Zhao Ruichen looked at Mr. Liang lying on the ground, and saw that he was not arrogant in his clothes. Humans are visual animals after all. As the saying goes, people rely on clothes, and Buddha relies on gold. This is
That's right. If it were a beggar dressed slovenly, Zhao Ruichen would naturally have a sense of superiority. Compared with a clay Bodhisattva in a shabby temple and a golden Buddha in the Main Hall, more people would naturally believe in the golden Buddha.
Zhao Ruichen is also a layman. So he is no exception. After seeing Young Master Liang's dress and seeing the handsome men and beauties next to Young Master Liang, he immediately looked much more serious.
He also took off the stethoscope hanging around his neck. He directly commanded: "Hurry, let a few people come and help. Help the patient to the translation car."
Then there was a simple inspection. The small flashlight was turned on and waved in front of Mr. Liang's eyes for a few times. The inspection, touch, tapping and listening were all extremely standard and in place.
As Mr. Liang got into the car, Zhao Ruichen said seriously: "The preliminary diagnosis is an acute appendicitis attack. His situation requires immediate surgery. Otherwise, if it causes peritoneal perforation, it may be life-threatening!"
"Life is your mother!" As soon as Zhao Ruichen finished speaking, one of Mr. Liang's companions immediately rushed up and cursed.
Another person next to him immediately stopped him and said loudly: "Old Hei, just calm down. Master Liang, it's important!"
Lao Hei was full of dissatisfaction and said: "I know Mr. Liang is important. But this guy is not a toy. Who are you trying to scare? His life is in danger at every turn!"
Gao Shan hesitated and said in a low voice: "Lan Lan, this person's situation is not that simple. I just diagnosed his pulse. His pulse is a bit messy. The situation is indeed dangerous. But I am sure it is not a problem of appendicitis.
.In my opinion, he has acute pancreatitis!"
Ye Lan was stunned by these words. He looked at Gao Shan in surprise. It was a completely natural reaction and said: "Ah! This is unlikely."
Watching the ambulance roaring away, Gao Shan smiled and said: "How is this impossible? Are you trying to say that pain in the right lower abdomen is usually caused by acute appendicitis, ulcer perforation, cholecystitis, right ureteral stones, etc."
When it came to the medical aspect, Ye Lan also became serious and nodded: "Yes, judging from the location of the patient's pain, he had sudden pain in the right lower abdomen. The pain also worsened when I pressed it just now. Although rebound pain
It’s not that obvious. But this is already consistent with the diagnosis of acute appendicitis. Pancreatitis usually affects the left side of the mid-upper abdomen, and there are also symptoms that radiate to the back. This is completely different from the appendix.”
Gao Shan smiled and said at this moment: "How about we go over now and take a look?"
As Gao Shan and his group walked to the emergency center of the hospital, Mr. Liang's friends, including the excited Lao Hei, were also running to the hospital.
In a few minutes, everyone had already entered the emergency center. Gao Shan saw an acquaintance. He immediately greeted her and said, "Sister Xiao Min, long time no see."
Gao Shan showed his skills during the first aid in that car accident. Although he is no longer here, nurse Xiao Min still knows Gao Shan. As soon as he saw Gao Shan, he immediately smiled and said: "Doctor Gao, I haven't seen you for a long time. Why are you getting more and more handsome?"
.Wait a moment, Dr. Zhao is preparing for emergency surgery."
Long Banxia whispered at this moment: "Sister Lanlan, you have to be careful. The boss has a lot of connections. He might be seduced by some vixen at some point."
Gao Shan heard this clearly, and his face suddenly darkened. This girl never misses any opportunity to cheat on me. Gao Shan said in a deep voice: "Long Banxia, aren't you drunk? Don't rest. If you are late tomorrow,
Just don’t come to work."
Ye Lan watched the two bickering, and immediately laughed, and said to Long Banxia: "Huh, I don't care. What does it have to do with me? Whoever wants to take it away can be taken away. This girl doesn't
Rare!"
Just as he was talking, the old black man next to him suddenly came up and said with a smile: "Brother, listening to your chat, it turns out that you are also doctors. Brother, is what you just said true? Didn't Liang Shaozhen have that...appendicitis?
?”
In private, these are medical exchanges between colleagues, and it doesn't matter if you talk about it. But if you say this to the patient's family, it would be against the doctor's rules.
Gao Shan was stunned when he was asked this question. He smiled slightly and said, "Boss, you heard me wrong. This is just a purely academic exchange."
Lao Hei was very persistent. He took out a pack of Hetianxia, handed over one, and said with a smile: "Brother, please don't deny it. I heard it just now."
At this time, Ye Lan turned around and said: "Gaoshan, let me go in and take a look!"
…
As Ye Lan opened the door curtain of the emergency room and entered, Zhao Ruichen frowned at this moment. The doctor with a B-ultrasound beside the bed said seriously: "Dr. Zhao, judging from the examination, the patient does not have appendicitis."
It’s very big. My judgment is that the ulcer perforation may be bigger!”
Ye Lan glanced at him and saw that Young Master Liang was already on oxygen. ECG monitoring was also on. After emergency analgesia, Young Master Liang fell into a deep sleep. Vital signs and other examinations were relatively stable. His veins were stable.
The channels have also been established. Apparently blood has been drawn to complete relevant examinations.
When he saw Ye Lan, Zhao Ruichen, who was still a little hesitant, suddenly showed a decisiveness and firmness, and said in a deep voice: "It doesn't look like an ulcer perforation. The patient did not overeat or drink when the incident occurred.
There are too many cases, and there is no history of ulcers before. I think it is still appendicitis, but it may be atopic. Judging from the patient's various manifestations, suppuration is certain. In this case, surgery must be done immediately, Nurse Huang
, contact the emergency operating room immediately to prepare for surgery!”
In the hospital, nurses have always listened to doctors, and examination departments have listened to clinical departments. Although Zhao Ruichen is only an intern, it can be seen from the fact that he is now on duty alone. Zhao Ruichen's operation in the hospital has reached a very deep level.
Therefore, these people now do not regard Zhao Ruichen as an intern.
Seeing Zhao Ruichen's persistence, they all started to take action. But Ye Lan frowned and said: "Zhao Ruichen, you can't do this. The diagnosis of this patient is not clear yet, and if you act rashly, there will be big problems."
Ye Lan herself never thought that it was precisely because of Gaoshan and her arrival that Zhao Ruichen's mentality was unbalanced. He made such a hasty decision in excitement. To be polite, Zhao Ruichen is now like this
This approach has undoubtedly committed a big taboo.
Seeing Ye Lan's angry look, Zhao Ruichen suddenly felt uncomfortable. He sneered and said: "Ye Lan, you must have heard what Gao Shan said and thought it was acute pancreatitis. How can I diagnose that it's me?"
Let me remind you that you are now an intern in the Department of Internal Medicine, and I am the doctor on duty in the emergency department. I am a doctor with the right to prescribe medicine!"