"Chuanchuan, wake up soon!" Qin Chuan's mother shouted loudly outside the door early in the morning, and she was a little worried that Qin Chuan hadn't had a good rest. "When will this child grow up? This hospital's
I’m a little too busy at work. It’s hard to take a day off, and I have to work overtime. I work day and night. I used to think that being a doctor was a good job, but I didn’t expect it to be so tiring.”
"What kind of serious work is not tiring? But the goal is stability." Lao Qin said.
Qin Chuan got dressed and walked out. His hair was a little messy, but his head was sober. He really felt more enlightened.
While going to the toilet and rinsing my mouth, I did a few things in between. The whole process was completed in less than five minutes. I used a little hairspray to tidy up the messy hair.
"You really don't want to eat breakfast?" Qin Chuan's mother asked with concern.
"It's okay, I'll buy it myself." Qin Chuan said.
"Then don't buy randomly on the roadside. It's unhygienic. Go to regular stores to buy it. In fact, the breakfast made here by our old neighbor is more reliable," Qin Chuan's mother said.
"Now no one can worry about it. If you want to feel at ease, you can only do it at home." Lao Qin said.
"You guys can do it slowly by yourselves. I have to hurry up, or I'll be late." Qin Chuan said.
Jiang Lingling waited at the entrance of the hospital, as if she was afraid that Qin Chuan would pass by and not see him.
Wu Xiaoming came over and said happily when he saw Jiang Lingling: "Lingling, you're so early?"
"Well, Doctor Wu, it's quite early for you." Jiang Lingling was still staring in the direction of Qin Chuan's house without looking at Wu Xiaoming, and her brows were slightly wrinkled.
"Who are you waiting for?" Wu Xiaoming said.
"No. I'm looking to see if Sister Zhanting is here?" Jiang Lingling said.
"Oh, then I'll go in first." Wu Xiaoming said.
Jiang Lingling still didn't look at Wu Xiaoming and hummed casually.
Wu Xiaoming felt a little embarrassed, but he couldn't say anything. He looked outside as he walked.
At this time, Qin Chuan walked towards the hospital door.
"Doctor Qin." When Jiang Lingling saw Qin Chuan, she immediately jumped in front of Qin Chuan.
"Lingling, you came so early!" Qin Chuan smiled.
When Jiang Lingling saw Qin Chuan's appearance, she immediately changed her face to a smile. Wu Xiaoming, who had already walked into the hospital, snorted coldly, looked outside resentfully, and quickly walked to the emergency department.
"I just came here too. Come, try it and see how this breakfast tastes?" Jiang Lingling handed the breakfast in her hand to Qin Chuan.
Qin Chuan was not polite and took it directly: "You haven't eaten it yet, have you?"
"Well. We girls don't need to eat too much in the morning. Doctor Qin, you can just eat." Jiang Lingling said.
"That's not possible. You must eat a good breakfast, otherwise you will easily get stomach problems." Qin Chuan said.
"Let's go inside and eat." Jiang Lingling said.
"Okay." Qin Chuan said.
The breakfast brought by Jiang Lingling tasted really good, which made Qin Chuan full of praise: "Where did you get the breakfast? It tastes really good."
"There is a restaurant in our community that specializes in breakfast. The breakfast is very good. Doctor Qin, if you like it, I will cover all your breakfast in the future." Jiang Lingling said.
"No, no. It's too much trouble." Qin Chuan quickly declined.
"It's okay, it's not troublesome at all. That's settled." Jiang Lingling said.
At eight o'clock, all the doctors and nurses in the emergency department were crowded in the department. Cheng Guanhua walked into the emergency department.
"Everyone is here. Let's first ask the doctor on duty to tell us what happened last night."
Gao Zhanting was on duty last night and stood up and said: "We received eleven emergency cases last night. Several more serious patients have been transferred to specialists after their physical symptoms stabilized. Others who had colds went back directly after being given intravenous drips.
.There are also 14 patients in the observation room for observation. Patient Cui Jun, 35 years old, suffered from upper abdominal pain for 4 hours. Moderate pain in the navel, no radiation and no metastasis. He had a fever of T38 degrees and vomiting. Past medical history
Nothing special. Palpation of the upper abdominal muscles showed tightness, Murphy's sign (-), and no obvious tenderness or rebound tenderness at the appendix point. Abdominal plain films taken in the emergency showed no abnormalities. B-ultrasound also showed no abnormalities. The diagnosis was unclear at the moment, but long-term diagnosis was considered.
The pain was associated with inflammation, so I had to first take anti-inflammatory treatment, P-Gna+Amikacin, and replenish fluids. Two hours later, the pain was not significantly relieved. The physical examination was the same as before, T38.3 degrees. The abdominal plain film was reviewed again, and still no abnormalities were found.
At that time, I considered whether it was intestinal ascariasis? So I gave meperidine 100mgim to relieve the pain..."
"Okay, let's start the routine rounds now," Cheng Guanhua said.
When we got to bed 14, the patient's physical condition was relatively stable and he was still asleep.
"How does the patient feel?" Cheng Guanhua asked.
"I just fell asleep. I've been struggling all night. I still haven't figured out what happened." Patient Cui Jun's family members complained slightly.
After leaving the observation room, Cheng Guanhua said to Qin Chuan: "Qin Chuan, please take over. Check again. I always feel that there is something wrong with ascariasis. Various situations must be considered. We can't be afraid of people saying that our hospital's elimination method
, we dare not order an examination. Western medicine is a systematic science. To diagnose a disease, we must use the elimination method. The elimination method is not a matter of medical ethics. The problem is that some doctors are unethical in the process of practicing medicine. Therefore, as professionals, we must
Put this into perspective. Excessive inspection is not the same thing as necessary inspection.”
Qin Chuan nodded.
After walking a few steps, the bed number 14 rang the bell.
"Qin Chuan, go and take a look." Cheng Guanhua said.
Qin Chuan walked over quickly.
"What's going on?" Qin Chuan asked.
"You have just walked a few steps, and he is in severe pain. Doctor, please take a look at him quickly," the patient's family said.
"Hello. Where do you feel pain?" Qin Chuan asked.
"Abdominal pain." The patient said, pointing to his abdomen.
"Be patient, I'll give you a checkup," Qin Chuan said.
Qin Chuan's mind was racing, and he quickly found a quick and effective way to check. The technique was very skillful, and the questioning was very accurate. He quickly found the patient's real pain point, the way he was suffering.
"It is suspected to be acute appendicitis and requires immediate surgery." Qin Chuan said.
Qin Chuan contacted the surgical consultation, arranged preoperative examinations, and contacted the operating room. The general surgery department was too busy, so he said you should handle such a small operation yourself. Naturally, a small appendix operation would not be a problem for the emergency department doctors.
Emergency physicians are generally majored in surgery or internal medicine. Therefore, appendectomy surgery is indeed not too difficult.
It's just that when the patient was asked to undergo various examinations, the patient's family members stopped doing it.
"My husband is in so much pain that he still checks here and there. What do you mean by your hospital? A simple appendicitis, you checked all night and didn't find out. Is this the level of a tertiary hospital?" said Cui Jun's wife.
.
"I can understand your feelings. But before the operation, if we don't see the results of these examinations, we will not dare to operate. Please understand this. This kind of examination is for us to confirm whether the patient can go to the operating table.
Prerequisite. Without these examination results, it is against the rules for us to perform surgery. These examinations are necessary and will not take too long. You go for the examination quickly. I will make preoperative preparations here first. Once the examination results come out
, I can perform the operation after confirming the results." Qin Chuan said.
"If you could get the results accurately early, my husband wouldn't have suffered so much," Cui Jun's wife said.
