"Teacher, I'm here." Ji Xiang became more and more familiar with the system NPC, and greeted him familiarly when he came in.

But he was familiar with everyone, and as soon as he entered the system space, he bowed honestly and respectfully.

"Taking on a new mission." The system NPC smiled.

"Well, sir, I want to continue learning laser lithotripsy and stone removal surgery."

"bring it on."

The conversation between the two was quite simple, without any sloppiness.

We are already very familiar, so there is no need to be polite.

The system NPC took Ji Xiang to the system operating room and began surgical training.

"Strictly speaking, lithotripsy and lithotomy surgery are not emergency rescue operations." The system NPC slowly explained to Ji Xiang at the beginning, "Although the patient is in severe pain, it is not a stab wound, car accident, cardiovascular and cerebrovascular blockage, etc. It will take half an hour.

He could die within a few hours."

Ji Xiang felt sad when he thought of the scene where he felt the same.

In the past, he would definitely have the same idea as the system NPC. But now, when Ji Xiang thinks of the pain that makes him collapse, he has a different opinion.

"Do you think emergency patients need emergency treatment?" The system NPC seemed to know what Ji Xiang was thinking. He asked calmly while brushing his hands.

"Yeah." Ji Xiang didn't hide his thoughts and nodded, "Teacher, it hurts so bad. I feel like I'm in shock."

"Haha." The system NPC smiled and did not explain too much to Ji Xiang.

Ji Xiang is a graduate student, not a serious doctor yet. Empathy allows him to think about problems from the patient's perspective, but as time goes by, he will think about problems from the doctor's perspective.

By then, Jixiang will be a complete entity.

"The treatment equipment is an F8.0~9.8 mm rigid ureteroscope, a holmium laser lithotripter, a camera system and a pressure pump. The anesthesia method used during the operation is continuous epidural anesthesia, and supplementary sellar area anesthesia is required, and then the selection

Suitable lithotomy position.”

Although Ji Xiang is already at level LV7 in lithotripsy, the system NPC still takes the trouble to start with the most basic knowledge.

After starting the operation, the system NPC showed Ji Xiang the difference between the zebra guidewire and the 4F ureteral cannula. As for the implantation method, the system NPC explained in more detail.

Whether it is the rotation method or the upward lift method, it is extremely difficult.

In fact, Ji Xiang was able to complete the surgery relatively smoothly with LV7 level surgical techniques.

However, the system NPC has very high requirements for Ji Xiang. Ji Xiang is not as arrogant as he was when he first learned the surgery. He just asks if he doesn't understand, especially some details.

Ji Xiang has benefited a lot from the subtle differences between hand shape and finger strength, as well as the rotation method and the upward lift method.

After an operation was completed, Ji Xiang's energy level actually consumed 1.5 points.

Different insertion methods are used according to different conditions of the patient. If the guide wire cannot be inserted, the method should be to use a perfusion hydraulic pump to expand the ureteral opening, and use a safety guide wire to guide direct vision placement.

Even level LV7 people cannot understand all the details here.

The more he studies, the more Ji Xiang admires the system NPCs.

The strength of the NPCs in the system is unfathomable, although level LV7 is much higher than that of the professor leading the team, reaching the first-class level in the provincial capital.

But even so, it is impossible to foresee the back of the system NPC.

After the surgery, Ji Xiang found that his experience points increased by a full 300 points from one surgery instead of 100!

"Teacher, isn't lithotripsy surgery a minor surgery? Why are you given so many experience points?" Ji Xiang asked as he didn't understand.

"Who told you?" The system NPC stepped down and took off sterile gloves, "Laser lithotripsy surgery is a level 3 surgery, and circumcision surgery is only a level 1 surgery. How can it be the same?"

Yes, Ji Xiang nodded.

"Teacher, if this is the case, it seems... it seems..." Ji Xiang had a weird idea in his mind, and he couldn't express it for a moment.

"You mean it's easier to reach full level than circumcision?" the system NPC asked.

"yes."

"The more advanced the surgery itself, the less common it is. For example, the most difficult surgery in urology - total cystectomy and intestinal replacement surgery..."

"Teacher, wait a minute!" Ji Xiang interrupted the system NPC.

"how?"

"Isn't kidney transplantation the most difficult surgery in urology?" Ji Xiang asked in surprise.

"Kidney transplantation is actually not difficult." The system NPC gave Ji Xiang a definite answer, "Compared to surgery, the work before and after kidney transplantation is also very important. Even the rejection reaction after surgery is very important.

The solution is more important than the transplant itself."

Ji Xiang was a little confused.

In his mind, all surgical transplant operations are extremely difficult and are crown jewel-level operations.

But the system NPC actually said that the most difficult surgery in urology is total cystectomy and intestinal replacement of the bladder.

Everything is cut, so what else is difficult?

Ji Xiang was confused for a moment.

However, don’t think too much about things you don’t understand, just learn the surgery step by step from the system NPC.

Seeing that Ji Xiang stopped asking questions, the system NPC continued, "Even the urology department of the top tertiary hospital in the country, such as the urology department of 912, only performs more than 200 similar surgeries a year."

"So few!"

"The surgery itself is extremely difficult. The higher the difficulty, the more patients you choose." The system NPC explained calmly, "In other words, the later the training system becomes, the more advantageous it will be. I guess you have already thought of it, right?

"

"..."

Ji Xiang was speechless.

In his mind, it should be more difficult as it gets later.

Why is it that the advantage of the system compared with reality at the beginning is not as great as it was later?!

Ji Xiang himself had already taken advantage of the system. In just a few days, he upgraded his circumcision surgery to LV9, achieving something that countless people could not do in their entire lives.

But that was because the system had opened a backdoor, and I was rewarded for experiencing it three times.

According to the system NPC, the system actually has invincible attributes in the later stages!

"Learn surgery well." The system NPC knew what Ji Xiang was thinking, and he smiled slightly, "You level up quickly because you have good physical fitness and can endure loneliness. It is not easy to be able to endure loneliness.

"

"Young people, with their busy minds, it's not that easy to endure loneliness."

Ji Xiang didn't think anything of it. He thought it was quite fun to delve into surgery.

Being idle is nothing, it's better than going racing on Hushan Road with those people, isn't it?

"You will perform the next surgery," the system NPC said.

Ji Xiang helped the nurse and the anesthetist carry the simulator onto the flat car, and then sent it away to brush his hands and start a new surgical training.

…

…

It's already dark, it's the urologist's office.

"Mr. Wu, let's have a glass of apple juice." Lu Kai held two disposable paper cups and handed one of them to Mr. Wu.

Mr. Wu's face was slightly pale and full of exhaustion.

This day was so stressful. Now everything has settled and the patient's surgery was successful, which can be regarded as avoiding an uncontrollable malignant event.

No one died, Director Liu took care of the patient's family, and the matter came to an end.

Mr. Wu is ready to take a good rest.

Taking the apple juice and blowing on the foam, Mr. Wu sighed, "Ever since the nurse bought the juicer, every time I see the apple juice, I subconsciously blow on the foam to get a smell."

"Do you feel your teeth are irritated when you drink it?" Lu Kai asked.

"Of course I feel it." Mr. Wu drank the apple juice in one gulp and smacked his lips, "I always feel that there are small scattered stones in it."

"Yes!" Lu Kai patted his thigh, "I feel the same way! I don't know if it will be better when I rotate to other departments."

After replenishing the energy with a glass of apple juice, although he has not yet absorbed it, Mr. Wu feels a little better.

"Lu Kai."

"Eh."

"Tomorrow I will take Ji Xiang for surgery. You can follow and watch. If you think it is okay, I will take you to do it too when I find time." Mr. Wu felt a little sorry for Lu Kai and made the matter clear in advance.

"I don't want to have surgery." Lu Kai looked at Mr. Wu with a smile, and an indescribable dazzling light suddenly appeared on his wretched face.

"Um?"

Mr. Wu was startled.

During the rotation, the trainee squats in the department all the time, isn't it just to please the chief resident, so that he can go on stage to help when there is an emergency?
To be continued...