Healing Doctor

Chapter 60 Half-baked?

"Alright then," the system NPC said. "You can train again when you get home."

"Kidney stones cause a high level of pain, but if treated early, there shouldn't be any major problems," the system NPC continued to explain to Ji Xiang. "Initially, extracorporeal shock wave lithotripsy was used, but it's rarely used now."

"Why, teacher?"

"The side effects are quite significant, and the actual effect is only so-so," the system NPC explained. "Later on, people started researching ureteroscopic retrograde lithotripsy and stone removal techniques."

However, the surgery is very difficult. The ureteral wall is much less resilient than the blood vessel wall, making this procedure prone to ureteral rupture.

Ji Xiang listened attentively.

Although the system NPC was a bit long-winded, talking about some lithotripsy methods that had been phased out or were rarely used in clinical practice, Ji Xiang still listened with great interest.

"The most commonly used procedure now is ureteroscopic laser lithotripsy and stone removal. This procedure has some obvious advantages and disadvantages, mainly..."

Ji Xiang listened quietly, growing little by little.

……

……

In the operating room's duty room.

The anesthesiologist and nurses are having a meal together.

The surgery just now interrupted dinner, and by the time we got back, the food was already cold. Normally, we would microwave it before eating, but today we were both so distracted that we completely forgot about eating.

It's like a couple who've been married for decades, sitting in silence, each eating their own food, without uttering a single unnecessary word.

The oppressive atmosphere immediately disappeared after the young resident left the operating room.

Everyone could breathe normally, the patient's condition was stable, and there was nothing wrong after the general anesthesia ended. They were sent back to the ward, and the two of them had something on their minds.

"Old Li, why was that resident trainee so fierce just now?" the nurse asked, pouting as she ate her chopsticks.

She was resentful, but whenever she was about to speak harshly, she was always afraid and could only mutter a few words in a low voice.

Even without the "Superior Doctor's Gaze" skill, the circulating nurses remained silent.

The anesthesiologist couldn't help but shudder at the mention of resident trainees.

He hesitated for a moment, then lowered his head and said softly, "Don't talk nonsense."

"Old Li, why are you such a coward!"

The anesthesiologist chuckled; he did not refute the circulating nurse's words.

She was a coward? She was just yelled at by a resident trainee and banged her head against the automatic door of the operating room. Why didn't we see her confronting that resident trainee then?

Even now, her voice is pitifully soft.

That's not all. If it were any other time, based on the anesthesiologist's understanding of the circulating ward, even if the most stern director of the Department of General Surgery dared to yell at her, she would probably chase her to the ward and start a shouting match.

But now this person can only sit in the duty room, complaining to himself, and in such a low voice, as if if he raised his voice, the junior resident trainee would descend from the sky and give him a stern scolding.

"Sigh." The anesthesiologist sighed, "They don't even have a medical license, but they're incredibly good at resuscitation. You have to admire them. To be honest, I still don't understand how a tube of erythromycin ointment can cure an air embolism."

"Old Li, you're all so old, you've wasted your lives," the circulating nurse said disdainfully.

She said the junior resident trainee and the circulating nurse were too cowardly. But when it came to the anesthesiologist, she was very bold, her voice rising directly, full of undisguised disdain.

The anesthesiologist gave an awkward laugh.

It's my own fault for not having that kind of presence; I can't blame anyone else.

"Ultrasound to check for pneumothorax? I heard that the intensive care unit has only been doing this for less than three years, and only the head of our operating room can do it." The circulating nurse mumbled, biting her chopsticks. "I thought it was some kind of difficult technique, but even a junior resident can do it."

The anesthesiologist wanted to explain, but swallowed his words.

Is that a regular residency trainee?

That kind of aura was so powerful that even their own head surgeon would have had to kneel down in the operating room.

Coupled with his calm and composed demeanor, as if everything was under control, the anesthesiologist became somewhat lost in thought.

"General Wu is something else; he can even cause an air embolism while doing stone retrieval."

"What's the use of him! If he brings another prescription to the operating room to remove stones, I'll point my finger at him and ask, 'Can't you be a little more reliable?! If you can't do the surgery, get someone else. Air embolism, have you got the nerve?!'"

The circulating nurses gradually returned to normal.

If you don't dare to scold that junior resident, do you think you wouldn't dare to scold the chief resident of urology? You're a damn peddler selling cut cakes.

She got so into it that she slammed her hand on the table at the end.

A series of footsteps echoed down the corridor. They were hurried and rushed.

"Where is the patient? Why did they leave so quickly? Did they pass away on the operating table or back in their ward?"

"Chief!" The anesthesiologist remembered that he had made a phone call to the chief.

Air embolism requires a very high level of emergency care, and the head of the department must be aware of it. Otherwise, the patient's family will not accept it, and if a medical accident occurs, the head of the department will have to confront the surgeons.

In the blink of an eye, I had completely forgotten about it.

The anesthesiologist strode out the door. "Chief, the patient has been successfully resuscitated and is on his way home."

"Damn it!" the head of anesthesiology yelled. "Was there a wrong diagnosis?! I ran two red lights in the middle of the night!!"

"No……"

"Take your chopsticks down. You're talking to me with chopsticks in your mouth. Who taught you that?"

The anesthesiologist was taken aback, then smiled wryly, realizing that he himself had been holding chopsticks in his mouth the whole time.

Sigh, that junior resident trainee is really strong, especially his intimidating aura.

He awkwardly picked up his chopsticks and briefly recounted the rescue process to the director.

The head of the anesthesiology department listened in stunned silence.

"No jugular vein puncture performed, right ventricular aspiration?" the head of anesthesiology asked.

"No, he used erythromycin ointment to seal the gap between the drainage tube and the skin, and then used ultrasound to observe for more than half an hour. The gas gradually decreased, the patient's vital signs stabilized, and he was awakened."

"..." The head of the anesthesiology department felt a bitter taste in his mouth.

Can air embolism be treated this way?

You must be joking.

"Let me check the records."

"Eh!"

The anesthesiologist was relieved that the junior resident hadn't been kind to him, and that he had kept a very thorough surgical record so that the chief physician wouldn't notice anything wrong.

I accompanied the head of the anesthesiology department to look at the records, and the more I looked, the greener his face became.

It's lush and green, like a leek.

"director……"

"Where did this junior resident trainee come from... no, I mean urology?" the head of anesthesiology suddenly asked.

"Yes, that's right."

"His name is Ji Xiang?"

"Huh? You know?" The anesthesiologist was taken aback.

Could it be that this resident trainee has some kind of profound background that I am unaware of?

"Hey." The head of the anesthesiology department chuckled, staring blankly at the record sheet for a full minute before finally saying, "The gas station fire, you heard about it, right?"

"I've heard about it."

"The most severely ill patient had no good areas left on his body, so we couldn't establish an intravenous access. I was the one who prepared to place a deep vein puncture channel."

"Then, the first puncture failed."

A strange thought suddenly popped into the anesthesiologist's mind.

Could it be that the junior resident trainee could do something that even their own director couldn't?

"It just so happened that Professor Gu from the capital was there. He was with a student who performed a corpus cavernosum puncture and placed an infusion line."

"Oh, Dr. Gu, well... no, Chief Physician!" the anesthesiologist said, then suddenly looked at his chief physician in surprise. "What did you just say about puncture? What kind of channel was placed?"

"Cortex cavernosa puncture," the head of anesthesiology said, emphasizing his words.

He had thought about this for a long time, and even now he still felt somewhat dazed.

"That works too?" The anesthesiologist was completely dumbfounded.

"Of course." The head of anesthesiology tried to keep his tone calm. "At the time, I also thought it wouldn't work, but they did it. The puncture was successful, the fluid went in, and I followed them to the sterile burn ward."

"And then?"

"It took three hours for the veins to become full before I was able to successfully perform the femoral vein puncture," the head of the anesthesiology department remarked. "If it weren't for that young man named Ji Xiang's quick thinking, the patient probably wouldn't have made it that far."

Everyone knows what a patient with severe burns looks like.

It's likely that the doctor's successful placement of the intravenous access is related to the patient's blood pressure rising.

With the blood vessels full, the difficulty of puncture decreased dramatically.

But was that resident trainee really just struck by a flash of inspiration? The anesthesiologist was a little confused; he subconsciously felt that it couldn't be a coincidence.

Considering the words he scolded himself during today's resuscitation, the anesthesiologist did not believe that it was just a sudden inspiration and a miraculous successful resuscitation.

The anesthesiologist shuddered again at the thought of Ji Xiang's stern face and cold rebuke. He subconsciously picked up his chopsticks and put them in his mouth.

"That student is interesting; he participated in the resuscitation of an air embolism again today." The head of the anesthesiology department seemed not to notice the doctor under his command picking up his chopsticks; he looked at the resuscitation record and muttered to himself.

Air embolism, indwelling intravenous access for severely burned patients.

Both of these are extremely challenging clinical tasks, and at least few doctors at the Second Affiliated Hospital could complete them successfully.

That's precisely why this is the most bizarre thing.

"Could it be that he's Professor Gu's student, not a resident trainee?"

"I heard from General Manager Wu that he's a half-baked resident trainee. He doesn't come to the department for shifts even after being admitted, and he doesn't care at all," the anesthesiologist mumbled, blurting out General Manager Wu's assessment of Ji Xiang.

"A half-baked amateur..." the head of anesthesiology said disdainfully, "What do they know, they're just a quack!"

……

……

Dr. Wu lay in the ward's on-call room, staring blankly at the ceiling.

He was like a little girl secretly in love with Ji Xiang, all he could see was Ji Xiang's tall and handsome figure.

Not only that, he's all I can think about.

Mr. Wu wasn't turned gay. He wasn't secretly in love with Ji Xiang; he simply didn't understand why he was so convinced of Ji Xiang's sincerity after just one glance.

What makes a "non-professional" resident trainee so special?

After the patient left the stage, Mr. Wu checked on him every half hour. The patient was perfectly normal and showed no signs of ever having had an air embolism.

One tube of erythromycin eye ointment will be enough?

Mr. Wu felt like he was dreaming. In his dream, there was a tube of erythromycin ointment, and a young resident trainee named Ji Xiang punctured the tube, attached the fluid, and then gave himself an IV drip.

Damn it!

Mr. Wu disagreed.

(End of this chapter)