17. The elderly are not appendicitis

"Who is Xia Yiwei. Zhou Yi, who sent the patient down, was really a little surprised to see a group of doctors in white coats, Xia Yiwei walked up, he said: "Sign, acute appendicitis." ”

"Senior Brother Zhou, it's hard work!" Xia Yi didn't see his badge, took the referral form and looked at it, "Let's go see the patient." ”

"Okay!" Zhou Yi was a little impatient, but he still took him back to the hall, at this time the patient changed the flat car, Xia Yi did not go up to check the body, Zhou Yi said:

"Metastatic right lower quadrant pain for 12 hours, McCedar point tenderness, rebound tenderness, no obvious muscle tension, abdominal color ultrasound showed hypoechoic mass of right lower quadrant, and the blood routine blood picture was high......"

Xia Yi didn't listen, but his hand didn't stop, and touched a lump in his lower right abdomen, but this lump felt slightly different from his usual touch.

But what the difference is, he can't say.

Although it is acute appendicitis from the symptoms, signs and auxiliary examinations, Xia Yi did not dare to be careless.

Drip!

- The deduction of 100 yuan is successful.

- The Medical Eye begins to scan.

- Lower abdominal scan shows adenocarcinoma of the appendix.

Xia Yi didn't open his mouth wide, he had seen the power of the system, but he didn't know that it was so powerful that it could even identify cancer, and you must know that this requires a pathological examination to be diagnosed.

At this moment, the doctors behind him were full of anticipation, they couldn't wait to see the appendix killer in style.

"Are you finished?" Zhou Yi saw that Xia Yi had not checked and checked, asked and asked, it seemed that it was not over, and he was very unhappy, the traditional Chinese medicine hospital is not as good as the county hospital, the county hospital is not short of patients, but the traditional Chinese medicine hospital is lacking, and finally he can do a surgery, but he didn't expect the above requirements to transfer to the lower level if there is no contraindication to laparotomy.

"Senior Brother Zhou, I can't do this operation......" Xia Yi didn't pull him aside, Zhou Yi didn't wait for Xia Yi to finish his words before he glared: "Can't do it?..... Communicate with the patient's family yourself!"

Vaguely hearing the conversation between the two, the other doctors were puzzled, and some even suspected that Xia Yiwei was exaggerating as Zhou Yi said.

"Cut, do you think he has a lot of ability, and he doesn't dare to do it when he sees that he is an old man?" Leo curled his mouth.

"Why don't you, Doctor Li, come?" Xia Yiwei looked back coldly.

"Come on, come!" Leo came to the spirit, and was about to step forward but was stopped by an old doctor, seeing the old doctor pointing to the badge, he snorted: "If you want to deceive me into breaking the law, no way!"

"It's illegal to lie to you?" Xia Yiwei sneered, he is now a teacher, and he is not responsible for the student's accident, and it is not because he did not register with this health center because he is a doctor, "If it weren't for the lack of time, I would have educated you well." ”

After saying that, Xia Yiwei walked towards the patient's family, he had to organize the wording well, after all, it was unacceptable for the patient to toss back and forth, neither the patient himself nor his family.

"The patient's family is here, his son is a reporter, you can do it yourself!" After speaking, Zhou Yi took a step back, looking out of the way.

There are not a few doctors who watch the play, they are already a little resistant to Xia Yiwei, just because Xia Yiwei is young but better than them.

"You are Dr. Xia, right! I am the patient's son, I have long heard that Dr. Xia has a unique appendix cut, and we are not stingy with money, but the old man is old and doesn't want him to inject too much anesthetic, and I heard that you even dare to move the appendix of a pregnant woman, so we came here, and I hope that Dr. Xia will be more attentive ......."

I'm afraid you'll be disappointed later! Li Ao smiled darkly, and coldly heard Xia Yiwei call him to go to the surgical diagnosis room, and he was joined by Zhou Yi, in addition to the patient's son and daughter.

In the consultation room, Xia Yiwei poured a glass of water for the patient's children and said, "That, you sit ....... Just now I looked at the condition of the old man, and I think the old man is not appendicitis, but appendiceal adenocarcinoma. With general anesthesia, it is necessary to freeze during the operation, and the colon is to be cut, and the operation is much more complicated than the appendix cutting, and our hospital cannot do this surgery. ”

"Appendiceal adenocarcinoma?" Everyone except Leo was taken aback, and for the patient's family, as long as they heard the word cancer, they couldn't sit still and didn't know what to do.

The patient's son got up and looked at Xia Yiwei: "Doctor Xia, are you sure? When I was in the Chinese medicine hospital, Dr. Zhou said that it was acute appendicitis...... We also listened to their advice before turning it down. ”

Compared with the patient's family, Zhou Yi was much calmer, he glared at Xia Yiwei and asked: "Why do you say that you have appendiceal cancer? The gastrointestinal surgeons of the First Affiliated Hospital of Western Medical University who came to our hospital for poverty alleviation all said that it was appendicitis. ”

Seeing that Xia Yiwei was a little speechless, Zhou Yi continued: "Doctor Xia, if you don't dare to do it, don't find other reasons, if it is not for appendiceal cancer, we will all be able to say that we are all peers, but you must know that patients and their families are not easy to explain." ”

"Like, isn't this a blind toss?" Leo interjected, intentionally or unintentionally.

"Don't you know if you cut it?" Xia Yiwei replied, looked at the patient's son, and said: "As far as I know, there is no intraoperative freezing in the traditional Chinese medicine hospital, so my advice to you is to transfer to the county hospital for surgery, as for the old man If it is not appendiceal cancer in the end, I can only say congratulations, you will hold me accountable, I admit it." ”

The words can't be full, and Xia Yiwei doesn't dare to guarantee that there is no trace of error in the system, or a mistake.

When it came to this, Zhou Yi didn't say much, and said to the patient's family: "Two, what do you think, should you transfer to the county hospital or go back to our traditional Chinese medicine hospital for surgery?"

"Be careful to sail the 10,000-year-old boat and go to the county hospital. The old man's son is quite mature and steady, considering that the Chinese medicine hospital cannot do intraoperative freezing, "Little sister, you go out first, I have a few words I want to say to Dr. Xia alone." ”

The patient's daughter, Zhou Yi, and Leo went out, and the door was closed. The patient's son approached Xia Yiwei: "Doctor Xia, I can't tell you the truth, I'm a journalist, if everything is according to what you say, my father has appendiceal cancer, then I have nothing to say, but, if not, then don't blame me for smashing your signboard with a true report." ”

......Xia Yiwei frowned, what does it mean to report truthfully? If so, it won't be reported? This is too unfair! However, considering that if the patient is really cancer, his family will inevitably be unhappy, so he has to say: "Friend reporter, I also hope that I am also wrong." ”

Ten minutes later, the patient was transferred away by 120, along with Leo.

After the ambulance from the TCM hospital left, a group of doctors surrounded him, and someone asked, "Teacher Xiaoxia, is that old man really suffering from appendix cancer? If so, how did you find out?"

"With experience!" The listener was speechless, what is experience? You have experience in cutting a few cases of appendix by a young doctor who has just come out? They obviously don't believe it.

"It's almost lunchtime, I'll be here this morning, if you have time at noon, go back and check the information, and see which appendixes can be done under local anesthesia and which can't?"

"Isn't it okay to have appendiceal cancer?" I don't know who said this, and suddenly there was a sigh from the crowd.

One of the young female doctors saw that Xia Yiwei was familiar with everyone's words, so she followed him up to the second floor and said, "Teacher Xia, I believe in you. ”

"Do you believe me, why?" Xia Yi didn't stop, looking at her quietly.

"Uh...... Because you're handsome!"

"You nymphomaniacs!" Xia Yiwei was speechless, shook his head and walked: "What's your name?"

"Peaceful, quiet ......"