Chapter 139: Acute Abdominal Pain
Zhuzi saw that his father was not so painful and immediately breathed a sigh of relief, and poured a cup of hot water for his father to drink, He Runsheng had nothing to do in the afternoon, he was busy with the family's affairs, and there was still a lot of work such as feeding sheep and sheep.
In the evening, the two of them ate a bite of the tampon pillar and ran to watch TV, he stopped going to school early, raising sheep is a good hand, there is no burden at home, the days are much better than other people's homes, the TV is a large LCD color TV newly bought last year, and the village has such a TV at his house.
Zhu Zi saw that he was about to wash and sleep at about 10 o'clock, and suddenly there was a painful sound from He Runsheng's room, and Zhu Zi was immediately startled, so what kind of TV did he have the heart to watch? Quickly ran into He Runsheng's room, and as soon as he entered, he was scared stupid, He Runsheng rolled on the bed in pain, his face was full of cold sweat, his face was not only white, but his facial features were distorted together in pain, which was very scary.
The pillar was frightened and hurriedly went over and said, "Dad, what's wrong with you?"
He Runsheng was so painful that he couldn't speak, stretched out his finger and pointed at the painkillers placed on the kang head, he was in pain like this Zhu knew that the problem was very serious, what he had to do now was not to give his father any painkillers, but to send his father to the health center for treatment as soon as possible, the first thing that Zhu Zi thought of in this hurry was Chu Tianyu, after all, they had a good relationship, so Zhu Zi said: "Dad, bear with it, I'll call Brother Chu." ”
Soon Chu Tianyu received a call from Zhuzi, and his first reaction was to say: "Zhuzi, don't worry, hurry up and send your father to the health center, Meng Runze is here, don't worry, I'll go back." ”
Zhuzi's family is just him, his father, and his mother died early, and now He Runsheng is in pain like this, Zhuzi must be so panicked that he doesn't know what to do, at this time, Chu Tianyu has to be by his side to help him make up his mind, so he has to rush back immediately.
Not long after, Chu Tianyu got into the car with Su Yunjun and rushed to Zhengfeng Fort.
At the same time, the pillar ran out and called out to the neighbor who carried He Runsheng to the health center with a sheet.
Meng Runze had just laid down and was thinking about how to chase Su Yunjun when he heard an anxious knock on the door, he put on his clothes and got out of bed, and as soon as he opened the door, he saw a pillar with a sweaty face, and He Runsheng who was lying on the sheet and was so painful that he was almost gone.
Meng Runze was immediately startled, and said hurriedly: "What's the matter?"
Zhu Zi hurriedly said: "My dad has a stomachache, Doctor Meng, you hurry up and show him." ”
Although Meng Runze's character is not very good, he also knows that it is important to save people now, so he hurriedly asked the pillar to carry He Runsheng to the diagnosis and treatment bed.
Meng Runze said while palpating the abdomen for He Runsheng: "Does it hurt here?" At this time, Meng Runsheng pressed the right abdomen, and there are not too many diseases to consider for patients who encounter this kind of acute abdominal pain, appendicitis is one of them, and the typical manifestation of appendicitis is that there is strong tenderness at the McCephalic point, or even rebound.
Meng Runze's attainments in medical skills are very high, and when he saw He Runsheng's pain like this, he suspected that it was an acute attack of appendicitis, so the first palpation position was the Mai's point in the right lower abdomen.
As soon as Meng Runze's fingers pressed down, the pain on He Runsheng's face became more and more intense, and he shouted in his mouth: "That's it, that's it, it hurts, it hurts." ”
Meng Runze quickly let go of his hand and said, "Does it hurt like this?"
He Runsheng nodded a little weakly and said, "It hurts." ”
Now He Runsheng has obvious right lower quadrant McDot tenderness and rebound tenderness, and the diagnosis of appendicitis is almost inseparable.
Meng Runze said directly: "Send it to the hospital." ”
Zhu Zi hurriedly said: "Isn't this a hospital?"
Meng Runze sneered and said, "What kind of hospital is this? Your father has acute appendicitis and has to be operated on, but it can't be done here, so hurry up and send it to the county." ”
He Runsheng suddenly felt abdominal pain at this time, and the pain made him roll on the bed.
Zhu Zi hurriedly said: "Doctor Meng, my dad is in pain like this, and he has to send it to the county in the middle of the night, don't do anything!"
Meng Runze scowled his shoulders and said: "If something happens, I can't say it's good, but there is no way to treat it here, the environment in this place is too simple, and there is definitely no way to do the operation, if you are afraid that something will happen to him, you will send it to the county seat as soon as possible." ”
Zhuzi gritted his teeth and said, "Okay, I'll go find the branch secretary and ask him to find us a car." Still saying this, the pillar ran quickly.
More than ten minutes later, Wang Delong and Xu Changwen arrived, and when they saw He Runsheng in pain, they said: "Runsheng, don't worry, the car will come soon, and I will send you to the county hospital in a while, and it will be fine when you arrive." ”
He Runsheng was so painful that he didn't have the strength to speak, so he could only nod his head, indicating that he knew, at this time, the clothes on his body had already been wet with cold sweat, and his body temperature was also very high.
Just when the car arrived to send He Runsheng to the county hospital, Chu Tianyu and Su Yunjun arrived.
When Wang Delong saw Chu Tianyu who suddenly appeared, he immediately subconsciously said, "Doctor Chu, why are you here?"
Chu Tianyu didn't answer Wang Delong's question, but looked at He Runsheng, stretched out his hand and touched his forehead, and immediately felt that his hand was very hot, and said hurriedly: "What's wrong?" Meng Runze asked this.
Meng Runze had a lot of opinions in his heart about Chu Tianyu who suddenly ran back, this kid is really ghostly, he has him, and immediately said impatiently: "Doctor Chu himself, aren't you very capable?"
Zhu Zi hurriedly said on the side: "Brother Chu, Dr. Meng said that my father has appendicitis. ”
Chu Tianyu immediately frowned and said to the pillar, "How long has your father been in pain?"
Zhuzi thought for a while and said: "It's been more than two years, and it's been over after forbearance before, and in the last few months, I have to take painkillers, and today the pain is even worse." ”
Chu Tianyu immediately said urgently: "Why didn't you tell me earlier?" Speaking of this, he said to Su Yunjun: "Give me that syringe." ”
Meng Runze said impatiently: "Chu Tianyu, what are you going to do, now he must be sent to the county hospital for surgery immediately, don't waste time here, if you delay the perforation of the appendix, he will die." ”
Once the appendix is perforated, the contents of the appendix will enter the abdominal cavity, and a large number of bacteria will be absorbed into the blood circulation by the peritoneum and mesentery, causing severe sepsis, resulting in the death of the patient in a very short time.
Chu Tianyu raised his head and glared at Meng Runze angrily and said, "Doctor Meng, you are a top student of Harvard Medical School, and you have also spent time in Yanshan Hospital, which is one of the top hospitals in the country, don't you know what will happen to the patient's appendix in the abdominal cavity if appendicitis recurs within two years?"
Meng Runze pouted and said: "Of course I know that because of the recurrence of appendicitis, it will cause serious adhesions between the appendix and the abdominal contents such as the intestinal tube, and the appendix will also change its shape due to repeated episodes of inflammation, including the thinning of the appendix wall, and perforation may occur at any time." ”
Chu Tianyu said coldly: "Since Doctor Meng knows this, he should understand that sending him to the county at this time is equivalent to sending him to the ghost gate, and his appendix will be perforated at any time during the transportation process, and once sepsis is triggered, he will definitely die." ”
Meng Runze glared at Chu Tianyu and said, "Of course I know this, do you want me to operate on him in such a place?"
Chu Tianyu squeezed out a word from between his teeth and said, "Yes." ”
Meng Runze laughed instead of being angry: "What are you kidding? Perform an appendectomy on him in this hellish place? Is there a sterile operating room here? The operating environment is not up to standard, where there are corresponding surgical instruments? Is there an anesthesia machine? Is there a shadowless lamp? Is there an ECG monitor? Even if all of these are available, the anesthesiologist is there? How can he operate without an anesthesiologist, just do it for him?"
Chu Tianyu looked at Meng Runze coldly and said, "Just because there are no instruments here, there are no anesthesiologists, and the sterile environment is not up to standard, can't you do the operation?"
Meng Runze snorted coldly: "I'm sorry, I really can't do it without these, so ......" He stretched out his hand and said, "He can only go to the county hospital for surgery." ”
Chu Tianyu suddenly grabbed Meng Runze and said, "You are shirking your responsibility." ”
Chu Tianyu, as a person in the medical circle, naturally knew the truest thoughts in Meng Runze's heart, in such an environment to operate on a patient, once the patient died, or because the surgical environment was not up to standard, resulting in postoperative complications, Meng Runze was mainly responsible, so he would rather let He Runsheng take a big risk to go to the county hospital for surgery than do it for him here.
He Runsheng's current situation is very dangerous, if he is sent to the county hospital, with his current situation, there is a chance that he will die on the road, but if he is operated on here immediately, he still has a good chance of surviving, even if the sterile environment is not up to standard, postoperative complications will not kill him.
But Meng Runze was afraid that once He Runsheng had complications after surgery, he would bite him back and bring him trouble, so he would rather watch He Runsheng live and die than help him.
Meng Runze is too selfish, for his own benefit, he can watch the patient die, and he will not take the risk to treat the patient.
Meng Runze glared at Chu Tianyu and said, "You are so great, then you have done a good job for him." ”
At this time, Su Yunjun had already taken the syringe, Chu Tianyu pushed Meng Runze hard, and then asked He Runsheng to lie on his side, and after a while, he used the syringe to pierce his left abdomen, and soon pulled out some yellow liquid, which is exudate, and the exudate drawn out of the abdominal cavity means that He Runsheng's appendix has reached the verge of rupture, maybe there will be a perforation in the next second, and if you want to save him, you can only operate here immediately.
Thinking of this, Chu Tianyu looked at Meng Runze and said, "Okay, I'll make it for him." ”
Meng Runze sneered: "Chu Tianyu, what qualifications do you have to operate on him?Do you have the qualifications to practice medicine?" Speaking of this, he looked at Zhu Zi and the others: "You guys, let's send people to the county hospital quickly and let him do surgery? Will he? Be careful to kill people." ”