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

Light and shadow flickered, and Ji Xiang opened his eyes.

A sharp pain arrived; it was pain in the lower right abdomen, and immediately Ji Xiang felt nauseous and wanted to vomit.

This feeling was very similar to the feeling of a right-sided Urological Calculus, very similar indeed. Moreover, a similar situation also occurs during an attack of Acute Appendicitis, which is also pain in the lower right abdomen, accompanied by nausea and vomiting.

Just a moment ago, Ji Xiang even felt as if he were experiencing a Urological Calculus.

No, it should be Testicular Torsion.

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

There was nothing wrong with the testicles; Ji Xiang checked carefully and did not find the symptoms of redness, swelling, heat, and pain described in books.

That's not right, it should be Testicular Torsion; could the system have made a mistake? Ji Xiang was somewhat puzzled.

But a patient sent to Gastrointestinal Surgery + his own personal experience of finding no abnormalities, and the symptoms of what was initially diagnosed as Appendicitis, silently told Ji Xiang that there was definitely a problem.

He struggled to get off the bed, not even wearing slippers, barefoot and hunched over to turn on the light.

The light shone brightly, and Ji Xiang checked carefully once more, still finding no problem.

Better go to the hospital, Ji Xiang took out his phone to check the map, ruled out two district-level hospitals with potentially average standards, 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 a strange posture before getting into a car.

Arriving at the hospital, Ji Xiang took advantage of the fact that he still had energy and strength, and the pain was still barely tolerable, and hunched over like a shrimp to register first.

Ji Xiang truly hated the business of registering at the Emergency Department, but on second thought, the patients piled up at the door of the Consultation Room in the Emergency Department were in the same boat.

If only everyone could have their own doctor, Ji Xiang thought to himself.

But complaining was just complaining; it didn't delay any time.

Ji Xiang knew very well that Testicular Torsion only has a 6-hour window; these 6 hours are called the golden time.

Once delayed, it requires surgical removal.

Although removing one side would not affect fertility, and this is currently an Empathy experience in a virtual space, Ji Xiang still didn't want such a thing to happen.

What if it leaves a psychological shadow?

"Doctor!" Ji Xiang hunched over, trying hard to squeeze through the crowd piled up at the door of the Emergency Department Consultation Room.

"Don't you have any manners!"

"Don't you know how to queue? A grown person and you don't even know such a small thing."

"What a nuisance, in such a rush to reincarnate?"

The Patients and Family Members piled at the door of the Emergency Room cursed loudly.

Ji Xiang hurriedly apologized with a smile, enduring the sharp pain and thick-skinned, squeezed his way in.

There are only 6 hours; to put it bluntly, Ji Xiang would rather have Hemorrhagic Shock than have that part necrose.

Hemorrhagic Shock won't kill you as long as the bleeding isn't too rapid, and you'll be fine after enduring it for a few hours, but Testicular Torsion won't do.

Necrosis after six hours is truly very lonely...

At the thought of this, Ji Xiang couldn't be calm at all.

So be it if he had no manners; he was truly in a desperate hurry.

"What's wrong with you?" After seeing a patient, the Doctor saw Ji Xiang hunched over and clutching his stomach as he entered, so he asked hurriedly.

With so many patients piled up outside, the Doctor was also anxious.

If they really had Obsessive-Compulsive Disorder or Agoraphobia, they couldn't be an Emergency Department Doctor.

During peak hours, the area outside the Consultation Room was blocked solid, and the Doctor could only decide the order based on experience and which patient was in more of a hurry.

"Doctor, I might have Testicular Torsion." Ji Xiang couldn't care about shyness; even though there were female Patients and Family Members nearby, he still stated his judgment directly.

"!!!"

The Emergency Surgery Doctor was "sprung" up from his chair as if a spring had been installed in his buttocks.

"Lie down!" The Emergency Surgery Doctor's voice became slightly sharp, "Does it hurt badly!"

While speaking, he pulled the curtain shut, providing the simplest screening for the physical examination. Then he waved his hand, shooing the other patients out.

The priority for Emergency Rescue of Testicular Torsion is quite high; the Emergency Department Doctor knew what was what.

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 Department Doctor stared at Ji Xiang with the look one gives 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, what the hell are you telling me..." The Emergency Department Doctor almost burst into a string of curses.

If it weren't for the fact that Ji Xiang was a patient and there was a huge pile of Patients and Family Members outside, he probably would have already cursed out loud.

The Emergency Department Doctor glared at Ji Xiang with disgust, but in the end, he put on disposable plastic gloves, fearing Ji Xiang might have an infectious disease, and began the physical examination.

Ji Xiang had positive tenderness in the lower right abdomen, slight rebound tenderness, no muscle guarding, and negative Kidney percussion pain.

Typical signs of Appendicitis.

"Get up, put your pants on." The Emergency Department Doctor finished the physical examination and took off his gloves, "Considering it's Appendicitis."

"Doctor, isn't it Testicular Torsion?" Ji Xiang was almost crying.

Although he also thought it was Appendicitis, the disease the system made him experience through Empathy was Testicular Torsion.

If this damn thing necroses, will he have a psychological shadow?

Ji Xiang didn't know.

The Emergency Department Doctor wrote out the examination orders and handed the sheet to Ji Xiang, "Where is your family? Go pay the fees and get the tests done. The routine urine test requires a full bladder; buy a bottle of water yourself."

"Doctor, I..."

"You!" The Emergency Department Doctor was truly left speechless by Ji Xiang.

He's a lunatic!

It was clearly a very typical case of Appendicitis, yet the Patient insisted on saying they had Testicular Torsion. Could it really be that easy to twist?!

The only thing Ji Xiang and the Patient with Testicular Torsion had in common was their youth.

This condition is common in young people.

Other than that, there was no evidence whatsoever!

The Emergency Department Doctor even felt he had been harassed; he firmly believed Ji Xiang was a pervert.

Perhaps it was even Exhibitionism, who knows.

Throwing the form at Ji Xiang, the Emergency Department Doctor directly called for the next patient.

The patient was a big, burly man; he had just been curious, and after hearing the conversation between Ji Xiang and the Emergency Department Doctor, he felt extreme disdain for Ji Xiang.

Even when passing by, the burly Patient used his shoulder to bump into Ji Xiang.

The next step would be the "What are you looking at?" "Looking at you, so what?" type of dialogue.

But Ji Xiang honestly kept his head down and his waist bent as he walked out of the Consultation Room.

The burly Patient said disdainfully, "What kind of person is that! Having testicles is nothing to brag about. Torsion, my ass. If he dares to look at me, even if it's not twisted, I'll twist his testicles for him."

The Emergency Department Doctor sighed, "You can encounter any kind of patient in the Emergency Department. What's wrong with you?"

"Are there others like him?" The burly man looked rugged, but was extremely gossipy and asked curiously.

"One night, a student came to see a doctor, saying he had let out a particularly loud fart during evening self-study."

"..."

"He asked me how to fart without making a sound."

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

"The patient said he read in a book that if you spread your buttocks, there won't be a loud fart. He tried it, only to find that if there's a chance to spread them, one wouldn't care whether it's loud or not. If it's a crowded occasion, there's no chance to spread them anyway."

"You guys really can meet all sorts of people," the burly man said in surprise.

"No choice, it's a window into society. And everyone is sick, so they're very anxious," the Emergency Department Doctor sighed.

"You just let that kid go back?"

"Yeah. In my heart, I thought, if you really want to fart without a sound, you're probably a seasoned bottom, why bother." The Emergency Department Doctor chatted with the patient for a moment, then asked, "What's wrong with you? Hurry up, don't talk about useless things."

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

He also knew the Emergency Department Doctor probably misunderstood him; let alone the Emergency Department Doctor, even he himself felt it didn't look like Testicular Torsion.

But he didn't know much about Testicular Torsion; it really is a case of regretting not having studied enough when the time comes to use it.

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

Even if Appendicitis leads to Perforation, it rarely kills people; the probability is too low. Even if it's delayed for a few hours, it doesn't matter, unlike Testicular Torsion, which only has a six-hour golden window.

What to do?

Ji Xiang's thoughts flashed like lightning; he suddenly realized that doing things by the book definitely wouldn't work.

He didn't go to pay the fees at all, but instead bent his waist and snuck directly toward the Urology Department ward.

Ji Xiang still remembered the first day he was on night shift in the department during his internship, preparing to see what Clinical work was like. That night, just as he was in a light sleep, he heard someone at the door shouting—Doctor, my stomach hurts!

And so, a busy night followed.

Since then, Ji Xiang couldn't really stand that sentence.

Today, that sentence was like a life-saving straw hanging on Ji Xiang's lips; he prepared to shout it out as soon as he entered the Urology Department ward.

However...

Ji Xiang was struggling to move forward, and when he was still one step away, a roar came from the Urology Department corridor.

"So what if I asked for leave! Can't employees have holidays? Are you a skinflint?"

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

"Whose? None of your damn business! If you don't agree, then it's your problem!"

It must be the night shift Nurse... so fierce; she retorted to the person on the other end of the phone like a machine gun, making them go silent immediately.

"Doctor, my stomach hurts."

Ji Xiang walked into the Urology Department ward with difficulty; if it weren't for a bigger matter, Ji Xiang wouldn't want to provoke such a short-tempered Nurse.

A Nurse around thirty years old was holding her phone, furious; her hand was clenched so tightly that Ji Xiang could faintly hear the creaking sound from far away.

Seeing a shrimp walk in, the Nurse became like a master of face-changing; all her anger vanished instantly, and her voice became infinitely gentler.

"What's wrong with you?"

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

He was still a rookie in Clinical practice, and every time he saw a nurse treating a patient very gently, he felt it was only right.

But the one he met today, who was ready to perish with someone the second before, was now smiling at him the next second; it was truly not easy.

"My stomach hurts. Is the second-line professor here? Is the Resident Chief here?" Ji Xiang asked.

"Stones?" The Nurse looked at Ji Xiang carefully. "Are you a medical student?"

"Yes, I'm a student. I suspect it's Testicular Torsion," Ji Xiang said the diagnosis immediately.

The Nurse's reaction was the same as the Emergency Department Doctor's; it seemed the four words "Testicular Torsion" carried magic, like a needle pricking the doctors and nurses, driving them to run.

"Old Zhu, Old Zhu, hurry up and come out!"

The Nurse returned to her sharp-tongued self, standing in the corridor and shouting loudly.

A voice responded from the other side, and after hearing it, the Nurse brought Ji Xiang to the Treatment Room.

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

Looking at the Nurse, Ji Xiang felt a bit embarrassed.

When he had seen similar situations in the past, he also thought it was inconceivable; what time was it, for heaven's sake, how could there still be feelings of embarrassment?

But when it happened to himself, it was so natural.

The fear of Testicular Torsion, the dread of necrosis and excision, did not affect his shyness and embarrassment.

"You're a grown man, I'm not afraid to look, yet you're the one getting shy," the Nurse said with disdain. "Hurry up, who's dying to look? It's been several hours; if you wait any longer, it'll have to be cut off, and you can wait to cry then."

"Over two hours, but the symptoms aren't typical. I went to the Emergency Department, and they diagnosed Acute Appendicitis," Ji Xiang said truthfully.

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

After only a few steps, he started gasping for air; one foot was wearing a slipper, and the other was bare.

"Teacher, I think it's Testicular Torsion," Ji Xiang tried hard to maintain his persona as a Standardized Training Student; he was terrified the Doctor would kick him out.

"Left or right?" the incoming Doctor asked.

"Right..."

"The spermatic cord on the right side is relatively short; it rarely occurs on the right," the Doctor frowned and began the physical examination.

A few minutes later, he looked at Ji Xiang in confusion.

"Young man, how are you so sure it's Testicular Torsion?"

"Professor Zhu, I've had it before!" Ji Xiang had a flash of inspiration and told a rare lie.

The second-line Professor frowned at Ji Xiang. After a few minutes, he said, "Go for an Ultrasound. I'll take you. If there's a problem, I'll perform a manual reduction directly."

Ji Xiang let out a long breath.

Professor Zhu turned to make a phone call, and the Nurse comforted him, "You're lucky; the person doing this Ultrasound needs to have a very high level of skill."

"I know, Teacher," Ji Xiang said politely to the Nurse.

"You've got a sweet tongue," the Nurse laughed. "It's only been two hours, it's not a big problem, don't worry too much."

Soon, Professor Zhu and the Resident Chief helped Ji Xiang onto a wheelchair and pushed him to get the examination.

"It's a pity time was wasted, otherwise we could have tried an mTc Scan," Professor Zhu said.

"What is an mTc Scan?" Ji Xiang asked.

"You're already twisted and you still have the heart to be curious," Professor Zhu scolded.

Ji Xiang shut his mouth, memorized the term mTc Scan, and prepared to ask about it when he returned to the System Space.

Arriving at the Ultrasound Room, Professor Zhu performed the Ultrasound on Ji Xiang.

Soon, it was confirmed that there was indeed a problem with the blood flow on the right side!

Professor Zhu tentatively rotated it counterclockwise by about 30° and asked, "Do you feel any relief?"

The movement was small, but it was like magic; the effect was immediate!

Ji Xiang suddenly felt a loosening in his lower right abdomen, and the pain eased immediately.

Holy crap!

The effect was actually this good!!!

Ji Xiang was astonished.

Professor Zhu knew it was effective just by looking at Ji Xiang's expression, but he only smiled and said after receiving a definite answer, "Come, let's do a test."

The Straight Leg Raise Test; Ji Xiang knew this one.

It is generally used in the examination of patients with Sciatica and Lumbar Disc Herniation.

Its positive rate can reach over 90%, and in a certain sense, it can reflect the severity of Sciatica and Lumbar Disc Herniation and the degree of nerve root compression.

But it is also used for Testicular Torsion.

Negative!

Ji Xiang sighed in relief.

Light and shadow flickered, the Empathy ended, and Ji Xiang returned to the System Operating Room.

"You don't even blush when you lie?" the System NPC asked teasingly.

(End of this chapter)