Healing Doctor

Chapter 611 Making it sound so nice to be treated like a slave

"Dr. Xiao Ji, you haven't gone back yet." After washing up, President Miao saw Ji Xiang and Zhao Zhe still chatting, so he came over to greet them.

Ji Xiang just said he was going back to rest, but I didn't expect him to still be here.

"I got a phone call and left," Ji Xiang said. "Mr. Miao, you should get some sleep."

"Great, my shifts are always pretty good, basically no emergency surgeries. Unlike those losers, who come to the emergency room as soon as they're on duty," Boss Miao said with a hint of pride.

When Ji Xiang heard what Boss Miao said, a chill ran down his spine and he got goosebumps all over his body.

For Mr. Miao to say something so reckless while on duty is truly courting death.

Zhao Zhe's expression changed, as if he were constipated, and he grabbed Ji Xiang, ready to leave.

No matter how quickly Zhao Zhe reacted, what President Miao just said was like a forbidden spell, exploding the moment the words left his mouth.

The phone rang.

Mr. Miao paused slightly before answering the phone.

"Radiology? How old are you?"

"A patient in their seventies with intussusception undergoing an air enema? Did you even inform the patient's family?"

"Why are you admitting me to the hospital?!"

Ji Xiang stared intently at President Miao, who was clearly angry. President Miao's brief exchange with the person on the other end of the phone, though hurried, was roughly understandable.

Intussusception occurs when a segment of the intestine telescopes into the lumen of an adjacent intestinal tract, obstructing the passage of intestinal contents. Intussusception accounts for 15% to 20% of intestinal obstructions.

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

Infants have active intestinal peristalsis, and during the age when complementary foods are introduced, intussusception may occur due to intestinal motility disorders. Upper respiratory tract or gastrointestinal infections in children are often accompanied by enlargement of the mesenteric lymph nodes, which may also affect the normal peristalsis of the intestinal tract and lead to intussusception.

However, intussusception in adults is different from that in children.

Although both are called intussusception, intussusception in adults often occurs in diseased parts of the intestine, such as benign or malignant tumors, polyps, tuberculosis, adhesions, and Merkel's diverticulum, which can affect the normal peristalsis of the intestine and become a predisposing factor for intussusception.

Intussusception in children is treated with air enemas, while in adults, surgery is usually required.

Although both are intussusception, the treatment methods are completely different.

No wonder Mr. Miao was so angry. It's probably because some idiot doctor in the emergency department didn't know the differences in intussusception at different ages and the subsequent treatment, so he called Mr. Miao to ask him for a consultation.

Ji Xiang thought for a moment, then focused his mind and went to the system's operating room.

Upon seeing the system NPC, Ji Xiang first bowed respectfully and then explained the situation.

The system NPC, being well-versed in many things, wasn't surprised. He simply smiled slightly and said, "Similar situations are rare, but they do happen. Dr. Ji, let me ask you, what would you do if you encountered a similar situation in your clinical practice?"

"I?!"

Ji Xiang's mind raced, and in an instant, he thought of empathizing with the situation and analyzing the pros and cons, considering the matter from the perspectives of the patient, family, and doctor.

"Have you thought it through?" The system NPC, who seemed to know everything, asked Ji Xiang with a smile.

"I want to understand things from the patient's perspective," Ji Xiang said.

Why?

"The perspective of the patient's family is rather strange. They either don't understand and talk nonsense, or they have other reasons. If I were to put myself in the patient's family's shoes, my first instinct would be to stop the air enema. And..."

Before Ji Xiang could finish speaking, the system NPC nodded. "The idea is basically correct, but the experience is different from every angle. Give it a try. It won't hurt much, so there's no harm in trying."

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

"This is the reward for completing a thousand instances of empathy," the system NPC said. "Actually, it's not really a reward; you're just helping me with data collection. It's only because Zhou Congwen is being clever that he makes such a nice-sounding way of doing all this work."

Ji Xiang raised an eyebrow and said with a smile, "I'm actually enjoying it. It's like a simulation game, which is quite nice."

The system NPC smiled but didn't say anything. His cloudy eyes gradually cleared, revealing a hint of joy.

Ji Xiang deliberately avoided the topic of data collection, and the system NPC didn't elaborate either, leading Ji Xiang to the next operating room.

The light and shadow flickered, and Ji Xiang felt a chill.

Looking around carefully, Ji Xiang realized he was lying on a flatbed cart, with gusts of cold wind blowing towards his feet.

Fortunately, I had another layer of clothing over me, which kept me a little warmer.

Searching his memory, Ji Xiang was somewhat speechless.

I am a 73-year-old male who has been experiencing symptoms of intestinal obstruction for the past few days, including abdominal distension, very little gas, and no bowel movements.

After coming to the hospital for examination and undergoing an abdominal CT scan, it was discovered that I had intussusception.

The emergency room doctor said the son needed to be admitted to the hospital for surgery, but his son insisted that surgery was absolutely out of the question and that the treatment would be an air enema.

That's not wrong. A few years ago, when my grandson was little, he also had intussusception. At that time, when we saw my grandson with bloody stools and his belly swollen like a balloon, the whole family was terrified.

Especially since there was only one hospital in the whole city that could perform air enemas, I was frantically running around to different hospitals seeking help while holding my child. In the end, the doctor at this hospital solved the problem in half an hour, and my child was fine again.

This incident left a deep impression on everyone in the family, and they still bring it up often now.

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

These are all path dependencies.

My son is right, air enemas are indeed very effective, but...

Ji Xiang was inwardly groaning.

"Wait a moment," the radiologist said coldly. "The gastrointestinal surgeon will be down shortly. But let me tell you first, as I said before, intussusception in adults is different from that in children."

"Hey."

Ji Xiang's "son" sneered.

"Xiao Hua, come here." Ji Xiang waved.

Even the slightest movement, such as waving a hand, involves the muscles and nervous system, causing a sharp pain in the abdomen.

Oh shit!

Ji Xiang cursed inwardly.

The position I was in just now was the most comfortable. If I move around or change the position even slightly, it will hurt terribly.

In just one moment, cold sweat broke out.

Ji Xiang changed positions a few more times until he found a slightly more comfortable spot.

"Dad, what's wrong?" the son asked gently.

"I think the doctor makes sense," Ji Xiang said softly. "Why don't we have the surgery?"

"Dad, don't believe them." The man curled his lip and said disdainfully, "It's all intussusception, what kind of treatment can they offer, right? Let's say it's appendicitis, but whether it's a child or an elderly person, no matter how old they are, isn't the treatment either conservative—like IV drips—or surgery?"

"..." Ji Xiang wanted to explain, but as soon as he was about to speak, a sharp, stabbing pain shot through his stomach.

(End of this chapter)