Chapter 48: Except for blood congestion, you can also perform blood transfusions and infusions

Zhao Yuanzhang's gaze toward Ji Xiang had always been off.

That a mere Standardized Training Student could make him remember him was definitely an accident.

Because of the reason that Zhao Tianjiao was a Standardized Training Student in the same cohort,

because of the reason that the case analysis question had been answered perfectly,

because of the reason that he was also named Ji Xiang,

Zhao Yuanzhang had recently been thinking of this young man, whether intentionally or not.

Today, seeing Ji Xiang being brought into the rescue room by Gu Lao for emergency treatment, Zhao Yuanzhang felt an indescribable sensation in the bottom of his heart.

He knew that it was jealousy.

He himself was an accomplished Dean, while Ji Xiang was only a Standardized Training Student who hadn't even passed the exam for a Practicing Certificate, and didn't count as a Doctor at all.

This jealousy came inexplicably.

Yet it was real.

Seeing Ji Xiang's "reckless" operation, which even the city leaders had raised objections to, Zhao Yuanzhang followed the Head Dean into the rescue room and asked sternly, "Who are you? Do you have a Practicing Certificate? Who will take responsibility if something goes wrong?"

The rescue room was deathly silent.

The medical staff, who had originally been whispering and discussing Ji Xiang's whimsical operation, all fell silent.

This was the rhythm of looking for someone to take the fall!

It's over, that young man is finished!!

It is only natural for a Standardized Training Student to perform procedures; otherwise, if people come for Standardized Training but aren't allowed to do anything, what is the point of coming to the hospital?

But this depends on how you put it. Without even needing to blow things out of proportion, during a major Emergency Rescue, the operation of a young Standardized Training Student is a violation and an important reason leading to a Patient's death.

Everyone could figure out with their heels what would happen afterward.

"I drank a bit of alcohol today, so I cannot perform the operation."

The brief silence was shattered by Gu Lao's voice.

"Doctor Xiao Ji is operating under the guidance of a senior Doctor; is there a problem?"

Gu Lao squinted at Zhao Yuanzhang and then glanced at Dean Chen of the Second Affiliated Hospital.

Although he was old, his sharpness when bickering remained as strong and biting as ever.

Uh...

Zhao Yuanzhang was choked up.

Ji Xiang didn't even look at the people beside him; he was fully immersed in the operation.

The sensation of the No. 6 Syringe needle piercing through the White Membrane was very clear, just like what he had felt during countless training sessions in the System Operating Room.

At the very beginning, Ji Xiang couldn't grasp it, but under the guidance of the System NPC and with his powerful Comprehension, he successfully grasped this feeling through a hundred or so punctures.

Everything was just right; the No. 6 Syringe needle pierced the White Membrane and went in 0.5cm, no more, no less.

Ji Xiang beckoned, but no one moved.

He waited for 2 seconds, turned his head to look, "Secure it, connect the Saline."

Reality was still not as good as the System Operating Room; in the System Operating Room, when reaching this step, the System NPC would have long since prepared everything.

Gu Lao only said one sentence. Seeing the delay in the operation, he took a deep look at Zhao Yuanzhang, then took off his gloves, secured the needle Ji Xiang had inserted, and connected the infusion tube.

With the flow rate adjusted to the maximum, Gu Lao watched without blinking.

There was no swelling at the needle site, meaning the Saline had successfully entered the Corpus Cavernosum and then entered the Venous Sinus behind the Corpus Cavernosum.

Gu Lao knew the operation had succeeded! But he was very cautious and waited another 20 seconds.

Time ticked by, the needle site remained normal, and the liquid flowed in steadily.

Gu Lao felt as if he could perceive the entire process of the liquid passing through the Corpus Cavernosum into the Venous Sinus, and then into the Systemic Circulation.

Regardless, the liquid had entered, and the Patient had a glimmer of hope.

A weight lifted from his heart, and he unconsciously let out a long sigh.

The operation was simple, just the approach was strange; Gu Lao had his own judgment in his heart.

"Did the liquid enter the circulatory system or the bladder?" a Director who had come to participate in the rescue asked in a low voice.

"Go back and study anatomy." Gu Lao was no longer gentle at this moment.

Facing provocation, facing blame-shifting, facing questioning, the more gentle one is, the more others will climb all over you.

The key is that after many people climb on, their feet keep kicking, leaving no room at all.

At this time, one must be tough and cut off all bad possibilities.

When it's time to turn hostile, turn hostile; one must never hesitate. In this world, there has never been a way out for a gentle, good person.

"Connect a three-way valve, administer vasopressors and red blood cells, and send the person to the ICU," Gu Lao then said. "Once the blood pressure rises and the veins are slightly engorged, perform a Deep Vein Puncture. The blood vessels are precious; find the person with the best skills among you."

One medical order after another was issued, and no one said no.

"Administer Ringer's Solution after three hours."

Another youthful voice came, and everyone was stunned.

It was Ji Xiang!

That Standardized Training Student!

He was actually supplementing Gu Lao's medical orders!

"Use another 500ml of Plasma Substitute. Once vital signs are stable and 2 hours after the Femoral Vein Access is established, the Cavernous Body Infusion can be removed."

Ji Xiang, as if he were a top Expert, issued verbal medical orders while taking off his sterile gloves.

That aura was powerful, pressing down on everyone's hearts, heavy and burdensome.

"Ji Xiang... why does he look so strange?" Lu Kai, the sleazy little fat man who was a Standardized Training Student who came together, asked Liu Yunqing in a low voice.

Liu Yunqing was usually muddled, but looking at Ji Xiang's operation, her eyes shone like stars, and she entered a completely different state.

"I don't know either, but looking at Ji Xiang, he seems like a real doctor," Liu Yunqing said with envy.

The Nursing Department Deputy Director led people to receive the three-way stopcock immediately and carried out the medical orders.

Watching the fluid enter along the infusion tubing...

The veteran nurse of many years felt this was a dream.

Since starting work, every infusion seen had been performed through blood vessels; no one had ever thought it was possible to perform an infusion through the Corpus Cavernosum.

The veteran nurses had experienced countless Emergency Rescues.

Either it was Hemorrhagic Shock where even blood pressure couldn't be measured, and the blood vessels were as flat as a piece of paper. The doctor would perform a dissection, pick it up with Hemostatic Forceps, find that "paper" with flair, and then send the infusion tube directly into the inferior vena cava from the femoral vein.

Or it was a Deep Vein Puncture, where an experienced doctor would hit the mark in one go under impossible circumstances, succeeding in the rescue.

But!

No one had ever seen a Cavernous Body Infusion.

That thing has this kind of use too? Carrying an infusion channel with you at all times? Is this a biological cheat code?

The Patient was sent away; Gu Lao did not follow to watch, he spoke with Ji Xiang in a low voice.

"I see it only slightly thickened, no congestion, it should be fine," Gu Lao said.

Ji Xiang heard the "Ding-dong~" sound of the task being completed, but he did not check it carefully, instead continuing to communicate with Gu Lao.

"The infusion is very smooth, the No. 6 Syringe needle entered 0.5cm under the White Membrane, theoretically there will be no abnormalities. I also observed, you are right, no congestion should not affect the infusion speed," Ji Xiang said.

"Doctor Xiao Ji, how did you know about Cavernous Body Infusion?"

"I saw it in a journal," Ji Xiang answered very calmly, "A sub-journal of The Lancet, there was a Gegan baodao in 2016 that talked about Cavernous Body Infusion."

"!!!"

Zhou Jiaoshou and Wang Daxiao stood to one side and heard Ji Xiang talk about The Lancet and its sub-journals, feeling terrified.

The way they looked at Ji Xiang was like looking at a Great Demon King in a horror movie.

Especially Wang Daxiao, there was fear in his eyes as he looked at Ji Xiang.

A small Standardized Training Student chatting and laughing with a top Expert in Urology Department; if it were just that, he wouldn't feel too surprised.

It could be a friendship across generations, or it could be good luck.

But Ji Xiang's operation just now was simply too terrifying!

Wang Daxiao had worked in the Urology Department for half his life; he couldn't be called the prince of the Provincial Hospital, but he was an old Doctor who had seen and witnessed much.

Even he had never thought that the lower regions and Corpus Cavernosum he saw every day could be used for blood transfusions and infusions besides just congestion.

How did Ji Xiang manage it?

"Not bad, do you read English journals?" Gu Lao asked, "Because of language issues, many Clinical doctors do not come into contact with top journals."

"Yes, Gu Lao," Ji Xiang said, "When I read the literature, I felt the logic was sound, I just hadn't performed it before."

"When you pierced the White Membrane, how did you master the sense of loss of resistance?"

Gu Lao was old and shrewd; he asked directly about the most important issue.

"Every time I perform surgery, I carefully feel for it," Ji Xiang said dismissively.

The rescue ended temporarily, but the larger battle was still in the ICU.

The city leaders didn't understand a thing, but the medical Experts all came over to greet Gu Lao, then rushed to the intensive care unit.

Most of them didn't know Ji Xiang was a Standardized Training Student, and all thought this young man was Gu Lao's Closed-door disciple.

The crowd gradually thinned, and Gu Lao and Ji Xiang were still communicating.

Zhou Tianbo Jiaoshou's expression was somewhat ugly, "Wang Daxiao, is Ji Xiang really just a Standardized Training Student?"

"Yes."

"How come I..."

"Is it like watching a horror movie?" Wang Daxiao asked.

"Do you believe he saw it in a sub-journal of The Lancet?" Zhou Jiaoshou asked as if asking Wang Daxiao, or perhaps talking to himself.

Wang Daxiao didn't speak.

"A horror movie, indeed," Zhou Jiaoshou sighed, "When I was in school, a close friend in my dorm read a horror novel and was so scared that he asked me to go with him to throw the book into the sea."

"It's not that bad, not that bad," Wang Daxiao said with a smile.

"I was mischievous back then, I bought a new one, soaked it in water, and stuffed it back into his drawer."

"..." Wang Daxiao's smile was somewhat stiff.

"Wang Daxiao, when I just watched Doctor Xiao Ji perform the Cavernous Body Puncture, that was the feeling," Zhou Jiaoshou said.

Wang Daxiao understood what Zhou Jiaoshou meant.

Ji Xiang was no longer just an ordinary successful rescue, but terrifying like a Great Demon King.

"Zhou Jiaoshou, I feel ashamed in my heart hearing Doctor Xiao Ji say that," Wang Daxiao tried to change the subject, "Let alone sub-journals, I haven't even read the main issue of The Lancet."

As they spoke, Gu Lao and Ji Xiang walked over.

"Returning," Gu Lao said with a smile.

He was beaming; Zhou Jiaoshou was familiar with this expression.

Back when he took the Practicing Physician Examination and ranked first in the country, when his boss found him, it was the same expression.

Could it be that he was going to have a new junior fellow apprentice?

Zhou Jiaoshou looked blankly at his boss, then at Ji Xiang.

"Doctor Xiao Ji, are you going to Nan Ke Yi Yuan to perform surgery tomorrow?" Gu Lao asked.

"I should be."

"Then see you tomorrow," Gu Lao patted Ji Xiang, "Not bad, not bad."

Hearing his own boss praise a young man like this, Zhou Tianbo felt a mix of emotions, unable to describe the feeling.

Perhaps, this is jealousy.

(End of chapter)