"Chuanchuan, it's time to get up!" Early in the morning, Qin Chuan's mother was already shouting outside the door, and she was a little worried that Qin Chuan hadn't rested well, "This child, when will he be able to grow up?" The work of this hospital is also a little too busy. I finally took a day off, and it was called marrying overtime. I used to think that being a doctor was a good job, but I didn't expect it to be so tiring. ”

"Do serious work, which one is not tiring? But the picture is a stability. Lao Qin said.

Qin Chuan got dressed and walked out, his head was a little messy, but his head was sober, and he really had some more enlightenment.

While rinsing his mouth while going to the toilet, he interspersed several things, and the whole process was completed in less than five minutes. I got a little glue and tidied up my messy head.

"Don't you really eat breakfast?" Qin Chuan's mother asked with concern.

"It's okay, I'll buy it myself." Qin Chuan said.

"Then don't buy on the side of the road. Unhygienic. Go to those regular stores and buy them. In fact, the breakfast made here in our old neighborhood is more relaxed. Qin Chuan's mother said.

"Now no one is at ease, if you want to rest assured, you can only do it at home." Lao Qin said.

"Take your time yourself. I need to hurry, or I'm going to be late. Qin Chuan said.

Jiang Lingling waited left and right at the entrance of the hospital, as if she was afraid that Qin Chuan would walk by and not see it.

Wu Xiaoming walked over, and when he saw Jiang Lingling, he immediately said happily: "Lingling, it's really early?" ”

"Well, Dr. Wu, you're pretty early." Jiang Lingling's eyes were still staring in the direction of Qin Chuan's house, her eyes didn't look at Wu Xiaoming, and her brows were slightly wrinkled.

"Who are you waiting for?" Wu Xiaoming said.

"Nope. I'm looking at Sister Zhan Ting, is it here? Jiang Lingling said.

"Oh, then I'll go in first." Wu Xiaoming said.

Jiang Lingling still didn't look at Wu Xiaoming, and hummed casually.

Wu Xiaoming lost face a little, but he couldn't say anything. Look outside as you walk.

At this time, Qin Chuan walked towards the gate of the hospital.

"Doctor Qin." As soon as Jiang Lingling saw Qin Chuan, she immediately jumped in front of Qin Chuan.

"Lingling, you're so early!" Qin Chuan smiled.

Seeing that Jiang Lingling saw Qin Chuan appear, she immediately changed her smiling face, Wu Xiaoming, who had already walked to the hospital, snorted coldly, glanced outside resentfully, and walked quickly to the emergency department.

"I'm new here, too. Come, taste, and see what this breakfast tastes like. Jiang Lingling handed the breakfast in her hand to Qin Chuan.

Qin Chuan was also not polite, and took it directly: "You haven't eaten yet, have you?" ”

"Hmm. We girls don't need to eat much in the morning. Doctor Qin, you can eat. Jiang Lingling said.

"That's not going to work either. Breakfast must be eaten well, otherwise it is easy to get stomach problems. Qin Chuan said.

"Let's go. Let's go inside and eat. Jiang Lingling said.

"Okay." Qin Chuan said.

The breakfast brought by Jiang Lingling tasted really good, which made Qin Chuan a little praised: "Where did you get the breakfast?" It tastes really good. ”

"There is a restaurant in our neighborhood that specializes in breakfast, and it is very good. Doctor Qin, if you like to eat, I will cover your breakfast in the future. Jiang Lingling said.

"Don't. It's too much trouble. Qin Chuan hurriedly refused.

"It's fine, it's not a hassle at all. That's it. Jiang Lingling said.

At eight o'clock, all the doctors and nurses in the emergency department crowded into the department, and Cheng Guanhua walked into the emergency department.

"Everyone is here, first ask the doctor on duty to tell me about last night."

Gao Zhanting was on duty last night and stood up and said, "I received eleven emergency visits last night. Several patients who were more strict had been transferred to a specialist after their signs were stable. A few other people who caught a cold went straight back after getting a drip. There are also 14 patients in the observation room. The patient, Cui Jun, 35 years old, had epigastric pain for 4 hours. Moderate dù pain above the umbilicus, no radiation and no metastasis. There is heat T38 degrees, there is vomiting. Past medical history is unremarkable. Palpation of the upper abdominal muscles is tense, Murphy's sign (-), and there is no significant tenderness rebound at the appendix point. There was no abnormality in the abdominal x-ray taken in the emergency department. B is also unremarkable. The diagnosis was unclear for a while, but considering that there was inflammation due to long-term pain, I had to first treat anti-inflammatory therapy, P-GNA+amikanet, and rehydrate. After two hours, there was no significant relief from the pain. The examination is the same as above. T38。 3 degrees. Re-examination of abdominal plain radiograph, still no abnormality. At that time, I thought about whether it was intestinal ascariasis? So I gave Durandine 1oomgim for pain relief......"

"Okay, let's start the routine rounds." Cheng Guanhua said.

When he walked to bed 14, the patient's signs were relatively stable and he was still asleep.

"How is the patient feeling?" Cheng Guanhua asked.

"Just fell asleep and tossed all night. Haven't figured out what the hell is going on. The family of the patient Cui Jun complained slightly.

After leaving the observation room, Cheng Guanhua said to Qin Chuan: "Qin Chuan, you take over." Re-checked, I always felt that there was something wrong with roundworm. There are various circumstances to consider. You can't be afraid that people will say that our hospital excludes the law, so you don't dare to open an examination. Western medicine is a systematic science, and to diagnose a disease, it is necessary to use the method of elimination. The elimination method is not a matter of medical ethics, but a problem that some doctors lack ethics in the process of practicing medicine. So, as professionals, we have to put this issue in perspective. Over-checking is not the same thing as necessary testing. ”

Qin Chuan nodded.

After walking a few steps, the bell rang for the 14th bed.

"Qin Chuan, you go take a look." Cheng Guanhua said.

Qin Chuan hurriedly walked over.

"What's the situation?" Qin Chuan asked.

"You've only walked a few steps before he's in terrible pain. Doctor, please take a look. The patient's family said.

"Hello. Where does it hurt? Qin Chuan asked.

"Abdominal pain." The patient said, pointing to his abdomen.

"Bear with me, I'll give you a check." Qin Chuan said.

Qin Chuan's mind was like electricity, and he quickly found a way to check quickly and effectively. He is very skillful and very accurate in his questioning. Quickly found the patient's real pain point, the way the pain was already in pain.

"Acute appendicitis is suspected and surgery is needed immediately." Qin Chuan said.

Qin Chuan contacted the surgical department for consultation, arranged preoperative examinations, and contacted the operating room. The general outside side is too busy, saying that such a small operation, you can solve it yourself. A small appendix surgery is naturally too difficult for the emergency department doctor. Emergency physicians generally have a background in surgery and internal medicine. Therefore, appendectomy surgery is really not too difficult.

It's just that when the patient is asked to do various examinations, the patient's family stops.

"My husband is in pain like this, and he checks here, checks there. What do you mean by hospital? A simple appendicitis that you didn't get out of all night. This is the level of a tertiary hospital? Cui Jun's wife said.

"I can understand your feelings. But before the surgery, if we don't see these test results, we don't dare to go under the knife. I ask for your understanding in this regard. This test is a prerequisite for us to confirm whether the patient is able to go to the operating table. Without these test results, we would not have been able to perform the surgery in accordance with the rules. These tests are necessary and will not be delayed for too long. You go for the examination quickly, I will make preoperative preparations here, and as soon as the examination results come out, I confirm the results, and the operation can be performed. Qin Chuan said.

"If you had been able to get the results out of the test earlier, my husband wouldn't have suffered so much." Choi Jun's wife said.

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