406 Boss, you stumbled me
The phone rang, and it was the department's landline.
Zheng Ren picked it up, and the doctor from the emergency internal medicine department called. A young woman, diagnosed with acute appendicitis, has been admitted to the hospital and is on her way up.
Appendicitis, Zheng Ren greeted Su Yun, "There is appendicitis, you can take Yang Lei to do the operation in a while." ”
"Oh. Su Yun was looking down and playing with his mobile phone, not knowing whether he was chatting with someone or playing a game, and his black hair was fluttering on his forehead.
Now the emergency ward has an average of 2 appendectomy cases per day, and Yang Lei has a large number of surgical opportunities after coming to the emergency ward.
Although his talent is limited, he is well fed by the operation, and his level is stable and rising.
Soon, the patient came up.
Zheng Ren was very careful to check his body and diagnose it by himself.
The patient is a young woman, 16 years old, which is the flowering age.
Pain in the right lower quadrant for 2 days, accompanied by low-grade fever, and a complete blood count on the emergency department, with high levels of white blood cells and neutrophils, suggests infection.
The ultrasound ruled out ovarian lesions, the symptoms were typical, and the diagnosis was clear, whether it was Zheng Ren's own diagnosis or the diagnosis given by the big pig's trotters in the system.
Then prepare for surgery.
"The patient's diagnosis is very clear, acute appendicitis, when was the last time he ate and drank?" Zheng Ren asked.
The patient's father, a man in his 30s, was dressed in a way that was supposed to be from a rural area at the lower level of the city or county.
When he heard Zheng Ren ask, he immediately looked at Zheng Ren vigilantly, and replied cautiously: "It's more than 6 o'clock this morning." ”
Zheng Ren was a little strange, why was he so wary of himself?
Glancing at the time, it was not yet 10 o'clock, and there were still 2-3 hours before the time for fasting water.
"From now on, don't eat or drink. Zheng Ren said: "At 1 o'clock in the afternoon, prepare for surgery." ”
"Surgery?" the man immediately said, "Doctor, we don't want surgery." ”
"Huh?" Zheng Ren realized that the problem was coming.
The previous confusion may have something to do with the surgery.
Sure enough, the patient's father said, "I don't need surgery, just give my daughter some anti-inflammatory drugs." ”
"Acute appendicitis, if treated conservatively, there is a possibility of appendix perforation, which can be life-threatening in severe cases. "Zheng Ren is not intimidating the patient's family, he is telling the truth.
Not to mention, Fan Tianshui was not treated at that time, a man who was beaten with iron, and he was dying hard.
As far as the ......
Born in Tokyo, Japan,?? Star and model Masaki Hang, because he was worried about leaving scars on his body, refused to undergo appendectomy, resulting in appendix perforation, peritonitis, and finally died at the age of 20.
Small problems, wait a minute, it may be good, but it may also be fatal.
Surgeons are generally somewhat aggressive.
The appendix is useless to put there, it starts to hurt, rather than being conservative, it is better to cut it off.
"It's okay, it's just that my stomach hurts, nothing will happen. "The man is determined.
The girl next to her was curled up in the background of the consultation bed with her stomach covered, and the man's firmness was particularly indifferent.
"Is it a lack of money?" Zheng Ren asked "empatheticly".
"......" the reply he received was silence.
"It doesn't cost much to remove the appendix. If the family conditions are limited, we can not use laparoscopic excision, and simply undergo surgery, more than 1,000 yuan is enough. Zheng Ren wanted to convince the patient's father to press the money again and again.
"......" is silent, still silent.
"Intravenous antibiotic anti-inflammatory treatment is also expensive and risky. Zheng Ren added.
"Doctor, we don't want to have surgery, just reduce inflammation. The patient's father looked at Zheng Ren with an impatient look on his face, and said with disgust.
This time it was Zheng Ren's turn to be speechless.
Sighing in his heart, Zheng Ren nodded, took the patient's father to the office, and asked Chang Yue to give him an admission notice, and then go through the hospitalization procedures.
After the patient's father left, Zheng Ren said: "Chang Yue, I will inquire in a moment why the patient's family refuses to be surgically treated." ”
"Refuse surgery?" Chang Yue was surprised.
It's just an appendectomy, and will anyone refuse it?
"Well, I asked. Waived part of the medical expenses and pressed the hospitalization fee for the operation to about 1,000 yuan, but they were all rejected without hesitation. Zheng Ren said helplessly.
"Well, I'll ask. Chang Yue said: "Mr. Zheng, when will Sister Zheng's surgery be done?"
"I'll go to the second hospital for surgery tomorrow, and I'll do Sister Zheng's surgery the day after tomorrow. Zheng Ren said: "Tell Sister Zheng that it is possible to do radiofrequency ablation." ”
"Do you have a template for preoperative explanation?"
"Nope. ”
"You don't even have a template for preoperative explanation, do you really know how to do radiofrequency ablation?" Chang Yue wondered.
"It should be fine, I can't, isn't there still a rich child. Zheng Ren smiled: "Fugui'er, you said yes." ”
"Boss, you're stumbling on me. Professor Rudolf Wagner pursed his lips and said, "Your level of interventional surgery can be used to defeat all interventional doctors." Don't always bully you for not having surgery, nonsense. ”
"......" Zheng Ren continued to be speechless.
The professor's Northeast dialect is getting more and more slippery, and Zheng Ren doesn't say anything like nonsense.
If it weren't for the professor's words, Zheng Ren would have forgotten about it a long time ago.
"Mr. Zheng, you have to keep an honest heart with your residents. Chang Yue said with a serious face.
"Good, good, good. Zheng Ren said three good words in a row.
"That's it, you don't take me to the second hospital for surgery. It's really a new person who forgets the old, boss, I think you're very affectionate. Su Yun made up the knife behind his back at the right time.
Talking and laughing, when the patient went through the hospitalization procedures, Chang Yue checked his body again, and then gave a doctor's order to communicate with the patient's family.
Half an hour later, Chang Yue walked in with a gloomy face.
"Chang Yue, can't you be more festive?" Su Yun looked up and saw Chang Yue's expression, and knew what was going on.
Chang Yue's thoughts are all written on his face.
"Guess what's the reason for the patient's family refusing to operate?" Chang Yue asked, closing the door to her office.
"Do you still need to guess?" The corners of Su Yun's mouth showed the kind of smile that made people want to go up and smoke him, and said: "A 16-year-old girl will soon get married in the countryside. If you have a scar on your stomach, you will be considered to have had a miscarriage or have a gynecological disease. In short, the bride price should be reduced from 300,000 to about 200,000. ”
"......" Zheng Ren had heard similar things before, but he hadn't thought of it just now.
Chang Yue sighed, indicating that Su Yun's guess was right.
"Then let's reduce the inflammation first, and hopefully not perforated. Zheng Ren sighed deeply.
This is also something that can't be helped, the patient's parents refuse to operate, and they have the right to pull the girl onto the operating table?
Belch...... As long as you don't want to die, don't do this.
.。 m.