"Little doctor, how about it, you can do it, get me a few more stomach pills!" I...... I couldn't stand the pain anymore. ”

The old man saw that Zhang Fan was deep in thought, and he didn't know what Zhang Fan was thinking. Anyway, now his stomach hurts badly, and the only person he can count on in front of him is Zhang Fan, so he can only continue to plead with Zhang Fan.

"Whew, no! Old man, you ...... You're not suffering from a stomach ache, it's a ruptured spleen from trauma! It's dangerous! You wait, I'll call an ambulance. ”

After Zhang Fan heard the old man's pleading, he came back to his senses, and then said with a long breath.

At this time, he already completely believed in the judgment of the "system" in his heart, not to mention that he had some doubts about Zhu Jian's diagnosis before this, just the fact that his consciousness was suddenly pulled into the virtual space by the "system" just now made him very sure that the judgment of this "system" would definitely not be wrong.

After all, it's a high-tech from the 23rd century, and can it go wrong with such a small "ruptured spleen"?

However, the three treatment plans proposed by the system, he really didn't have anything to do for a while. Because, he doesn't have a scalpel at the moment, and the current "rejuvenation pharmacy" does not have the conditions to carry out any open surgery, so he has no way to do it. However, he couldn't do it, but it didn't mean that the old man was hopeless.

A ruptured spleen is not a very common injury, but its treatment is relatively simple. Usually it is only surgically repaired or removed. Although, the technical difficulty of taking any spleen repair surgery to completely save the spleen is quite high. However, if it is a partial splenectomy or total splenectomy that is performed solely to stop bleeding, the technical difficulty is greatly reduced, and it can be said that it can be done in a general tertiary hospital.

However, one of the fundamental challenges in the treatment of spleen rupture is the difficulty of diagnosis. Because, when the spleen rupture is damaged in the early stage and the injury is mild, it does not have any major symptoms, probably just mild pain in the left upper abdomen, which is not noticed by ordinary doctors. However, as time goes on, the amount of bleeding increases, and pre-shock appears, followed by shock.

Due to the stimulation of the peritoneum by the blood, the abdominal pain will increase slowly, and it will rise in the left upper abdomen, slowly involving the whole abdomen, of course, it will still be most obvious in the left upper abdomen, so the general patient will cover the left upper abdomen to relieve pressure, and occasionally move the hands throughout the abdomen, which is the symptom of the old man just now.

Of course, most patients will not press their abdomen too much, because the abdominal pain caused by spleen rupture and bleeding will cause tenderness and rebound tenderness when compressed. Of course, tenderness and rebound tenderness may also be caused by other lesions, such as inflammation, tuberculosis, stones, tumors, etc., which are more common lesions, so when doctors notice that patients have tenderness and rebound tenderness, they will not think of the relatively rare rupture of the spleen.

This is why a ruptured spleen is often difficult to diagnose.

However, although it is generally difficult to diagnose a ruptured spleen, it is still too outrageous to diagnose a ruptured spleen as an ordinary stomach pain. Although, when the patient came to the "Rejuvenation Pharmacy" for the first time to see Zhu Jian just now, maybe he was still in the light of his injury, so even if Zhu Jian misdiagnosed, it is not unforgivable.

However, when the second time the patient found the "Rejuvenation Pharmacy", he was in pain like that, and he was sweating profusely, his face was pale, and even taking stomach medicine did not relieve it at all, but it became more and more aggravated, so Zhu Jian did not pay attention to it, did not re-diagnose the patient, but insisted that his original judgment was correct, this is a question of medical skills, purely a matter of medical ethics.

Fortunately, there is not only Zhu Jian as a doctor in the "Rejuvenation Pharmacy", but also Zhang Fan, an intern. At the same time, the old Chinese medicine doctor who had a first-aid process for Zhang Fan was actually paying attention to this side at this time, but because he was not his own patient, he avoided suspicion, so he didn't come over for a while. On the contrary, Zhang Fan, an intern doctor, because he has never established himself in the profession of a doctor, so he doesn't know any rules, so he doesn't have so many concerns, anyway, he has doubts in his heart, so he came over.

"Not a stomach ache? I...... I'll just say no, Zhu ...... Dr. Chu still doesn't believe me! Good, good! Little doctor, that ...... Then hurry up and call an ambulance for me! Ouch! ”

The old man had already given up the idea of letting Zhu Jian help him diagnose again, but when he heard Zhang Fan say that, he felt that it seemed to be the case again.

This kind of pain method is indeed not like the pain he used to have stomach pain, but Zhu Jian just said that he was, so he didn't dare to continue to insist. After all, Zhu Jian is a doctor, and he is just an old man who doesn't know anything. However, when he heard that other doctors supported him, the thought in his heart suddenly became active again.

Anyway, this shouldn't be a stomach pain, as for whether it is a ruptured spleen, to be honest, he actually doesn't know what a ruptured spleen is and what kind of risk it has, so he doesn't bother to care, anyway, as long as it can be diagnosed and cured, it's fine.

"Good! I'll be on the phone right away. ”

The old man didn't know the risk of a ruptured spleen, but Zhang Fan, as a doctor, was still very clear, so he agreed at this time and immediately wanted to call. However, before he could take two steps away, a voice of resentment sounded!

"Stop! What do you want? ”

Zhang Fan looked back and saw that it was Zhu Jian, the old man's attending doctor. He actually didn't hear the conversation between Zhang Fan and the old man just now, but he faintly heard it, Zhang Fan seemed to be going to call an ambulance, and at the same time, Zhang Fan also overturned his diagnosis just now, which made him angry for a while.

It's really upside down, when will it be the turn of an intern doctor to point fingers at the diagnosis prescribed by a sitting doctor? Moreover, as an intern doctor, he didn't come to help him protect the interests of the entire clinic, and even instigated the patient to call an ambulance to rush to the big hospital. What kind of mindset is this? As soon as this ambulance comes, will the rejuvenation pharmacy still open for business? As a doctor, will I still be a doctor in the future?