Healing Doctor

Chapter 269 The diagnosis was correct, the surgery wasn't difficult (Bonus chapter for Alliance Leader CAA Spicy Hot Pot x2)

The splenectomy has been completed, and the patient is still lying open on the operating table.

Mr. Wu politely asked, "Ms. Lu, do you think it's possible to attend?"

Lu Gang was somewhat annoyed, but he couldn't show it. He silently shook his head, then nodded.

He stared at the slightly rough CT images on the screen, feeling increasingly awkward.

Ji Xiang was incredibly lucky; he managed to encounter something with a probability of only three in ten thousand. Lu Gang was indignant.

As for the surgery, Lu Gang hesitated for a moment. There must be a problem. Although he didn't think it was a ruptured ureter, it wouldn't hurt to take a look.

Seeing that he nodded, General Manager Wu didn't stand on ceremony and told Ji Xiang to go into surgery.

He was very decisive. He disinfected his hands after washing them and did everything himself, showing no intention of treating Ji Xiang like a resident trainee.

The imaging showed that both ureters were completely ruptured, making it impossible to implant ureteral stents.

The objective evidence from the clinical examination proved that Ji Xiang's statement was correct.

"The bilateral ureteropelvic junctions are completely ruptured," Mr. Wu said softly.

Just as Ji Xiang just said, once the diagnosis of kidney contusion is made and the patient is taken off the operating table, it is discovered that urine cannot be elicited...

That would be a disaster!

The patient will have to go through another ordeal.

Just as he was recovering from hemorrhagic shock, he was about to undergo anesthesia, surgery, and another blow.

This is completely different from doing it now, which would cause trauma to the patient.

Mr. Wu breathed a sigh of relief. Although misdiagnosis was highly probable, having Dr. Ji there to give a correct diagnosis directly was much more reassuring.

Lu Gang's eyelids kept twitching.

As it turned out, Ji Xiang was right. He didn't understand at all, so he turned around and took the emergency room X-ray to look at it carefully.

After examining the image carefully many times, Lu Gang still believed it was an artifact and definitely not something like a urinary cyst.

Without a follow-up CT scan for comparison, even if given a hundred more chances, this patient would still be misdiagnosed.

Lu Gang had no choice but to accept it; the undeniable facts were right in front of him, and if he stubbornly persisted, he would suffer a terrible fate.

Moreover, Lu Gang belongs to the academic school; if he's wrong, he's wrong. The objective evidence is there, and he didn't think about how to save face.

He just couldn't understand it, no matter how hard he racked his brains, he couldn't figure out why Ji Xiang was so certain that the patient's ureters were ruptured on both sides.

Ji Xiang neither knew nor cared about Lu Gang's feelings. He was Old Lu from the medical affairs office, not Professor Zhou whom he had encountered in the story of empathy.

After exchanging a few polite words with Mr. Wu, Ji Xiang stood in the position of the practitioner, feeling refreshed.

The surgery wasn't difficult, at least not for Ji Xiang.

With over a dozen machines trained in the operating room, Ji Xiang was able to handle it perfectly.

Ji Xiang transversely cut the ureter at the lower end of the narrowed segment, then removed a section of the narrowed ureter for pathological examination, and ligated the stump.

The distal end of the ureter is placed behind the abnormal blood vessel, and an oval incision is made at the lowest point of the renal pelvis. A ureteral stent and a renal pelvis drainage tube are inserted through the renal parenchyma.

Ji Xiang then performed a valve-shaped anastomosis between the ureter and the renal pelvis.

"Xiao Ji, you did a really good job with the petal-shaped anastomosis." General Manager Wu helped Ji Xiang tie the knot and watched as the needle holder in Ji Xiang's hand moved up and down in the narrow space, sometimes reflecting the light of the shadowless lamp, looking extremely handsome.

Ji Xiang smiled. He could do such a simple procedure as petal-shaped matching with his eyes closed.

"Xiao Ji, I really couldn't figure out what the problem was at the time. How did you diagnose it?" Mr. Wu asked humbly.

"The density is different. Although it looks blurry, considering that the patient suffered hemorrhagic shock after the injury and had insufficient blood volume..."

Ji Xiang relayed what the system NPC said to General Manager Wu, leaving General Manager Wu and Lu Gang, who was facing the video reader, completely stunned.

They were all experienced clinicians; although their ability to interpret images was average, they understood whether what Ji Xiang said made sense or not.

Mr. Wu was truly impressed by Ji Xiang's expertise in watching movies.

He deeply felt that he was lucky, fortunate that he had chosen to stand on Ji Xiang's side without hesitation in the "dispute" between Ji Xiang and Lu Gang.

Otherwise, even though it wouldn't be considered a medical accident, it would still require a second hearing, which would make me feel somewhat uncomfortable.

That's how it is being a doctor; every renowned doctor has a history of hundreds of misdiagnoses. But within the scope of one's abilities, one must always strive to do one's best.

You're definitely right to support Dr. Xiao Ji!

Mr. Wu reinforced this point of view in his mind once again.

Although Ji Xiang did not use the "Superior Doctor's Gaze," General Manager Wu directly caught the skill from the void and took the initiative to become a junior doctor.

Putting all concerns aside, Mr. Wu is quite adept at being an assistant.

He helped cut the sutures, draw out the blood, and stop the bleeding, and the surgery went very smoothly.

After Ji Xiang completed the valve-shaped anastomosis, he placed rubber tubes for drainage around the renal pelvis and beside the anastomosis. The stent tube and the renal pelvis drainage tube were fixed with absorbable sutures.

"Warm salt water." Ji Xiang reached out his hand.

The scrub nurse was taken aback. "So fast?"

"Uh..." Ji Xiang was also taken aback.

Recently, Tang Yan has been assisting me with my surgeries. Tang Yan has gradually figured out what steps of the surgery I need to take and what kind of cooperation is required. Although the surgeries are not as smooth as in the operating room, they are much more comfortable than when I cooperate with others.

If Tang Yan were here, she could bring me warm salt water with just a wave of her hand. Like an old married couple, we wouldn't even need to exchange glances.

"It's all done. Just rinse off and get off the stage." Ji Xiang didn't complain, but he seemed a little resentful.

Tang Yan is still more convenient.

"Dr. Ji, you're amazing!" the scrub nurse said with a beaming smile. "I thought it would take at least three hours, but it only took forty minutes. It won't even interfere with my meal."

"If the diagnosis is correct, the surgery is actually not difficult." Ji Xiang smiled.

The circulating nurse scurried off to fetch warm saline solution, preoccupied with eating. Plus, Ji Xiang was very serious and rarely drove, so no one was really in the mood for casual conversation.

After rinsing and examining, no active bleeding was found, and Ji Xiang began to close the abdomen.

"Xiao Ji, thankfully we found it." General Manager Wu breathed a sigh of relief. "The nephrectomy rate for patients diagnosed and treated early is 4.5%, while for patients with delayed diagnosis, that figure is as high as 32%. Is that right?"

"Yes."

Mr. Wu's data was very accurate, and his basic skills were solid. After Ji Xiang finished sewing the last stitch, he handed the thread to Mr. Wu.

"Generally, 50% of patients are misdiagnosed, but I feel that the misdiagnosis rate is higher than that, perhaps even reaching 90%."

Mr. Wu didn't think Ji Xiang was bragging, but Lu Gang interpreted his words in a different way.

90% of patients are misdiagnosed, so what happens then? Is this guy contradicting himself?

Ji Xiang was able to give the correct diagnosis; wasn't he just showing off?

In an instant, Lu Gang, who prided himself on being a professional and academic, almost went into "inner mode" and nearly went berserk.

That's too much! You only made one correct diagnosis, what's there to brag about!

Lu Gang glared fiercely at Ji Xiang's back.

However, the light from the shadowless lamp was a bit cool and somewhat dazzling.

(End of this chapter)