Opportunities are always left to those who are determined, such as Zhu Zeming.

He disliked Lin Hao from the beginning. This guy is not only younger than him, but also more handsome than him. What made him feel particularly uncomfortable was that Ren Junqi seemed to have a unique affection for such a young man and took him with him everywhere.

Therefore, after seeing Lin Hao throw the tube on the ground, he was more excited than anyone else, and his words were a little incoherent! Obviously, he hoped to make things bigger and become a medical accident, and then kick Lin Hao out of the hospital, so that he would not be inconsistent here.

Seeing that the nurse Peng Xiaojie next to him was just staring at him blankly, she still didn't go out to call the family, nor did she call the police, she immediately shouted: "What are you doing? Why don't you go quickly?"

Peng Xiaojie didn't dare to be crazy with him. She looked at Ren Junqi hesitantly, obviously asking her what to do?

Although Ren Junqi was determined to protect Lin Hao, this guy was so messy that he didn't know what he was doing, so she was also in a dilemma. She could only ignore these things and go to check the patients!

"Idiot!" Looking at Zhu Zeming who was shouting, Lin Hao cursed, then never looked at him again, took another piece of new tube and reinstalled it back to the patient's tracheal intubation!

To be honest, it's not very strange!

After changing a piece of tube and inserting it back, the patient's condition not only recovered quickly, but also turned out to be only around 60 yuan, which suddenly soared to 98!

Seeing this scene, Ren Junqi was stunned.

Zhu Zeming, who was about to open the door and was about to go and call his family members in person, was stuck there.

After a while, he asked in confusion: "What's going on?"

Lin Hao said indifferently: "I am just a further study doctor, not your teacher. What obligation do I have to teach you?"

Zhu Zeming: "You—"

Ren Junqi was also puzzled at first, but when she saw the pipe thrown on the ground and looked at the pipe on the patient's body, she immediately understood. Lin Hao was not crazy and did not want to murder. He was just correcting Zhu Zeming's mistakes.

Seeing that Zhu Zeming was still confused, she pointed at him and said, "Doctor Zhu, the reason why the patient's blood oxygen concentration cannot be increased is because the tube you installed is too thin. Lin Hao changed you to a tube that is cut off! When the tube is big, the breathing will naturally be smoother and earlier, and the blood oxygen concentration will rise."

Zhu Zeming then suddenly realized the truth, and then his face looked embarrassed, as if he had been slapped in the face suddenly.

Seeing this, Ren Junqi did not scold him, but said slowly: "It is better to be more careful when working!"

"I understand!" Zhu Zeming responded, but his eyes looked at Lin Hao, full of resentment.

After seeing this patient with chest trauma, Ren Junqi was not so relieved and asked Zhu Zeming to take her to see another patient.

Looking all the way, there was no problem!

Although Zhu Zeming is young and has a lower education than Ren Junqiqi, he has been in the emergency department for more than two years and can handle ordinary minor illnesses and pains properly.

As I walked and watched, I arrived at the bedside of the last patient. This was a male patient who came to see the doctor for four hours with upper abdominal pain. He was 65 years old and had moderate pain on the navel. He had no radiation or metastasis. However, he was accompanied by 385 degrees of fever, vomiting and diarrhea. His previous medical history was not special. The main complaint said that he ate barbecue oysters for lunch last night.

After the patient came, Zhu Zeming had an examination. The upper abdominal muscle palpation was nervous, Mofi's sign was negative, there was no obvious tenderness and rebound pain at the appendix point, there was no abnormality in the emergency abdominal flat film, and there was no abnormality in B-ultrasound. He considered acute gastroenteritis or allergic, and he was given pain relief, anti-inflammatory, and anti-allergic treatment!

But two hours have passed, and the patient's condition has not improved, and he still says that his abdominal pain is severe.

After hearing the main complaint, Zhu Zeming said to the nurse: "Give him another shot of 6542!"

6542 is an anticholinergic neurotropic, which has atropine effect, and is used for colic caused by gastrointestinal tract, bile duct, pancreatic duct, ureteral spasm, etc. It can also be used for circulatory disorders caused by vasospasm and embolism, such as cerebral infarction, insufficient blood supply to cone artery, thromboocclusive vasculitis and toxic shock.

After giving the doctor's advice, he saw Lin Hao touching the patient's pulse, and he looked old and sarcastic. What made him laugh and cry was that while exploring the patient's connection, he actually touched the patient's abdomen with the other. This examination method is undoubtedly funny and does not conform to the examination rules. He felt very disdainful. What can you pretend to be? What can you find?

After a while, the nurse brought the medicine and prepared to inject the patient.

Who knew that Lin Hao stopped him when he saw this, "Don't hit him, something is wrong with him!"

Zhu Zeming immediately stepped forward and asked coldly: "What are you talking about, why is something wrong?"

Lin Hao said: "Although he said he had vomiting and diarrhea after eating oysters, it looked like he was allergic to seafood or acute gastroenteritis, but I don't think so!"

"No?" Zhu Zeming said angrily: "Then what did you say?"

Lin Hao said with a serious expression: "My diagnosis is acute appendicitis, and the condition is quite serious. I must have surgery immediately!"

"Acute appendicitis? It's so funny!" Zhu Zeming sneered, and asked repeatedly with a gun and a stick: "Have you ever studied medicine? Do you know what acute appendicitis is? Do you understand the basis for the diagnosis of acute appendicitis?"

Acute appendicitis is one of the most common diseases in abdominal surgery. Most patients can seek medical treatment in time and obtain good treatment results. However, sometimes the diagnosis is quite difficult, and serious complications will occur if the treatment is improper. So far, acute appendicitis still has a mortality rate of 0105.

It is estimated that one person in every thousand people will develop acute appendicitis every year. Generally, general hospital statistics show that patients with acute appendicitis account for about 15 of the total number of abdominal surgery hospitals in the same period, which is the first in surgical acute abdomen.

Ren Junqi knew that appendicitis was a disease that could be big or small, so when he heard Lin Hao say this, he became cautious and rushed to check the patient.

The diagnosis basis for acute appendicitis is very obvious: 1. Metastatic right pain. 2. Right tenderness, rebound pain, and muscle tension.

However, after Ren Junqi conducted a physical examination on the patient, he found that his entire abdomen was in pain, but the symptoms of local right pain were not obvious. He couldn't help but look at Lin Hao with some confusion, obviously asking him what basis is the diagnosis?

Seeing that Lin Hao didn't say anything, Zhu Zeming shouted, "What's wrong? I'm mute? Are you talking?"

Ren Junqi thought Lin Hao really didn't know, so he said: "Usually, acute appendicitis has obvious tenderness and rebound pain on the patient's Mai point. Even if not, there will be symptoms such as right progressive pain, accompanied by nausea and vomiting, increased white blood cells in the blood, and elevated neutrophils."

Lin Hao asked back: "Can acute appendicitis be ruled out without these symptoms?"

Now, Ren Junqi was asked. Although what she said was the basis for diagnosing acute appendicitis, it was not absolute.

In typical patients with acute appendicitis, abdominal pain begins with the upper abdomen, xiphoid process, or around the navel. After about six to eight hours or more, the abdominal pain gradually moves downward and is finally fixed to the right. After the abdominal pain is fixed, the part that started the pain can be significantly relieved or even disappear. This change in abdominal pain is metastatic right pain, which is also the basis for differential diagnosis of other acute abdominal symptoms. About 80 patients have this characteristic.

However, this is only a typical patient. Atypical patients may have an initial pain in the upper abdomen, a full abdomen, or even a waist. Therefore, even if there is no metastatic abdominal pain, the existence of acute appendicitis cannot be easily completely ruled out.

Zhu Zeming didn't expect that Lin Hao was still entangled at this time, so he pointed to Ren Junqi and said, "Director, don't listen to him talking nonsense here. This patient has acute gastroenteritis. If you change to a doctor, he just said it was acute appendicitis, which was simply a mess!"

Lin Hao shook his head, "I didn't mess around. He really has acute appendicitis. For his safety, I suggest..."

"You suggest? What are you suggesting? You are a doctor in the process of studying, what qualifications do you have?" Zhu Zeming was so excited that he was so angry that he burst out on the spot. Finally, he even pointed at Lin Hao and said, "This is my patient. Please stop pointing fingers here, get out quickly!"

Lin Hao did not anxious with him, but said in a ease: "Doctor Zhu, I know that the indications of acute appendicitis are not very obvious, but my diagnosis will not be wrong. Not only is he acute appendicitis, but he may also have a piercing immediately. If you don't send him to general surgery and ask him to undergo surgery, the consequences will be unimaginable!"

"Are you still exaggerating here?" Zhu Zeming was even more furious and raised his big slap and said, "If you don't get out of here, do you believe it or not, I'll slap you?"

Lin Hao gave in slightly because he didn't want to fight with this guy, but he didn't get out. He firmly believed in his diagnosis, but he couldn't explain it.

The Imperial Classic practice reached the fourth level, and its function was extremely powerful. It could incorporate a slight breath when taking the pulse, making his sense of touch more sensitive and the diagnosis was more accurate. When he took the pulse just now, he felt that the patient was not as simple as just ordinary gastroenteritis, so he put his hand on his abdomen for examination. When he touched the appendix position, he felt that the qi and blood there were obviously severe depression. Combined with the patient's symptoms of nausea, vomiting, fever, etc., he was diagnosed as acute appendicitis, and it was extremely serious.

Severe acute appendicitis is prone to perforation, and once perforation is perforated, it will be life-threatening. If the treatment is improper, the patient may die in the emergency department. Therefore, he did not leave in anger. Instead, he said to Ren Junqi: "Ren Junqi, you'd better listen to me and let him transfer to general surgery for surgery as soon as possible, otherwise there will be problems!"

Ren Junqi didn't want to listen to Lin Hao because she was the teacher, and Lin Hao should listen to her. However, after contacting these days, she already knew that her ability was not as good as him and she was not qualified to be his teacher at all. Instead, he taught herself a lot of valuable knowledge. But even so, it doesn't mean that she will obey him in a desperate way. This patient seems to have no indication of acute appendicitis at all!

While she was hesitating whether to call the general surgery department, the patient who had been rolling around because of the pain suddenly became quiet, and then opened her mouth and said, "Doctor, stop arguing, I don't seem to be in pain!"

Zhu Zeming asked in confusion: "Don't it hurt?"

The patient said, "Yes, it's been reduced when you started quarreling just now, and it doesn't hurt at all!"

Zhu Zeming suddenly became proud and pointed at Lin Hao and shouted: "See, my treatment works, my diagnosis is accurate, he is just an ordinary acute gastroenteritis! You are so arrogant to tell me about acute appendicitis and perforation? I am a top student who graduated from Yangcheng Medical University. Is it necessary for you, a doctor with only a technical secondary school degree to teach me how to do things and how to diagnose it? I really don't know what it means!"

Lin Hao said: "I..."

"What are you?" Zhu Zeming said domineeringly and said unceremoniously: "You'd better not be with you, you're yours. Get out of here quickly. Get out as far as your thoughts are!"

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