Chapter 216: Crude Words, Sound Logic

"Teacher, is the surgery stable?" Ji Xiang asked.

If one were to let a tumor grow just to preserve the possibility of urinating while standing, then that surgical procedure might as well not exist.

Surgery must be about curing the illness.

"In the surgical treatment of early-stage Penile Cancer Surgery, different surgical measures can be chosen based on the lesion's location, size, and stage, such as Partial Resection, Total Resection, Inguinal Lymph Node Dissection, etc."

"Generally, the surgical resection of the diseased tissue should be performed at a distance of more than 2cm from the tumor edge, so it often causes the Patient to lose the ability to urinate while standing, normal sexual life also becomes very difficult, and it brings significant psychological barriers to the Patient."

"You just encountered it yourself; I assume you have your own understanding of the Patient's state of mind."

"Yes, Teacher." Ji Xiang nodded, "My own feelings are secondary, because I can perform Partial Resection + Lengthening Surgery. The Patient in the next bed pulled me aside to smoke, envying me for being able to retain the ability to urinate while standing."

"After you see more Patients, you will have new insights," the System NPC said, "Since Penile Cancer Surgery can cause cancer cell metastasis, some Patients choose Total Resection to avoid tumor metastasis and reduce tumor recurrence."

"The question you asked has relevant reports."

"Teacher, I don't read many books." Ji Xiang understood the principle of regretting that one hasn't read enough only when the time comes to use it.

"Let me explain it simply. Research compares the Clinical effects of Partial Resection + Lengthening Surgery versus Total Resection.

The research found a few points that need attention.

First, under both surgical methods, the surgery time for the study group was longer than the control group, and the intraoperative blood loss was higher than the control group; in other words, the difficulty of Partial Resection is higher. It's not that general Surgeons don't want to do it, but that they can't.

However, the postoperative pain score of the study group was lower than the control group, suggesting that in Partial Resection + Lengthening Surgery, despite the longer surgery time and greater intraoperative blood loss, the trauma caused to the Patient postoperatively is smaller, the Patient's postoperative pain perception is lighter, and it is more conducive to postoperative recovery."

"Second..."

"..."

"The eighth point, and also the last point: under both surgical methods, no incision infection or urethral meatus stenosis occurred in Patients postoperatively, and the Patients' urination function was not affected by the surgery.

With Total Resection combined with Fistula, the Patient's squatting urination is normal; after Partial Resection, the urination function is unaffected, and all Patients urinate normally while standing."

"That is basically it. The probability of postoperative metastasis does not change significantly, but the quality of life will be completely different."

"Teacher, the surgery difficulty isn't high, right?" Ji Xiang hesitated for a moment.

"Basically, an LV5 Surgery Level can perform it, but after all, there is a possibility of not cleaning it thoroughly, leading to metastasis," the System NPC explained, "So the vast majority of Doctors choose to just cut it off directly."

"..."

"After all, Penile Cancer Surgery is not common, the level of Doctors is uneven, and coupled with various social issues, this is something that cannot be helped," the System NPC sighed.

"Teacher, would it be better if I could train?"

"This is the purpose of the System's existence," the System NPC did not hide it and said calmly, "Are there any other questions?"

"No." Ji Xiang roughly understood what he needed to do and what he could do; he prepared to practice the surgery after returning home.

He bid farewell to the System NPC and returned to reality.

"You can think about it with your prostate and know that it's very likely the Director will turn his back on you after taking your things," Wu Zong's voice came.

Ji Xiang was slightly startled.

This...

Having spent too long in the System, the previous conversation between Wu Zong and Lu Kai felt as if countless years had passed, becoming somewhat unfamiliar.

They were chatting about Lu Kai needing to give gifts to the Director and invite Wu Zong to perform a Flying Knife after returning to his hometown county hospital; Ji Xiang tried hard to recall and finally remembered the previous conversation.

"Turn his back on me? The Directors wouldn't be that shameless, would they?" Lu Kai asked.

"In this day and age, whoever wants face suffers," Wu Zong said with disdain, "Once you've been pinned to the ground by society and slaughtered seven times in and seven times out, you'll know what's going on."

"Wu Zong, how were you slaughtered?"

Whenever this topic came up, Lu Kai was quite happy, his eyes shining with a yellow light.

"My grades were good back then; let's put it this way, the school gave me a quota for postgraduate recommendation, and I didn't even use it."

"Why?" Lu Kai's chin almost dropped in shock.

To him, a postgraduate recommendation was a good thing that was out of reach. If he had such an opportunity, he would absolutely never give it up.

"Sigh, my heart was higher than the sky back then," Wu Zong sighed, "My score on the postgraduate entrance exam was quite high, 395!"

Lu Kai stared, giving a thumbs up.

"As a result, I was squeezed out in the re-examination by someone with a score of over 330," Wu Zong said, "Fortunately, my emotional intelligence was relatively high back then, and our Director didn't mind me, which is how I managed to transfer schools and such."

It was also the first time Ji Xiang learned of Wu Zong's experience; the fact that a top student with 395 points was squeezed out by someone else was indeed unacceptable.

"Wu Zong, you really were... slaughtered without a shred of armor left," Lu Kai sighed deeply, "If I were you, I'd probably be depressed. No, if it were me, I'd jump off a building. Fortunately, my grades aren't good, and I don't want to take the postgraduate exam."

"I was the same at the beginning, then the Director took me..."

"Wu Zong, wait a second," Lu Kai stopped Wu Zong, "You were the Director's postgraduate student?"

"Yes."

"Then why don't you call the Director 'Mentor' or 'Boss'?"

"The Director thinks those titles sound like doing business; he doesn't even let us call him 'Teacher', just 'Director', and even says he is a bureaucrat."

"Hahaha, no way, no way," Lu Kai laughed, "Then what did Director Liu take you to do?"

"I managed several Patients who had Total Penectomy; I changed their dressings every day and communicated with the Patients. Originally, this work didn't belong to us—psychological counseling is something for a psychologist to do—but the Director made me follow five Patients."

"Ever since then, I've seen through it," Wu Zong sighed, "People, living a whole and healthy life is better than anything. Look at those people who are whining all day long; they are just being pretentious. How does that saying go?"

"A bitch is just being pretentious."

"A bitch is just being pretentious."

Wu Zong and Lu Kai said in unison.

Truly a pair full of bromance, Ji Xiang smiled.

But the words were crude, yet the logic was sound. Ji Xiang had just been chatting with that Patient in the System and felt his depressed mood; he still couldn't pull himself out of it.

A simple thought—urinating while standing, and then there's the wife and children.

Other than this, no other thought was more important.

Wu Zong was right; at the very least, he had met Liu Zhuren and could pursue graduate studies and stay at the First Affiliated Hospital.

Having had that experience, it was no wonder Wu Zong had crouched before the Patient at that time to soothe him with soft, slow words.

Although Wu Zong had not experienced Empathy, he had ultimately been through more and could understand the Patient's hardships.

(End of this chapter)