Doctor of Healing

"That's right." The system NPC didn't find it strange, "Experienced clinicians will notice some very critical details. The key is actually more important than the details."

"Do you understand what I said?"

"I probably understand." Ji Xiang nodded with high comprehension, "Teacher, is it because the patient's too obvious signs are misleading, and the small, really important signs are ignored, which eventually led to a wrong diagnosis."

"Yes." The system NPC nodded.

"Then I'll think about it too." Ji Xiang frowned.

"Go talk to that Dr. Meng. Intuition is an extremely important part of clinical experience." The system NPC said seriously.

Intuition turned out to be a very important part of clinical treatment. Ji Xiang would have scoffed at it a few months ago.

But based on his understanding of the system NPC and Meng Qingfei, he knew that this was true.

When Ji Xiang came back, he saw that Meng Qingfei was still in deep thought. He asked, "Mr. Meng, do you think there is something important that you saw but missed?"

"Yes!" Meng Qingfei nodded, "I've thought about the patient just now many times, and it's impossible to misdiagnose it. But when I think of her, I vaguely feel that something is wrong."

If it was a urology doctor, he would laugh at Meng Qingfei for looking at other girls and drive a car.

But Ji Xiang was not that kind of person, he was very serious, and he didn't even think about that.

"If you can't find something when you usually look for it, you can wait a little longer. Maybe you will appear in front of your eyes in a few days." Meng Qingfei frowned, "But the patient has already been admitted to the hospital. If there is a delay of several hours, once the surgery is performed..."

As Meng Qingfei spoke, he cursed in a deep voice, "Damn it, what's wrong?"

Jixiang has experienced empathy many times, so he has an almost instinctive reaction.

Once the diagnosis is wrong and the operation is performed on the stage, the patient still suffers from pain after surgery...

Neither the doctor nor the patient, nor the family members of the patient can accept it.

After Meng Qingfei said a few words, he didn't say anything more, and fell silent.Ji Xiang didn't talk to Meng Qingfei to disturb him, but disassembled the process of Meng Qingfei's physical examination frame by frame in his mind.

It's all right, no problem at all.

Whether it is from the patient's chief complaint, physical examination, or clinical auxiliary examination, it is a very common and typical acute appendicitis.

After more than ten minutes, Meng Qingfei's train of thought was interrupted by a patient. After dealing with the emergency patients, he simply got up and explained to the internist, asking her to look after him for a few minutes, and trotted to Ward No. [-] of the Gastrointestinal Surgery Department.

Ji Xiang went with Meng Qingfei, and he wondered what Meng Qingfei was thinking.

When he came to Ward No. [-], Meng Qingfei was not polite. When he saw the nurse, he yelled, "Where's your boss?"

The nurse was taken aback, "Damn, why is it you, Brother Meng! What about the patient? A car accident? Or a knife stabbing?!"

The emergency surgery doctor hurriedly followed the patient, guessing that the patient's blood pressure had approached zero endlessly. After the nurse asked, she subconsciously hugged the sphygmomanometer and prepared to start rescue.

Meng Qingfei realized that there was something wrong with his attitude, so he calmed down a bit, "There are no emergency patients, and a female patient with acute appendicitis was admitted just now, so she should be hospitalized."

"Shut up, the boss said he was going to have an operation. Just after the skin preparation, there are a bunch of caesarean sections in the operating room, and they are still waiting."

Meng Qingfei calmed down a little, and said with a smile, "The fertility rate is so low now, I didn't expect that there are many caesarean sections."

"Damn, all the pregnant women in our provincial capital are rushing to the First Affiliated Hospital and the Second Affiliated Hospital. The obstetrics and gynecology hospital has long since run out of patients." The nurse said.

"Old Meng, why are you here?" The boss of Gastrointestinal heard someone talking, came out and saw Meng Qingfei, and greeted him, "Another patient? Why are you so popular in this class? When are you retiring?"

"No, I'm not that bad." Meng Qingfei said, "Where is the female patient who was admitted for diagnosis of acute appendicitis just now? I'll go and see."

The boss of Gastrointestinal laughed, "Lao Meng, you're going too far, it's not nice to say it."

"What are you thinking about?" Meng Qingfei scolded, "Have you had a medical examination?"

"Huh?" The boss of Gastrointestinal was startled.

"Acute appendicitis?"

"Yeah, your old Meng gave the diagnosis, can't you?" The boss of Gastrointestinal asked back.

But after a few seconds he came to his senses, "Lao Meng, do you have another question? You drew blood from the patient, and she has an infectious disease? I didn't wash my hands just after the body check."

"There is no infectious disease, where are you thinking?" Meng Qingfei said, "I just feel something is wrong, not like appendicitis."

"Ha, don't be kidding, how is it possible." The boss of Gastrointestinal said, "I also had a physical examination, and it must be appendicitis. You have done so many examinations, and you have checked all the diseases that should be screened. I slandered you in a low voice, saying that the current doctors would not see a doctor without a machine examination."

Meng Qingfei ignored this level of ridicule at all, he said it again, and the boss of Gastrointestinal took him to see the eye patient.

Under the strange eyes of the patient's family members, Meng Qingfei checked his body again.

McBurney's point is more obvious tenderness, and there is no doubt about the diagnosis of appendicitis.

After leaving the ward, the boss of Gastroenterology whispered with a smile, "Lao Meng, don't make a fuss, look at the eyes of the patient's family members, they probably think you are an idiot, and you will have to make a fuss."

Chapter 338 Doctor's Intuition

"Old Meng." The boss of Gastroenterology looked at Meng Qingfei with pity in his eyes, "Your hands are itchy, right? I understand your thoughts."

As he said that, he pulled Meng Qingfei aside, lowered his voice, and said, "I came late, we didn't communicate with each other in the department, but I heard about you. Several professors who led the team said that your level of laparoscopy was this level back then. "

He gave his right thumb up.

"But it's been abandoned for so many years." The boss of Gastrointestinal sighed deeply, "It's okay if you want to have a good time with surgery, I'll call you when you're not on duty. Come on, let's play the role." .But today you know, it should be inconvenient, don't you think?"

Meng Qingfei knew that the boss of Gastrointestinal had misunderstood what he meant. He looked at the boss of Gastrointestinal with complicated eyes, and then his complicated eyes were full of jokes.

"You are in the emergency department, hurry up and go to duty, it's not good to be caught off duty." The boss of Gastrointestinal advised.

"Ah."

This is true, Meng Qingfei ran all the way to avoid wasting time.

"Surgery, if it can be later, then later."

The boss of Gastrointestinal made a few perfunctory words and sent Meng Qingfei away.

"Brother Liu, I heard that Dr. Meng from the emergency department used to belong to us, right?"

"Well, it's a pity." The boss of Gastrointestinal said.

"My master told me that Dr. Meng was among the first batch of us to perform laparoscopy when he first came, and his level is so high! Why did he go to the emergency room?"

The boss of Gastrointestinal did not explain. This kind of matter involves the director. As long as he is not stupid, he will not gossip with the little nurse around him.

……

……

"Mr. Meng, do you see anything unusual?" Ji Xiang asked.

Meng Qingfei didn't say a word, and ran back to the emergency department.

After 10 minutes, no patient came to see the doctor. After greeting the emergency physician, Meng Qingfei sat in the consulting room and looked up at Ji Xiang.

"Xiaoji, you have seen all the examinations and consultations just now, what do you think?"

Ji Xiang was speechless.

Meng Qingfei didn't have an answer, so he asked himself instead.

Guessing that Mr. Meng Qingfei was going to brainstorm, Ji Xiang pondered.

"Tell me casually, maybe there are details that you noticed but I didn't." Meng Qingfei said in a deep voice.

"Yeah." Ji Xiang nodded.

After hundreds of times of sharpening his insight, coupled with his super strong memory, it is true that Meng Qingfei is not as good as Ji Xiang in recalling the details of the physical examination at that time.

But Jixiang recalled and recalled again, but still couldn't figure out what the problem was.

Finally, under Meng Qingfei's repeated questioning, Ji Xiang simply let Meng Qingfei lie on the bed.

The internist was fine, standing at the door and watching the two of them "playing around" with a smile.

"Mr. Meng, the patient is lying down like this." Ji Xiang put Meng Qingfei in a position, which felt very novel to Meng Qingfei.

But he had something on his mind, so he didn't say a word, and concentrated on recalling according to Ji Xiang's arrangement.

"Hand, it's like this; the left leg is slightly bent, and the right leg is straight."

"Details." Meng Qingfei said in a deep voice, "More details."

"Emmmm...the trouser leg, here it is." Ji Xiang pulled up Meng Qingfei's trouser leg a little, "I wanted to protect my left arm all the time, but you bent the patient's legs at that time, that's it."

"What are they doing?" The nurse passed by and asked in surprise when she saw this scene in the surgery clinic.

"Who knows, it is said that Lao Meng diagnosed and sent a patient with acute appendicitis to the hospital for surgery. But Lao Meng didn't know what evil he had committed, so he said something was wrong." The physician replied with a smile.

"Isn't this sick? What's wrong with Brother Meng recently? He's suspicious, does he have obsessive-compulsive disorder?" The nurse smiled. I can't even go to class."

As she said that, the nurse was taken aback, "I'll go, Brother Meng doesn't know how to perform immersively, right? He wants to retire from illness?"

"Your way of thinking is really wild. But I think it's also sick. Tell me, are Lao Meng and Xiaoji playing cosplay? At work, they are not serious at all."

Just as he was talking, Meng Qingfei suddenly grabbed Ji Xiang's hand.

"!!!"

"No! Xiaoji, what did you do just now?"

"Nothing." Ji Xiang was stunned, and then repeated the previous step, "At that time, you had to move the patient's hand away, and the patient seemed a little scared, and then you held the sleeve..."

"Yes, that's right here!" Meng Qingfei sat up suddenly, "Xiaoji, do you have red spots on the patient's wrist and forearm?!"

"Yes." Ji Xiang gave a very positive statement.

Ji Xiang seemed to think of something when he saw Meng Qingfei, but what does it matter if there are a few red spots and pain in the right lower abdomen?

Picking up the pen, Ji Xiang spent a few dots on Meng Qingfei's arm.

The position of each erythema is very precise, and there is no slight difference between the position of the erythema on the patient's forearm and wrist.

"Mr. Meng, that's all I could see at that time." Ji Xiang said after finishing painting on Meng Qingfei's arm.

Meng Qingfei stared at the mark Ji Xiang had drawn on his arm, without saying a word.

"What's wrong with Lao Meng? Is there a mental problem?"

"I don't know, the cosplay of the two of them is not similar." The little nurse said in a daze.

Meng Qingfei sat on the examination bed with a serious face, not knowing what he was thinking.

Ten seconds later, Meng Qingfei picked up his mobile phone and made a call with a straight face.

"President Liu, I, Meng Qingfei."

"Don't hang up the phone, go ask now... You can't have surgery, absolutely not!"

"After the appendix is ​​removed, if the patient continues to have abdominal pain, how can you explain it!"

Meng Qingfei's words have begun to become harsh, and Ji Xiang feels a bit similar to [the superior doctor's gaze].

"You, now ask the patient and the family members of the patient if there is any history of allergic purpura in the past history."

"Yes! I asked about the past history before, but the patient didn't say anything. Now, immediately, immediately!"

After finishing speaking, Meng Qingfei held the mobile phone in his hand, with a straight face, his eyes gradually narrowed.

The emergency physician was stunned, allergic purpura?Acute appendicitis?

Soon, there was a loud noise on the phone. Listening to the conversation on the other side of the phone, Meng Qingfei's expression quickly melted like ice, and a smile appeared on the corner of his mouth.

"Brother Meng, the patient really has a history of allergic purpura."

"I guess it's abdominal purpura, not acute appendicitis." Meng Qingfei said in a positive tone, "Go to the relevant department for consultation, or... Forget it, you can ask the second-line professor on duty what to do."

"Brother Meng, wait a minute." The gastrointestinal hospital chief shouted.

"Hurry up, I'm going to hang up. Remember, before you get a rheumatism diagnosis, you can't go on stage if you die!" Meng Qingfei finished telling, and hung up the phone with a sense of relief.

Ji Xiang has already told the system NPC all this, and the diagnosis of the system NPC is the same as that of Meng Qingfei.

Ji Xiang admired Meng Qingfei's keen "intuition".

Indeed, this is part of the clinical experience.

Chapter 339 You Are Really a Dog

"Xiao Ji, you are amazing." Meng Qingfei looked at Ji Xiang and praised.

"Mr. Meng, you should be the most powerful." Ji Xiang said sincerely.

"Enough is enough for the two of you." The emergency physician interrupted their "commercial exchange", "Lao Meng, what's going on? Let's talk about it."