Chapter 266 is not just a stone!

After seeing all the diseases, all the test results support that this patient is a stone, and you actually say that it is not just a simple ureteral stone?

My mother told you to pretend to be a force!

How dare you say in front of a patient that we missed a diagnosis?

"Hmph, Lin Yu! I can tell you, you can't just rely on your mouth to cure the sick and save people!" Liu Ren had already said very seriously.

"Ah, Dr. Lin, tell me, what is wrong with my father?" Mr. Zhang became interested.

"Cancer?" the patient was also shocked, he thought he had an incurable disease!

When people get old, what they are most afraid of is getting sick!

This is because people are afraid of death! Especially the elderly! After retirement, they do not have to go to work, and they can still enjoy the retirement benefits given by the state! Now that society is developing better and better! Who wants to die? Everyone wants to live a good life! It is better to live a long life!

"That's not it!" Lin Yu gave him a reassurance!

"Oh! That's good!"

At this time, a group of Liu Ren, Dr. Liu and others all looked at Lin Yu quietly, everyone was waiting for him to make any mistakes, only you made mistakes, even if it was a little bit, we would bombard it.

"When I saw Dr. Sun doing a physical examination just now, I found that the patient still had a disease that needed to be dealt with urgently! I don't know Deputy Director Liu, do you see it?" Lin Yu looked at Liu Ren and asked.

This is a question, and it is a test for you! See if you can see it! Obviously, you Liu Ren have not seen it!

Liu Ren was directly confused by his question, the physical examination was done by Sun Hou, he was just watching from the side! Although he looked carefully, he didn't pay special attention to it!

Although Sun Hou is a new doctor, he also has three or four years of clinical experience, and he can do a good job in surgical physical examination, basically without any major flaws, after all, he has been engaged in general surgery in the past two years, and he has a foundation.

Liu Ren saw Lin Yu ask him like this, he was still a little nervous, this question is not easy to answer, if he didn't see it, there was nowhere to put this face!

If you say you know what other disease there is, but you really don't know! You can't just guess one! It's not easy to guess!

Liu Ren didn't return to Lin Yu's words, he looked at Sun Hou directly, his eyes were sharp!

"Sun Hou, you are the doctor in charge! You also did this physical examination just now! You should report it well!" Liu Ren threw the pot to Sun Hou.

You see the patient, you do the consultation, and the physical examination is also done at our time, but you have a good time with us Lin Yu.

When Sun Hou heard this, the first few were big! Secretly said Liu Ren, this guy is too inauthentic, Lin Yu is obviously asking you, you actually came to ask me again, you can be regarded as throwing all the responsibility to me.

My special mother just watched it, and she said that there was no other illness, since Lin Yu asked you, you know it, you can say it, you don't know and say you don't know, why do you ask me?

Didn't you embarrass me? Sun Hou didn't like Liu Ren very much, and he didn't have the spirit of taking responsibility when he encountered things! He blindly threw the responsibility to others, and he never said that he would take responsibility!

This kind of leader is really the same color compared to Donald Duck! When he encounters a good thing, he will be the first to stand in front to receive it, and when he encounters difficulties, he will run faster than a rabbit!

This kind of leadership is actually not worth following! There is just no way! As a first-class doctor, he was abandoned by the Department of General Surgery, and now his situation is not good!

But there is no way! Sun Hou is also uncomfortable, you can't choose others alone, you can only adapt to others! At least for now! Although Liu Ren is not very authentic, his skills are okay! He can still learn something, and this is the only place where he is gratified.

Lin Yu saw that Liu Ren threw the pot to Sun Hou, and secretly said that you are too inauthentic, others have seen people's hearts for a long time, you have only been a few days, and your heart has been seen by others.

If you don't know, I won't do anything to you if you have a slightly better attitude! If you throw the responsibility on Sun Hou now, then I will look down on you!

"Deputy Director Liu, just now I said that I went to the office to discuss, but you didn't agree! I insisted on discussing it here! The physical examination was done by Sun Hou, not you! You don't know and you don't lose face!" Lin Yu said easily.

Those present listened to it not easily!

Especially Liu Ren, that's a pain! This thing is said to be not ashamed, but in fact, it is a slap in the face!

Liu Ren wanted to die, his face was ugly, and he stared at Lin Yu and said, "Lin Yu!

Liu Ren's idea now is very simple, if you don't dare to talk nonsense here, wait a minute, if you don't say that you are ugly, I will want you to look good!

"However, this disease has not been seen, and Sun Hou cannot be blamed, firstly, you have a group of two senior doctors who have not seen it, so as a first-level doctor, I don't see it, I also think I understand! Second, this patient's right lower abdominal pain does cover up the patient's condition! Otherwise, Sun Hou asked the patient to stand up, and you look at the right lower abdomen, you will definitely have a special discovery!" Lin Yu looked at Liu Ren with a smile.

His face was full of self-confidence! His self-confidence made Liu Ren a little frightened! Could it be that he just said this?

Hernia?

Inguinal hernia?

With such a big change in body position, it's only a hernia, otherwise there is no way to explain it!

Until now, Liu Ren didn't believe Lin Yu very much! Sun Hou's physical examination did not find it, and neither did the doctor on duty in the early hours of this morning.

Why did you Lin Yu find out about this disease? Why? He couldn't figure it out, this was impossible! He didn't even see the patient, and he was late just now, and he was beaten up by himself!

When he came in just now, he was just like himself, watching Sun Hou's consultation and physical examination! He didn't make any further moves!

However, there is one thing he has a point! Inguinal hernia does change because of the position, and the hernia is simply the intestines and other contents that come and "fall" out in the weak part of the groin.

People who don't know how to medicine feel that there is a lump here! In patients with oblique inguinal hernia, the mass often changes with the patient's position!

When you are standing, this lump is very obvious! When you lie down, the lump will return to your stomach on its own!

Lin Yu could see clearly through the "golden finger", when Sun Hou did the physical examination, the patient happened to be lying down, so there was no mass at all!

Even more coincidentally, the patient's stone is on the right side! The patient knows that he has a lump here, sometimes "she" in his lower abdomen, sometimes "she" disappears again, and there is no discomfort.

This time the onset was because of unbearable abdominal pain! Stones!

This is the point! Everything else is not within the scope of his thinking! Stone pain patients don't want to get stones again for the rest of their lives! It's too painful.

So whether it was the patient's consultation in the early hours of this morning, or Sun Hou's question just now, he avoided this topic, because in his heart, this is not the main contradiction, his main contradiction is the stone in the abdomen!

"Elder Zhang, is there anything uncomfortable in your abdomen except for the pain of stones?" Liu Ren still asked a little nervously, if he really forgot such an important symptom, it would be a joke.

Hernia is said to be a serious disease, but it is not counted, it is not a serious disease, if it really happens that the intestines and other abdominal contents cannot be recovered, it may cause intestinal necrosis!

Therefore, as long as this disease occurs, the clinical principle is early detection and early treatment, and hernia repair is also a relatively mature operation!

A hernia is easy to spot, the patient is lying in front of you, you ask for a consultation and do a physical examination! You don't find it, that's a joke!

"Oh! I have a lump of stuff here, here! You touch it! When I lay down, she was gone!" Zhang Lao's stomach was not as strong as before, but he was still a more talkative person!

When Liu Ren heard this, he almost vomited blood!

He has rich clinical experience, and he can basically determine that Lin Yu's coercion is right! It is indeed right! Special mother is really right!

What is the principle of heaven?

It's not just Liu Ren who was surprised!

And Han Qiang, Dr. Liu and others were also surprised!

Even the patient on the hospital bed and Mr. Zhang next to him were surprised! They didn't expect that this Dr. Lin actually diagnosed his own disease, which is really amazing!

As patients and family members, they only see if the doctor can see the doctor and whether he can cure the disease!

Of course, when you are hospitalized, they see if you can diagnose your disease! This is the first step!

In the second step, they will care about which of these doctors is the physician, which is the attending doctor, and which is the director!

Of course, there are many patients who don't care much about this!

They only care about hospitalization, and doctors only care about treating diseases! They know one thing, that is, who is their own doctor in charge, this is very important, only if there is anything, they will ask their own doctor in charge!

Other doctors, they are a little distrustful! Especially internal medicine patients, after a long time, they will form a very good relationship with the doctors!

From a doctor's point of view, this is customer service stickiness! Many patients don't even go to the emergency department after they become ill! Directly escorted by their families, they go to the department to find their old friend, the former doctor in charge.

"Elder Zhang, please stand up, I'll take a look!" Sun Hou began to do another physical examination!

He was also shocked! He didn't even ask about this situation just now, and he wanted to slap himself in the face!

I just can't do it!

As the doctor in charge, the patient didn't even ask for such an important diagnosis, this is indeed going to be criticized!

After Sun Hou's face was red and his ears were red, he officially announced: "Right inguinal oblique hernia, there are surgical indicators!".

When Liu Ren heard this, he couldn't get angry! But it was not good to have a seizure in front of the patient!

I have already lost face in front of the patient!

He just wants to put this responsibility on Sun Hou now!

"Elder Zhang! There are also surgical indications for this disease!" Sun Hou's face was not very good! But after all, he was the deputy director, so he could only discuss the treatment plan with his family!

"I don't think this disease has any effect on the body?" said Mr. Zhang.

As a patient, no one wants to be stabbed more! He thinks that this disease has no effect on him, and when he stands, he comes out, lies down, and she is gone! It has no effect on his body and life.

If you don't deal with it in time, as your old man gets older, the muscles in the abdomen will weaken, and the hernia will get bigger and bigger! If one day, she can't go back to this intestine, she will be stuck, and we call it incarceration in clinical practice!

Lin Yu looked at Liu Ren coldly, and secretly said that although this product is stingy, the level is still okay, this wave of preoperative conversation, he said it is reasonable, and it is easy to understand!