Soon, when Liu Junchi came over, when he heard that Wang Jinjiao's condition was indeed not caused by Zhang Haoyu's surgery, his originally black face was finally not so fierce.

"Director Liu, Dr. Zhang's further study points don't need to be deducted, right?" Ruan Bin said helpfully.

"Well, this has nothing to do with him, and I won't deduct points for no reason. However, this situation like this patient is indeed rare, Ruan Bin, you are quite thoughtful. Liu Junchi gave a rare compliment. To be honest, he didn't even consider this situation at the beginning, after all, this situation is almost difficult to encounter!

But this Ruan Bin actually took it into account, and his condition was guessed accurately!

"I guessed blindly, but I didn't expect to guess it all at once. Ruan Bin said modestly.

When Liu Junchi left, Zhang Haoyu said gratefully to Ruan Bin: "Ruan Bin, thank you so much this time, if you didn't help me clear my name, it is estimated that I would have to get out of the house tomorrow." ”

"I'll invite you to hot pot tonight!"

"Forget it, I have something to do tonight, stay for next time. Ruan Bin didn't forget that he had to go to Lin Yatong's side tonight to earn extra money, and he had made an appointment with those three old women.

"Okay!" Zhang Haoyu nodded.

......

Walking to the hall, I suddenly saw Zhou Tianlei hurriedly pushing a flat car with a family member passing by.

"What's wrong with this patient?" asked Ruan Bin curiously. The patient in front of her was a woman in her thirties, her face was a little pale and she looked in pain.

"Upper abdominal pain, I'll send it to Director Jiang right now. Zhou Tianlei stopped and said.

"Right upper abdomen or left upper abdomen?" asked Ruan Bin.

"I just gave him a brief examination, and the pain should be in the right upper abdomen!"

"There's no need to send it to trouble Director Jiang, she should have two surgeries to be busy with now. If the patient is directly pulled for ultrasound, he should be able to know what is wrong! Whenever the patient has pain in the right upper abdomen, he should be pulled for ultrasound. If this test does not cause problems, consider other tests. Ruan Bin said.

"Ah, this ......" Zhou Tianlei was a little hesitant, he didn't need to distinguish and check in detail?

"Rest assured, most of the pain in the right upper quadrant should be detected by this ultrasound. Ruan Bin patiently explained.

There are many causes of right upper quadrant pain, such as biliary colic, cholecystitis, alcoholic hepatitis, viral hepatitis, liver metastases, acute pancreatitis, posterior cecal appendicitis, myocardial infarction, and costochondritis. This disease is checked by ultrasound!

Of course, there are also uncommon diseases, such as: drug-related and toxic hepatitis, hepatocellular carcinoma and liver metastases, retrograde cholangitis, acute pyelonephritis, kidney tumors, peptic ulcer, perihepatitis (Fitz-Hugh–Curtis syndrome), herpes zoster, etc. These diseases can also be detected by ultrasound, but the examination report of this kind of disease must be judged by an experienced doctor who has watched the film, and the new doctor does not have that kind of old and spicy eye!

In short, his world-class experience with cholecystectomy in his head taught him that the first step in the examination of right upper quadrant pain is ultrasound, which is a common clinical symptom, and ultrasound is often the first choice for diagnosing this type of condition and can distinguish other common causes of RUQ. Other imaging modalities such as CT may be an option when the ultrasound diagnosis is unclear or when serious complications occur.

"Okay!" Zhou Tianlei nodded. Although he and Ruan Bin are both resident doctors who came to study, the level of Ruan Bin he knows is not even comparable to Zhang Haoyu, who came to study!

Sure enough, it didn't take long for Zhou Tianlei to find Ruan Bin in a hurry, "Ruan Bin, haha...... You guessed it right, it's appendicitis! Director Jiang said, you will do this operation, and I will be your assistant, and by the way, you will learn and study. ”

Minor surgeries like first-degree surgery appendicitis, Ruan Bin does almost often these days.

First of all, he has a world-class appendicitis resection, which is fast, accurate and of high quality. It takes almost ten minutes to complete one. So for this kind of operation, Jiang Yurong is very happy to hand it over to Ruan Bin to do. Save trouble, effort and worry!

"Good ......"

Minor surgeries like this are not challenging for him at all, they are completely assembly line work!

............

At this time, in the operating room, Liu Junchi and Dr. Chen of our hospital were performing a fourth-level surgery - retroperitoneal tumor resection.

Of course, he has to pull an attending doctor to be an assistant in a fourth-level operation like this, after all, this operation is very difficult, and the slightest carelessness will cause massive bleeding in the abdominal aorta, which is not child's play!

At this moment, the door of the operating room opened a little way, and a Xiaoli nurse who covered her mouth and nose with a mask walked in: "Director Liu, there is an emergency!"

"What's the matter, say. Liu Junchi said without raising his head.

"Fifteen minutes ago, Zhang Haoyu was in charge of a cholecystectomy, but after the operation began, there were difficulties, and the operation could not be carried out, so now I am seeking help......! Director Liu, do you want to take a look, he said that the situation is a bit complicated!"

"This Zhang Haoyu, what's the difficulty of a second-level cholecystectomy? Isn't the most serious situation a gallbladder perforation?" Liu Junchi immediately scolded.

This Zhang Haoyu made him angry three times and twice today, which is really useless!

"I'm having this surgery right now, and I can't walk away at all. Look at the other doctors in our group who are still available!"

"Another doctor in our group, Dr. Zhao, is also doing surgery. Both resident doctors were on call with the ambulance. Xiaoli said busily. Dr. Chiu and Dr. Chan are the two attending physicians of the team.

"It really is!sigh...... You go and see if Dr. Ruan is free and ask him to help!"

He had seen Ruan Bin have undergone laparoscopic cholecystectomy, which is called a six. He himself was convinced!

Of course, the other party has not done the third-level and fourth-level surgery, and it is estimated that he will have to hone it well before it can be of great use!

So let Ruan Bin take a look, he is absolutely relieved!

"Good. ”

......

Just after this appendicitis operation, I was suddenly approached by Nurse Xiaoli.

"Dr. Nguyen, are you free now?"

"What's wrong?" asked Ruan Bin.

"Dr. Zhang's cholecystectomy is difficult, and Director Liu can't go away from the operation now, so I asked you to go over and take a look. Xiaoli explained.

"Okay, I'll take a look. Ruan Bin muttered a little in his heart, Zhang Haoyu has made great progress in cholecystectomy and appendicitis surgery these days. There should be no problem with a general cholecystectomy, but why is it difficult?

Although the surgery is a little slower, it can definitely be done!