Chapter 250: Necrosis (Alliance Leader Feng Aiyun Bonus Chapter ×3)
The sound of a flatbed cart suddenly came from behind; Ji Xiang turned slightly and saw a middle-aged man lying on the cart, his lower body covered by a jacket as he was pushed in.
It wasn't a car accident, and it didn't seem to be any other external trauma; Ji Xiang's first instinct was—there must be a fish under that jacket.
Early in the morning like this, how could something like this happen?
But when Ji Xiang saw a woman following beside the patient, he realized he had guessed wrong.
"Xiao Wu, go take a look at the patient." Liu Zhuren didn't pay much attention; emergencies in the Urology Department were rare, and whether it was Testicular Torsion or something else, Wu Zong could handle it perfectly.
"You got it." Wu Zong pulled the flatbed cart toward the Treatment Room.
Ji Xiang was curious and looked at Liu Zhuren.
"Go follow and take a look." Liu Zhuren was quite kind and gentle toward Ji Xiang; if Ji Xiang wanted to watch, he could go, it didn't matter.
"What? 6 days? Say that again!" Wu Zong's voice came from the Treatment Room, filled with astonishment.
Ji Xiang was even more curious and walked quickly to the Treatment Room.
The patient presented with an acute painful expression, restless, and in a forced curled-up position.
As soon as he entered the door, Ji Xiang could feel the patient's pain.
Taking another look, the purple-black head and the swollen, ball-like scrotum looked just like a horror movie.
How could it be like this!
This was the first time Ji Xiang had encountered such a situation.
"It's 6 days." The patient kept moving on the flatbed cart, enduring the pain as he whispered.
"Why did you only come now!" Wu Zong looked at the horrifying surgical area in shock, asking distractedly.
"Doctor, what should we do?" The Family Member had long since gone numb and asked blankly. She was like a drowning person grabbing at anything as a straw for survival, not knowing if it would be of any use.
"How did this happen?" Wu Zong didn't say what to do, but asked how it happened first.
Different causes require different treatments, but 6 days, about 144 hours—it was probably already necrotic...
To save it, it couldn't be saved anymore.
Wu Zong stared blankly at the blackened surgical area that had already lost its physiological tissue structure.
It wasn't that he hadn't seen the world; although the Resident Chief of the Urology Department rarely received emergencies, he had seen plenty of bloody scenes.
However, the sight before him was truly unique.
To let oneself reach the point of necrosis while perfectly fine, this person could be considered a rare specimen.
The man was extremely uncomfortable and insisted strongly that the woman leave.
After the woman left, he looked at Wu Zong with a pitiful expression, "Doctor, save me."
"How did you do this? How much Sildenafil did you take?" Wu Zong asked.
"No, I'm getting older and it doesn't work very well. It just so happened I have a doctor friend, and he told me..."
At this point, the man paused.
"Told you what?"
Wu Zong was startled and asked immediately.
If it were himself, what would he have said to the patient? In an instant, countless ideas flooded Wu Zong's mind. Yet, none of them seemed capable of causing such serious consequences; what exactly was going on?
Ji Xiang frowned; he felt that Wu Zong's guess was wrong.
"Injecting Papaverine into the Corpus Cavernosum can treat my problem."
"My god! You actually dared to use it!!" Wu Zong said in surprise, "Corpus Cavernosum injection of Papaverine is still under research, didn't your friend tell you?"
"He did... but I was impatient."
"!!!"
"!!!"
"!!!"
Ji Xiang, Wu Zong, and Zhao Zhe and the others nearby were all filled with exclamation marks.
"How much Papaverine did you inject?" Ji Xiang asked.
Talking about efficacy without mentioning dosage is just hooliganism.
"60mg."
"My god, you..." Wu Zong's eyeballs nearly popped out in fright.
"It became engorged in ten minutes; I thought it was a miracle drug at the time. After going home, I had two rounds with my girlfriend, but it stayed like that afterward, hard as a rock. I thought it would get better after a while, but it never did."
The man also knew he had dragged it out for too long and that there was a possibility of necrosis; he didn't hide anything and told everything exactly as it happened before Wu Zong could even ask.
"Too much time has passed; there is a high probability it has already necrosed. I have to find the Zhuren to take a look." Wu Zong felt it was quite thorny. Just as Ji Xiang turned to go call Liu Zhuren, he saw Zhao Zhe's figure dash out.
It really takes a veteran of Clinical practice to understand the mind of a Resident Chief.
Soon, Liu Zhuren walked over quickly, with Zhao Zhe whispering something in his ear.
When Liu Zhuren saw the patient's purple-black surgical area and the scrotum swollen like a ball, his face immediately darkened.
"6 days, are you sure it's been that long?" Liu Zhuren asked.
"Not quite, but close enough, off by a few hours." The patient answered immediately.
"We'll do our best." Liu Zhuren put on sterile gloves and began the physical examination, soon saying with a gloomy face, "There are already signs of necrosis. Let's get him on the table and see. I will perform it myself; Xiao Wu, you go explain the situation to the Family Member."
"Alright, Zhuren." Wu Zong replied, "Is there anything special to note?"
"Explain it as if it's already necrotic; if it really doesn't work, we'll have to amputate. If the patient and the Family Member agree, then we'll give it a try. Tell the family that it's just a try, and the possibility of not being able to save it is the highest."
Liu Zhuren sighed, looked at the surgical area with pity, and waved his hand.
"We can't delay any longer, hurry up, I'll call the operating room."
Ji Xiang held his breath and entered the System Space.
He explained the situation to the System NPC.
"Teacher, Papaverine has a direct, non-specific relaxing effect on blood vessels, the heart, and other smooth muscles, inhibiting cyclic nucleotide phosphodiesterase. I know this drug is often used to treat ischemia caused by cerebral, cardiac, and peripheral vascular spasms, as well as visceral spasms of the Kidney, bile ducts, or Gastrointestinal tract."
"In the 1990s, Doctor Winter in the United States discovered that administering Papaverine during Urological Surgery would induce congestion lasting for about 2 hours. So, after that, relevant research was conducted, and the main principle is..."
The System NPC explained the principle to Ji Xiang and then took him to perform the surgery.
Clearly, even the System NPC had never seen a situation where a large amount of Papaverine was injected into the Corpus Cavernosum and it remained erect for a full 6 days.
As one surgery after another was completed, Ji Xiang quickly grasped the Patient's condition.
After 12 surgeries, the System NPC said, "It's roughly like this. The Patient is actually quite lucky; at the very least, there is no necrosis. When I first heard you describe it, I thought there was no saving them."
"This is too dangerous. How could someone inject Papaverine into the Corpus Cavernosum?" Ji Xiang said helplessly.
"People have tried even more dangerous things. Go perform the surgery." The System NPC waved a hand, and Ji Xiang exited the System Operating Room.
Liu Zhuren turned around with a gloomy face and headed to the operating room.
"Xiao Ji."
"Zhuren, I'm here." Ji Xiang followed.
"Do you know about the Winter Shunt?" Liu Zhuren asked.
"I've read about it," Ji Xiang said very modestly.
"Oh?" Liu Zhuren tilted his head and glanced at Ji Xiang. "This Patient might not be saved. We'll go up in a moment and try the Winter Shunt. Shunt surgeries are rarely performed now; you need to watch closely, as there aren't many opportunities."
(End of chapter)
End of Chapter
