: Treating yourself as a cow or a horse sounds so nice

"Doctor Xiao Ji, you haven't gone back yet." Mr. Miao finished washing and saw Ji Xiang and Zhao Zhe still chatting, so he came to say hello.

Just now Ji Xiang said he was going back to rest, but he didn't expect that he was still there.

"I took the call and I'm leaving now." Ji Xiang said, "Mr. Miao, please go to bed early."

"Okay, my shift has always been very good. There are almost no emergency surgeries. It's not like those losers who come to the emergency room as soon as they are on duty." Mr. Miao said with a little pride.

When Ji Xiang heard what Mr. Miao said, a chill suddenly ran down his back and goosebumps spread all over his body.

Mr. Miao actually said such a suicidal statement while on duty. This is suicidal.

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

But no matter how fast Zhao Zhe reacted, what Mr. Miao said just now was like a forbidden curse, exploding the moment he finished speaking.

The cell phone rings.

Mr. Miao was slightly startled and answered the phone.

"Radiology department? How old are you?"

"A patient in his seventies with intussusception still needs air enema. Have you told the patient's family?"

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

Ji Xiang looked at Mr. Miao intently. He was obviously a little angry. Although Mr. Miao's simple exchange with the person on the other side of the phone was sloppy, he could probably guess what it meant.

Intussusception refers to a segment of intestinal tube being inserted into the intestinal lumen connected to it, causing obstruction in the passage of intestinal contents. Intussusception accounts for 15% to 20% of intestinal obstruction.

There are two types: primary and secondary. Primary intussusception is more common in infants and young children, while secondary intussusception is more common in adults.

Children have active intestinal peristalsis. At the age of supplementary feeding, intussusception may occur due to disordered intestinal peristalsis. Infections of the upper respiratory tract or gastrointestinal tract in children are often accompanied by enlargement of mesenteric lymph nodes, which may also affect the normal peristalsis of the intestines and cause intestinal tract infection.

Intussusception.

But intussusception in adults is different from intussusception in children.

Although they are all called intussusception, adult intussusception mostly occurs in the intestinal tube with disease, such as benign or malignant tumors, polyps, tuberculosis, adhesions and Meckel diverticulum, which can affect the normal peristalsis of the intestinal tube and become a cause of intussusception.

Predisposing factors.

Intussusception in children is treated with air enema, while in adults most cases require surgical treatment.

Although they are both intussusceptions, the treatments are completely different.

No wonder Mr. Miao was so angry. It was probably because some bad doctor in the emergency department didn't know the difference in age and subsequent treatment of intussusception, so he called Mr. Miao for a consultation.

Ji Xiang thought for a while, concentrated briefly, and came to the system operating room.

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

The system NPC was well-informed and was not surprised. He just smiled slightly and said, "Similar situations are rare, but they do exist. Doctor Xiaoji, let me ask you, what would you do if you encountered a similar situation in clinical practice."

"I?!"

Ji Xiang's mind flashed, and he immediately thought of empathizing with it and analyzing the pros and cons, thinking about this matter from the perspectives of patients, family members, and doctors.

"Have you thought about it?" The system NPC understood everything and looked at Ji Xiang with a smile and asked.

"I want to experience it from the patient's perspective," Ji Xiang said.

"Why?"

"The perspective of the patient's family is rather weird. Either they don't understand the 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 at the first time. And..."

Before Ji Xiang finished speaking, the system NPC nodded, "The idea is basically correct, but the experience is different from every angle. Give it a try. It won't hurt too much, so there's no harm in giving it a try."

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

"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 collect data. That is to say, Zhou Congwen is so smart that he treats people like cows and horses.

It sounds so nice."

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

The system NPC smiled and said nothing. His cloudy eyes gradually became clear, revealing a hint of joy.

Ji Xiang deliberately avoided the topic of data collection, and the system NPC did not elaborate on it, so he took Ji Xiang to the surgery room next door.

Light and shadow flickered, and Ji Xiang felt cold.

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

Fortunately, I was covered with another piece of clothing to keep myself a little warmer.

Searching the memory, Ji Xiang was speechless.

I am a 73-year-old male. In the past few days, I have developed symptoms of intestinal obstruction, abdominal distension, very little flatulence, and no bowel movements.

I came to the hospital for a check-up, and after doing an abdominal CT, it was found to be intussusception.

The emergency doctor said that he would be admitted to the hospital for surgery, but his son insisted that he could never undergo surgery. The treatment was air enema.

This is true. A few years ago, my grandson suffered from intussusception when he was a child. At that time, the whole family panicked when they saw the grandson with blood in his stool and a bloated belly.

Especially since there was only one hospital in the city that could perform air enema. At that time, I was holding my baby in my arms and frantically going to various hospitals for help. In the end, the doctor from this hospital spent half an hour solving the problem, and the baby seemed fine.

This incident left a deep impression on everyone in the family, and we still talk about it now.

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

These are all path dependencies.

My son is right, air enema is indeed very useful, but...

Ji Xiang cried out in his heart.

"Wait a moment." The radiologist said coldly, "The gastrointestinal surgeon will be down soon, but let me tell you first, again, adult intussusception is different from pediatric intussusception."

"Hey."

Ji Xiang's "son" sneered.

"Xiaohua, come here." Ji Xiang waved.

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

Oh shit!

Ji Xiang cursed in his mind.

The position just now is the most comfortable position. If you move around, the slightest change in position will cause severe pain.

Just once, cold sweat broke out.

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

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

"I think what the doctor said makes sense." Ji Xiang whispered, "Why don't we just do surgery."

"Dad, don't believe them." The man curled his lips and said disdainfully, "It's all intussusception. What else can be done about the treatment? You think so. If we say that, appendicitis will happen, but no matter whether it is a child

Or for the elderly, no matter how old they are, should they be treated conservatively and get watery discharge, or should they undergo surgery?"

"..." Ji Xiang wanted to explain, but as soon as he was about to speak, a stabbing pain came from his stomach.
Chapter completed!