Zhang Chao felt that he had earned this wave!

......

In the afternoon, Ruan Bin received a call from Professor Guo.

"Dr. Ruan, do you remember me?" said Professor Guo's voice on the phone.

"It turned out to be Professor Guo!" Ruan Bin was a little surprised.

"Dr. Ruan, your surgery in the morning is so superb and improving, I think you will definitely have greater prospects for development in the field of orthopedic tumors in the future. I don't know if you are interested in coming to our Jingjing University Hospital for development?" Professor Guo said straight to the point.

“......”

Well, I was shocked by my brother's strength again, and I called over to dig people so soon!

"I'm sorry, I don't want to think about going to the capital to develop at the moment. Ruan Bin politely refused.

Just kidding, my house is in the magic capital, and my girlfriend is also in the magic capital, not to mention that in the future, at least for the next five years, I will not consider going to the capital.

In fact, the capital and the magic capital are similar, and he doesn't have much interest!

As for a better platform?

No, no, no!

With my brother here, a small platform can also make it a big platform!

"If you don't think about it, we can offer good conditions on our side!" Professor Guo didn't expect Ruan Bin to refuse so simply.

"Really, I don't really want to think about it too much right now. ”

"Okay, so are you interested in joining the National Orthopaedic Association?"

"Well, I've already joined five or six associations......" Ruan Bin said, snapping his fingers. To be honest, he wasn't very interested.

"It's only five or six, no more, no more, one more friend, one more way, plus! I'll take you ...... next time I come to the capital" Professor Guo didn't give up. Although I was shocked that the other party had joined so many associations......

He is worthy of being a demonic genius in the Demon Capital, a person with the qualifications of an academician!

Just now, he had a good look at the news about Ruan Bin, and after reading the other party's information, one word, shocked!

"Okay. In desperation, Ruan Bin finally agreed to Professor Guo's request.

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

The next day, the night shift.

At eight o'clock, Ruan Bin had just finished the matter at hand and had just sat down, when suddenly Guo Hui found the goods!

"Lao Ruan, are you free?" Guo Hui said with a hesitant smile.

"What's wrong?"

"I have a special patient over there who can't be diagnosed, and I want to ask you to go over and help check it!" Guo Hui said.

Anyway, since he saw Ruan Bin's zero-error diagnosis, all the patients who couldn't be diagnosed came to Ruan Bin!

"What a patient, go, go and see. Ruan Bin was a little surprised.

Soon the two walked to the No. 2 consultation room of the internal medicine department of the emergency department, which was the outpatient clinic where Guo Hui was on duty.

"The patient is a 13-year-old boy who vomits for no apparent reason. I have been vomiting repeatedly for more than a month, I have been repeatedly treated, but I have not improved, and I once went to Modu 404 Hospital for three days. ”

"I vomited again after dinner today, so I came to the emergency department of our hospital. Vomiting is non-projectile, and the vomit is stomach contents, accompanied by abdominal distension and pain, no fever, no jaundice, and no limb twitching. Guo Hui explained simply.

Soon Ruan Bin came to Guo Hui's consultation room and saw a middle-aged couple helping a boy to sit on a hospital bed.

There is a sour smell of abscess in the consultation room, you don't need to look at it, you must have vomited again just now!

"Have you checked the relevant systems?" asked Ruan Bin.

"Yes, you see. Guo Hui handed a stack of inspection materials to Ruan Bin.

Ruan Bin looked at it and saw that the perfect gastroscopy showed chronic gastritis, and there were no obvious abnormalities in the three conventional, biochemical, electrolytes and trace elements, no obvious abnormalities in head CT and electroencephalogram, and no obvious abnormalities in epigastric CT!

"After being given symptomatic treatment such as acid suppression, antiemetic and rehydration, the patient's symptoms have improved, but he still has epigastric discomfort. Guo Hui continued.

Just now, I saw that the medicinal use had improved, but he was still a little uncomfortable, so he knew that this child's illness was not so simple, so he invited Ruan Bin.

"Ruan Bin, what do you think?"

Ruan Bin frowned after hearing this, although he has not yet used general diagnosis, but according to his current clinical experience, he feels that the patient is a young man, with chronic onset, the first symptom is vomiting, and it can be appropriately relieved after symptomatic treatment, but the recurrence cannot be explained by conventional diseases.

Repeated endoscopy showed chronic gastritis, no obvious abnormalities in trace elements, and even abdominal epilepsy was considered, but no obvious findings were made.

This situation is the most painful!

The doctor is afraid that the test results are abnormal...... But the sick are sick!

"General Diagnosis!" Ruan Bin directly threw a General Diagnosis Technique.

Patient: Wang Xiaotao

Age: 13 years old

Medical record: duodenal hyundium

"Duodenal hypsalism?" Ruan Bin looked at the diagnosis, and his heart instantly became clear.

No wonder, duodenal occlusion refers to a clinical syndrome caused by duodenal obstruction caused by various reasons, resulting in proximal dilation of the duodenal obstruction site and chyme accumulation. It is mainly characterized by epigastric pain, fullness, etc. It's easy to misdiagnose!

"I don't think gastroscopy can rule out peristaltic function and motility diseases, so I recommend a complete upper gastrointestinal angiography!" Ruan Bin said.

"Do a digestive tract imaging examination?" Guo Hui was a little surprised.

But he also thinks it can be done to do a check!

Soon, he billed the patient for a check-up.

Finally, the results of the upper gastrointestinal angiography suggest duodenal lag!

"Ruan Bin, this time it's really thanks to you!" Guo Hui said happily.

"You read more books, you can too. Ruan Bin said with a smile.

“......”

"By the way, why do you want to do this test?" asked Guo Hui puzzled. After all, he's not a gastroenterologist or a surgeon, he's just an emergency doctor, a doctor who knows a little bit of everything, but isn't a good doctor. He really couldn't understand why Ruan Bin was so tough?

"Digestive endoscopy is the gold standard for the diagnosis of digestive tract diseases, almost all digestive tract symptoms can be diagnosed and treated by digestive endoscopy, but any examination has its limitations, upper gastrointestinal angiography has more advantages for peristaltic function and motility diseases, and the combined application helps us to diagnose diseases. Ruan Bin explained.

"Okay, cow break, admire!"

After the patient is diagnosed, the symptoms will basically disappear after surgical treatment.

When the time comes, you can go directly to the digestive surgery.

By the second half of the night, there were few patients in the emergency department.

Ruan Bin is in good spirits and doesn't need to sleep. I ordered a takeout, ordered a casserole porridge, and then went into a daze in the consultation room.

"Let's draw a wave prize. "He's done two missions in a row, and now he has six lucky draws!

"System, I want a lottery!"

In an instant, the lottery page appeared.

1: The system mall function is open card!

......