Chapter 64: Believe Nothing in Books, or Better to Have No Books

"Teacher, I..." Ji Xiang interrupted the System NPC, which was rare.

"What is it?"

The System NPC's thin, withered body looked somewhat tall, leaving Ji Xiang in a daze.

"Speak." The System NPC gently soothed Ji Xiang's emotions.

"Teacher, are there many similar cases after Laser Lithotripsy?" Ji Xiang asked.

"Not many, one could even say it is very rare," the System NPC said. "Precisely because patients are basically fine after the procedure, it becomes a major issue once something goes wrong."

Ji Xiang was silent.

"For example, with internal hemorrhoid surgery in the Anorectal Department, 99.99% of patients are fine afterward. But once a ligation thread loosens, the patient starts bleeding in the middle of the night without feeling it in their sleep. Once they do feel it, it is already too late."

Ji Xiang nodded, acknowledging that the System NPC was right.

He had just experienced all of this; that feeling of loneliness and helplessness was terrible.

Although the pain was not particularly obvious, it could not be compared to the previous times he had experienced Empathy.

But...

Ji Xiang would rather go through Urological Calculus again than lie quietly in bed waiting to die.

"That is roughly the meaning; I believe you can understand it. Moreover, as your Clinical experience becomes increasingly rich, your understanding of this will change," the System NPC said.

Ji Xiang felt the System NPC's gaze grow increasingly profound.

"Teacher, I apologize for interrupting your lecture just now," Ji Xiang bowed slightly. "Please continue."

"The most common cause of Kidney rupture is hydronephrosis, especially hydronephrosis caused by Ureter obstruction from stones. In this situation, because the area around the renal pelvis is fixed by fibrotic adhesions, the possibility of spontaneous Kidney rupture and hemorrhage after surgery due to surgical stimulation increases sharply."

"Under normal conditions, when the pressure inside the renal pelvis rises, urine will spontaneously extravasate through the renal fornix, and lymphatic reflux in the renal tubules, renal sinus, and renal pelvis will occur. This is a protective reaction to lower the pressure inside the renal pelvis and avoid serious consequences."

"However, after Ureter obstruction causes hydronephrosis, the pressure in the area above the obstruction remains continuously high. Urine extravasates into the perirenal space, leading to fibrosis and fixing the area around the renal pelvis. When the Ureter obstruction is suddenly relieved, the high-tension state disappears, and the Kidney and surrounding tissues retract, causing the Kidney to rupture."

"Teacher, many patients with Kidney Stone also have hydronephrosis," Ji Xiang asked.

"It increases the probability; one cannot say it applies to all," the System NPC said.

In the System Space, the System NPC began to explain to Ji Xiang the principles of how diseases appear, how to judge them, and how to prevent and treat them.

Before he knew it, a long time had passed, and Ji Xiang's brain felt a bit hot. His CPU was running at high speed, and his Spirit was being consumed heavily.

Although it was just a "minor ailment," the System NPC drew on extensive examples and kept expanding, telling Ji Xiang about 16 cases.

The System NPC even spent at least two hours elaborating on the point where doctors consider it a "minor surgery" and do not pay enough attention to it post-operatively.

And because of the previous Empathy, Ji Xiang listened particularly carefully, as if he were lying on the hospital bed himself, and as if he could not die as long as he learned this.

"Your Spirit is about to run out," the System NPC sighed and shook his head slightly.

Ji Xiang also felt it was strange.

His Spirit would not be exhausted even after watching surgeries for a day, and the consumption was extremely limited; why was it being consumed so quickly just by listening to the System NPC instill values?

"Teacher, then I will head back first." Ji Xiang bowed; although he was also a bit overwhelmed by the chicken soup and values instilled by the System NPC, he remained polite.

"Go."

Ji Xiang came back to his senses and frowned slightly.

The patient with the Kidney rupture must be the one Liu Zhuren knows.

With waist distension and pain, it is likely still in the early stages; if he hurries, the patient should be fine.

After Ji Xiang figured this out, he felt a bit distressed again.

Liu Zhuren firmly did not believe there was a problem with the patient; he could tell this from when he visited the patient and chatted.

Did he really have to use that idiot skill?

Whenever Ji Xiang thought about the skill "Gaze of the Superior Doctor," his head would ache as if it were splitting.

The skill was indeed useful; it was a bloodline suppression. Whether it was Professor Zhou Tianbo or Chief Resident Wu, they would both put on the appearance of a subordinate doctor, being very obedient.

But Ji Xiang felt inexplicably awkward.

If the name is not right, the words will not be followed. He was still a Standardized Training Doctor and had not even received his Practicing Certificate, yet he had to boss people around in a Clinical setting...

It was like a Bronze-tier player commanding a Challenger-tier player on how to play the game.

Although he was a master wearing a Bronze-tier mask, there were still huge hidden dangers in the middle.

Ji Xiang thought about it, but still had no solution, so he had to put the issue of how to resolve it aside for now.

The first step was to confirm that the patient had a Kidney rupture, which meant making a clear diagnosis.

Ji Xiang straightened out his thoughts and decided to go see the patient first.

Whether the task was completed or not was secondary; Ji Xiang had experienced the feeling of lying in bed waiting to die in the dead of night, and he had only one thought in his heart—confirm the diagnosis and save the patient.

He even just wanted to go and show some concern for the lonely patient.

Arriving at the door of the hospital room, Ji Xiang raised his hand to knock, then pushed the door open and entered.

The Family Member was sitting on the sofa talking; seeing Ji Xiang enter, they stood up and greeted him.

"How are you feeling now?" Ji Xiang asked with a smile.

"Still the same. Liu Zhuren said it is a normal post-operative reaction." The Family Member was not nervous and did not attach much importance to this young doctor.

Being young is one of a doctor's greatest disadvantages.

Ji Xiang did not know what he should do. He stood by the patient's bed; the patient's symptoms were not yet typical. To prove himself, he needed to perform an examination on the patient.

"Is it hurting very badly?" Ji Xiang hesitated for a moment and said cautiously, "How about we do an Auxiliary examination to take a look?"

"No need." The Family Member's mood was very stable, looking at Ji Xiang with a smile. "Thank you for your hard work, little doctor."

Ji Xiang took out a ballpoint pen and scanned the room, but did not see any A4 paper.

He felt a bit regretful; he had originally wanted to explain the "knowledge points" the System NPC had mentioned in the System Space to the Family Member.

But Ji Xiang was disappointed; he subconsciously pressed his ballpoint pen, making a click-clack sound.

"You just arrived, right?" the Family Member asked.

"Yes, I am a Standardized Training Doctor," Ji Xiang answered honestly.

The Patient did not yet have symptoms of Hemorrhagic Shock, but Ji Xiang knew that in a few more hours, the Patient would likely have problems.

"Little Doctor, you should listen to your Director more and learn more," the Family Member said calmly.

"Is your television pregnant?" the Patient lay on the bed, looking at Ji Xiang in surprise.

"..." Ji Xiang was speechless.

The television is pregnant? What is all this? Where did the Patient get that train of thought!

Could it be that the Patient is already experiencing low blood pressure and insufficient blood supply to the brain?!

Thinking of this, Ji Xiang's heart suddenly tightened; he turned and ran to the Nurses' Station to get a mercury sphygmomanometer.

When he ran back, he saw the Patient and the Family Member chatting and laughing.

Although the Patient was still uncomfortable, they looked like there was no major problem.

"I'll take your blood pressure," Ji Xiang said.

"Little Doctor, what did you mean when you said your television was pregnant?" the Family Member was also a bit confused and asked Ji Xiang.

"I didn't say that."

Ji Xiang tied the cuff on the Patient, found the position, inserted the stethoscope, and began to measure the blood pressure.

The Patient's blood pressure was normal, 128/74 mmHg.

What is going on? Ji Xiang was puzzled.

"Just now, the rhythm of you pressing the ballpoint pen was very clear; it could be interpreted as Morse code," the Patient tried to squeeze a smile at Ji Xiang, "I thought you were telling me your television was pregnant."

"..." Ji Xiang scratched his head.

He had been a bit anxious and pressed the ballpoint pen randomly, which had actually caused a misunderstanding.

"I feel a bit better," the Patient said, "Before, my waist felt bloated and very uncomfortable. Now it's much easier, don't worry, Little Doctor."

It's over!

Ji Xiang could vaguely sense that the Patient's condition had progressed.

He held the sphygmomanometer and left the ward in distress.

Liu Zhuren happened to walk out of the Director's office; he saw Ji Xiang holding the sphygmomanometer and smiled appreciatively.

He even nodded at Ji Xiang to show approval.

"Liu Zhuren." Ji Xiang was a bit anxious.

"What's wrong?"

Liu Zhuren was holding his keys, locking the door, preparing to get off work and go home.

"I read in a book that for patients with hydronephrosis, Ureteroscope Laser Stone Crushing and Stone Removal Surgery can lead to Kidney rupture."

"Oh, that's what the book says. To believe everything in books is worse than having no books; you'll know once you see more in Clinical practice," Liu Zhuren did not feel that Ji Xiang was issuing a Challenge to his diagnosis and surgery, and said kindly, "The probability is too low, there is no need to care."

"But what if it happens?" Ji Xiang pressed.

"Deal with problems as they arise; if we fear this and fear that, we can't do our Clinical work," Liu Zhuren laughed, "Just like the Cavernous Body Puncture you and Gu Lao did, I checked the data these past two days, and there are many complications too."

Ji Xiang knew Liu Zhuren had misunderstood his meaning and wanted to explain clearly, and in this instant, he had the thought of using a skill.

But Liu Zhuren seemed to have something to do; he turned and left in a hurry, leaving only his back to Ji Xiang.

This...

"Let's do rounds and check on the patients. When on duty, you must be well-informed."

A familiar voice came.

It was Wu Zong!

Casting a skill accurately is not as good as receiving a skill accurately; Wu Zong is truly a master at receiving skills!

They were all old acquaintances; Ji Xiang found a reason for himself, assuming Wu Zong must be used to the gaze of a superior doctor by now.

Even if he wasn't used to it, he would get used to being stared at!

Yes, it's him!

Ji Xiang did not use the skill on Wu Zong right away, but honestly followed behind Wu Zong, along with Lu Kai and Liu Yunqing, to follow Wu Zong on rounds.

"You must be well-informed about all patients; having a muddled brain and being unable to distinguish the key points is a great taboo in Clinical practice," Wu Zong did not dare to look at Ji Xiang; he explained to the three Standardized Training Students while doing rounds.

In every room, Lu Kai would act like a sycophant off the leash, opening the door first to let Wu Zong in.

Arriving at the high-end room, Wu Zong finished looking at the post-operative patient, felt there was nothing unusual, and turned to leave.

The moment he turned around, a familiar feeling enveloped his whole body.

Not again!

Wu Zong almost cried out.

This feeling is so familiar; this damn familiar feeling, why on earth!

(End of this chapter)