That night, in the Hall of Rejuvenation.

After eating dinner one by one, I hurriedly walked up to the third floor with my notebook.

The imperial doctors moved a little slower, and when they came to the conference room, they saw that the room was full of people, and they didn't know what to do for a moment.

Boss Xue stood at the door and yelled inside.

"The one in front will give up six positions, you go and sit in the back, and make room for a few imperial doctors."

Sun Maocai looked embarrassed, and hurriedly saluted Boss Xue.

"No need to do that, just sit in the back, and then sit in front tomorrow morning."

Boss Xue glanced at Sun Maocai, a little annoyed, how could this old man not be ashamed, he felt that they didn't learn well, and he didn't know how to seize the opportunity when he gave them.

"What are you doing in a daze, hurry up and sit forward, you haven't heard of it, can you pass the exam in six days? If you can't get by, but you have to go to the kitchen to help Wangcai with chores, isn't this a glorious thing? ”

As soon as he heard this, Sun Maocai's face suddenly turned red, and if there was anything else to say, he hurriedly squeezed forward.

Everyone sat down, and Zhou Heng walked in with a scroll, without telling Qu Ziping to get up and hang the scroll in front.

Next to it was a huge blackboard, Sun Maocai They didn't know what it was, they just sat with their own notebooks and looked at Zhou Heng.

Looking up and looking around, looking at the six imperial doctors in front of him, Zhou Heng didn't have too much politeness, and said directly:

"Okay, let's start when the people are together, let's not talk about the basics today, we talked too much about human anatomy and general disease medication, we went to the ward round in the afternoon, and saw two patients, today I will take them as an example to talk about whether to choose surgery or conservative treatment."

Saying that, he grabbed a piece of chalk, this was made by Boss Xue, there are too many blank papers needed for charcoal lectures, this can be erased at any time, and the cost can be saved a lot.

Zhou Heng wrote two names, ages and numbers on the blackboard, pointed to these two names and said:

"The outpatient clinic has admitted two patients, both of which were judged to be appendicitis, the first male patient is 50 years old, thin and weak with abdominal pain for several months, and was admitted to the hospital with repeated high fever, this is Wang Sanshun's patient, you recommend surgical treatment, right?"

Wang Sanshun hurriedly got up, "Yes, this patient's body temperature is 38 degrees Celsius, Mai's point rebound pain is obvious, after full meals, fatigue, cold and long-term standing, induce abdominal pain, the patient requires surgical treatment, this disease has plagued him for a long time, and he really can't stand it." ”

Zhou Heng nodded, "Sit down first, look at patient No. 2, patient No. 2 is a twenty-seven-year-old male, in good health, suddenly admitted to the hospital with abdominal pain, vomiting and high fever, this is a patient admitted by Zhang Ping, your suggestion is conservative treatment, right?" ”

Zhang Ping stood up, he was Desheng's apprentice, he had just started to see a doctor independently, seeing that Zhou Heng was a little uncertain in his heart, Desheng nodded at him on the side and smiled encouragingly.

"How to think and say, there is nothing that cannot be said here, if you are wrong, find the problem as soon as possible."

Zhang Ping took a deep breath, thought for a while and said:

"Patient No. 2 had severe vomiting and diarrhea, when he came to the doctor, his body temperature was as high as 40 degrees, his clothes were soaked, but his mental state was not bad, there was rebound pain in the abdomen, but there was not too much pain in the triangle area of the abdominal wall, and the abdominal wall was a little tense.

Zhou Heng nodded and motioned for Zhang Ping to sit down.

"Okay, you also have some understanding of these two patients, let's talk about it carefully, patient No. 1 has a long course of disease, repeated treatment many times, and the effect is not good, so I want surgery, but his physical state, and the urgency of the disease, I don't recommend surgery."

As soon as this assertion came out, everyone was stunned, especially Zhang Sanshun, who looked at Zhou Heng with a confused expression.

"This patient's appendicitis symptoms are very obvious, why not have surgery?"

Sun Maocai shuddered, he quickly looked up at Zhang Sanshun, although he knew a little bit about many of the terms they said, but compared with the brochures he had read before, he compared them and understood them a little.

However, what surprised him was that how could this apprentice of the Rejuvenation Hall dare to question the master like this, this is simply disrespectful.

However, looking at the smile on Zhou Heng's face, he seemed to appreciate Zhang Sanshun's incomprehension and questions.

Zhou Heng raised his hand and motioned for Zhang Sanshun to sit down, and then said:

"The judgment is correct, the first patient is appendicitis, but it is chronic appendicitis, the previous medication is not symptomatic, naturally there is no effect, this needs to be combined with anti-inflammatory and decoction, the effect will be good.

If the patient is about 40 years old and his weight is not so low, I would also recommend surgery, but his condition is not good, and the recovery from surgery is too slow, which is not conducive to treatment, understand? ”

Zhang Sanshun sighed, seemingly a little unwilling.

"Actually, surgery is a radical cure, even if it is treated with medication, there is a possibility of recurrence, right?"

Zhou Heng nodded, "That's right, but in terms of his current condition, conservative treatment is more suitable, if he gains weight and his state recovers later, surgery is more suitable at that time." ”

Desheng leaned over and looked at Zhang Sanshun, "How much does patient No. 1 weigh?" ”

Zhang Sanshun raised his chin towards Liu Xiu'er, "I'm about the same height as me, and my weight is about the same as that of Senior Sister Xiu'er." ”

Everyone gasped, Liu Xiu'er was only more than eighty pounds, if an adult man reached this weight, he was not ordinary thin, no wonder Zhou Heng did not agree to the operation.

Zhou Heng clapped his hands, and everyone looked up at him.

"Next, let's talk about patient No. 2, the symptoms of acute appendicitis are very obvious, Zhang Ping's initial judgment was correct, as for the triangle area, there is no pain, and there are not too many symptoms in the abdomen, which is not a good thing.

When the appendix is obstructed for too long, or when there is a perforation, it is easy to have such a situation, so this patient, after a while, talk to the family, start fasting tonight, and operate as soon as possible tomorrow morning, Desheng will do it. ”

The arrangement made Zhang Ping stunned, and he was poked in the arm by Desheng, and then he thought of opening the medical record quickly, and he looked at Zhou Heng with an innocent face.

"But patient No. 2's mental state looks much better than that of patient No. 1, but his body temperature is higher, and he was still there just now shouting for his daughter-in-law to bring food."

Zhou Heng hurriedly waved his hand, "Zhang Ankang will arrange it now, this patient can't leave people, is there anyone below to take care of it?" ”

Zhang Ankang was at the door and quickly stood up.

"Today, Xiao Liuzi will lead the class and patrol below, I'll go and inform you now."

Before the words fell, the door of the conference room was pushed open, Xiao Liuzi poked his head in, everyone looked at him, Xiao Liuzi was a little embarrassed for a while, and hurriedly saluted Zhou Heng.

"Boss, excuse me, what is the No. 16 patient on the second floor, Cui Xiangxin, vomited badly, the high fever has not gone down, and the penicillin has no effect, let me call it, Dr. Zhang Ping, are you going to take a look?" I don't feel very relieved. ”

Zhang Ping stood up, with an anxious look on his face, and looked at Desheng like a plea for help, and Desheng quickly got up and saluted Zhou Heng.

"Master, I'll take a look at it, if the situation is not good, I will have an emergency operation tonight, after all, if it is perforated, it will be troublesome."

Zhou Heng nodded, the two followed Xiao Liuzi away, and Zhou Heng looked at Mingyu who was making notes on the side.

"This month, Xiao Liuzi will get an extra two taels of silver, do you have no opinion?"

Everyone laughed and applauded, saying that there was no opinion.

The sudden applause surprised Sun Maocai, not only did Zhou Heng not have the frame of his master, but the recognition and encouragement of his apprentices and grandchildren was not comparable to ordinary masters.

There are also the doubts of these apprentices and even apprentices just now, and they do not shy away from it, they come directly with their mouths, and for their own judgment, it can be said that they are fighting on the basis of reason.

If he had to question his grandfather like this when he was a child, it would probably be the treatment of kneeling in the ancestral hall.

After the three of them left, the door closed, and Zhou Heng's eyes fell on the six people in the front row, seeing that Sun Mao was thoughtful, Zhou Heng coughed slightly.

"Is there something you didn't understand?"