Chapter 28: Be Cautious in Word and Deed

Listening to the lecture consumed a portion of my Spirit, a very small portion.

It was just a case of Renal Auto-amputation, and Ji Xiang himself possesses an extraordinary memory, which can be considered a talent; Ji Xiang did not exhaust his Basic Endurance like he did during surgical training, only to be kicked out by the System NPC.

After the knowledge regarding Renal Auto-amputation was finished, the System NPC looked at Ji Xiang kindly, full of expectations.

"Little Doctor Ji, do you understand?"

"I understand." Ji Xiang nodded.

"Then tell me, what is your perception of the medical incident you just experienced through Empathy?" the System NPC said.

Although he said he understood, the points Ji Xiang understood were about Renal Auto-amputation and its related complications.

Because of the ignorance he displayed due to his own rage at the time, Ji Xiang subconsciously pushed this matter to the back of his mind.

It was just like making a mistake as a child, fearing that one's parents would find out.

The Patient and the Family Member could be angry, but he was a doctor, even if only a Standardized Training Student. His own anger highlighted his ignorance and inferiority.

Ji Xiang had a lot to say, but his thoughts were in a thousand tangles, and he didn't know where to begin.

Hesitating again and again, Ji Xiang said sincerely, "Teacher, you should be the one to say it."

"I don't know if the Urology Department doctor explained similar complications to the Patient after the emergency surgery 3 years ago, but even if they had, they likely didn't explain it to the Patient and Family Member in detail or with emphasis; this was a point of error."

Ji Xiang nodded; what the System NPC said was quite fair.

"But that is only a secondary issue; the most important one is that doctor in the CT Room." The System NPC's tone grew heavier. "They cannot even be called a doctor; they can only be called a CT Caozuoyuan."

Uh...

Ji Xiang could hear strong dissatisfaction in the System NPC's calm tone.

Even if it was just grumbling, the System NPC had expressed their attitude.

"Looking at imaging data, looking at films—how could it be that simple?" the System NPC said lightly. "The right Kidney is nowhere to be found; that is a fact. But! Is there really only one possibility, that it was cut out?"

"Teacher, you are right." Ji Xiang bent over obsequiously, respectfully playing the straight man.

The System NPC was scolding the CT Room doctor, but in reality, they were also scolding Ji Xiang.

If one's level is not enough, it is not enough; Ji Xiang admitted this point.

"Not having enough skill, yet irresponsibly stating with an extremely certain tone that the right Kidney had been cut out."

"Could it be... could it be that the hospital was too small?" Ji Xiang subconsciously tried to make up for it.

"No." The System NPC shook their head. "That was a large Grade A Tertiary Hospital in Huazhong, a top-tier hospital in the region; otherwise, the Patient and Family Member would not have believed the CT Room doctor's words so completely."

"!!!"

"The quality of doctors is uneven; their own level is low, yet their sense of justice is overflowing, eventually leading to an uncontrollable mess. If they had such a strong sense of justice, why not read more books and enhance their own basic diagnostic level?"

The System NPC's words were like a slap across Ji Xiang's face.

During the Empathy experience, Ji Xiang had understood the CT Room doctor's feelings quite well, and at the time, Ji Xiang even felt that the doctor had been too conservative.

But in the eyes of the System NPC, that doctor had already become an operator, not even qualified to make a diagnosis.

Ji Xiang felt ashamed, a sense of guilt rising in his heart for no reason.

He had indeed made progress, but he was not yet a formal doctor.

"That is about it. You go back now and think carefully about today's case." the System NPC said.

"Teacher, then I will leave first." Ji Xiang bowed respectfully once more, ninety degrees, using body language to express his respect for this Old Man.

Emerging from the system, the morning meeting had not yet started, but Ji Xiang had experienced a long time; the event had twisted and turned, and a rare disease had been mastered by Ji Xiang.

However, this matter was complex and the consequences were serious, leaving Ji Xiang feeling somewhat world-weary.

Would he age prematurely because of this? Ji Xiang thought to himself.

At the morning meeting and shift handover, Ji Xiang did not see Mo Jiaoshou or Wang Daxiao.

Subsequently, the Muniu Waike Zhuren casually arranged the three Standardized Training Students for the teaching doctors in the department, letting them assign Attending Teachers.

Finally, they didn't forget to add a reminder, "His name is Ji Xiang; Mo Jiaoshou told me twice to take him on."

The doctor who had been following behind the Zhuren was the Resident Chief of the Urology Department.

The Resident Chief took a deep look at Ji Xiang.

Ji Xiang was tall, sunny, and handsome, which was already eye-catching. On top of that, Mo Jiaoshou had asked for Ji Xiang from the Zhuren several times—was there some gossip in this?

The Surgery Department was very busy in the morning, and the Nurse from the Anesthesiology Department had already come to pick up the Patient. The Zhuren only made a simple arrangement; he didn't care about a few Standardized Training Students at all.

After the Resident Chief assigned the short, fat, sleazy man Lu Kai and Liu Yunqing, who looked like she hadn't woken up, to the Resident Physicians under two professors, he said to Ji Xiang, "Mo Jiaoshou and Wang Daxiao are seeing patients in the Outpatient Department this week and will be back soon. You can go to the Outpatient Department to find them."

"Understood, Wu Zong." Ji Xiang understood the Clinical forms of address; he saw the name on the Resident Chief's badge and said with a smile.

"Xiao Wu, remember to go see that Patient with the Kidney contusion and explain things well." The Muniu Waike Zhuren's voice came from the director's office.

Wu Zong gave a bitter smile. There were many things to do in the morning; although the Resident Chief was responsible for things like the emergency room, he always wanted to learn more, do more surgeries, and follow along into the operating room.

At this moment, only Ji Xiang was free.

"You there, go take a look at the Patient." The Resident Chief arranged, and told Ji Xiang the ward and name of the Patient in an unquestionable tone.

Ji Xiang happened to want to see the Patient, so he certainly wouldn't refuse.

……

……

After the shift handover, Liu Zhuren rushed to the operating room to sneak in a shower.

The operating room is like a big bathhouse; not only do Surgeons need to sneak in a shower after finishing a surgery, but some directors also take a shower before surgery to refresh themselves.

Liu Zhuren didn't have this habit, but having been called up in the middle of the night by the second-line on-duty professor to participate in the rescue for a mass car accident, his body was extremely exhausted.

While showering, he heard the sound of the Resident Chief chatting in the locker room.

Damn it, Liu Zhuren frowned and hurried out.

"Xiao Wu, didn't I tell you to go to Hepatobiliary to see that Patient?" Liu Zhuren scolded with displeasure.

"Zhuren, I'll go as soon as I finish the surgery." Wu Zong didn't know why Liu Zhuren was ignoring a Patient with a partial Kidney Resection in the ICU and instead focusing his attention on a Patient who had nothing to do with the Urology Department.

Liu Zhuren's face darkened.

This matter is neither big nor small.

The key is that the Resident Chief did not grasp his meaning, which shows that his understanding of Ren Cuo Lie Shang is still not up to par.

Forget it, they are all young people.

In his heart, Liu Zhuren had already forgiven this ignorant Resident Chief.

He is a modest and gentle person, and under normal circumstances, he would not get angry.

"Wait a moment on the surgery, prepare it first, let's go take a look at the Patient," Liu Zhuren said.

"Zhuren..." the Resident Chief was stunned.

"Hehe." Liu Zhuren put on his White Uniform, and without changing his shoes, he slipped on plastic shoe covers and walked out.

The plastic shoe covers under his feet made a rustling sound, which was very noisy.

The Resident Chief quickly followed; he seemed to feel that he had made some mistake, but after thinking it over carefully, he did not know where he had gone wrong, so he had to sheepishly follow behind Liu Zhuren.

"Xiao Wu, one must be especially careful with patients with Ren Cuo Lie Shang, especially when giving explanations," Liu Zhuren said patiently.

"Explanations?"

"They are all standardized; just print them out and have the Family Member sign. But this is not enough," Liu Zhuren said while walking forward. "I ask you, among the content communicated with the Family Member early this morning, which point was the most important?"

"Bleeding after a contusion, which may lead to the Patient's death." Xiao Wu believed he was right, and he was full of confidence.

"Wrong." Liu Zhuren directly denied it. "That Patient is staying in the Hepatobiliary Surgery Department; if something happens, the doctors there are keeping an eye on it, and it has nothing to do with us if the Patient dies suddenly."

These words were somewhat cold-blooded, but this was the truth.

The Resident Chief pondered.

Besides this, what other more important point could be more serious than Xuezhong Polie Chuxue after a contusion?

"Xiao Wu, a few years ago, a classmate of mine encountered a similar patient." Liu Zhuren told an old story while walking toward the Hepatobiliary Surgery Department.

"Later, it even made it onto the news channel."

"!!!"

"In this matter, the Patient and the Family Member insisted that the Chief Surgeon had removed the Kidney to use for a transplant."

"They don't understand, they're talking nonsense," Xiao Wu said. "What kind of injury did they suffer, Zhuren?"

"A car accident caused a left lung rupture, diaphragmatic rupture, and Spleen Rupture. The left Kidney and a portion of the intestines were herniated into the thoracic cavity. During the combined incision, the local hospital's Urology Department doctor followed into the operating room, saw that the left Kidney's blood supply was good and it was only a contusion, so it didn't need to be removed, and they put it back and closed up."

"Could it be Renal Auto-amputation?" Xiao Wu only then remembered such a diagnosis.

"Mm." Liu Zhuren nodded. "According to the probability of occurrence, the possibility of rupture and bleeding after Ren Cuo Lie Shang is far higher than Chuang Shang Xing Ren Zi Jie. But as for the consequences..."

He pondered for a moment and shook his head helplessly. "Ordinary people can understand Xuezhong Polie Chuxue; in the choice between removing the Kidney and keeping it for observation, almost everyone would choose observation. After all, it is a Kidney."

"But the Patient cannot accept the Kidney becoming ischemic, necrotic, atrophied, and disappearing a month or even longer after the surgery."

Xiao Wu was silent; he vaguely understood the Zhuren's meaning, but he felt the Zhuren was making a mountain out of a molehill.

The incidence of Chuang Shang Xing Ren Zi Jie is very low; he figured he would never encounter a case like the one the Zhuren described, where a Kidney suddenly disappears and the Patient believes it was cut out during surgery to be used as a transplant organ.

Seeing Xiao Wu's silence, Liu Zhuren looked back and understood in his heart.

Xiao Wu did not think anything would come of such a low-probability event.

This had to do with a person's personality; Liu Zhuren was the type of person with some Obsessive-Compulsive Disorder, always wanting things to be perfect.

"In the future, you must repeatedly explain this to the Family Member for similar patients," Liu Zhuren said, emphasizing it regardless of whether the Resident Chief agreed with his view. "You must say it at least three times, and after the Patient wakes up, you must also tell the Patient once, and you must emphasize the signature."

"Zhuren, that's not necessary, right?" Xiao Wu gave a silly laugh.

While talking, the two arrived at the Hepatobiliary Surgery Department and headed straight for the post-operative Patient's ward.

Xiao Wu walked a few steps faster and pushed open the door.

"There is a very rare possibility that I want to emphasize. During a Ren Cuo Lie Shang, the Renal Artery may..."

Liu Zhuren's footsteps paused, and Xiao Wu's expression changed slightly.

That voice was explaining to the Family Member the origin of Renal Auto-amputation and the serious consequences it could cause.

Listening, the expression on Liu Zhuren's face gradually became serious.

(End of chapter)