Chapter five hundred and eighty seventh we operate on him
Generally speaking, Lin Hao is not bad, and he is not very good at taking small things seriously!
But at work, when facing patients, he feels that nothing is a trivial matter, because one negligent or another concession without principles may delay a life!
It is precisely because of this that Lin Hao did not get out. Even though nurse Peng Xiaojie kept pushing him out, he still refused to give in and stood there like a mountain, and said with a strong voice: "The sudden pain relief of patients with acute appendicitis is not necessarily a good phenomenon!"
When Zhu Zeming saw that he was still stubborn at this time, he was so angry that he was too lazy to argue with him. Instead, he turned to Ren Junqi and said, "Director, you see, this guy is still messing around now. Not only did he almost misdiagnose me, but he also almost got a slap in vain, causing a medical accident. I suggest reporting to the hospital and punishing him. It is best to fire such an ignorant person out of the way, so as not to harm others or themselves."
Ren Junqi said: "Doctor Zhu, please calm down first!"
"I can't get rid of it!" Zhu Zeming said angrily: "You must get rid of such a person, otherwise you really can't work. No, he is just a doctor in the training and is not an employee of our hospital. He is not qualified to use the word "exit". It should be said that he can go back wherever he comes from!"
Ren Junqi was so amused that he was so amused that he thought to himself that he knew what he was. As long as he nodded, he would immediately become a full-time doctor in our emergency department!
Before she could speak, Lin Hao spoke again, "Ren Junqi, you read a lot of books. You should know what is the cause of the complete relief of abdominal pain in acute appendicitis?"
The patient was no longer in pain, and it seemed as if nothing had happened. Lin Hao was still saying that he had acute appendicitis. Ren Junqi was really completely defeated by him. He had seen a stubborn person, but he had never seen such a self-righteous person!
However, when she thought of treating Xu Wencong in the morning, she had nothing to say. Isn’t this guy so stubborn? Therefore, she did not answer his question of not waiting for food or drinking, but instead thought about how to make this matter small and small!
Zhu Zeming next to him deliberately showed off: "Does the director answer such basic diagnostic knowledge still use the director's answer? I can tell you two situations: one, fecestone, foreign body is discharged into the terminal intestine, the patient's more obstacles are suddenly relieved, the pressure in the cavity is quickly reduced, and the pain will naturally be relieved. Second, that is, the appendix wall is necrosis. After perforation, purulent seepage enters the abdominal cavity, the pressure in the appendix cavity is also reduced rapidly, and the abdominal pain will also be relieved, but the inflammation in the abdominal cavity will gradually spread, and after a brief remission, the right pain will gradually worsen."
Lin Hao nodded slightly. This guy also had some theoretical knowledge. He then asked, "Then what situation do you think he is in now?"
"I think it's..." Zhu Zeming replied subconsciously, but after halfway through his words, he felt something was wrong, so he quickly changed his mouth and shouted: "I think he is not acute appendicitis at all!"
Lin Hao shook his head slowly and continued to say stubbornly: "I think he has acute appendicitis, and he has been perforated now!"
Everyone: "..."
"Doctor, please stop arguing, okay? My stomach hurts again by your anger!" The patient lying down interrupted, then looked at Lin Hao and said, "And this little doctor, your medical theory knowledge is obviously much worse. You must humbly accept the teachings of your predecessors or teachers!"
Zhu Zeming immediately shouted at Lin Hao, "Did you hear that, even the patient can't see it!"
Lin Hao ignored him and asked, "Grandpa, your stomach hurts again?"
The patient said, "Yes, I was upset by your quarrels, and it started to hurt again!"
Lin Hao hurriedly asked, "Where does it hurt?"
The patient felt it carefully, touched his right and said, "It's here!"
Seeing the position he pointed, Zhu Zeming disagreed, but Ren Junqi's expression changed, "Are you sure it's here?"
The patient's face gradually showed a look of pain, "Yes, oh, no, it hurts more and more!"
In just a moment, the patient's face turned pale and his face was covered with cold sweat. He covered his abdomen and rolled around. The pain was obviously worse than at any time before!
Ren Junqi hurriedly went up to check it out for him and pressed Mai's point as soon as possible. There was nothing abnormal in this place, but now it felt tenderness, rebound pain, and it was very serious.
In other words, the diagnostic indications for acute appendicitis have finally come out.
This is the **-type progressive right pain, and the position is completely fixed.
After the examination, Ren Junqi found that the patient's condition was getting worse and worse, and his vital signs also turned sharply. His face changed drastically and said, "No, this is really acute appendicitis, and it seems that it has been perforated!"
Zhu Zeming said in disbelief: "What, what?"
Ren Junqi had no time to explain to him and said anxiously to Peng Xiaojie: "Import the general surgery department quickly and ask them to arrange surgery for the patients!"
If patients with acute appendicitis undergo surgery in a timely manner, the risk is very small; however, once appendicle perforation occurs, local abscesses will occur in mild cases, and diffuse peritonitis, abdominal suppuration, septic shock, and even life-threatening. Even if the perforation is performed in time, it will often cause incision infection, abdominal residual abscess, intestinal fistula, intestinal adhesion, adhesional obstruction and other complications. Many people suffer from intestinal adhesions caused by repeated surgery in the abdomen. Tracing the original source of the disease is often the appendicle perforation.
Lin Hao stepped forward and looked at the patient and found that his condition was deteriorating rapidly. He sighed in his heart. He was only informed of the general surgery department now, which was obviously a little late. When the patient came over, he had to do various examinations. After the examination, the family members had to sign it. After the signature, he had to undergo anesthesia. After the anesthesia, the surgery was only performed. If the surgery could be performed in an hour, it was already considered the speed.
However, it is not difficult to predict how acute appendicitis, which has been perforated in an hour, will progress to a point. If it is good, it will be a local abscess. If it is bad, it will be acute peritonitis, which will cause multiple organ failure and the last life will be a waste of time! Even if it is barely supported, it will face various complications and sequelae in the future, and the suffering will be greatly suffered.
The best way is, of course, no delay in a second, and immediately perform surgery on the patient, so as to minimize the damage to the patient!
However, this is a hospital, and it is not the Wu Renyao clinic where Lin Hao has the final say.
The hospital naturally has the rules and regulations of the hospital. Patients in any department must be sent to the department and the doctors in which department take over it. Whether it is surgery or conservative treatment, it is their own business. If the treatment is cured, the doctors in the emergency department will not make any contribution. If the treatment is broken, the doctors in the emergency department may bear the corresponding responsibility!
However, even more unfortunate, Peng Xiaojie came back after calling and said anxiously, "Sister Junqi, it's not good. A medical dispute occurred in the general surgery department. The doctor and nurse were surrounded by the patient's family. They were making trouble now and they couldn't take the patient at all."
Ren Junqi was also anxious when he heard this, "What should I do?"
Lin Hao said disapprovingly: "What's the point of making things difficult for them? They can't take the patient, so let's do this operation ourselves!"
Ren Junqi said in surprise: "Do it yourself? Here?"
Lin Hao said: "Yes, don't tell me, you can't even do a small appendicitis surgery, right?"
Appendicitis surgery is just a minor surgery that ordinary surgeons can do. Although Ren Junqi is not a surgeon, she will also do this surgery. After entering the emergency department, she never did it again!
But before she could answer, Zhu Zeming next to her screamed strangely, "You are crazy about having an appendicitis surgery in the emergency department, are you? There has never been a precedent!"
Lin Hao asked back: "But if we don't do it, will the patient just wait for death?"
Zhu Zeming actually said, "Wait just wait, it's better than being a mess anyway!"
Lin Hao shook his head and suddenly asked in a daze: "Doctor Zhu, you took this patient, right?"
Zhu Zeming was stunned for a moment, "So what if I took it?"
Lin Hao said: "You have caused a misdiagnosis to him. If you let him continue, it will cause irreversible consequences. The responsibility you have to bear will be greater!"
Zhu Zeming said with a little pale face: "You, don't scare me!"
Lin Hao said: "I didn't scare you, I just told the truth!"
Zhu Zeming looked at the patient who was lying dead. He was not worried at first and began to worry and asked Ren Junqi: "Director, what should we do now?"
Ren Junqi pondered for a while, and finally said with great courage and responsibility: "We can't let him delay like this, we must have surgery for him."
Zhu Zeming said: "But general surgeons are so busy now!"
Ren Junqi said: "That's just like Lin Hao said, let's do it for him!"
Zhu Zeming smiled bitterly and said, "Director, just be crazy. Why are you crazy with him?"
Ren Junqi actually said in the same tone of Lin Hao: "But if we don't do it, will the patient just wait for death?"
Zhu Zeming: “…”
Ren Junqi waved his hand and quickly ordered: "Erjie, hurry up and take people to prepare to go to the emergency room. Dr. Zhu, go and ask your family to sign the surgery and agree to the surgery. Lin Hao, hurry up and give the patient the test form to check."
Peng Xiaojie took other nurses to prepare surgical instruments as soon as possible, and Lin Hao hurried back to the office to issue a form for the patient. Zhu Zeming hesitated for a long time and finally went to find his family.
The laboratory tests, laboratory departments, radiology departments, electrocardiogram and other auxiliary departments in the emergency department were naturally green lights all the way, and the examination was made intensified.
Ren Junqi took Lin Hao to the computer to check the examination results and found that the patient's blood routine white blood cells had reached more than 30,000, and the neutral cells had reached 86%. Other test results were fine. In addition, the right pain had been fixed, and the diagnosis of acute appendicitis was completely clear!
When these examination results came out, the emergency room was ready, the family also signed the surgery and the patient had been pushed in and prepared for skin.
Ren Junqi knew that it was not appropriate to go, so he took Zhu Zeming to the operating room. However, when he walked out, he saw Lin Hao still sitting there without moving, and he couldn't help but shouted, "Lin Hao, what are you doing?"
Lin Hao said: "What am I doing!"
Ren Junqi said: "Then why don't you come quickly?"
Lin Haohan said: "It's just a little appendicitis. Can't you two still deal with it?"
Zhu Zeming had completely hated Lin Hao, so naturally there was nothing good to say. He opened his mouth and said to Ren Junqi: "He is just a training doctor. What can I do to take him to the surgery? Director, don't worry, I often did this surgery before I came to the emergency department. It's no exaggeration to say that you can do this kind of minor surgery with your eyes closed. As long as you give me a shot, I can complete the surgery within half an hour. Let's go for the surgery, don't worry about him..."
"Shut up!" Ren Junqi had been holding this guy for an afternoon, and finally couldn't bear it anymore, scolding him, "You always say he is just a training doctor, a training doctor! What's the result? If he hadn't discovered that you were misdiagnosed in time and could still get the surgery time for the patient, you would have to pay the money to sue. You are still here saying that he is just a training doctor!"
Zhu Zeming was so scolded that he blushed and could not say a word.
Seeing that Ren Junqi was going to continue scolding Zhu Zeming, Lin Hao couldn't help but smile bitterly, "Ren Junqi, why are you still grinding here? Why don't you take the surgery quickly while the perforation is not serious?"
Ren Junqi said, "Then you come!"
Lin Hao had no choice but to follow them to the operating room...
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Chapter completed!