Leng Cen looked at Fang Han, this kid said this very calmly, although he lacked sincerity and was a little perfunctory, but he really didn't mean to be angry at all.

Is this kid innocent or is the city very deep?

For a while, Leng Cen felt that he couldn't understand Fang Han.

Fang Han also looked at Leng Cen strangely, what does this Director Leng mean?

To be honest, Fang Han was really not angry, why was he angry?

Because Leng Cen called him Xiao Fang, because Leng Cen said to let him come to the hospital attached to the hospital?

It's nothing, right?

Dr. Feng also said this, and Director Zhu of the Provincial Hospital also said that people are serious about themselves, why should they be angry, although he didn't want to come to the hospital attached to the hospital.

Leng Cen is older than Fang Han, and he is the deputy director, is calling him Xiaofang an insult to him?

If this is also an insult, then this insult is too worthless, right?

As for Leng Cen asking Fang Han to come to the hospital and follow him as a helper, this is not an insult in Fang Han's ears.

A deputy director of surgery said to one of your interns, come on, follow me, be my assistant, as long as you study hard, you will definitely not be worse than me in ten years......

I don't know how many interns are busy nodding their heads, grateful to Dade, is this a good thing?

Of course, Leng Cen's words are not very sincere, and there are more jokes, but this is not an insult, right?

At least Director Leng's words sounded like nothing to make people angry on the surface, so Fang Han was really not angry.

Leng Cen's words were not very sincere, and Fang Han's words were not very sincere, they were nothing more than politeness.

It's like two people who don't know each other very well when they meet, and they always have to get by on face.

Another polite: "Come to the house for a meal, the meal has just been prepared." ”

Another: "No, no, I've already eaten ....."

The person who invited may not have much sincerity, and the person who refuses is just polite, but there is no need to be angry, right?

People who can't always be invited feel that what they invite is looking down on them, that they can't afford to eat, or what?

Then he scolded: "What the hell do you mean, I can't afford to eat, your food is delicious, and the dogs don't eat it......"

If that's the case, then it's a psychopathy.

Now Leng Cen is the one who invited, Fang Han is the one who is invited, no matter whether Leng Cen talks about it or not, Fang Han can't be angry, and there is no need to be angry.

Doctor Feng on the side was stunned for a moment, and quickly understood, maybe Leng Cen didn't understand a little, he was obviously squeezing Fang Han, why didn't Fang Han react.

Leng Cen can have this kind of thought, in fact, it also means that deep down in his heart, he puts Fang Han in the same position as him, only if his identity is equal, such a statement can be regarded as a run.

If it is replaced, Fang Haoyang said to Liang Qunfeng: "Xiao Liang, if you can't do it, don't work in Fengzhou Orthopedic Hospital, come to our Jiangzhong Hospital for emergency treatment, be my assistant, you will take over my ......shift when I retire."

If Fang Haoyang dares to say this, it's no wonder that Liang Qunfeng is not angry, and when he encounters a little more grumpy, he may go up with a big mouth.

This is the difference in mentality between the two people.

No matter what Leng Cen said or comforted in his heart, he actually regarded Fang Han as an opponent, so he was envious, jealous, hateful, angry, and squeezed.

But Fang Han didn't put himself and Leng Cen in the same position at all, he was an intern, Director Leng was the deputy director, he was twenty-three, and Director Leng was thirty-three, there was a big gap.

"Doctor Feng, the patient is here......"

The three of them had their own thoughts, and they were momentarily stunned when a nurse hurriedly ran to Dr. Feng.

"What's the patient's condition?" asked Dr. Fung.

"Stomach pain, very bad stomach pain. The nurse said and glanced at Fang Han on the side, intentionally or unintentionally: "Is this the legendary Doctor Fang, really handsome." ”

"The patient was transferred from the county hospital and has been hospitalized in the county hospital for more than 20 days. ”

Doctor Feng beckoned to Fang Han: "Doctor Fang, do you want to go and have a look?"

Dr. Feng accompanied Fang Han this morning, and the nurses rarely bothered, so he must have been absolutely too busy to come to him at this time.

"Good. Fang Han nodded, there is no meal at this time, it doesn't hurt to go and have a look, it's not to have a meal in the hospital attached to the hospital, Fang Han also wants to see the treatment process in the emergency department of the hospital attached to the hospital.

When he saw Leng Cen, Dr. Feng hesitated and greeted: "Director Leng, if you have time, why don't you go and have a look?"

Leng Cen is the deputy director of the Department of Thoracic Surgery, which specializes in the diagnosis and treatment of intrathoracic organs, mainly referring to the diagnosis and treatment of esophageal, lung, and mediastinal lesions, and the field of breast surgery is also classified as thoracic surgery.

There are many causes of stomach pain, and if the patient has stomach pain caused by esophageal lesions, it is impossible to say that Leng Cen can still help.

"It's fine. Leng Cen nodded.

The three of them came to the treatment room, and the patient was lying on the bed holding his stomach and rolling, looking like he was in a lot of pain.

Dr. Feng stepped forward to check on him, and then asked, "The patient came from the county hospital, did you bring the various examination reports from the county hospital?"

"Bring, bringing. The patient's wife hurriedly took out a large plastic bag, which contained the patient's various test reports.

The patient was admitted to the hospital 20 days ago, his eyes were yellow, and he was diagnosed with jaundice hepatitis A, but the strange thing is that after 20 days of hospitalization, the patient's various indicators have declined, but bilirubin has never been reduced, and the stomach pain symptoms have not been reduced.

Last night, the patient's stomach pain flared up again, and the pain was splitting, but the county hospital never found the cause of the patient's stomach pain, so this morning contacted the medical hospital and sent the patient to the hospital for treatment.

Generally speaking, lower-level county hospitals and town hospitals are inextricably linked with some higher-level hospitals, some county hospitals have cooperation with medical affiliated hospitals, and some county hospitals have cooperation with Jiangzhong Hospital.

After reading the patient's information, Dr. Feng handed the information to Leng Cen and Fang Han, and Leng Cen and Fang Han also took a detailed look at the patient's medical records and various examination reports.

After reading it, Dr. Feng first asked Leng Cen: "Director Leng, what do you think?"

Leng Cen didn't say anything, but stepped forward to check the patient's condition in detail, and then asked the nurse, "What is the patient's body temperature?"

"Low heat, 37.5°C. The nurse hurriedly said that as soon as the patient arrived, they checked the patient's temperature.

Leng Cen groaned: "Jaundice plus stomach pain, accompanied by low-grade fever......"

Leng Cen didn't say the latter words, but Dr. Feng, as a senior attending officer, also knew what it meant, the situation was quite serious, and Leng Cen also took into account that the patient was still conscious, so he didn't say it.

"Send the patient for a B-ultrasound. Leng Cen said.

The nurse hurriedly pushed the patient to do B ultrasound, and after the patient and the patient's family left, Dr. Feng asked in a low voice, "Director Leng, do you doubt the possibility of the patient's common bile duct stones?"

Leng Cen nodded slowly: "The patient has obvious abdominal pain, jaundice, yellow urine and skin, and fever, which is a manifestation of the Charcot triad." ”

The Charcot triad, also known as the Charcot triad, refers to the appearance of abdominal pain, chills, high fever, and jaundice, which are typical symptoms of cholangitis secondary to extrahepatic bile duct stones.

Fang Han had been standing on the side and listening, the patient's medical records were all Western medical examinations and diagnoses, he actually couldn't understand it, he could only understand it, so he didn't interject.

Although he was just watching from the sidelines, Fang Han also had to admire Leng Cen, this Director Leng's level was indeed not low, and he soon had his own judgment.

Although Fang Han didn't quite understand the medical records and the patient's examination report, and he didn't have a pulse diagnosis, he had already exchanged for a grandmaster-level temporary visit just now, and according to his observations, the patient was indeed gallstones.

The grandmaster-level medical examination skill is the peak level that a Chinese medicine practitioner can reach, and even because it is produced by the system, the skill exchange is the full level, and this kind of medical examination level is rarely reached by many people in reality.

It is not uncommon for Fang Han to diagnose the patient as gallstones through inspection, but Leng Cen quickly judged that the patient may have choledocholithiasis based on the various symptoms of the patient, which is very remarkable, you must know that the county hospital has not found out the cause after 20 days of examination.

Dr. Feng was also full of admiration and patted his ass: "Director Leng is worthy of being a top student who graduated from Harvard Medical School, and he interned at Johns Hopkins Hospital. ”

Leng Cen smiled slightly, he didn't need to come with him today, this kind of patient actually didn't belong to his current functional category, the reason why he followed Dr. Feng was to show it, to show it in front of Fang Han, so that Fang Han could see how good he was as a top student who graduated from Harvard Medical School.

"Jaundice, abdominal pain, and fever, this is the manifestation of the Charcot triad, and if these three symptoms appear at the same time, then you can judge whether there is an explanation blockage in the common bile duct, and you can ignore the jaundice hepatitis diagnosed in the county hospital before. Leng Cen explained slowly.

He was very person-like at this time, and talked eloquently: "If there is hepatitis, the function of liver secretion and excretion of bile will be affected, and the content of bilirubin in the blood will increase, and jaundice will appear at this time, but there is another situation in the appearance of jaundice, that is, there is no problem with the liver, but the bile duct outside the liver that is responsible for transporting a single one has a problem, if any bile duct is blocked, the single can not be transported smoothly, but reflux to the blood, which will also cause the bilirubin content to increase, resulting in jaundice ......"

Doctor Feng nodded again and again: "Director Leng is so right, you still have a lot of knowledge, if I don't think so much." ”

Leng Cen smiled slightly, he was a little proud, he was not a top student of Harvard Medical School, although he is now the deputy director of the Department of Thoracic Surgery of the Affiliated Hospital of the Medical Affiliated Hospital, but he is not only good at chest surgery, but his attainments in other aspects are also not low.

As for Dr. Feng's sycophant, Leng Cen doesn't care much at all, if you Dr. Feng had this ability, you wouldn't be the attending person at this age, and you would have been the deputy director a long time ago.

"Director Leng, Dr. Feng, the patient's B is over. ”

The door to the treatment room was pushed open, and a nurse came in with the ultrasound results, and the patient was followed by her.

"Bring it. As soon as Leng Cen stretched out his hand, he first took the B-ultrasound results, he was very confident in his judgment, and now it was time to show his judgment results.

But after taking the B-ultrasound results, Leng Cen's face suddenly changed, and the whole person was instantly frozen on the spot......