The system NPC said, "As for you to encounter problems in the future, don't panic, come here and I'll teach you how to solve the problem." In fact, many rescues are not difficult, but the doctors panicked at that time and missed the best time to rescue. ”
“……”
"Again, it's just that I don't have a lot of experience."
Ji Xiang sighed softly.
He clicked on the system interface and found percutaneous nephrolithotripsy.
Manual circumcision is LV9, and with the experience bonus of the entire urology, each branch surgery can be directly upgraded to LV7.
Click, Upgrade!
This upgrade made Ji Xiang realize an advantage, that is, all his urological surgeries can be easily promoted to the level of director or above.
Is it possible to have a kidney transplant that simple? Ji Xiang thought to himself.
But Ji Xiang also noticed one thing - such an upgrade, there is no feedback on the experience points.
Is it good or bad?
The system NPC seemed to see through Ji Xiang's thoughts, and he smiled, "Rapid upgrade will reduce a lot of experience points, but if you have an impact, it will also have a certain impact on you in more than ten years." ”
"The specific situation is up to you to grasp for yourself."
Ji Xiang didn't know whether it was regret or what, and let out a long breath.