Doctor of Healing

It's just that the patient's fever was obvious. When the quilt was lifted, she felt a puff of smoke coming out, and her skin felt hot when she touched her hand.

At least 39 degrees, Mr. Miao frowned and looked at the patient's family, "You come."

After finishing speaking, he turned around and was startled when he saw Ji Xiang following behind him.

"Doctor Xiaoji, just go to my duty room and wait."

"Ms. Miao, I'll follow along." Ji Xiang looked at the patient thoughtfully.

Mr. Miao had something to do, so he was not too polite with Ji Xiang. He left the ward but did not go far, standing at the door.

"Your mother has a fever, go to the nurse and take a thermometer to measure her temperature, don't use a temperature gun." Mr. Miao specially warned, "I recommend emergency surgery."

"Doctor, my mother is not in good health..."

The patient's family members said with a sad face.

Mr. Miao couldn't help it. The preoperative explanation and the anesthesia notice contained many complications that would occur in the elderly, but he couldn't say nothing was wrong.

"Well, I want a bedside B-ultrasound to take a look. If there is a possibility of perforated appendix, we will go to the stage immediately. Perforated, the stool accumulated in the appendix enters the abdominal cavity, and there is no need for surgery. If you wait any longer, it will be fatal."

"Doctor, no way, didn't you say it's unlikely?"

"It is indeed unlikely, but there is an old saying that the heart is separated from the belly, and the instrument can only be used as a reference. You should prepare for emergency surgery first, and if there is any problem, we will go to the operating room immediately."

Seeing that the patient's family members were still hesitating, Mr. Miao said seriously, "Emergency surgery is not something we can do as we want. I have to bring up the surgery order. There are anesthesiologists and nurses who specialize in emergency surgery. If there are a few caesarean sections in the front If so, at least in the afternoon."

"..."

Mr. Miao's words seem to have nothing to do with persuading the patient's family, but after hearing what he said, the patient's family suddenly felt a vague sense of urgency to live in rare goods.

It's not something you can do if you want to do it, you have to queue up.

Mr. Miao was very experienced, and a seemingly irrelevant sentence put a weight on one end of the balance.

Calling the nurse to take the thermometer, Mr. Miao was afraid that the patient's family would not hear clearly and use the temperature gun.

The temperature gun needs to be corrected. Anyway, Miao always feels that it is not as trustworthy as the old-fashioned mercury thermometer.

"Doctor Xiaoji, I'm sorry, I have to be busy here for a while." Mr. Miao looked back and saw Jixiang, and he said very embarrassed.

Although it's okay to take Jixiang to his duty room for a chat, Mr. Miao feels that the patient with acute appendicitis is seriously ill. He is worried and wants to see the results of the B-ultrasound.

"Ms. Miao, there is something wrong with the patient's condition." Ji Xiang didn't care about Mr. Miao's embarrassment, but frowned and said, "Mai's point tenderness is obvious, but the area is not small, and the pulling pain is also obvious. Like appendicitis."

"..." Mr. Miao was taken aback.

There was nothing wrong with the patient's diagnosis. At first, the pain was transferred, and then it was fixed at the McBurney's point in the right lower abdomen, and there was referred pain.

The location is more precise, at least not full of stomach pain like many patients, and it is impossible to judge that it is acute appendicitis.

How could Dr. Jixiang say that? !

Although he questioned Ji Xiang in his heart, Mr. Miao didn't show it. He just smiled gently and turned to contact the bedside color B-ultrasound.

Just as he was about to make a call, Ji Xiang whispered beside him, "Ms. Miao, can I ask Mr. Kong for a B-side ultrasound?"

"Teacher Kong? Which Teacher Kong?" Mr. Miao was puzzled.

"Director Kong of the B-ultrasound room." Ji Xiang explained.

"!!!"

Mr. Miao looked at Ji Xiang with surprised eyes.

The bedside color B-ultrasound is scheduled, and the doctors who come are ordinary little doctors.

If he called Director Kong, he would probably be scolded, or else no one would take care of him at all.

Why did Dr. Ji Xiang open his mouth and it was Director Kong.

Mr. Miao is not slow-witted. After thinking about it for a while, he realized that Ji Xiang may have a much closer relationship with Director Kong than himself.

"I can't." Mr. Miao said truthfully.

"Let me ask?"

Mr. Miao thinks that Ji Xiang is very strange, he is just an ordinary patient with acute appendicitis, why does Ji Xiang jump out again and again?

Moreover, the director of the B-ultrasound room should be asked to "personally" do the examination.

If it was an ordinary intern who jumped out to make irresponsible remarks, Mr. Miao would have pulled him aside and ignored him.

But Jixiang is different.

Mr. Miao has carefully watched every episode of the variety show, and Mr. Miao has also inquired about many things that were cut out, and has a rough understanding.

I think it is an "ordinary" acute appendicitis, there is a risk of perforation, the patient's body temperature is high, and the patient's family members are very scared, but Mr. Miao doesn't care much.

Similar patients have to see more than a hundred cases every year, as long as the perforation is treated in time and sepsis and serious complications do not occur.

Even if there are serious complications, the No. [-] Affiliated Hospital has a strong capacity for severe cases, and if you push it in one breath, you can basically come out alive. Mr. Miao has this confidence.

But Jixiang "made a big deal out of a molehill", thinking that the patient had a big problem.

eccentric.

Mr. Miao didn't say anything, seeing Jixiang took out his mobile phone, found the phone number marked Director Kong of the B-ultrasound room of the First Affiliated Hospital, and dialed it.

"Mr. Kong, hello, I'm Jixiang."

"Are you busy? I'm in the Department of Gastrointestinal Surgery. There is a patient here who is a little strange. I don't think it's just appendicitis. Can you help me?"

"Okay, I'll trouble you then."

Although Ji Xiang was on the phone, his tone and body movements were very humble, and he even bowed slightly while holding the mobile phone, as if Director Kong was right in front of him.

Although Jixiang behaved very humblely, Mr. Miao almost didn't cry.

A phone call can make the boss of the B-ultrasound room push the B-ultrasound beside the bed over. The general department heads don't have this kind of treatment, at least only those who are at the level of the vice president can do this.

If you don't talk about others, you can't do it yourself.

But how long has Jixiang been here?He is still a small intern who records a show.

He was able to summon Director Kong.

There were tears in Mr. Miao's eyes, and he was inexplicably sad.Look at other people, then look at yourself, what the hell!

"Mr. Miao, Teacher Kong will be here soon. I feel that there are some small problems in the physical examination and medical history."

teacher?

You are the teacher, Mr. Miao slandered inwardly.

Chapter 534

"Doctor Xiaoji, patient...patient..." Mr. Miao wanted to say something, but stammered and hesitated.

"Ms. Miao, the patient's pain range is a bit large. Can I read the B-ultrasound report from the emergency department before hospitalization?" Ji Xiang asked.

Mr. Miao was helpless. He thought about it a hundred times and couldn't figure out what Ji Xiang was doing.

But Ji Xiang has a request, he took Ji Xiang to see the patient's medical records.

The medical record has not been written yet, Mr. Miao blushed a little, and put this in a perfunctory way.

"This is the patient's B-ultrasound, Dr. Xiaoji, please take a look." Mr. Miao handed over the thin medical records to Jixiang.

The medical records now only have the laboratory test sheets from the emergency department, and nothing else.

Ji Xiang didn't care, as if he didn't realize the problem, he took the B-ultrasound sheet and looked carefully.

What's so interesting about this thing, Mr. Miao thought to himself.

As a clinical inpatient, Mr. Miao usually only reads the conclusions, and never looks at the images on the report card.

Ji Xiang read several test sheets over and over again, but kept silent.

"Doctor Xiaoji, what do you think?" Mr. Miao was at a loss for words.

"The image of the patient before hospitalization looked a bit problematic, Mr. Miao, don't you think her gallbladder is a bit big?"

After listening to Ji Xiang's words, Mr. Miao almost didn't laugh.

The gallbladder is a bit big!

B-ultrasound scan of the gallbladder is a busybody for emergency doctors.

They were worried about problems, so the liver, gallbladder, spleen and right lower abdomen B-ultrasound were prescribed together, and the report stated that no abnormalities were found. What's so interesting about this.

Now the patient's main complaint is abdominal pain, and the diagnosis is acute appendicitis. He must have been in hepatobiliary surgery before, so he learned to look at the gallbladder and everything else is basically blank, so...

wrong!

Mr. Miao was thinking, and suddenly forcibly interrupted his thoughts.

This is not right, absolutely not!

Jixiang can give a diagnosis of free abdominal tumors, and he knows even the details of 14 similar documents published in well-known magazines all over the world for decades. This kind of person should not talk nonsense.

"Gallbladder, is it because the patient eats that the gallbladder enlarges?"

Ji Xiang shook his head slightly, he seemed to be stunned for a moment, and the doubts on his face disappeared in less than a second.

Mr. Miao didn't pay attention to the details, and he continued, "Dr. Xiaoji, I'm not nagging, I don't know about your relationship with Director Kong, but I think it's best not to bother Director Kong about small things."

"Let's have a look together, and ask Director Kong to take a look." Ji Xiang smiled slightly, "But Mr. Miao, is there a serious queue in the operating room?"

"It's okay in the morning, and there are usually not many emergency departments." Mr. Miao said, "I'm trying to scare the family members of the patients, no matter whether it's acute appendicitis or not, the operation must be done immediately. If this drags on, I really don't know what to do. "

"That's good."

Mr. Miao saw that Ji Xiang handed over the patient's "medical record" to himself, he quickly took it, put it next to the computer, and then took Ji Xiang to the ward.

Soon Director Kong brought someone to do bedside ultrasound.

If it was an ordinary doctor, he would push the cart by himself, but Director Kong's doctors pushed the cart, and he strode ahead.

Seeing Ji Xiang in the corridor, Director Kong quickened his pace, came up to him and patted Ji Xiang on the shoulder vigorously.

"Xiaoji, these few episodes are doing well. I watched them all, and while watching them, I felt that it is really good to say that heroes come out of youth since ancient times."

"Mr. Kong, you are here." Ji Xiang said with a smile.

"What do you want me to do? When you have time to find me after get off work, you left after filming the show. I always wanted to meet you again." Director Kong said to Ji Xiang enthusiastically as if he was reuniting with an old friend.

Mr. Miao watched with tears streaming down his face.

This is not the treatment of an intern, it is even more than a director.

"Okay, Mr. Kong. There is a patient diagnosed with acute appendicitis in Gastrointestinal. I always think there is something wrong with the gallbladder area of ​​the patient." Ji Xiang said something aside, and immediately brought the topic to the patient.

"I'll go and see what you're thinking about." Director Kong took the car and pushed into the ward.

"I think the gallbladder was too large in the emergency B-ultrasound last night, and it doesn't seem to be caused by eating."

"Let me take a look first, that little seedling, go and bring me the B-ultrasound sheet from yesterday."

When Mr. Miao came back with the list, Director Kong had finished the B-ultrasound, and Ji Xiang was wiping the gel on the patient with a tissue in his hand.

"Xiaoji, the gallbladder looks fine." Director Kong said, "Do you suspect that the large gallbladder is a precursor to perforation? But the gallbladder is enlarged, the wall is thick and rough, and the continuity of the gallbladder wall is interrupted. Fluid can be seen in the upper right abdomen. There are liquid dark areas around, and I didn’t see them.”

Ji Xiang didn't speak, but carefully wiped off the coupling agent, then pulled off the patient gown, and carefully covered the patient with a quilt and tucked in the corners of the quilt.

"The appendix is ​​fine, it's not a perforated appendix." Director Kong said.

The expressions of the patient's family finally relaxed.

"However!" Director Kong said in a deep voice, "Hurry up and go to surgery, there are already signs of peritonitis, if it is later, I'm worried about shock."

shock?

shock!

The patient's family was stunned.

After receiving yesterday's report, Director Kong glanced at it, pushed the cart out, and said to Jixiang as he walked, "Xiao Ji, gallbladder perforation is rare in clinical practice. As a rare disease, it is generally not considered as a major consideration."

Director Kong's words are very awkward and colloquial, and Mr. Miao is very envious.

He could clearly perceive Director Kong's attitude towards Jixiang as a teacher treats his proud student. Instead of blaming the other party for making a mistake, he even confessed his life's experience.

"The B-ultrasound showed a discontinuous image. The position of the patient's gallbladder fundus did have a little discontinuity, but the discontinuity was not considered to be perforation, but gas..."

Director Kong kept talking.