From Fengyun Building, I returned to Little Nanjing Hospital, walked into the B-ultrasound room, and I was five minutes away from eight o'clock, but fortunately I was not late!

"Morning! Li Qi! "My colleague Xiaohong arrived early, Xiaohong's surname is Zhou, the provincial capital, and she came to Xiaonanjing County with her husband Li Hongqiu!

Her husband is an agent of the stone crusher factory and manages several provinces! However, these stone crushers in this small county town are all their own!

The stone crusher has a good effect, less damage, and is convenient and clean! The profit is not bad either! Li Qi knew that a few years later, Zhou Xiaohong bought a house and a car, and gave birth to a child! But I don't tell her!

'You're earlier! Did you eat early? Li Qi said as he put on his work clothes! That's the start of the day's work!

In fact, it's really quite idle, and I sit in the office without checking! It's okay to do nothing, to think about nothing! You can also read books, play with your mobile phone, talk about the world, and taste tea!

'Dr. Lee! Li Yuan told you to go to the next office! Ye An poked his head out of the crack in the door and said. Ye An has a characteristic of speaking softly! Those who appreciate will say, so gentle! If you don't like it, you will say that the cat is pinching its throat! Two mouths, no matter how you say it, it makes sense!

"Okay! I'll go right away! Li Qi got up as he spoke, thinking to himself, what would happen?

There is a habit in Li Qi's family, don't talk about work at home, and don't talk about family affairs at work! There is a clear separation between work and life! Of course, there are exceptions to the urgent matter! It's the New Year, Li Yuan is really busy, Li Qi usually doesn't bother! Brothers haven't communicated anything lately!

Knock on the door!

'Come in!' Big brother's voice came! Except for the lack of gray hair, the eldest brother has really not changed much! Always so spirited, upright, wise, elegant! No wonder a woman's fate is never wrong! There are several beautiful young women who want Li Qi to call her sister-in-law!

Everything happens for a reason, there is no love or hate for no reason! "Brother! What's the matter with me? Li Qi is really a little curious!

"Sit down! That's the case, Professor Zhang has something to do and will come home after the New Year! There is an acute appendicitis surgery at half past nine today! Understaffed, ready to put you on stage too! After the eldest brother Li Qi finished speaking, he glanced at Li Qi and waited for a reply!

"On stage? Good! I'll go up to the ultrasound room! Li Qi pondered for a moment and agreed!

In this life, Li Qi has been operating with his eldest brother Li Qi. Such as appendicitis, caesarean section, gallbladder stones, kidney stones, bladder stones, ureteral stones, hernias, etc.!

I didn't do it until I stood on my own, and I just did a simple incision and debridement suture! I haven't been on stage for seven or eight years!

I didn't go on stage after passing through this moment! But the eldest brother doesn't know that he hasn't been on stage for seven or eight years! That's why there is talk of Li Qi coming to power. Refuse, right? There's no good reason! Up, right? I'm afraid that my hand is born, and my life is at stake!

But fortunately, there are some things, or skills, as long as you have them, it is difficult to forget them! As soon as I close my eyes, the scenes of those previous surgeries are vivid in my eyes like a movie! It's like just yesterday, just experienced! If so, Li Qi agreed!

Back in the B-ultrasound room, Li Qi told Zhou Xiaohong to do the inspection! Go upstairs and do the surgery yourself! Situations like this have always existed in Little Nanjing Hospital!

Let Li Qi be like Wanjing oil, there needs to be stuffed there! It wasn't until several years later that the manpower gradually increased!

Coming to the third floor, Li Qi found the medical records.

The patient, Li Chuanchang, male, 23 years old, from Jinshan Town.

Initial diagnosis, acute appendicitis.

Differential diagnosis, peritonitis.

Diagnosis, acute appendicitis.

Exploratory laparotomy is planned!

There is also a test sheet, the blood picture is relatively high, and the white blood cells are on 15,000! ECG normal, sinus rhythm! B-ultrasound results to rule out right ureteral stones.

The patient's body temperature was high when he arrived, and after a few days of infusion antibacterial and anti-inflammatory treatment, it had dropped to normal levels. Ben is ready for conservative therapy, so that I can go home for the New Year!

Unexpectedly, last night, the patient's pain in the right lower abdomen intensified. Not only is the McFilfer point tenderness rebound tender, but it is also tender to the abdomen, and it is nervous to touch!

Consider that the appendix is ruptured! Inflammatory discharge overflowing into the abdominal cavity, and cleaning and suturing without laparotomy can be life-threatening!

Appendicement and appendicitis are briefly discussed here.

The appendix, also known as the vermisite, is an elongated, curved blind tube. Located in the lower right side of the abdomen, between the cecum and ileum, the root is in the posteromedial wall of the cecum, distal and atresia! There are also a few abnormal positions, which can be located in any position in the pelvis, called ectopic appendix!

Appendicitis is an inflammatory change that is caused by a variety of factors! It is a common surgical acute abdomen, which can occur in women of all ages and pregnancy, but it is generally mainly adolescent, and men are more common than women.

Clinically, it is divided into acute appendicitis and chronic appendicitis, and acute appendicitis is more common, and chronic appendicitis is rare.

Chronic appendicitis is generally caused by repeated irritation after repeated irritation during conservative treatment of acute appendicitis.

The symptoms are abdominal pain, which is characterized by tenderness and rebound tenderness, and tension in the abdominal muscles! There are also intestinal reactions such as nausea, vomiting. Fever, but generally not more than 39 degrees, except for perforation or gangrene. There are also skin sensation allergies, etc.!

Due to individual differences, the symptoms are different, and it depends on the level of the doctor!

Appendicitis treatment is divided into conservative treatment and surgical treatment! Conservative treatment is not only anti-inflammatory, analgesic and traditional Chinese medicine treatment!

Regarding pain relief, it must be noted that painkillers should be used with caution when any pain is not clearly diagnosed, for fear of covering up the symptoms, delaying treatment or endangering life, especially in the case of acute abdomen!

But in reality, especially rural doctors like Li Qi are all pain-relieving! It's a bit scary and worrying! It's a matter of level and quality again!

Surgical treatment is a laparotomy under anesthesia! Just open your belly and see what's going on!

"An An! What about Vier? Li Qi didn't see Wei'er until the third floor.

Wei'er is the head nurse, and the head nurse is Xia, they are really busy when they go to work! It is necessary to schedule shifts, to monitor the safety of nursing, to check the pre-operative preparations, anyway, the nursing department has something to look for Wei'er! Sometimes he's busier than the dean of the eldest brother!

Usually I can only hear Wei'er's voice at work, and I have to look for the sound to see people!

I went home after work, and I was still someone else's daughter! In addition to going to work to have a look, Li Qi has an appointment after work, and the rest of the time is still contact by phone and text message!

"Head nurse! Check the preparation in the operating room! Do you want to call her? Ye An was writing and signing the infusion record.

Every time a nurse changes a patient's dressing, she signs the order! There is a doctor's prescription on the doctor's order! If you use any medicine, you will sign the name on the back of the doctor's prescription for these medicines! There are two types of medical orders: long-term and temporary! 'Who's looking for me?' Wei'er came down from the fourth floor, and just happened to hear Ye An at the door and asked. The operating room is on the fourth floor, and the fifth floor is the dormitory and storeroom!

A blue clay protector with a convex and backward warp! The long braids were coiled up and hidden under the nurse's hat. The tip of the forehead and nose is a little sweaty, and the red face is even more beautiful! Make the already pretty people more attractive!

Some people say that uniforms are tempting, and they say that they add charm because of uniforms!

I say that women at work are beautiful, and it's a taste that is attractive from the inside out! Especially Wei'er, who is a big beauty in itself, is even more charming! "I'm looking for you! I want to ask how the anesthesia works! Today I'm on stage! Li Qi didn't wait for Ye An to answer, so he preemptively said.

Anesthesia is an indispensable part of surgery! If the anesthesia is good, the operation will be easier, and if the anesthesia is not good, it will be troublesome! Not to mention surgery, sometimes it can be life-threatening!

Little Nanjing Hospital is a little special, there is no anesthesiologist recruited, they are all called from other hospitals! Generally, it is Physician Ye from the county hospital and Physician Huang from the Chinese Medicine Hospital. It was several years before the hospital had its own anesthesiologist. "Doctor Ye won't come until nine o'clock, and you will be on stage today?" Wei'er Xing's eyes widened, and she patted her towering chest with her hand and asked very curiously!

It's no wonder that Wei'er is curious, she hasn't had surgery on stage since she met Wei'er! In her previous life, Wei'er had never seen Li Qi have surgery, at most it was debridement and suturing and small mass excision!

In Li Qi's impression, since he met Wei'er, he has only been a B-ultrasound doctor and an outpatient doctor! The memories of the surgery are all before I met Vier!

This time, Professor Zhang is gone! But it's true that life has gone wrong! But who should Li Qi ask!?

'Strange? Or is it skeptical? Li Qi winked at Wei'er and said, "Will Li Yuan be joking about this?" Everyone knows that Li Yuan is rigorous! No joke will be made with human life! After taking the stage, the patient's life is in the hands of the people on the stage! It's a fraction of a second!

"Peep! Wait and see if you can do it! Wei'er curled her red lips, completely ignoring the fact that it would fascinate people.

"Men can't say no! If I can't do it, you'll find out later! I'm going to see the patient! Li Qi walked away quickly without waiting for everyone's reaction.

You know that in addition to Wei'er and Ye An, there are several nurses and doctors here! But Li Qi is just telling the truth! I can't get numb in front of people who have been with me for ten years, because I am very familiar! That's a real problem! Let's go with the flow!

"You rascal! Annoying! After Li Qi went out, he could only hear the laughter of the medical office and the high voice of the Wei children! Wei'er scolding people is really lacking! In my previous life, I have never heard any wonderful scolding words from Wei'er for ten years! The most red-faced and red-eared!

Lovely sister! Don't you know what she's thinking about me in that world?

The patient is in the ward, conscious, his body temperature is high, his face is a little pale, and his abdomen is full of tenderness and tension! I have prepared my skin, and I have fasted for twelve hours!

These details are crucial, and the details determine success or failure! Nowhere is this more evident than in surgery! Not only does it affect the course of the surgery, but it also has a therapeutic effect, which can sometimes be life-threatening! These things are big majors, so I won't list them one by one.

Li Qi told patients and their families not to be nervous, just cooperate well! Appendicitis surgery is not big, and it's fast! This is also important for surgery!

Even under anesthesia, the cooperating patients must be more comfortable than the uncooperating patients, and the operation will be smoother!