"Doctor Xiaoji, I haven't gone back yet." After Mr. Miao finished washing, he saw that Ji Xiang and Zhao Zhe were still chatting, so he came to say hello.

Just now Ji Xiang said that he wanted to go back to rest, but he didn't expect him to be there.

"Answered the phone and left." Ji Xiang said, "Mr. Miao, you go to bed early." ”

"Well, my class has always been very good, and there are basically no emergency surgeries. It's like those decaying goods, who come to the emergency department as soon as they are on duty. Mr. Miao said a little proudly.

When Ji Xiang heard Mr. Miao say this, a cold snap suddenly broke out on his back, and goosebumps all over his body.

Mr. Miao actually said such a death when he was on duty, this is death.

Zhao Zhe's face changed, as if he was constipated, and he was about to leave with Ji Xiang.

But no matter how fast Zhao Zhe reacted, the words that Mr. Miao said just now were like a forbidden spell, and they exploded directly at the moment when the words fell.

The phone rings.

Mr. Miao was slightly stunned and answered the phone.

"Radiology? How old is it? ”

"Intussusception in your seventies still goes to air enema, have you told the patient's family?"

"If you want to be admitted to the hospital, what are you doing!"

Ji Xiang looked at Mr. Miao intently, he was obviously a little angry. And although Mr. Miao's simple communication with the person on the other side of the phone was sloppy, he could roughly guess what it meant.

Intussusception is when a section of intestine is inserted into the lumen of the intestine to which it is attached, causing the passage of intestinal contents to be impaired. Intussusception accounts for 15%~20% of intestinal obstruction.

There are two categories: primary and secondary. Primary intussusception is more common in infants and young children, while secondary intussusception is more common in adults.

Intestinal peristalsis is active in children, and intussusception can occur due to intestinal peristalsis disorders at the age of supplementation of complementary foods. Upper respiratory tract or gastrointestinal infections in children, often combined with mesenteric lymphadenopathy, may also affect the normal peristalsis of the intestinal tract and cause intussusception.

However, intussusception in adults is not the same as intussusception in children.

Although it is called intussusception, intussusception in adults mostly occurs in diseased intestinal tubes, such as benign or malignant tumors, polyps, tuberculosis, adhesions, and Merkel's diverticulum, which can affect the normal peristalsis of the intestinal tract and become a predisposing factor for intussusception.

Pediatric intussusception is treated with air enema, while most adults require surgery.

Although they are both intussusception, the treatment is completely different.

No wonder Miao is so angry, it is estimated that the second doctor in the emergency department does not know the difference in age and subsequent treatment of intussusception, so he called Mr. Miao to find him for consultation.

Ji Xiang thought about it, condensed slightly, and came to the system operating room.

After seeing the NPC of the system, Ji Xiang bowed first, and then explained the situation.

The system NPC was well-informed and not surprised, he just smiled slightly, "Similar situations are rare, but there are also them." Dr. Xiao Ji, I ask you, what would you do if you were in a similar situation in your clinical practice. ”

"Me?!"

Ji Xiang's heart flashed, and in an instant, he thought of empathizing and analyzing the pros and cons, pondering this matter from the perspective of patients, family members, and doctors.

"Have you thought about it?" The system NPC saw everything, looked at Ji Xiang with a smile and asked.

"I want to feel from the patient's point of view." Ji Xiang said.

"Why?"

"The patient's family's perspective is weird, either they don't know how to talk nonsense, or there are other reasons, if I feel from the patient's family's point of view, I have to stop the air enema in the first place. And ......"

Ji Xiang didn't finish speaking, and the system NPC nodded, "The idea is basically correct, but the experience of feeling from every angle is different, try it." It doesn't hurt very much, so there's no harm in trying. ”

"Teacher, can I feel it from every angle?" Ji Xiang suddenly asked.

"It's a reward for completing a thousand empathy sessions." The system NPC said, "Actually, it's not a reward, you're helping me do data collection." That is, Zhou Congwen is a little clever, and he said that the matter of being a cow and a horse is so good. ”

As soon as Ji Xiangyi raised his eyebrows, he smiled and said, "I'm enjoying it, it's like a game of The Sims, and it's good." ”

The system NPC smiled and didn't speak, his cloudy gaze gradually became clear, revealing a burst of joy.

Ji Xiang deliberately avoided the topic of data collection, and the system NPC did not elaborate, and took Ji Xiang to the operation room next door.

The light and shadow flickered, and Ji Xiang's body was cold.

Looking carefully at the surrounding environment, Ji Xiang found himself lying on a flat car, and the cold wind blowing in the direction of the soles of his feet was blowing in gusts.

Fortunately, I have another piece of clothing on my body, which can warm myself up a little.

Searching for memory, Ji Xiang was a little speechless.

I am a 73-year-old man who has symptoms of intestinal obstruction in the past few days, abdominal distention, very little gas, and no bowel movements.

I came to the hospital for examination, and after doing a CT scan of the abdomen, it was found to be intussusception.

The emergency doctor said that he would be admitted to the hospital for surgery, but his son insisted that he would never be allowed to operate, and the treatment was an air enema.

That's right, a few years ago, my grandson also had intussusception when he was young, and the whole family panicked when he saw his grandson with blood in his stool and his stomach swollen into a ball.

In particular, there is only one hospital in the city that can do air enema, and at that time, I was in a hurry to ask for help in various hospitals with the child, and finally the doctor of this hospital took half an hour to solve the problem, and the child was fine.

This incident made a deep impression on everyone in the family, and even now it is always brought up.

Intussusception, and intussusception again, no wonder the "son" is so stubborn.

It's all path dependent.

My son is right, air enemas are useful, but ......

Ji Xiang complained bitterly.

"Wait a minute." The radiologist said coldly, "The gastrointestinal surgeon will come down immediately, but let me tell you first, it's still the same sentence, intussusception in adults is different from intussusception in children." ”

"Hey."

Ji Xiang's "son" sneered.

"Xiaohua, you come." Ji Xiang beckoned.

When the body moved, even if it was just a simple action of beckoning, it involved the muscles and nervous system, and there was a sharp pain in the abdomen.

Damn it!

Ji Xiang cursed in his heart.

The position just now is the most comfortable position, and if you move it, it hurts to change your position slightly.

Just a moment, a cold sweat broke out.

Ji Xiang changed a few more positions and found a slightly more comfortable position.

"Dad, what's wrong?" The son asked softly.

"I think the doctor has a point." Ji Xiang whispered, "Or let's have surgery." ”

"Dad, don't trust them." The man pursed his lips and said disdainfully, "It's all intussusception, what other tricks can be used for treatment, you say yes." Let's say, appendicitis is all good, but whether it is a child or an old man, no matter how old he is, is it conservative treatment to hang the water, or to operate? ”

"......" Ji Xiang wanted to explain, but as soon as he was about to speak, there was a knife-like pain in his stomach.

(End of chapter)