Chapter 209: No, I Won't Empathize (Added by Alliance Leader Deng Chaohong)

Before leaving, Mo Chenggui once again urged Ji Xiang not to be distracted by Qin Chu's affairs, to work hard, and that his future would be limitless.

Ji Xiang's mind was entirely focused on resolutely avoiding Empathy this time, so much so that he didn't pay much attention to what Mo Chenggui said afterward.

As for Qin Chu, in Ji Xiang's consciousness, he was already a thing of the past.

Arriving at the hospital, Ji Xiang was in no rush to go to the ward; he prepared to ask the System NPC first.

Penile cancer did not seem to have a high degree of malignancy; it was written in the books.

As for the Patient...

Ji Xiang was also clear that he wasn't even willing to use Empathy, so how good could the Patient be?

Sitting beside the Trek Butterfly, Ji Xiang greeted the burly man, then closed his eyes and focused his mind to enter the System Space.

"Teacher, I'm here." Ji Xiang entered the System Space and greeted the System NPC.

The System NPC looked Ji Xiang up and down and smiled slightly.

"Teacher, what's wrong?"

"How does it feel to participate in a battle for the first time?" the System NPC asked.

"It's alright, a bit exciting," Ji Xiang answered truthfully. "Teacher, when you were young, were you in the habit of throwing Medical Records at students' faces?"

"Hmm." The System NPC felt a bit embarrassed and laughed. "When I was working, I checked Medical Records every Wednesday afternoon. We kept a row of flowers in the middle of the office desks in our department, just to prevent me from getting angry and throwing the Medical Record folders and hurting someone."

"..."

Ji Xiang hadn't expected the System NPC to have such a violent temper when he was young.

"I really was very angry, especially when I saw the messy things they wrote," the System NPC sighed. "Later, I discovered that it was particularly interesting to throw reports at others' faces during academic meetings or battles. Once, a medical supply vendor applied for a drug-eluting Stent..."

Ji Xiang listened silently as the System NPC recounted the time a poorly made phase-two Clinical drug-eluting Stent entered the country and was slapped down by the System NPC, then recalled himself throwing documents at Ling Tian's face.

It was indeed quite satisfying, Ji Xiang thought to himself.

But in the next instant, Ji Xiang repeatedly warned himself that he was a Standardized Training Doctor; he didn't want to get into any trouble he couldn't handle and end up begging his mother for help.

After the System NPC finished speaking, Ji Xiang turned the topic back. "Teacher, today Mo Laoshi and Wang Laoshi asked me to go to the hospital to observe a Patient who is going to have a Total Penectomy."

"Oh." The System NPC nodded. "You should indeed take a look, especially since the Patient's post-operative psychological reconstruction is a very profound lesson."

"Teacher, can you explain it in detail?" Ji Xiang asked.

The System NPC looked at Ji Xiang earnestly, his eyes filled with expectation.

Ji Xiang believed that it must be his increasing use of Empathy that had caused the System NPC to have a misconception.

"I won't," Ji Xiang said very firmly.

"Heh." The System NPC smiled and didn't force him. "There are several points to solving this matter. The first is early detection, early diagnosis, and early treatment. If it is discovered relatively early, it can be solved with Partial Resection + Lengthening Surgery, which will not affect the Patient's life."

The System NPC did not force Ji Xiang to use Empathy, but instead began to give Ji Xiang a lecture.

The System NPC explained the treatment of early-stage penile cancer with Partial Resection + Lengthening Surgery very thoroughly and began to take Ji Xiang through the surgery.

The Simulated Human was brought in, and the entire system medical team began to get busy.

Continuous Epidural Anesthesia was performed, and the Simulated Human was placed in the Lithotomy Position. Seeing that the Anesthesia was complete, Ji Xiang went to scrub his hands, disinfect, and put on his gown.

Afterward, the System NPC put on his gown and went to the operating table.

"Scalpel!" The System NPC reached out, and a Scalpel was slapped into his hand.

"Teacher, why didn't you say 'Scalpel, come'?" Ji Xiang asked.

"Did I say that?" The System NPC was puzzled, but his movements were steady; while speaking, he had already made a fusiform skin incision around the base of the surgical area.

"You did."

"Maybe Shen Lang corrupted me." The System NPC smiled. "For a period of time, Shen Lang liked a certain novel, and from then on, he would jumpily shout 'Scalpel, come' whenever he went into surgery."

"Ha." Ji Xiang asked happily, "Who is Shen Lang?"

"A little guy in Zhou Congwen's medical team; his advantage is that he has a tough life."

"A tough life?" Ji Xiang was curious.

"Yeah, he caught Rabies and didn't die. Would you say his life is tough enough?" As the System NPC spoke, he performed Blunt Dissection of the subcutaneous tissue, fat, and deep fascia at the base of the surgical area.

"That's amazing. Isn't the mortality rate of Rabies one hundred percent?" Ji Xiang was stunned.

"It's not one hundred percent, but ninety-nine deaths to one survival is inevitable."

As he spoke, the System NPC had already identified the Tumor site.

He used an electric knife to cut the urethra and the Corpus Cavernosum 2cm away from the Tumor, retaining a certain length of the urethra to serve as a Stoma. When separating the Corpus Cavernosum, he adopted a proximal separation measure to avoid damaging the urethra.

Immediately, the System NPC made an incision in the middle between the anus and the base of the surgical area, pulled out the proximal Corpus Cavernosum through the incision, retained a length of 1cm, and trimmed off the excess.

The System NPC's surgery was extremely seasoned, and Ji Xiang watched with delight.

Plus, the System NPC didn't force him to use Empathy, which was quite humane; Ji Xiang's restless heart gradually calmed down, and he focused on watching the surgery.

The System NPC cross-cut the end of the urethra, everted the upper and lower mucosal flaps, sutured them to the skin edge, and fixed the urethral opening.

Afterward, he cut the Suspensory Ligament of the surgical area along the midline, incised the fascia of the surgical area, separated the deep dorsal vein, dorsal artery, and nerves of the surgical area, and cut and performed Ligation on the surgical area.

Finally, along the Corpus Cavernosum, he separated it to the attachment point of the pubic branch, cut the Corpus Cavernosum, and sutured the residual end.

After the surgical resection was completed, he cleaned the wound and sutured the midpoint of the scrotal incision edge to the suprapubic incision to lift the scrotum and avoid sagging.

The Partial Resection was performed very cleanly, and the lymph nodes were also cleared. After dealing with the Tumor, the System NPC also performed the Lengthening Surgery to ensure the Patient's post-operative life and mental health.

"There, this is the basic process of the surgery." The System NPC was quite satisfied after finishing. "Do you know what penile cancer fears most?"

"Fears most?" Ji Xiang didn't quite understand.

"Penile cancer mostly occurs in men aged 40 to 60. The typical Clinical symptoms are purulent or bloody discharge from the foreskin, and lesions often show papules, papillary or flat protrusions, and plaques, accompanied by ulcers at the lesion site, foul-smelling discharge, etc."

The System NPC said, paused, and emphasized his tone, "What it fears most is that the Patient judges the initial papules or flat protrusions to be diseases like condyloma acuminatum, treats them in the wrong direction or delays treatment, eventually leading to the point where only a Total Excision Surgery can be done."

"What I just showed you is the treatment method for early-stage penile cancer, which doesn't require lymph node dissection. If it's late-stage, only a total resection is possible."

"I understand roughly." Ji Xiang was a bit worried and glanced at the System NPC.

The System NPC had no intention of forcing Ji Xiang to use Empathy, and Ji Xiang felt relieved all at once.

Ji Xiang is not stupid, nor is he reckless; if a task like castration were to fall upon him, even if it were only the Empathy in the System Space, Ji Xiang would subconsciously refuse it.

(End of this chapter)