Ji Xiang chuckled, moved for a while, and found no complaints of discomfort, so he felt relieved.

"Teacher, the situation was critical just now. Please follow the emergency. If we follow the normal procedure, if you think I have appendicitis, I will have to get a knife." Ji Xiang said calmly.

The system NPC was noncommittal and changed the subject and asked, "Tell me, what are your experiences?"

Ji Xiang thought for a while, "Teacher, do you have to experience accidental situations every time you feel the same way?"

"Mostly."

"It is relatively rare for testicle torsion to occur on the right side, and it also presents clinical symptoms of appendicitis. It is estimated that you will never see a case in your lifetime." Ji Xiang complained.

"I've seen two cases, and they were both misdiagnosed." The system NPC said.

"!

!”

Ji Xiang was stunned for a moment.

"Teacher, how did you do it?"

"intuition."

Ji Xiang never dreamed that the extremely professional system NPC would give such an answer.

Do you rely on intuition to see a doctor? Do you want to do fortune-telling?

"When you see many patients, you will naturally develop a natural intuition. This is the accumulation of experience and an explosion of luck." The system NPC said calmly.

"Teacher, look at what you said."

"That's the truth." The system NPC said, "You'll understand when you go on clinical duty. Some people are lucky and sleep until dawn. Some people are terrified, and there are a lot of emergency patients every night shift."

"This has nothing to do with diagnosis." Ji Xiang felt that the system NPC's words were a little off track.

"I used to have a little doctor under me, and his class was very busy." The system NPC smiled, "And all kinds of rare cases came in his class. Let me ask you, what emergency department in the thoracic surgery department is the rarest and most deadly?"

"..." Ji Xiang was confused and shook his head.

"Rib fracture complicated by aortic dissection." The system NPC explained, "The pain of the aortic dissection tear is masked by the pain of the rib fracture, and it is just a rib fracture. 64-slice CT will not be routinely performed."

"So some patients die suddenly and inexplicably."

The hair on Ji Xiang's back suddenly stood up.

He did not fully understand the rib fracture combined with aortic dissection mentioned by the system NPC, but the torsion of the testicles he had just experienced showed symptoms of acute appendicitis, which he had just experienced.

This is because I know the purpose of the system, so I managed to avoid it in the end. If it were an ordinary person, I would probably have to remove the necrosis.

In many cases, life is indeed fate, and no one can control it at all.

Doctors are also part of destiny, and what the system NPC says makes sense.

"Teacher, what happened to the little doctor under you?"

"In 8 years, we have treated a total of 6 patients with rib fractures and aortic dissection. Once he received the patient, the chief resident and the second-line professor on duty all rejected the diagnosis. He was restless and called me at 2 o'clock in the middle of the night.

.”

"He only said one sentence, boss, all inspections are fine, but I always feel something is wrong."

"!

!”

Ji Xiang was shocked by this reason. How could he be such a doctor?

Are you kidding?

"The patient had a normal CT scan, and the films were all fine in my opinion. But I knew him well, and we pushed the patient together in the middle of the night to do a bunch of tests, and it was determined that it was aortic dissection, which is a big emergency issue." (Note)

"Awesome." Ji Xiang murmured in praise.

"Do you know why I agree with you adding free attribute points to luck?"

It turns out there is such a saying, Ji Xiang is awe-inspiring.

Not all diseases can be solved by performing surgeries up to LV9. There are always limits to manpower under the constraints of technological level.

"Humans, there are always some inexplicable sudden deaths." The system NPC continued, "I once went to eat. I have a quirk. I like to sit in the hall when I go out to eat. It becomes lively when there are too many people."

"Teacher, you like the fireworks in the world." Ji Xiang said with a smile.

The system NPC waved his hand. He seemed not to be able to hear such a literary description. To him, this was just fun.

"At that time, someone choked on his food and had difficulty breathing. What would you do if it was you?"

"Heimlich First Aid."

"Well, that's what I did at that time." The system NPC said, "In the end, it failed."

"!

!" Ji Xiang was puzzled. The system NPC's first aid level must be quite high. He even suspected that after Heimlich's first aid failed, the system NPC could directly cut the patient's throat with a table knife to ensure the most basic breathing.

How could it fail!

"The fresh-cut live octopus that the patient ate was like a plate of freshly cut octopus with its legs still moving around. Because the suction cups on the legs firmly sucked into the throat and airway, causing suffocation."

"I first used the Heimlich first aid, but it didn't work. Then I immediately did a cricothyroid puncture. After opening it, it still didn't work. The octopus legs were actually in the airway..."

The system NPC is a bit regretful.

Ji Xiang is awe-inspiring.

With the level and ability of the system NPC, he was helpless against a foreign body in the airway.

"So, as a doctor, you must know that the ceiling of your level and ability is limited by basic disciplines." The system NPC looked at Ji Xiang and said seriously, "Misdiagnosis and mistreatment are inevitable, and we can only reduce the probability."

"Teacher, I understand." Ji Xiang nodded obediently.

"Okay, let's learn how to restore the testicular torsion."

"Testicular torsion is often caused by the lack of normal fixed tissue around the spermatic cord within the vagina, resulting in abnormally mobile testicles."

"The general probability of occurrence is 1/4000. The trigger can be trauma or sports, but more often it is spontaneous spermatic cord torsion, which mostly occurs when waking up from sleep. The reason is that the sudden contraction of the cremaster muscle causes the spermatic cord to

Circle.”

"Teacher, is this healthy for young people?" Ji Xiang suddenly asked.

"It is possible." The system NPC said, "Testicular torsion is more common on the left side, which may be related to the longer spermatic cord on the left side. During diagnosis, acute testicular torsion typically presents with acute vaginal pain, but there are also patients

The pain is not obvious or is gradual.”

"There are several conditions that are more difficult to diagnose, one of which is the patient who is experiencing something similar to appendicitis, and the other is the patient who has intermittent pain."

The system NPC explained in detail, and Ji Xiang listened carefully.

He has a good memory and almost never forgets. In addition, he has learned all this knowledge before, but he is not as detailed as the system NPC.

Moreover, after Ji Xiang's personal experience, he has some detailed experiences. Whenever the system NPC talks about a place, Ji Xiang and his own personal experience will refer to each other, and if there is anything he doesn't understand, he will ask.

Diagnostic and operational levels are constantly growing.

Ji Xiang understands that the meaning of empathy is to allow oneself to understand the pain of the patient, and more importantly, to have a thorough understanding of the pathogenesis of a disease.

Although it was only a possibility, after experiencing it once, I entered a brand new world.

…

…

Note: I was that unlucky little doctor. I was restless that night. All the examinations were fine, but I just felt that there was something wrong. I called the director in the middle of the night and solved the problem.
Chapter completed!