Doctor of Healing

Chapter 611 It's so nice to talk about being a cow and a horse

"Doctor Xiaoji, you haven't gone back yet." Mr. Miao came to say hello when he saw that Ji Xiang and Zhao Zhe were still chatting after washing up.

Just now Jixiang said he was going back to rest, but he was still there.

"I got a call and I'm leaving now." Ji Xiang said, "Mr. Miao, go to bed early."

"Well, my shift has always been very good, and there is basically no emergency surgery. It's not like those bad guys who come to the emergency room as soon as they are on duty." Mr. Miao said a little proudly.

Hearing Mr. Miao say this, Ji Xiang felt a cold snap on his back and goose bumps all over his body.

Mr. Miao actually said such a death sentence while on duty, this is death.

Zhao Zhe's complexion changed, as if he was constipated, he pulled Ji Xiang to leave.

But no matter how fast Zhao Zhe reacted, the words Mr. Miao said just now were like a forbidden curse, which exploded the moment the words just fell.

The phone rings.

"I want to feel it from the patient's point of view." Ji Xiang said.

Oh shit!

"If you want to be admitted to the hospital, what are you doing!"

Ji Xiang's "son" sneered.

Before Ji Xiang finished speaking, the system npc nodded, "The idea is basically correct, but the experience from each angle is different. Try it. It won't hurt too much, and there is no harm in trying."

It's all path dependent.

"Hey."

Intussusception is the intussusception of a section of intestinal tube into the lumen of the intestine that connects it, resulting in obstruction of the passage of intestinal contents.Intussusception accounts for 15% to 20% of intestinal obstruction.

The system npc is well-informed and not surprised, he just smiled slightly, "Similar situations are rare, but they do happen. Doctor Xiaoji, let me ask you, what would you do if you encountered a similar situation clinically."

"The perspective of the patient's family is quite weird. Either they don't understand nonsense, or there are other reasons. If I feel it from the perspective of the patient's family, I have to stop the air enema immediately. And..."

Ji Xiang deliberately avoided the topic of data collection, and the system NPC did not elaborate, and brought Ji Xiang to the next surgery room.

"why?"

"Have you figured it out?" the system npc saw everything and asked Ji Xiang with a smile.

After seeing the system NPC, Ji Xiang first bowed and saluted, and then explained the situation.

Although both are intussusception, the treatment is completely different.

Ji Xiang raised his eyebrows, and he said with a smile, "I'm enjoying it, it's like a Sims game, and it's pretty good."

No wonder Mr. Miao is so angry. It is estimated that some second-hand doctor in the emergency department does not know the difference in age of intussusception and the follow-up treatment, so he called Mr. Miao for consultation.

There are two types of primary and secondary.Primary intussusception occurs more often in infants, while secondary intussusception is more common in adults.

I am a 73-year-old male, and he has symptoms of intestinal obstruction in the past few days, abdominal distension, little gas, and no bowel movement.

"Xiaohua, come here." Ji Xiang beckoned.

Ji Xiang changed a few more positions and found a slightly more comfortable position.

Mr. Miao was slightly taken aback and answered the phone.

Just once, cold sweat broke out.

It’s true to say that, a few years ago, when my grandson was young, he also had an intussusception. At that time, seeing his grandson with blood in his stool and his stomach swelled into a ball, the whole family panicked.

Light and shadow flickered, and Ji Xiang felt cold.

Intussusception in children is treated with air enemas, and most adults require surgery.

Ji Xiang's thoughts flashed, and he thought of empathizing with him and analyzing the pros and cons in an instant, thinking about this matter from the perspective of patients, family members, and doctors.

My son is right, air enemas are indeed useful, but...

Ji Xiang looked at Mr. Miao intently, he was obviously a little angry.Mr. Miao's simple communication with the person on the other side of the phone is rough, but he can roughly guess what it means.

"Wait a minute." The radiologist said coldly, "The gastrointestinal surgeon will be down soon, but let me tell you first, the same sentence, the intussusception of adults is different from the intussusception of children."

Ji Xiang complained in his heart.

Ji Xiang cursed in his heart.

"A 70-year-old intussusception still goes for an air enema, have you told the patient's family?"

"Teacher, can I feel it from every angle?" Ji Xiang asked suddenly.

Intussusception, and intussusception again, no wonder "son" is so stubborn.

The emergency doctor said that he would be admitted to the hospital for surgery, but his son insisted that no surgery was possible, and the treatment was air enema.

Searching the memory, Ji Xiang was a little speechless.

"I?!"

Ji Xiang thought for a while, then focused slightly, and came to the operating room of the system.

Looking carefully at the surrounding environment, Ji Xiang found himself lying on the flat car, with cold wind blowing from the direction of the soles of his feet.

Fortunately, he was covered with another piece of clothing to keep himself a little warmer.

"Radiology? How old?"

I came to the hospital for an examination, and after doing an abdominal CT, it was found to be intussusception.

But adult intussusception is not the same as pediatric intussusception.

In particular, there is only one hospital in the city that can do air enemas. At that time, I was in a hurry to ask for help from various hospitals with my baby in my arms. In the end, the doctor in this hospital spent half an hour to solve the problem, and the baby seemed to be fine.

Every movement of the body, even a simple movement like waving, involves the muscles and nervous system, and there is a sharp pain in the abdomen.

Although they are all called intussusception, adult intussusception mostly occurs in the intestinal tract with lesions, such as benign or malignant tumors, polyps, tuberculosis, adhesions, and Meckel's diverticulum, which can affect the normal peristalsis of the intestinal tract and become the cause of intussusception. predisposing factors.

"This is a reward for completing a thousand times of empathy." The system npc said, "Actually, it's not really a reward, you are helping me with data collection. It is Zhou Congwen, who is so clever that he treats a cow as a horse It sounds so good."

The system npc smiled and didn't speak, his muddy eyes gradually became clear, revealing a burst of joy.

The position just now is the most comfortable position. If you move around a bit, a slight change in the position will cause terrific pain.

This incident left a deep impression on everyone in the family, and even now it is often mentioned.

Intestinal motility is active in children, and intussusception may occur due to disturbance of intestinal motility at the age of supplementary food.Upper respiratory tract or gastrointestinal tract infection in children is often accompanied by enlarged mesenteric lymph nodes, which may also affect the normal peristalsis of the intestinal tube and cause intussusception.

"Dad, what's the matter?" the son asked softly.

"I think what the doctor said makes sense." Ji Xiang whispered, "Or just have an operation."

"Dad, don't believe them." The man curled his lips and said contemptuously, "It's all intussusception, what tricks can the treatment do, you say yes. Let's say, appendicitis can get it, but whether it's a child Or the elderly, no matter how old they are, should they be treated conservatively and hang water, or else they should be operated on?"

"..." Ji Xiang wanted to explain, but just as he was about to speak, he felt a stabbing pain in his stomach.

(End of this chapter)