Chapter 60: A Half-Baked Amateur?
"That works," the System NPC said. "We'll train again once you get home."
"The pain level of a Kidney Stone is very high; if treated early, there won't be any major issues," the System NPC continued explaining to Ji Xiang. "It started with Extracorporeal Lithotripsy, but it's rarely used now."
"Why, Teacher?"
"The side effects are relatively large, and the effectiveness is actually mediocre," the System NPC explained. "Later on, people began researching retrograde ureteral intervention for Stone Crushing and Extraction Surgery."
"However, the surgery is very difficult. The toughness of the ureteral wall is far less than that of the blood vessel wall, so this procedure easily leads to Ureteral rupture."
Ji Xiang listened earnestly.
Although the System NPC was a bit long-winded and spoke about stone-crushing methods that had already been phased out or were rarely used in Clinical practice, Ji Xiang still listened with great interest.
"The more commonly used procedure now is Ureteroscope Laser Stone Crushing and Extraction Surgery. The pros and cons of this surgery are also quite obvious; it's mainly..."
Ji Xiang listened quietly, growing bit by bit.
In the Duty Room of the operating theater.
The anesthesiologist and the Nurse were eating together.
The recent surgery had interrupted their dinner, and by the time they returned, the food had already gone cold. Normally, they would use a microwave to heat it up before eating, but today, both of them were restless and had completely forgotten about eating.
It was like a couple married for decades, sitting opposite each other in silence, each eating their own meal without a single word of idle chatter.
After that young Standardized Training Student left the operating room, that oppressive atmosphere immediately vanished.
Everyone could breathe normally again. Seeing the Patient's condition was stable and there was nothing wrong after the general anesthesia ended, they sent the Patient back to the ward, but the two of them remained preoccupied.
"Lao Li, what do you think gave that little Standardized Training Student the right to be so fierce?" the Nurse asked, dazed, with chopsticks hanging from her mouth.
She felt resentful, but every time she wanted to lash out, she felt afraid in her heart and could only mutter softly.
Even though the 【Gaze of the Superior Doctor】 skill was no longer active, the Circulating Nurse still remained as silent as a cicada in winter.
At the mention of the little Standardized Training Student, the anesthesiologist couldn't help but shiver.
He hesitated for a moment, then lowered his head and said softly, "Don't talk nonsense."
"Lao Li, why are you such a coward!"
The anesthesiologist gave a hollow laugh; he did not refute the Circulating Nurse's words.
Cowardly? When she had been scolded by the little Standardized Training Student earlier and bumped her head against the automatic door of the operating room, why didn't he see her retort to that little Standardized Training Student then?
And even now, the volume of her voice was pitifully low.
That wasn't even the half of it. If it were normal times, based on the anesthesiologist's understanding of the circulating nurse, even if the fiercest Director of the Surgery Department dared to yell at her, she would probably chase them to the ward area to argue back.
But now, she could only sit in the Duty Room and complain to him, and her voice was so low, as if the little Standardized Training Student would descend from the sky if she spoke too loudly and give her another harsh reprimand.
"Sigh," the anesthesiologist sighed. "He doesn't even have a Physician Certificate, yet his emergency rescue skills are excellent—you have to admire that. To be honest, I still can't understand why a tube of Erythromycin Ointment could treat an Air Embolism."
"Lao Li, you people have lived all these years in vain," the Circulating Nurse said with disdain.
The Circulating Nurse didn't have the guts to talk about the little Standardized Training Student. But when it came to the anesthesiologist, she had plenty of guts; her voice rose directly, full of unmasked disdain.
The anesthesiologist gave a sheepish smile.
Who told him he lacked that kind of aura? He couldn't blame anyone else.
"Ultrasound for Pneumothorax—I heard that the Intensive Care Unit has only been doing it for less than 3 years, and in our operating room, only the Director knows how to do it," the Circulating Nurse said, biting her chopsticks again, speaking indistinctly. "I thought it was some difficult technique, but it turns out even a little Standardized Training Student knows it."
The anesthesiologist wanted to explain, but the words died on his lips.
Was that really just an ordinary little Standardized Training Student?
With that kind of aura, he feared that even his own Director would have had to kneel if they were standing in the Operating Room at that moment.
Coupled with his unhurried, calm demeanor where everything was under control, the anesthesiologist became lost in thought.
"Wu Laozong is the same; he managed to cause an Air Embolism just by doing a stone removal."
"What's the use of him! If he sends another order to the operating room for stone removal, I'll have to point at his nose and ask him: 'Can you be a bit more reliable? If you can't do the surgery, get someone else! An Air Embolism—you should be ashamed!'"
The Circulating Nurse gradually returned to normal.
She didn't dare scold the little Standardized Training Student, but surely she dared to scold the Resident Chief of the Urology Department? She wasn't going to let him get away with it.
She was on a roll and finally slammed the table.
In the corridor, a series of footsteps approached. They were hurried, carrying a sense of urgency.
"Where is the Patient? Why did they leave so quickly? Did they pass away on the table or on the way back to the ward?"
"Director!" The anesthesiologist remembered that he had called the Director earlier.
The emergency level for an Air Embolism was very high; the Director had to be informed, otherwise, the Family Member wouldn't accept it, and if a Medical Malpractice case occurred, the Director would have to be the one to argue with the Surgery Department.
In the blink of an eye, he had actually forgotten about this.
The anesthesiologist walked out of the door quickly. "Director, the Patient's rescue was successful, and they have returned."
"Damn it!" the Director of Anesthesiology cursed loudly. "Was the diagnosis wrong? It's the middle of the night, and I ran two red lights!!"
"No..."
"Take the chopsticks out of your mouth. Talking to me with chopsticks in your mouth—who did you learn that from?"
The anesthesiologist was startled and gave a bitter smile; he hadn't realized he had been holding the chopsticks in his mouth the whole time.
Sigh, that little Standardized Training Student was truly strong, especially that terrifying aura.
He sheepishly took the chopsticks out and gave the Director a concise summary of the rescue process that had just occurred.
The Director of Anesthesiology listened in a daze.
"You didn't perform a Jugular Vein Puncture or Right Heart Aspiration?" the Director of Anesthesiology asked.
"No, he used Erythromycin Ointment to plug the gap between the Drainage Tube and the skin, and then used Ultrasound to observe for over half an hour. The gas gradually decreased, the Patient's vital signs were stable, and he woke them up."
"..." The Director of Anesthesiology felt a bitter taste in his mouth.
An Air Embolism can be treated like this?
You must be joking.
"Let me check the records."
"Eh!"
The Anesthesiology Doctor felt fortunate in his heart; luckily, that little Standardized Training Student hadn't given him a hard time back then, and he had done the entire surgical record quite thoroughly, so he wasn't afraid of the Director spotting any issues.
Accompanying the Director of Anesthesiology to look at the record sheet, the more he looked, the greener the Director's complexion became.
A deep, verdant green, just like a leek.
"Director..."
"Where did that little Standardized Training Student come from... no, wait, is it the Urology Department?" the Director of Anesthesiology suddenly asked.
"Yes, that's right."
"His name is Ji Xiang?"
"Ah? You know him?" the Anesthesiology Doctor was startled.
Could it be that this Standardized Training Student had some profound background he didn't know about?
"Heh." The Director of Anesthesiology let out a huff, staring blankly at the record sheet for a full minute before saying, "The gas station fire, you've heard of it, right?"
"I've heard of it."
"The most critical Patient had no good skin left on their entire body; intravenous access couldn't be established, and I was the one who stepped in at the time to prepare for a Deep Vein Puncture."
"Then, the first puncture failed."
A strange thought suddenly appeared in the Anesthesiology Doctor's mind.
Could it be that something his own Director couldn't do, that little Standardized Training Student was actually able to accomplish?
"It just so happened that Gu Lao from the Imperial Capital was there, and he led a student to perform a Cavernous Body Puncture to establish an infusion line."
"Oh, Gu Lao, then that also... no, Director!" the Anesthesiology Doctor said, suddenly looking at his Director in astonishment, "What kind of puncture did you just say? What kind of line was established?"
"Cavernous Body Puncture," the Director of Anesthesiology said, emphasizing his tone.
He had thought about this matter for a long time, and even now, he still felt a bit dazed.
"That works too?" The Anesthesiology Doctor was completely plunged into a state of bewilderment.
"Of course." The Director of Anesthesiology tried his best to keep his tone flat, "At the time, I also thought it wouldn't work, but they really did it. The puncture was successful, the fluid went in, and I followed them all the way to the sterile burn ward."
"And then?"
"Three hours later, the blood vessels were engorged, and I finally succeeded in performing the Femoral Vein Puncture," the Director of Anesthesiology sighed with emotion, "If it hadn't been for that young man named Ji Xiang having a flash of inspiration, I'm afraid the Patient wouldn't have lasted until then."
Everyone knows what a severely burned Patient is like.
It was likely that the Director's success in establishing the intravenous line was related to the Patient's blood pressure recovering.
With engorged blood vessels, the difficulty of the puncture dropped sharply.
However, was that little Standardized Training Student really just having a flash of inspiration? The Anesthesiology Doctor was a bit confused; he subconsciously felt it couldn't be a coincidence.
Combined with the words he had used to scold him during the rescue today, the Anesthesiology Doctor didn't believe it was just a flash of inspiration, a miraculous, heaven-sent success.
Thinking of how Ji Xiang had looked stern and coldly scolded him at the time, the Anesthesiology Doctor shivered again, subconsciously putting his chopsticks into his mouth.
"That student is quite interesting; he participated in the rescue of an Air Embolism again today," the Director of Anesthesiology seemed not to have seen his subordinate's action of biting the chopsticks, and he muttered while looking at the rescue record.
Air Embolism, establishing an intravenous line for a severely burned Patient.
No matter which one it was, it was an extremely tricky Clinical matter; at the very least, there weren't many Doctors in the Second Affiliated Hospital who could complete them smoothly.
Precisely because of this, this matter was the most bizarre.
"Could it be that he is Gu Lao's student, not a Standardized Training Student?"
"I heard from Wu Zong that he is a half-baked Standardized Training Student who doesn't even come to the department for duty after joining, not taking it seriously at all," the Anesthesiology Doctor dazedly blurted out Wu Zong's evaluation of Ji Xiang.
"Half-baked..." the Director of Anesthesiology said with disdain, "What the hell do those people in the Surgery Department know!"
……
……
In the Surgery Department, Wu Zong lay in the Resident Chief's Duty Room, staring blankly at the ceiling.
He was like a young girl with a secret crush on Ji Xiang; before his eyes were Ji Xiang's tall, handsome figure.
Not only that, but his mind was also full of him.
Wu Zong hadn't been turned; he didn't have a secret crush on Ji Xiang, he just simply didn't understand why he had been so thoroughly convinced after just one glance.
A "slacker" little Standardized Training Student, by what right?
After the Patient left the operating table, Wu Zong went to check every half hour; the Patient was very normal, showing no signs of ever having had an Air Embolism.
A tube of Erythromycin Ointment was enough?
Wu Zong felt like he was dreaming; in the dream, there was a tube of Erythromycin Ointment, and that young Standardized Training Student named Ji Xiang performed a puncture with the Erythromycin Ointment, hung up the fluid, and then gave himself an infusion.
Damn it!
Wu Zong was unconvinced.
(End of this chapter)
End of Chapter
