Healing Doctor

Chapter 103 Timely Treatment, Immediate Results (Seeking Monthly Tickets and Subscriptions)

The light flickered, and Ji Xiang opened his eyes.

A sharp pain came from his lower right abdomen, followed by nausea and vomiting.

This feeling is very similar to that of a right-sided urinary tract stone, extremely similar. Furthermore, similar symptoms have occurred during an acute appendicitis attack, also accompanied by right lower abdominal pain, nausea, and vomiting.

For a brief moment, Ji Xiang even felt as if he were experiencing urinary tract stones.

No, it should be testicular torsion.

This is an emergency! Ji Xiang struggled to sit up, but there was no lamp, so he could only pick up his phone and take off his underwear to examine the wound carefully.

There was nothing wrong with the testicles, and Ji Xiang carefully examined them but found no symptoms of redness, swelling, heat, or pain as described in the book.

"Wait a minute, it should be testicular torsion. Could it be a system error?" Ji Xiang wondered.

However, the symptoms of a patient who was sent to the gastrointestinal surgery department and who himself did not find anything abnormal, which led to a preliminary diagnosis of appendicitis, silently told Ji Xiang that there was definitely a problem.

He struggled to get out of bed, barefoot, without even putting on slippers, and bent down to turn on the light.

With the lights on, Ji Xiang checked carefully again, but still couldn't find any problems.

"Let's go to the hospital," Ji Xiang thought, taking out his phone to check the map. He ruled out two district-level hospitals that were probably not very good and found the largest hospital nearby.

Fortunately, it wasn't far. Ji Xiang endured the pain, put on his clothes, and moved out of the house step by step in an awkward manner, then got into the car.

Upon arriving at the hospital, Ji Xiang, taking advantage of his remaining energy and strength, and the fact that he could barely bear the pain, bent over like a shrimp to register first.

Ji Xiang really hated the emergency room registration process, but then he thought that patients were all crowding at the entrance of the emergency room, so it was the same.

"I wish everyone could have their own doctor someday," Ji Xiang thought to himself.

But complaining didn't waste any time.

Ji Xiang knew very well that the testicles could only twist within 6 hours, and these 6 hours were known as the golden time.

If it is delayed, surgical removal will be necessary.

Although removing one side will not affect fertility, and we are experiencing this in a virtual space, Ji Xiang still doesn't want a similar situation to happen.

What if it leaves a psychological scar?

"Doctor!" Ji Xiang bent down and tried to squeeze through the crowd piled up at the entrance of the emergency room.

"Don't you have any manners?!"

"You don't know how to queue? You're such a grown man, don't you know such a simple thing?"

"What's wrong with you? Are you in such a hurry to be reincarnated?"

Patients and their families, who were gathered at the entrance of the emergency room, shouted insults.

Ji Xiang quickly forced a smile, enduring the excruciating pain and shamelessly squeezing his way in.

With only 6 hours, to put it bluntly, Ji Xiang would rather have suffered hemorrhagic shock than have necrosis there.

Hemorrhagic shock won't kill you as long as the bleeding isn't too rapid; you can survive for several hours. But testicular torsion is a different story.

Necrosis after six hours, it's really lonely...

The thought of this made Ji Xiang unable to remain calm.

If they have no manners, fine, but I'm really getting impatient.

"What's wrong with you?" After seeing a patient, the doctor hurriedly asked Ji Xiang as he came in, bent over and clutching his stomach.

With so many patients piled up outside, the doctors were also anxious.

People with obsessive-compulsive disorder or trypophobia are not suited to be emergency room doctors.

During peak hours, the area outside the clinic is completely blocked, and doctors can only decide who goes first based on experience and who is more anxious.

"Doctor, I may have testicular torsion." Ji Xiang disregarded his embarrassment and stated his diagnosis directly, even though there were female patients and their families nearby.

"!!!"

The emergency surgeon was jolted up from his chair as if he had springs in his buttocks.

"Lie down!" The emergency room surgeon's voice became slightly shrill. "Is it very painful?"

As he spoke, he pulled the curtain closed, performing the most basic physical examination with the patient covered. Then he waved to dismiss the other patients.

Testicular torsion is a very high priority case for emergency treatment, and emergency room doctors are well aware of it.

Ji Xiang finally breathed a sigh of relief, lay down, and pulled his pants down to his knees. "Doctor, it doesn't hurt down there, but my lower right abdomen hurts."

"!!!"

The emergency room doctor stared at Ji Xiang with the look of someone looking at a pervert.

"But I think it's testicular torsion," Ji Xiang insisted.

"Testicular torsion is common on the left side, and your testicles don't even hurt, so what are you talking about..." The emergency room doctor almost cursed out.

If it weren't for the fact that Ji Xiang was a patient, and there were a lot of other patients and their families outside, he probably would have already cursed them out.

The emergency room doctor gave Ji Xiang a disapproving look, but in the end, he still put on disposable thin film gloves, fearing that Ji Xiang might have an infectious disease, and then began the physical examination.

Ji Xiang had positive tenderness in the right lower quadrant of the abdomen, with mild rebound tenderness, no muscle guarding, and negative percussion tenderness in the renal area.

These are fairly typical signs of appendicitis.

"Get up and put your pants on." After examining the patient, the emergency room doctor removed his gloves. "It sounds like appendicitis."

"Doctor, isn't it testicular torsion?" Ji Xiang was almost in tears.

Although he also thought it was appendicitis, the disease that the system made him empathize with was testicular torsion.

If this thing gets necrotic, will I have psychological trauma?

Ji Xiang didn't know.

The ER doctor ordered the tests and handed the form to Ji Xiang. "Family members, go pay the fees and get the tests done. You need to have a full urinalysis, so buy yourself a bottle of water."

"Doctor, I..."

"You!" The emergency room doctor was speechless, completely taken aback by Ji Xiang's antics.

He's mentally ill!

These are clearly typical signs of appendicitis, yet the patient insists he has testicular torsion. Is it that easy for the testicles to torsion?!

The only thing that Ji Xiang and the patients with testicular torsion have in common is that they are young.

This disease is more common in young people.

There is no other evidence!

The emergency room doctor even felt harassed and firmly believed that Ji Xiang was a pervert.

Perhaps it's a case of exhibitionism.

The doctor handed the form to Ji Xiang and immediately called the next patient.

The patient was a big, burly man. He had just overheard the conversation between Ji Xiang and the emergency room doctor out of curiosity and was extremely disdainful of Ji Xiang.

Even as they passed each other, the burly patient bumped into Ji Xiang with his shoulder.

The next step is a conversation like, "What are you looking at?" or "What's it to you if I'm looking at you?"

But Ji Xiang obediently walked out of the consultation room with his head down and back bent.

The burly patient scoffed, "Who does he think he is! So what if he has an egg yolk? Twisting him? He just wants to look at me. If he doesn't twist, I'll twist his egg yolk too."

The ER doctor sighed. "You see all sorts of patients in the ER. What's wrong with you?"

"Anyone else like him?" The burly man, though rugged, was extremely gossipy and asked curiously.

One evening, a student came to see the doctor and said that he had let out a very loud fart while studying in the evening.

"..."

He asked me how to fart without making a sound.

"What did you say?" the burly man pressed.

"The patient said there was a book that said if you spread your buttocks, you won't have a loud fart. He tried it and found that if he had the chance to spread his buttocks, he wouldn't care if it was loud or not. But if there were many people around, he wouldn't have the chance to spread his buttocks."

"You guys are really something, you can meet all sorts of people." The burly man exclaimed in surprise.

"There's nothing we can do; they're the face of society. And they're all sick, so it's very worrying," the emergency room doctor sighed.

"You let that child go back?"

"Yeah, to be honest, if someone's really good at nothing, they're probably a seasoned bottom. Why bother?" The ER doctor chatted with the patient for a bit, then asked, "What's wrong? Hurry up, stop talking nonsense."

……

……

Ji Xiang looked like a walking shrimp, his legs trembling.

He also knew that the emergency room doctor probably misunderstood him. Not to mention the emergency room doctor, even he himself didn't think it was testicular torsion.

However, I don't know much about testicular torsion. It's true that you only realize how little you know when you need to use it.

Ji Xiang was so anxious that he broke out in a cold sweat.

Even if appendicitis results in perforation, it rarely leads to death; the chances are extremely low. Even if it delays treatment for a few hours, it's not a big deal, unlike testicular torsion, which only has a six-hour golden window.

What should I do?

Ji Xiang's mind raced, and he suddenly realized that doing things step by step would definitely not work.

He didn't pay the fee at all; instead, he bent over and went directly to the urology ward.

Ji Xiang still remembers his first day of internship, working the night shift in the department, wanting to see what clinical work was like. That night, he had just fallen into a light sleep when he heard someone shout at the door—Doctor, my stomach hurts!

And so, a busy night ensued.

After that, Ji Xiang couldn't stand hearing that phrase anymore.

Today, these words were like a lifeline to Ji Xiang, and he planned to shout them out whenever he entered the urology ward.

however……

Ji Xiang struggled to move forward, and just one step away, a roar came from the urology corridor.

"What's wrong with me taking leave! Can't employees have holidays? You're such a shrew!"

"Reason? Didn't I tell you? Attending a funeral. Can't you understand human language?"

"Whose is it? Mind your own business! If you don't agree, it's yours!"

It must be the night shift nurse... Wow, she's really something, the beeping on the phone was like a machine gun, leaving the person on the other end completely silent.

"Doctor, my stomach hurts."

Ji Xiang struggled into the urology ward. If it weren't for something more important, he wouldn't want to provoke such an irritable nurse.

A nurse in her thirties was angrily holding her phone, her grip so tight that Ji Xiang could faintly hear the creaking sound from a distance.

Upon seeing a large shrimp walk in, the nurse, as if she were a master of changing her expression, instantly vanished from her anger and her voice became infinitely gentle.

"What's wrong with you?"

"..." Ji Xiang paused for a moment.

He was still a novice in clinical practice, and whenever he saw nurses treating patients very gently, he felt it was only natural.

But the person I met today, who was ready to die with someone one second and then smiled at me the next, is truly remarkable.

"My stomach hurts. Is the second-tier professor here? Is the chief resident here?" Ji Xiang asked.

"Kidney stones?" The nurse looked Ji Xiang closely. "Are you a medical student?"

"Hmm, I'm a student, and I suspect it's testicular torsion," Ji Xiang immediately stated his diagnosis.

The nurses behaved just like the emergency room doctors, as if the words "testicle reversal" had a magical power, like a needle pricking the doctors and nurses, urging them to run.

"Old Zhu, Old Zhu, come out quickly!"

The nurse reverted to her fiery self, standing in the corridor and shouting loudly.

A voice responded, and the nurse, upon hearing this, led Ji Xiang to the treatment room.

She helped Ji Xiang lie down on the examination bed and said, "Take off your pants."

Looking at the nurse, Ji Xiang felt a little embarrassed.

He used to find it unbelievable when he saw similar situations before. What the hell is going on? How could someone still feel embarrassed?

But when it happens to me, it goes by so smoothly.

Fear of testicular torsion, necrosis, and removal does not affect shyness or embarrassment.

"Gentlemen, I'm not afraid to look, and you're acting shy?" the nurse said disdainfully. "Hurry up, who cares to look? It's been several hours, if you wait any longer you'll have to cut it off, and you'll be crying then."

"It's been more than two hours, but the symptoms weren't typical, so I went to the emergency room and was diagnosed with acute appendicitis," Ji Xiang said in detail.

"What? Appendicitis?" A middle-aged man ran in, panting.

He started panting heavily after only a few steps; one foot was wearing a slipper, while the other was bare.

"Teacher, I think it's testicular torsion." Ji Xiang tried his best to portray himself as a resident trainee, afraid that the doctor would kick him out.

"Left and right?" the doctor asked as he entered.

"right……"

"The spermatic cord on the right side is shorter and rarely appears on the right side." The doctor frowned and began the examination.

A few minutes later, he looked at Ji Xiang with a puzzled expression.

"Young man, how can you be sure it's testicular torsion?"

"Professor Zhu, I've had it before!" Ji Xiang suddenly had a sudden inspiration and told a lie, which was quite unusual for him.

The second-tier professor frowned at Ji Xiang. After a few minutes, he said, "Go get an ultrasound. I'll take you. If there's a problem, we can manually reduce it."

Ji Xiang breathed a sigh of relief.

Professor Zhu turned to make a phone call, and the nurse reassured him, "You're lucky; the person performing this ultrasound needs to be highly skilled."

"I know, teacher," Ji Xiang said politely to the nurse.

"You have a sweet tongue," the nurse said with a smile. "It's only been two hours, it's nothing serious, don't worry too much."

Soon, Professor Zhu and the chief resident helped Ji Xiang into a wheelchair and pushed him to get his examination.

"It's a pity that we wasted time, otherwise we could have tried the 99m scalar scan," Professor Zhu said.

"What is 99m tektography?" Ji Xiang asked.

"You've already turned things around and you still have the mind to be curious?" Professor Zhu scolded.

Ji Xiang shut his mouth, memorized the term "99m scalar scan," and prepared to ask about it when he returned to the system space.

Upon arriving at the ultrasound room, Professor Zhu performed an ultrasound on Ji Xiang.

It was quickly confirmed that there was indeed a problem with the blood supply on the right side!

Professor Zhu tentatively rotated it about 30 degrees counterclockwise and asked, "Do you feel more relaxed?"

The movements were small, but like magic, the effect was immediate!

Ji Xiang immediately felt a relief in his lower right abdomen, and the pain was immediately relieved.

I go!

The results were amazing!!!

Ji Xiang was surprised.

Professor Zhu could tell from Ji Xiang's expression that it was working, but he still waited until he got a definite answer before smiling and saying, "Come on, let's do an experiment."

Ji Xiang knows about the straight leg raise test.

It is generally used in the examination of patients with sciatica and lumbar disc herniation.

Its positive rate can reach over 90%, which can reflect the severity of sciatica, lumbar disc herniation and the degree of nerve root compression to a certain extent.

However, this test is also used for testicular torsion.

Negative!

Ji Xiang breathed a sigh of relief.

The light and shadow flickered, the empathy session ended, and Ji Xiang returned to the system's operating room.

"You don't even blush when you lie?" the system NPC asked jokingly.

(End of this chapter)