Ji Xiang stood in the operating room of the system, looking at the system NPC in a daze.

"What's wrong with you?" Seeing Ji Xiang's dazed face, the system NPC asked suspiciously.

Since entering the operating room of the system, Ji Xiang has greeted the system NPCs respectfully every time he comes in, and he has never been in such a stupid situation as he is now.

And Ji Xiang's face was ugly, and he knew that something was wrong at a glance.

"Old ...... Shi ......" Ji Xiang was a little embarrassed, he stammered, "I suddenly won't have surgery, what should I do." ”

The system NPC was not surprised by Ji Xiang's headless words, he hunched his waist behind his back, walked up to Ji Xiang, and raised his hand to touch Ji Xiang's head.

Ji Xiang is very tall, and the system NPC is a little short. Although Ji Xiang is confused, his instinct is still there. Seeing the gesture of the system NPC, he hurriedly bent down.

The system NPC touched Ji Xiang's head and said with a smile, "You are the last surgeon in the empathy system to appear and will not perform surgery." ”

“？？？”

Countless question marks rose above Ji Xiang's head.

What does the system NPC mean by what it says? The last surgeon who won't do surgery?

Although the last one, this sentence seems to be a compliment to oneself, but it will not be operated on...... Ji Xiang had never heard of a doctor having a moment like this.

"You've done well, beyond expectations." The system NPC smiled slightly, "Let's go, come with me to smoke a cigarette." ”

Ji Xiang respectfully followed the system NPC to the locker room.

Under the [No Smoking] sign, Ji Xiangjian system NPC found out the white Ganoderma lucidum.

This time, the system NPC didn't just smell it, but directly lit a cigarette and took a deep breath.

It was a long time before he caught his breath.

"Doctor Xiaoji, do you know when you won't be able to use your skilled surgical skills, and don't you think you can't do surgery?"

Ji Xiang shook his head.

"I'll tell you a few things." The system NPC said slowly, "The first thing is one of my students. He is very hardworking, hardworking, and his level has improved very quickly. Although his talent is not top-notch, he is better at studying hard, and with the guidance of a famous teacher, he quickly became a first-line artist. ”

Ji Xiang was not surprised at all when he heard the system NPC say that he was a famous teacher.

"Once he had surgery for high esophageal cancer, which required three incisions, neck anastomosis, and a doctor to do a subcutaneous tunnel."

"The surgery was successful, but the neck incision did not heal after the operation, and I had a headache anastomotic leak.

Anastomotic leaks are common, especially for high esophageal cancer, which is the greatest risk. The patient's family expressed their understanding, but he had a problem with his mentality at this time, and did not let his doctors change the dressing, and personally changed the patient's dressing every time, peeling off the pus, hoping that the incision would heal quickly. ”

"Teacher, isn't that right?" Ji Xiang listened to the description of the NPC in the system and was a little puzzled.

"Yes, yes, but he felt guilty in his heart and a sense of distrust of his surgery." The NPC of the system said, "In addition, patients with esophageal cancer anastomotic fistula will have a local smell of decay, not to mention the ward, even in the corridor of the ward." ”

This ubiquitous smell adds to his psychological pressure.

"Every day when I come to the hospital, I smell rot before I even enter the ward. Xiaoji, let me ask you, what would the patient think if you had surgery. The system NPC stared into Ji Xiang's eyes and asked.

"Uh......" Ji Xiang hesitated for a moment, thought about it for a while, and replied, "The operation cannot be 100% successful, and the local blood circulation after the anastomosis of high esophageal cancer is indeed not good, even if there is a problem, I think as long as there are no major mistakes during the operation, it can be understood." ”

"Surgery is not 100% successful. Now that it has appeared, it is to face it positively. ”

The system NPC shook his head.

"That's the difference between an intern and a bedside doctor." The system NPC said, "The doctor is under a lot of pressure. To put it mildly, if the patient suddenly suffers cardiac arrest, it may be better if the rescue fails. Every day when I come to the hospital, I smell the rot of the anastomosis, which is even more difficult for the surgeon to accept. ”

"And then, teacher." Ji Xiang asked.

"Later, he won't have surgery. Three surgeries failed in succession, and in the end, I went to save the table. ”

"It wasn't until I went to work as an assistant for him that I was sure that he wouldn't have surgery anymore, so I just let him go out on vacation. If you are far away from the hospital, you will recover faster. ”

"Uh......"

Ji Xiang could vaguely feel the feeling that the system NPC was talking about.

I won't have surgery all of a sudden, so much so that the old director works as an assistant to himself.

But all this has not produced moderators for the surgeon, but has become a burden.

"Teacher, what happened later?"

"Later, I found a little doctor to change the medicine twice a day and give enough protein, and after more than 20 days, the patient's anastomotic fistula grew."

"Could he not have known that it takes time for an esophageal anastomotic fistula to grow? He knew for sure. What should I do if this happens? Use time to grind, common sense questions that interns know. ”

The system NPC asked and answered himself, and Ji Xiang listened carefully.

"But it's just that the pressure is too much, so the technical moves are out of shape. Similar to sports competitions, some people in key events can withstand a lot of dopamine and adrenaline stimulation, and will have extraordinary performance. Some people can't bear it, and they will drop the chain before the competition. ”

Hearing the system NPC say that the chain was dropped, Ji Xiang scratched his head.

Although he knew that he was talking better than himself, Ji Xiang was still a little embarrassed.

"Then he came back and I told him a lot. To be honest, I know that these little are tired of my tirades because they say that I am willing to indoctrinate the worldview, so I rarely tell them. ”

"But this time it's different."

"He'll be better." Ji Xiang asked with a little apprehension.

"Of course, can you really forget how to do surgery?" The system NPC smiled, "There are similar cases, although they are not doctors, but they are extremely rare diseases, so I won't tell you more." ”

Seeing that Ji Xiang was still a little apprehensive, the system NPC smiled, "There is a doctor who has amnesia because of a car accident, and it is not possible to diagnose anything, but the muscle memory of the operation is still there, and I was stunned to have another month of surgery after diagnosing amnesia." ”

“！！！”

Ji Xiang was speechless.

"This is just one of them, and I'll tell you the second thing, which I have personally experienced."

Ji Xiang felt that he was not in the first situation, he listened carefully, and did not forget what the system NPCs instilled anytime and anywhere as usual.

"I had an incident when I was younger." The system NPC's expression became serious, "At that time, I was in the field hospital, and the old squad leader of the cooking class was very familiar with me and had a good relationship. At that time, we couldn't find tobacco leaves, so we looked for dried leaves and rolled them to smoke. Every night after dinner, if you are not busy, you will smoke the leaves together. ”

"Later, the old squad leader was injured, and my mind went blank. The blood I saw was blue, as blue as the sky. ”

“！！！”

"At that time, not to mention surgery, I forgot even the most basic rescue to the back of my head. Looking at the old squad leader, I was completely stunned, and I just cared about rolling a cigarette for him. The system NPC said, sighing deeply, "If I don't panic, maybe the old squad leader will still be saved." ”

Ji Xiang didn't expect the system NPC to tell him about this kind of past that he didn't want to think about for the rest of his life.

"Would you like to give it a try?" The system NPC suddenly asked.

"Huh?" Ji Xiang was stunned for a moment.

He saw that the cloudy eyes of the system NPC suddenly became clear, and nodded subconsciously.

Go to the battlefield full of gunpowder?

Ji Xiang's palms were sweating.

Although he only felt the same way, Ji Xiang still couldn't help but get nervous.

The system NPC snuffed out the cigarette, Ji Xiang took the cigarette butt, threw it into the toilet and flushed it away, and followed the system NPC to the outside of the operating room.

The light and shadow flickered, and Ji Xiang did not open his eyes immediately, but sniffed hard.

There was no smell of gunsmoke, no deafening cannon sound, but a faint smell of hospital.

Disinfectant water, the smell of sweat, and loud voices mixed together.

The sound and the taste can be mixed together, which is a particularly strange feeling, but Ji Xiang thinks it is real.

"Myself" lying on the bed, is the perspective of the bystander.

Ji Xiang didn't have anything to do this time, and read "himself" memory for the first time.

It turned out that his grandfather's lung cancer was terminal, and there was no possibility of treatment, and he was waiting to die.

"Himself" is a doctor who takes turns taking care of his grandfather with the rest of the family.

But since my grandfather was hospitalized, "myself" knew very well that he wouldn't live long, so he had insomnia and anxiety recently, and he hadn't slept for a few days.

After changing shifts and resting for a while, I lay on the bed without the slightest sleep, and could only think crankily.

Alas.

Ji Xiang sighed helplessly.

Joys and sorrows, this is the norm in the world, there is no way.

It's just that "my own" grandfather is in the terminal stage of lung cancer, and there should be no surgery involved.

Eccentric.

When Ji Xiang searches for his memories, he is often disturbed by his "own" memories.

"I" lived with my grandfather when I was young, and my memories are full of the warmth of childhood.

There is elm money, there is ...... Silly roe deer.

Grandpa took a shotgun and took "himself" to hunt, and the prey was a stupid roe deer.

That thing is really stupid, Ji Xiang is very helpless about the stupidity of the roe deer.

It seems that their own stupid roe deer is much smarter.

The warmer the memories, the more uncomfortable it is at this time.

People must not be able to stay, and "themselves" can only stay in the department day and night to accompany the elderly to spend the last period of time.

Although he was tired, he couldn't feel it at all, lying silently on the bed, not sleeping, just looking at the sky.

"Brother Ji! Our grandfather said he couldn't breathe, take a look. ”

The nurse pushed the door in and said hurriedly.

"Myself" immediately jumped up.

"Bang" hit his head on the second floor, and "himself" didn't care about the pain, so he pulled his slippers and trotted to the ward.

The elderly have a withered face, sit upright and breathe, and each time they inhale, the supraclavicular fossa, suprasternal fossa, and intercostal space are concave at the same time, which is a typical three-recavity sign.

"Grandpa." Ji Xiang shouted quietly.

The old man sat on the bed and waved his hand gently.

Simple movements made it more difficult for him to breathe, especially the supraclavicular fossa, which was deep enough to hold a bowl of water.

Ji Xiang hurriedly took out his stethoscope.

The elderly man had lung cancer in the right lung with systemic metastases, and originally had a small number of breath sounds on the right side.

But there was no breath sound at all on the right side during auscultation!

Ji Xiang immediately performed percussion and determined that it was a pneumothorax with a large pleural effusion.

And it must have come out of nowhere, because it didn't happen in the morning.

What's next?

"Prepare for thoracostomy drainage!" "Myself," he said aloud.

The nurse immediately went to prepare something.

Ji Xiang remembered that once when he was empathetic, he was given thoracostomy drainage, and the doctor almost "slammed" himself against the wall.

It hurts!

However, it was caused by local tension and muscle and pleural tightness in young people after trauma.

If you are an elderly person, you should not have such a reaction.

And......

Ji Xiang wanted the nurse to bring in a chest tube with high-value consumables.

As expected, the nurse brought in a bunch of things, including chest tubes with high-value consumables.

This chest tube is thinner than the normal one, with a steel core in the middle, which makes it easier to poke into the ribcage.

Even if there is tension in the pleura and muscles, there will be no such thing as the patient scolding the wall.

"Myself" is a chest doctor, and there should be no difficulty in thinking about such a small treatment as thoracostomy drainage.

Don't......

Ji Xiang suddenly remembered the content of this empathy.

I can't even do such a small disposition.

"Herself" opened the incision bag, and the nurse quickly filled the chest bottle with topical salt, and opened a bottle of ropivacaine.

A 5ml syringe is used to draw the anesthetic, dilute the saline and prepare for local anesthesia.

Although Ji Xiang is not engaged in thoracic surgery, he still understands the most basic principles.

In the case of the elderly, there is no need for B-ultrasound positioning at all, and the chest tube is directly sent in the 6th and 7th intercostal spaces of the midaxillary line.

After "himself" smoked the anesthetic, everything was normal, and Ji Xiang was calmly observing.

Disinfect the area by laying out a drape, pick up a 5ml syringe, and push the air out.

The movements are skillful and steady, and it's a bit of an exaggeration to say that the flow is smooth, but it's definitely not picky.

Ji Xiang stared at the movements of "himself", holding the syringe in a sterile glove, and the moment the needle tip just touched the skin, "himself" suddenly stopped.

Belch......

Ji Xiang could feel that "himself" mind was blank, and his hands began to tremble, let alone use a knife, even the simplest anesthesia could not do it.

At this time, Ji Xiang really wanted to snatch control of his body, and began anesthesia and closed drainage of the lower thoracost.

Such a simple surgery!

But "myself" is very unproductive, his hands are shaking badly, even his muscle memory is gone, his body is a little sore, and Venus begins to appear in front of him.

"Myself" steadied his mind and took a deep breath.

As the fresh air is inhaled, "myself" seems to be a little more energetic.

Try again.

The moment the tip of the needle touched his grandfather's skin, "himself" coaxed again.

The muscle memory of the system NPC has also disappeared completely, and "myself" is like a rookie who can't do surgery, holding a syringe in a daze.

"Brother Ji?"

The little nurse was a little surprised and asked in a low voice.

Ji Xiang could already feel that "he" was in cold sweat on his back, and the cold sweat instantly wet the white clothes.

Why is it so useless!

Ji Xiang is scolding "himself", and he is scolding himself.

I don't dare to start with a simple disposal, is there such a useless one.

Recalling his strange behavior in the operating room, Ji Xiang was somewhat aware, but not satisfied.

The situation I am facing is far less than what I am facing, just some accumulation in my empathy, and I can't even do surgery, which is really useless.

And in front of him, he is facing his grandfather who has pulled him up since he was a child, and he doesn't dare to start......

It doesn't seem to be either.

The old man sat and breathed, and every second he was in pain.

Solve it early, let the old people take a breath early, this is what should be done.

But "myself" just can't do it.

Ji Xiang looked at "himself" trembling, anxious, and eager to take over.

A few seconds later, "myself" put the syringe in the incision bag, took off the sterile gloves, and without explaining anything to the family, he cursed and turned out of the room.

"Brother Lang, I, Xiaoji."

After going out, "myself" began to call.

"Is it convenient for you, my grandfather is going to do closed drainage, and I can't get down...... I can't get my hands on it. ”

"Then thank you, Brother Lang."

After "myself" finished calling Shen Lang, his legs were weak, and he slowly slid on the ground with his back against the wall.

The patients and their families in the corridor looked at "themselves" with strange eyes.

They don't understand, but Ji Xiang does.

This time the usual empathy is different.

In the past, I felt it in the virtual world, and then it acted on the reality.

But this time, Ji Xiang "forgot" how to do surgery in reality and came to the virtual world to seek answers.

"Myself" just sat on the ground with his head in his hands.

Although his eyes were closed, his eyes were full of Venus flying, and his ears were buzzing.

If you have surgery early, the elderly can suffer less sin, which is very clear to "yourself", but you can't do it.

Ji Xiang sighed, it was indeed so.

He seems to have a clue about the difference between reality and system empathy.

"Xiao Ji, I'm here."

Shen Lang appeared in front of him, he didn't smile, but turned around to change his clothes, and then trotted over.

"Did you make a film?"

"No, the physical examination is confirmed."

"Okay, I'll take a look, let's talk about the next pipe first."

Shen Lang was not ambiguous, and went directly to the door to start the physical examination.

Everything has been prepared, Shen Lang injected anesthetic, cut the skin, bluntly separated the subcutaneous tissue, and gradually came to the pleural position.

The pleura is punctured, and the bloody pleural fluid flows out directly.

Shen Lang pressed the incision with gauze, took the chest tube with a steel core and sent it in.

"Myself" was still in a daze, the nurse was quick and quick, and without waiting for Shen Lang to speak, she clamped the chest tube and began to connect it to the tube of the chest bottle.

Then the nurse squatted on the ground and opened the clamped chest tube, and the bloody pleural fluid and gas were drawn out.

"Brother Lang, how much?" The nurse asked.

"500 first, then 400 in half an hour, the old man is weak, come little by little." Shen Lang said, "Your brother Ji is no longer good, you can help keep an eye on it." ”

"Okay." The nurse was quick to come down.

The atmosphere of the department is really good, Ji Xiang sighed in his heart.

Shen Lang's operation took about a minute from beginning to end, but with this simple operation, "himself" couldn't do it at all.

"Look at the dots, take a look every few minutes." Shen Lang was verbose again, and then pulled "himself" away.

"Xiao Ji, smoke a cigarette and slow down. Look at your back, it's all sweat. Shen Lang did not laugh at "himself", but comforted, "It's okay, I can't do it." ”

"Brother Lang, I'm ...... It's really useless. ”

"What do you say?" Shen Lang lit a cigarette and stuffed it into his mouth, and then he lit another cigarette and smoked it.

"You think everyone looks like the director! He's a real animal. ”

"Huh?"

Ji Xiang was stunned when he heard Shen Lang describe Professor Zhou like this.

Livestock! Shen Lang actually described Professor Zhou like this.

"The boss had aortic dissection back then, and he had signed to give up, and the senior brother rushed back from abroad to see the boss, and no one dared to say a word. But as soon as the milk was pushed, the boss fell asleep, so Congwen turned off the insulin pump and directly pushed the boss to surgery. ”

Ji Xiang listened to Shen Lang's description of the past, and yearning.

He can roughly perceive the relationship between Professor Zhou and the boss, who is also a master and a father, and it is not that the situation in front of him is estranged.

But what Professor Zhou did was decisive.

"The senior brother and the second senior brother are so dumbfounded, no one dares to go up, and they are soft. In the end, I followed the desk of the text and got off the big shelf and went in with an intervention. 3D printing of large shelves, the first attempt in China. ”

"I thought later, like the senior brother and the second senior brother, they are normal people. Available from the text...... Look at the boss now, his body is still strong, how many more years has he lived. ”

Shen Lang was still chattering, and Ji Xiang was fascinated.

"So Congwen is a special animal!"

"Brother Lang, don't talk about the director."

"I praise him." Shen Lang pursed his lips and smiled, "In that case, the one who dares to do it is the man." ”

"Uh......"

"I ask you, what does a person with a strong heart look like." Shen Lang asked.

Ji Xiang pondered, "himself" did not answer, but looked at Shen Lang, waiting for him to give an answer.

"There was a psychiatrist on Twitter who replied quite justly - people who don't empathize with others are strong insiders."

Ji Xiang was stunned suddenly.

Shen Lang seems to have given the ultimate answer, but his answer is contrary to the empathy system.

What the hell is going on?

Originally, Ji Xiang thought that what he was going through was just a "trial", but he never expected Shen Lang to give an answer that exceeded his expectations.

Even this answer completely overturns the empathy of the system operating room.

"Is that so, Brother Lang."

"Of course, if you don't see Lao Zhao in gynecology, you can always empathize, so you can't even be a doctor. But they are very powerful, and now they are the director of the medical record room. ”

"From the text, it would be good if Lao Zhao had low empathy ability."

"He's high-level, he's meticulous, and he's doing super good surgery."

"It's a pity."

Shen Lang bit his cigarette and said vaguely like a second-rate child.

Ji Xiang fell into deep thought.

Although this time it was observed from the perspective of a bystander, and he didn't have a chance to chat with Shen Lang at all, it didn't affect Ji Xiang's thinking.

What Shen Lang said makes sense.

But is empathy or not? Ji Xiang thought about this question for a long time.

Empathy allows you to put yourself in the patient's shoes.

But at some point, empathy makes itself so fragile that it "forgets" the surgical skills.

Because he couldn't ask questions, Ji Xiang wrote down the matter and prepared to go back and ask the system NPC.

(End of chapter)