(Thanks to book friends for 20170825224958876, the origin of depravity, and the encouragement of the monthly pass to lead the fish to burn the body)

This can be regarded as a preoperative mobilization meeting, and it can still play a great role in soothing the patient's emotions anyway.

"Doctor Liu, what is the situation?" asked Xu Chengjun curiously.

"Didn't you relax yesterday and take the two of them and the two outside to a patient's stall for a barbecue. Incision 1.5 cm, electric knife. Liu Banxia said.

Then I met that kind of unserious anchor, who wanted to take advantage of Qingkova, and there were some quarrels. Actually, it's not a big deal, it's just that young people nowadays are a little inconsiderate. ”

"Actually, don't talk about you, I hate that kind of anchor too, and I'm sick to death. The patient accosted.

"Isn't it, it was quite nice to watch him sing at the beginning, who would have thought that kind of person. Liu Banxia said.

"You two pay attention, now that the abdominal cavity is completely exposed, the next key is to find the appendix. Everyone has their own method, Dr. Liang is a little worse, Qingkova, you have to be careful. ”

"Girl, I'm going to have a little twitching sensation when I pull my appendix out in a moment. If you feel scared, tell me and give you an injection. ”

"It's okay, it's okay, you mention it. The patient said excitedly.

"Fei Fei, it's the first time I've seen you so bold. Xu Chengjun praised.

"Uncle Xu, didn't I see an idol. The patient laughs.

"I was quite worried in the ward last night, after all, I was going to have surgery, and I couldn't be amused when I saw that video. ”

"Okay, then I'll tell you a small request, can you let them also probe your appendix now?" asked Liu Banxia.

"Okay, it's fine. The patient said yes very happily.

Liu Banxia nodded at Qingkova, who carefully put her finger in. It's also very slow when you use your fingers to probe it, because there are still a lot of organs on your fingers.

It's just that for the current Qingkova, the difficulty coefficient of this technique is still a bit high, and it is not something she can master. Replaced by Liang Xiaolin, don't look at the fact that she is much more experienced than Qing Kova, it also took nearly three minutes before she nodded to Liu Banxia.

"Alright, now that the investigation is complete, I'm going to take the appendix out and dispose of it. Then we can finish the operation in about ten minutes. Liu Banxia said.

"Actually, it's okay to do it a little longer, I'm not scared at all now. The patient said.

Liu Banxia was happy and put his fingers in. It's just that this time he didn't bring up the appendix as quickly as usual, but frowned.

"Dean Xu, my fingers are a little cramping, I'm embarrassed today, let's go outside and bump into each other. Liu Banxia said, and winked at Xu Chengjun.

Xu Chengjun was "groaning" in his heart, of course Liu Banxia's fingers would not cramp, he must have touched something wrong. According to Liu Banxia's judgment, not being able to speak in front of the patient is generally not a good thing.

"Sister, I'll move my fingers outside and let Qingkova talk to you for a while, okay?" Liu Banxia looked at the patient again.

The patient was a little confused, but nodded anyway, "It's okay, you can go first." ”

"Doctor Liu, what's going on?" Xu Chengjun asked worriedly after coming to the outside of the operating room.

"I touched my appendix just now, but I also touched something else. There is a lump in the wall of the cecum, although it is not very large, and if it is treated now, it can only be explored openly. Liu Banxia said.

Xu Chengjun glanced at him, "Isn't it wrong?"

Liu Banxia nodded firmly, "That's right, we still have the option to cut off the appendix first, and then study what that lump is." ”

"It's very close to the appendix, and if you don't pay attention, you'll think you have two appendixes. It's just that one is soft and the other is hard. It may be the pain of the lump, and it can also be caused by the lump. ”

Xu Chengjun is very entangled now, the last time Liu Banxia came over, he checked out a missed diagnosis, if it is still missed this time, it is really not true.

"Then as you said, take off the appendix first and see how it goes. After hesitating for a moment, Xu Chengjun said.

"It's not that I don't believe you, although it's my friend, and I'm very close. If there is no tangible incision, they may not be able to accept it. ”

Liu Banxia nodded, "That's what I mean, otherwise I wouldn't have called you out." ”

Return to the operating room again and put on new gloves.

"Next, we're going to cut the appendix, and we'll feel like we're going to twitch. After standing on the edge of the operating table, Liu Banxia said.

"Well, you can cut it. The patient replied with a smile.

Liu Banxia probed in, inserted the appendix forceps, and then lifted the appendix out of the abdominal cavity, Xu Chengjun's brows wrinkled.

At least judging by him now, it was a healthy appendix without any inflammation. This also proves that Liu Banxia's judgment just now is accurate, and the reason why he did not insist on opening his stomach directly was to leave room for himself.

Other people have also noticed that something is wrong, and as long as the appendix is inflamed, it will definitely manifest itself. In addition, Liu Banxia and Xu Chengjun went out just now, and this matter is a bit unusual.

The current Xu Chengjun is so distraught that he doesn't know whether to be happy or sad. Although it was also a little embarrassing, it was not thrown outside, and Liu Banxia was also his own person.

However, the patient's family is an old friend of his, and they are also worried that this lump is not a good thing.

"Dean Xu, let's go outside and touch again. Liu Banxia said.

"Girl, don't worry, your appendix belongs to ectopic growth, I ......"

"Doctor Liu, don't lie to me, is something wrong with me?" the patient was a little emotional.

Liu Banxia looked at Xu Chengjun, Xu Chengjun sighed in his heart, "Fei Fei, just now when Dr. Liu was exploring, he found a lump on the wall of your cecum. And now I see that your appendix is also intact, this time and before, your appendix hurts, it may be that lump hurts. ”

"Now there are two options, one is to close the abdomen first, and then do a detailed examination. The other is that Dr. Liu will directly open the abdomen and explore, which can be dealt with, and we will deal with it now. ”

The patient is twenty-four years old and has full ability to make decisions for himself. So Xu Chengjun hesitated a little, but decided to tell the truth. Otherwise, it would be a complete anesthesia for a while, and you would be able to detect that something was wrong.

"Uncle Xu, isn't it serious?" the patient asked with some weakness.

"It's hard to say right now, so we need to open our stomach. However, I think it should be a very simple lump, and my recommendation is to have a detailed examination. Liu Banxia said.

"Uncle Xu, what should I do then?" the patient looked at Xu Chengjun again.

"Feifei, don't worry. Let's go out and talk to your father again, you know that Dr. Liu is very good, don't worry. Xu Chengjun comforted.

The patient nodded, and Qingkova on the side took her hand directly. She didn't know what the details were like, but the patient needed reassurance.

"Hey...... I don't even know what to say. After coming out again, Xu Chengjun said with a wry smile.

"Don't take it to heart, I also watched the film, and I can only say that the location of this lump is too coincidental. Anyone has to judge appendicitis unless CT with contrast. Liu Banxia said.

"That's why it's so difficult for us to be doctors, unlike repairing a car, which part is so clear if it doesn't work. It's also a good thing, otherwise this lump would be really hard to find. ”

Xu Chengjun nodded, this is the case, but he always felt uncomfortable in his heart.

When they came to the waiting area for surgery, they were shocked when they saw that only Xu Chengjun and Liu Banxia, two doctors, came out.

Liu Banxia did not participate in the communication, Xu Chengjun had a closer relationship with them, and it was more convenient to communicate. The reason why I will accompany it out is to add some persuasiveness.

"Dr. Liu, they want to hear from you as well. Xu Chengjun beckoned to him.

"Hello two. Liu Banxia said.

"Hello Dr. Liu, what do you think should be done?" asked the patient's mother.

Liu Banxia was a little embarrassed, "The current situation is not very clear, and there are many causes of the lump, which need to be examined in detail to be clear." ”

"At the moment, there are two ways for us to deal with it, one is to cut out the appendix and do an examination, and the other is to close the abdomen directly and then do the examination. ”

"Although it is possible to deal with direct laparotomy now, I do not recommend it. Although the appendectomy was performed without water or drink, no bowel preparation was done. If intestinal surgery is really necessary, there is a high risk of anastomotic fistula in the future. ”

He really didn't want to say so much, but he didn't care about the 5,000 yuan flying knife money. Now the money has to be put back, and the key is this patient.

As he said, the most common thing that can occur in intestinal surgery is anastomotic fistula. This is especially true when there is no bowel preparation.

It's just that this is not in the second hospital, and the patient is not his direct patient, so he is a bit overstepping his suspicion of giving such a suggestion.

"I have the same opinion as Dr. Liu, you can do a test here first, and if you really need to have intestinal surgery, we can deal with it. With better preparation, surgical complications are less likely to occur. Xu Chengjun said.

"Dr. Shi will be able to rest tomorrow. Liu Banxia reminded.

In this regard, Shi Lei is much better than his skills, and it is better to find someone else than Shi Lei.

"Okay, you all think about Fei Fei so much, then listen to you. The patient's father finally made up his mind.

"Don't worry, I feel more likely to have diverticulitis. This is very easy to handle, if I didn't do the bowel preparation today, I would have done it directly. Liu Banxia said with a smile.

Although he said that the operation was not completed today, he did not feel any regrets. You have to take responsibility for your patients, even if it's just indirectly