Chapter one hundred and seventy-two acute appendicitis
As soon as he entered the duty room, Fang Le's cell phone rang. It was Zhang Xiyue calling.
At this point, Zhang Xiyue and Fang Le would always talk on the phone for a while. Just now, Zhang Xiyue couldn't get through to the landline, so she called the mobile phone.
"I'm working the night shift in the department today."
Fang Le held her cell phone and entered Han Shengxue's office while talking to Zhang Xiyue.
Seeing Fang Le entering Han Shengxue's office while making a call on his mobile phone, several residents in the duty room felt envious again.
He Yaoping felt a little sympathetic when he looked at Chen Jidong.
Dr. Fang needs to be good-looking, good-looking, capable of holding a mobile phone, and certainly not short of money. He Yaoping doesn't even know how good Chen Jidong is compared with Fang Le.
To be honest, Fang Le is only close to Huang Xiaolong and a few others. Guo Jun still hasn't been able to integrate into Fang Le's circle. Is it because they don't take you with them for surgery?
If good things in this world were so easy, then why would everyone fight?
Fang Le was on the phone with Zhang Xiyue in Han Shengxue's duty room, while Cheng Yunxing was in the duty room, copying and sorting out the patient's medical records, and then reading Fang Le's modified prescription in detail many times.
Following Fang Le in the emergency department these days, Cheng Yunxing actually had a very deep feeling.
Although Cheng Yunxing's grandfather and father are both doctors, they are not necessarily able to teach, but can also educate students. Some students are highly gifted and some are poorly gifted.
For smart students, even if their teachers are inferior, their studies will not be affected, but for stupid children, if their teachers are inferior, it will really affect them for a lifetime, and they will never be able to make up for it.
Zhang Xiyue and Bai Suxue are still visiting and studying in some factories and retail stores of Wanjiang Group, and have also gone to some sales sites of Wanjiang Group products.
Although she had only been to the other side of the river for more than half a month, Zhang Xiyue's horizons had indeed broadened a lot, and she told Fang Le enthusiastically about where she had been, what she had done, and what she had learned.
"Is your schedule so full?"
Fang Le asked with a smile.
"It's what I asked for. I want to get in touch with more things as soon as possible."
Zhang Xiyue said: "Sister Bai told me that I don't actually need to understand anything too advanced. I just need to understand the market and control the overall situation."
"Well, what Xiaobai said is not bad."
Fang Ledao: "When you are a leader, the most important thing is to have an overall view of the situation, know how to employ people, don't be fooled by others, and put the right people in the right positions."
"I'm not afraid. I'm here with you. If I don't know how, I'll ask you."
Zhang Xiyue said with a smile.
"Did Xiaobai teach you this?"
Fang Le asked with a smile, Zhang Xiyue could not say such words before.
"Sister Bai didn't let me say it." Zhang Xiyue felt a little guilty.
Bai Suxue explained it well. As soon as she talked to Fang Le, Fang Le noticed it.
"You have to say it if she doesn't let you say it, idiot."
Fang Le smiled and scolded: "We are our own people, Xiaobai is an outsider, you can show your trust in her, but you still have to be careful."
"Well, I know."
Zhang Xiyue felt even more happy when she heard Fang Le say that Bai Suxue was an outsider.
The longer Zhang Xiyue stayed in contact with Bai Suxue, the more she realized how good Bai Suxue was, but she still had some random thoughts in her heart.
"Meow, meow..."
While Fang Le and Zhang Xiyue were talking on the phone in Han Shengxue's office, the sound of urgent ambulances outside the hospital came closer and closer.
"Notify Doctor Fang!"
Gao Dawei had just taken two sips of hot tea when he heard the siren of the ambulance and stood up hurriedly: "Chen Jidong and He Yaoping, prepare to push the cart. At the same time, notify the nurse, where is Huang Xiaolong? Why didn't you see anyone tonight?"
"Mr. Huang went home this weekend."
He Yaoping stood up hurriedly and said to Gao Dawei.
Regardless of whether they care about Gao Dawei or not, they must listen to what Gao Dawei says behind his back. When something happens, Gao Dawei is the only second line at the scene.
"Doctor Gao, do you want to inform Dr. Zheng?"
Chen Jidong asked Gao Dawei.
"I haven't seen the patient yet, what's the fuss about?"
Gao Dawei reprimanded with a straight face: "Be prepared first."
"I'll call Fang Le."
Cheng Yunxing put down the work at hand, got up and went to the duty room to call Fang Le.
"Others, wait at the emergency exit."
As Gao Dawei walked out of the duty room, he complained: "It's all Dr. Fang's fault. He has a crow's mouth and said he had a good sleep..."
When Fang Le and Cheng Yunxing rushed to the emergency passage, the patient had already been carried on the cart by Gao Dawei and others. Fang Le walked closer and Gao Dawei was examining the patient.
"Acute abdominal pain and high fever."
Gao Dawei said to Fang Le while checking.
"Let me see."
Fang Le asked Gao Dawei to get out of the way, and while following the flat car, he began to examine the patient.
The patient is a boy of fifteen or sixteen years old, who is in the third grade of junior high school this year, and he is followed by the child's parents.
"Where are the family members? Please tell me the situation in detail."
Fang Le asked while checking.
The child's father hurriedly stepped forward and followed him as he walked beside him, saying, "In the afternoon, I complained that my stomach hurt, but it wasn't severe. We didn't pay much attention to it. We thought it was just because we were too lazy to do our homework. We will pray tomorrow."
After that, I even gave him a lesson."
The child's father was talking beside him.
Probably after dinner in the afternoon, the child complained of a stomachache. The child's father thought it was because he was lazy and didn't want to do his homework, so he gave him a scolding. The child lay down on his stomach to do his homework. The pain became severe around eight o'clock, and the family members only looked at it.
I didn't look like I was faking it. I thought it was a stomachache, so I took some painkillers and stomach medicine. Unexpectedly, the pain got worse, so I called 120.
"That means it's only been three or four hours since I started having stomachache?" Fang Le asked.
"Well, almost."
The child's father nodded.
"It's been three or four hours, and now it hurts like this."
As Fang Le spoke, he used his right hand to compress the left lower abdomen, and then used his left hand to squeeze the proximal colon...
"Dr. Fang, do you suspect acute appendicitis?"
Gao Dawei saw Fang Le's technique and asked.
Fang Le's technique is one of the techniques used to detect acute appendicitis.
"Well, I guess it's acute appendicitis."
While observing the child's reaction, Fang Le said to Gao Dawei: "And I guess it's not just acute appendicitis, but something else."
"Acute appendicitis, it's confirmed."
Fang Le said to Gao Dawei: "When I pressed it just now, the patient's pain obviously worsened. It can be determined that it is appendicitis."
"Then what should I do? Do I need to call the general surgeon?"
Gao Dawei asked.
Gao Dawei would not do appendicitis surgery.
"Not in a hurry."
While talking, Fang Le was already diagnosing the patient's pulse.
"The pain of acute appendicitis is not that serious. Most of it is reflex pain. Although the patient's reflexes just worsened, it is not just reflex pain."
"And the high fever doesn't go away, and I'm a little unconscious."
"Doctor, are you sure it's appendicitis?"
The father of the child next to him also heard Fang Le's judgment and asked hurriedly.
"Now it is certain that there is appendicitis, but it is not simple."
Fang Le said.
"Doctor, does appendicitis require surgery?"
The child's father only half-listened to what he said, and hurriedly said: "Can we not have surgery? Our child is in the third grade of junior high school this year and is about to take the high school entrance examination. If we need to have surgery, why should we delay it?"
"Now it's not just appendicitis, there are other conditions to be investigated."
Gao Dawei said to the child's father with a straight face: "The details will depend on the situation. I'm not sure whether to have surgery at this time."
"To be investigated, why is there anything else?"
The child's mother was also following, almost crying when she heard: "It's always been fine, how could it be like this?"
While talking, they arrived at the door of the emergency room. Fang Le and others pushed the patient into the emergency room, while the patient's family members stayed outside.
"Wake up!"
Fang Le felt for his pulse and reached out to pat the child's cheek. The child was patted twice by Fang Le and regained a little consciousness.
"There is also a conscious reaction."
Fang Le said, and asked: "Want to pee?"
"He Yaoping."
Fang Le shouted.
"Doctor Fang."
He Yaoping responded hurriedly.
"Ask me, do a urine test first."
"I understand, Doctor Fang."
He Yaoping responded, stepped forward, and like Fang Le, gently patted the child twice to wake him up, collected some urine, and sent it for testing.
When He Yaoping was picking up the child's urine, Fang Le walked to the side and quickly wrote a prescription and handed it to Cheng Yunxing: "Take the patient's family to pay for the medicine and go through the hospitalization procedures."
Cheng Yunxing didn't ask any questions and hurriedly took the prescription and went out.
"Dr. Fang, besides appendicitis, what else do you suspect?"
Gao Dawei asked Fang Le softly.
"Looking at the symptoms, there should be peritonitis. We will wait for the urine test to find out more."
"Acute appendicitis combined with peritonitis?"
Gao Dawei asked.
"I suspect acute suppurative appendicitis and diffuse peritonitis."
Fang Le said.
"hiss!"
Gao Dawei took a breath, acute appendicitis and diffuse peritonitis are more difficult.
What surprised Gao Dawei the most was that what Fang Le had just prescribed was Chinese medicine.
Don’t you need surgery now?
Just now, Gao Dawei thought that Fang Le was going to have appendicitis surgery, and he was struggling in his heart. If Fang Le was going to have it, would he agree or not?
"You use traditional Chinese medicine, why do you still ask for a urine test?"
Gao Dawei asked Fang Le again.
"You have to give an explanation to the patient's family."
Fang Ledao: "The patient's condition is quite serious. After an examination, the diagnosis was confirmed. It is easy to communicate with the patient's family. Most people accept the disease names of modern medicine as straightforward."
Fang Le also learned this from his father.
Some of the explanations of Chinese medicine are indeed convoluted. This convolution is not that Chinese medicine is convoluted, but that people nowadays have lost the things of their ancestors, do not understand ancient Chinese, do not understand classical Chinese, and cannot understand the explanations of Chinese medicine. On the contrary, they say that Chinese medicine is being mysterious.
"You can feel it by feeling for your pulse?"
Gao Dawei asked in surprise.
"You think too much."
Fang Le replied to Gao Dawei.
The reason why it can be determined is that Fang Le was in the emergency department before he was reborn and has rich emergency experience. Fang Le also judged that the patient may have appendicitis and diffuse peritonitis based on his past life experience. Without relevant experience, Sun Qingping would not have guessed it when he came.
What kind of disease does the patient suffer from according to Western medicine?
It is not a concept and there is no way to compare it.