102 Half-pointed

Ji Xiang smiled, moved, and felt relieved without complaints.

"Teacher, the situation is critical just now, and the matter is urgent. If I had gone through the process normally, I would have had to be stabbed if I thought I had appendicitis." Ji Xiang said calmly.

The system NPC was noncommittal, and changed the subject and asked, "Tell me, what do you know?"

Ji Xiang thought for a moment, "Teacher, do you have to go through an accident every time you empathize?"

"Mostly."

"Testicular torsion is relatively rare on the right side, and it also shows clinical symptoms of appendicitis, and it is estimated that there will not be a single case in a lifetime." Ji Xiang complained.

"I've seen two cases, and none of them were misdiagnosed." System NPC Path.

「!

!」

Ji Xiang was stunned for a moment.

"Teacher, how did you do that?"

"Intuition."

Ji Xiang never dreamed that the system NPC who was extremely professional would give such an answer.

Rely on intuition to see a doctor? Do you want to do a hexagram?

"When you see a patient a lot, you will naturally have a natural intuition, which is the accumulation of experience and the explosion of luck." The system NPC said very calmly.

"Teacher, look at what you said."

"That's just the way it is." The system NPC said, "When you go to the clinical duty, you will understand, some people are lucky and sleep until dawn." Some people are trembling, and there are a bunch of emergency patients every night shift."

"It has nothing to do with the diagnosis." Ji Xiang felt that the words of the system NPC were a little off.

"Once upon a time I had a little doctor under me, and his shift was very busy." The system NPC smiled, "And all kinds of rare cases are in his class, let me ask you, what emergency department in thoracic surgery is the rarest and deadliest?"

"......" Ji Xiang shook his head blankly.

"Rib fracture complicated by aortic dissection." "The pain of a tear in the aortic dissection is masked by the pain of a rib fracture, and it is just a rib fracture, and 64-slice CT is not routinely done," the system NPC explained.

"That's why some patients die suddenly and inexplicably."

The cold hairs on Ji Xiang's back stood up all of a sudden.

He didn't understand much about the rib fracture combined with aortic dissection that the system NPC had just experienced, but the testicular torsion he had just experienced was a symptom of acute appendicitis, which he had just experienced.

This is also the purpose of knowing the system, so in the end I avoided it dangerously. If it is an ordinary person, it is estimated that necrosis will be removed.

In many cases, it is true that life is fate, and it is not up to anyone.

Doctors are also part of destiny, and the system NPCs have a point.

"Teacher, what happened to the little doctor under you?"

"In 8 years, we have treated 6 patients with rib fracture and aortic dissection. Once he picked up a patient, the general inpatient and the professor on duty in the second line denied the diagnosis, and he was restless, and called me at 2 o'clock in the middle of the night."

"He just said one thing, boss, all the checks are fine, but I always feel that something is wrong."

「!

!」

Ji Xiang was shocked by this reason, can a doctor still be like this?

Just kidding.

"The patient had a regular CT done, and the film seemed to me to be fine. But I knew him, and in the middle of the night we pushed the patient together to do a bunch of tests, and it was determined that it was an aortic dissection, a big shelf under the emergency department." (Note)

"Awesome." Ji Xiang muttered.

"Do you know why I approve of you adding freedom attribute points to luck?"

It turns out that there is such a saying, Ji Xiang is awe-inspiring.

Not all diseases can be solved by LV9, and there is always a limit to manpower under the limitation of scientific and technological level.

"People, there will always be some inexplicable sudden death." The system NPC continued, "Once I went to dinner, I have a quirk, I like to sit in the hall when I go out to eat, and there are many people."

"Teacher, you like fireworks in the world." Ji Xiang said with a smile.

The system NPC waved his hand, he didn't seem to be able to hear this kind of literary description, for him this is lively.

"There was a man who choked on food and had trouble breathing. What if it were you?"

"Heimlich First Aid."

"Well, that's what I did." The system NPC said, "As a result, it failed."

「!

!」 Ji Xiang was puzzled, the first aid level of the system NPC must be quite high, and he even suspected that after Heimlich's first aid failed, the system NPC could directly cut the patient's throat with a knife to ensure the most basic breathing.

How could it fail!

"The fresh-cut live octopus that the patient ate was the kind of freshly cut plate of octopus legs still moving. Because the suction cups on the legs firmly suck the throat and airway, causing suffocation."

"I used Heimlich first aid, but it didn't work. Later, I immediately did a cricothyroid puncture, but it was still useless after opening, and the octopus leg was actually in the airway......

The system NPCs have some regrets.

Ji Xiang is awe-inspiring.

With the level and ability of the NPCs in the system, they are helpless against an airway foreign body.

"So, as a doctor, you have to know that the ceiling of your level and ability is limited by basic disciplines." The system NPC looked at Ji Xiang and said seriously, "Misdiagnosis and mistreatment are inevitable, and they can only reduce the probability."

"Teacher, I understand." Ji Xiang nodded obediently.

"Okay, let's learn how to reduce the testicular torsion."

"Testicular torsion is often caused by a lack of normal fixed tissue around the internal spermatic cord, resulting in an abnormally movable testicle."

"The probability of occurrence is generally 1 in 4000, and the cause can be trauma, sports, but more spontaneous spermatic cord torsion, which mostly occurs when waking from sleep, and the cause is the sudden contraction of the cremaster muscle causing the spermatic cord to circle."

"Teacher, is this a young man's health?" Ji Xiang suddenly asked.

"It's possible." "Testicular torsion is more common on the left side, which may be related to a longer left spermatic cord. In diagnosis, acute testicular torsion is typically characterized by acute** pain, but in some patients the pain is subtle or progressive."

"There are several conditions that are more difficult to diagnose, one of which is a patient with appendicitis that you experience, and the other is a patient with intermittent pain."

The system NPC explained in detail, and Ji Xiang listened carefully.

He has a good memory, almost never forgets it, and he has learned all this knowledge, but it is not as detailed as the system NPC.

And after Ji Xiang has experienced it himself, he has some nuanced experience, every time the system NPC talks about a place, Ji Xiang and his own personal experience refer to each other, and ask if there is something he doesn't understand.

The level of diagnostics and operations is constantly growing.

Ji Xiang understands that the meaning of empathy is to let yourself experience the pain of patients, but also to let yourself know the pathogenesis of a disease well.

It's just a possibility, but after experiencing it once, you've entered a whole new world.

……

……

Note: I was the hapless little doctor, fidgeting that night, all the tests were fine, but I just felt that there was a problem. I called the director in the middle of the night and solved the problem.

This kind of thing still feels inexplicably strange when I think about it now.

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102 Half Points Not Free to Read by Others.