The phone rang, it was the department's landline.
Zheng Ren picked it up. It was a call from the emergency medicine doctor. A young female patient, diagnosed with acute appendicitis, has been admitted to the hospital and is on her way out.
Appendicitis, Zheng Ren called to Su Yun, "I have appendicitis. Please take Yang Lei for surgery later."
"Oh." Su Yun was playing with his phone with his head down. He didn't know whether he was chatting with someone or playing games. His black hair was floating in front of his forehead.
Nowadays, an average of 2 appendectomies are performed in the emergency ward every day. After Yang Lei came to the emergency ward, he got a lot of surgical opportunities.
Although his talent is limited, he has been well fed by the surgery and his level has steadily improved.
Soon, the patient came up.
Zheng Ren carefully examined and diagnosed himself.
The patient is a young female patient, 16 years old, which is the age of flowering.
I had pain in my right lower quadrant for 2 days, accompanied by low-grade fever. A routine blood test in the emergency department showed that white blood cells and neutrophils were very high, suggesting infection.
B-ultrasound ruled out ovarian disease, the symptoms were very typical, and the diagnosis was clear, whether it was Zheng Ren's own diagnosis or the diagnosis given by the big pig's hooves in the system.
Then prepare for surgery.
"The patient's diagnosis is very clear, acute appendicitis. When was the last time he ate or drank?" Zheng Ren asked.
The patient's father is a man in his 30s. Judging from his clothes, he should come from a rural area at the lower level of the city or county.
When he heard Zheng Ren ask this question, he immediately looked at Zheng Ren warily and replied cautiously: "It was around 6 o'clock this morning."
Zheng Ren was a little strange, why was he so wary of himself
I looked at the time and saw that it was less than 10 o'clock, and there were still 2-3 hours until the time to fast from water.
"From now on, don't eat or drink." Zheng Ren said, "At 1 p.m., prepare for the operation."
"Surgery?" The man immediately said, "Doctor, we don't want surgery."
"Huh?" Only then did Zheng Ren realize that there was a problem.
The previous confusion may have something to do with the surgery.
Sure enough, the patient's father said: "There is no need for surgery, just give my daughter some anti-inflammatory drugs."
"Acute appendicitis, if treated conservatively, may cause appendiceal perforation, which can seriously endanger the patient's life." Zheng Ren was not intimidating the patient's family, he was telling the truth.
Not to mention, Fan Tianshui did not receive any treatment at that time. A tough man, he was on the verge of death.
As for the far ones…
Born in Tokyo, Japan, star and model Hiro Masaki refused to undergo an appendectomy because he was worried about leaving scars on his body, resulting in a perforated appendix, peritonitis, and finally died at the age of 20.
A minor problem may be cured if you wait, but it may also be fatal.
Surgeons are basically a bit radical.
The appendix is of no use leaving it there. It's starting to hurt. Instead of being conservative, it's better to just cut it out.
"It's okay, I just have a stomachache. Nothing will happen." The man was very determined.
The girl next to her was holding her belly and curling up against the background of the medical bed. The man's determination seemed particularly cold.
"Are you short of money?" Zheng Ren asked "empathetically".
"..." The reply he got was silence.
"It doesn't cost much to remove the appendix. If family conditions are restrictive, we can remove it without laparoscopy. If we just do surgery, more than 1,000 yuan is enough." Zheng Ren wanted to persuade the patient's father and put down the money. Press again.
"..." Silence, still silence.
"Intravenous antibiotic anti-inflammatory treatment is expensive and carries risks," Zheng Ren added.
"Doctor, we don't want to do surgery, just reduce the inflammation." The patient's father looked at Zheng Ren with an impatient look on his face and said with disgust.
This time it was Zheng Ren's turn to be speechless.
Sighing inwardly, Zheng Ren nodded and brought the patient's father to the office, asking Chang Yue to issue him an admission notice and then go through the hospitalization procedures.
After the patient's father left, Zheng Ren said: "Chang Yue, let me ask you why the patient's family refused surgical treatment."
"Refuse surgery?" Chang Yue was surprised.
It's just an appendectomy. Would anyone say no
"Yes, I asked. I exempted some of the medical expenses and reduced the hospitalization fee for the surgery to about 1,000 yuan, but I was rejected without hesitation." Zheng Ren said helplessly.
"Well, let me ask." Chang Yue said: "Mr. Zheng, when will Sister Zheng's surgery be performed?"
"I will go to the second hospital for surgery tomorrow, and I will do Sister Zheng's surgery the day after tomorrow." Zheng Ren said, "Tell Sister Zheng that there is a possibility of radiofrequency ablation."
"Do you have the template for pre-operative instructions?"
"No."
"You don't even have the template explained before the operation. Do you really know how to do radiofrequency ablation?" Chang Yue was confused.
"It should be no problem, but I can't. Isn't there still Fugui'er?" Zheng Ren smiled and said: "Fugui'er, you think so."
"Boss, you are just trying to make fun of me." Professor Rudolf Wagner curled his lips and said: "Your level of interventional surgery can completely bully all interventional doctors. Don't always bully me for not doing surgery, you are so stupid. "
"..." Zheng Ren continued speechless.
The professor's Northeastern dialect became increasingly slippery. Zheng Ren himself didn't even say words like "Hu Lie Lie".
If the professor hadn't said it, Zheng Ren would have forgotten it.
"Mr. Zheng, you have to be honest with your residents." Chang Yue said seriously with a serious face.
"Okay, okay, okay." Zheng Ren said three good words in a row.
"That's right, you didn't take me with you when you went to the second hospital for surgery. You really forget the old ones when you have new people. Boss, I think you are very ruthless." Su Yun made a stab at the back at the right time.
After chatting and laughing, the patient came up to complete the hospitalization procedures. Chang Yue checked his body again, then gave medical instructions and communicated with the patient's family.
Half an hour later, Chang Yue walked in with a gloomy face.
"Chang Yue, can't you be more festive?" Su Yun looked up and saw Chang Yue's expression, and knew what had happened.
Chang Yue's thoughts are all written on his face.
"The patient's family refused the surgery. What do you think is the reason?" Chang Yue closed the office door and asked.
"You still need to guess?" Su Yun showed a smile that made people want to slap him when he saw it, and said: "A 16-year-old girl will get married soon in the countryside. If there is a scar on her belly, she will be considered Had a miscarriage or suffered from gynecological diseases. In short, the bride price should be reduced from 300,000 to about 200,000."
"..." Zheng Ren has heard of similar things before, but he didn't expect it just now.
Chang Yue sighed, indicating that Su Yun's guess was correct.
"Then let's reduce the inflammation first. I hope there won't be any perforation." Zheng Ren sighed deeply.
There was nothing that could be done about it. The patient's parents refused the surgery. Did he have the right to drag the girl onto the operating table and have it performed
Uh... As long as you don't want to die, don't do this.