Wang Ning was upset when he picked up the phone: "Hey, hey, it's okay if you call Wang Ning, what's your name Lao Wang?" Really, it sounds like a curse. ”

Dr. Yan and Wang Ning are old colleagues, and they are used to talking casually:

"Okay, okay, next time I call you Xiao Wang, come over quickly, this patient is in a hurry."

"Great!"

The surgeon was downstairs and came over quickly.

glanced at it, touched his belly, and said casually:

"It's okay, it's not tight, there is no obvious manifestation of acute peritonitis, but the right lower abdomen is a little slightly tender, it is recommended to do an abdominal CT scan to see it clearly, if it is acute appendicitis, directly arrange inpatient surgery."

Speaking of this, Dr. Wang whispered to Dr. Yan:

"In addition, you have to rule out whether it is an ectopic pregnancy first, don't do a CT scan only to find out that it is pregnant, then it will be a disaster."

"It's okay, I've done relevant tests to rule out the possibility of early pregnancy."

Every doctor is most afraid of encountering an early pregnancy that no one knows, otherwise this X-ray, as soon as some drugs are eaten, and finally the patient bites back, saying that I want to keep this child, you are not harmful.

Gotcha, get ready to lose money.

The surgeon looked at the young boy and girl, and said with a little anxiety:

"Little girl, this may be appendicitis, you have to find your parents to come over, the hospitalization operation is relatively big, and you have to have your parents here."

The girl was frightened and overwhelmed.

After all, Dr. Yan is a woman, and he feels a little sorry for this girl, so he comforts softly:

"Don't be afraid, your parents' unit phone number always knows, I'll call for you, you go for an examination first."

The pair of boys and girls were frightened: "Auntie, I, we didn't prepare so much money." ”

Yan Ning looked at the girl's dress very well, with fine skin and tender meat, obviously the family's economic conditions were not bad, so she wrote a "hurry" on the CT list:

"It's okay, you guys go to CT first, and then pay together when your parents arrive."

"Thank you, Auntie, thank you, Uncle."

The two of them didn't know how many times they ran out for a check-up, looking at the girl's painful appearance, Dr. Yan and Dr. Wang both sighed, parents can't see this the most.

About an hour later, the girl's parents hurried to the scene and looked at their daughter's male classmate suspiciously.

16 years old is the age of middle school, and what parents are most afraid of is early love, especially if they do something ugly, the reputation of the whole family will be ruined.

The girl's mother quietly pulled Dr. Yan over and asked, "Doctor, what's the situation with my daughter?" Does it have anything to do with the boy? ”

As a woman, Dr. Yan knew what her parents were afraid of, so she comforted:

"Don't worry, it's not that kind of ugly thing, I've already checked it, no problem."

The girl's mother patted her chest when she heard this, and a smile immediately appeared on her face:

"It's okay, it's okay if there is no such thing, but it's also strange, she has been complaining about stomach aches in the past few years, and we have also been to the hospital for a few check-ups, but we can't find any problems."

"At present, we have a preliminary suspicion of appendicitis, and we are still waiting for the CT report, if so, we will have to be hospitalized."

"Appendicitis?"

The girl's parents didn't care when they heard it, this disease is not a big disease in surgery, although it has to suffer a little, but at least her life is worry-free, and the recovery is faster.

But when the CT scan was finished, Dr. Wang took the film and looked at it, frowning a little:

"There are no indications for bile duct stones, cholecystitis, cholangitis, pancreatitis, intestinal obstruction, gastrointestinal perforation, etc., which are not acute appendicitis, nor are they indicated."

The girl's parents were stunned, not understanding what it meant that there was no indication for surgery, was it good or bad?

"Doctor, you said that there is no indication for surgery, is it not a big problem, or is it a big problem?"

Dr. Wang was a little impatient, raised his voice and said:

"There is no indication, that is, this abdominal pain, no surgery is needed, it is recommended to take a look at it in the Department of Gastroenterology, after all, you have had abdominal pain for several years, it may be a chronic disease, you have to take some time to check it."

After Dr. Wang said this, he left in a hurry, and there were still surgeries waiting for him to start, so how could he have time to talk nonsense.

The temper of the surgeon is to come and go in a hurry.

Dr. Yan stared at all the examination reports for a long time, and decades of clinical experience told her that the girl's pain was definitely not that simple, after all, ordinary intestinal spasms would not hurt to this extent.

But after checking around, all the abdominal organs are normal, and I can't explain this abdominal pain for a while.

And the girl herself said that the pain used to be relieved in about an hour, but this time the pain lasted longer and was more painful.

What patients are most afraid of is the doctor's silence, frowning, and cold face, if you sigh, say what you want to eat when you go back.

That's basically the death penalty.

So the girl's parents were nervous: "Doctor, what is wrong with my daughter?" ”

Dr. Yan didn't know how to answer, so he could only shake his head:

"I can't find any problems now, and the problems that can't be found are the most terrible, because you don't know how to remove the root of the disease, so it's better to be hospitalized first and have a good examination!"

The girl's parents were dumbfounded when they heard this.

But there is no way, in the entire northwest, Xijing Hospital is the best hospital, if you can't even diagnose Xijing Hospital, you won't have to go to other hospitals.

In this way, the girl was admitted to the gastroenterology department.

After being admitted to the hospital, it was lively, and the upper and lower corners of the body were checked, and the medical expenses cost thousands, and the Department of Gastroenterology of Xijing Hospital was stunned that it did not find out what the cause was.

Not to mention that parents are dissatisfied and anxious, even doctors are anxious, after all, doctors also want face.

Liang Wenwen, the director of the department, was on fire, slapped the table, and the general consultation was held.

After work, the gastroenterology office was full of doctors, whether outpatient doctors or inpatient doctors, all of them were called, and no one was allowed to leave work.

As the attending doctor, Yan Changhong began to report the medical records.

Every doctor listened carefully, thinking in their heads what the possible diagnosis was. What is the cause? Is there any other area that has not been examined? What other tests did you forget?

Director Liang smoked cigarettes one after another, regardless of whether the female doctors next to him were waving their cigarettes in disgust.

"Everybody say, what's going on with this patient? It has been more than 10 days since the treatment, whether it is antispasmodics, painkillers, various antibiotics, and even hormones, there is no effect at all.

Comrades, do you know what the parents just told me? They said that they thought that Xijing Hospital was omnipotent and the strongest hospital in the country, but they couldn't even cure a stomachache, and he was very, very disappointed in us.

The child's parents are intellectuals, they didn't scold their mother, if they scolded, everyone in our gastroenterology department should be scolded. Gather everyone today, it is necessary to work together, no one should hide it, there is something to say, there is a fart. ”

Director Liang, who has always been a good man, has been swearing, and everyone knows that the director is really anxious.

How many causes of abdominal pain are there? I'm afraid that even the most professional doctors themselves can't tell.

So they all began to talk about it.

Doctor A:

"I think acute inflammation of abdominal organs cannot be ruled out, such as acute gastroenteritis, acute corrosive gastritis, acute cholecystitis, acute pancreatitis, acute appendicitis, acute cholangitis, etc. Otherwise, how can it be explained that B-ultrasound X-ray and CT can not detect any substantial lesions? ”

Someone retorted: "Routine blood count, erythrocyte sedimentation rate, D-dimer and other indicators are normal, which can rule out the possibility of inflammation." ”

Doctor B:

"It cannot be ruled out that patients have abdominal wall diseases, such as abdominal wall contusions, abdominal wall abscesses, and abdominal wall shingles, especially herpes zoster can cause abdominal pain and nerve pain."

Another doctor retorted: "The problem is that I didn't find herpes in the abdomen, not a single one came out, it's been so long, and it should come out." ”

Doctor C:

"Chest diseases are also possible, such as acute myocardial infarction, acute pericarditis, angina, pneumonia and pulmonary infarction, which can cause severe pain in the abdomen and are difficult to detect."

A doctor retorted: "The problem is that it has been 10 days since I was hospitalized, if it is a myocardial infarction pericarditis, the patient cannot be alive and kicking, and the patient's pain is intermittent, and the pain is once every few days, which is obviously not in line with these critical and serious diseases." ”

Doctor Ding:

"Then there may be rheumatic fever, uremia, acute lead poisoning, hematoporphyria, abdominal Henoch-Schonlein purpura, etc., these rare diseases cannot be ruled out, and we still have to continue a comprehensive examination."

Director Liang was embarrassed when he heard it:

"I can't check it anymore, I don't know how many examinations have been done in the past 10 days, CT scan alone has been done 3 times, trial medication plus examination fees, the current cost has reached more than 3,000 yuan, people's salary for a year is gone, and the parents are really going to scold their mothers if they check it again."

At this time, a doctor proposed:

"Director, why don't we let Tong Lao come for a consultation? We can't figure it out, so we can only ask our ancestors to come out. ”

"Teacher Tong, yes, let's let Teacher Tong come for a consultation."

"This is a good idea, as soon as Mr. Tong comes out, he will definitely succeed."

"Hurry up, Teacher Zhou Zhou is in the outpatient clinic today, he has many patients who delay the shift every time, and he must still be in the hospital now."

"Let's go, let's go and invite together."

The teacher Tong everyone is talking about here is actually Professor Tong Shanggao, who participated in the WGO conference in Texas with Chen Qi.

Unlike other sour experts, Professor Tong has always been friendly to Chen Qi, and has spoken a lot of good things for him in several meetings, and is a loyal old man.

Professor Tong had just seen the last patient at this time, and when he saw that it was already 7 o'clock in the evening, he quickly leaned back in his chair to rest, and several of his students looked at their teacher distressedly:

"Teacher Tong, you are 75 years old, don't you have to work so hard, you saw 60 patients in one afternoon."

Professor Tong smiled:

"Just because I'm 75 years old, I have to work harder, how many years do you think I can live? While my brain is still flexible, saving one more is one, and it will not be in vain for me to practice medicine all my life. ”

At this time, as soon as the door opened, before Professor Tong and the others could react, a large group of doctors crowded in.

Professor Tong saw that almost all the doctors from the Department of Gastroenterology had come, and quipped:

"Yo, what day is it? So all? Is this a memorial service drill for me? ”

Director Liang smiled bitterly and said: "Teacher Tong, you are joking, we are encountering a problem, and we have come to Xitian to invite you, the Lord of the Buddha." ”

"Okay, okay, let this Buddha check for you, then who, which child will report the medical records to me."

Dr. Yan Changhong is over 40 years old, but in the eyes of Professor Tong, she is a little girl, anyway, the doctors of the gastrointestinal system of Xijing Hospital are either students of Professor Tong or the grandchildren of Professor Tong, and their generations are there.

Dr. Yan was also a little embarrassed:

"Teacher Tong, it's a shame for your old man, so many of us can't even find out the cause of abdominal pain, and we can't treat it well."

Professor Tong smiled and waved his hand:

"It's okay, it's okay, failure is the mother of success, we have seen a failure, and we will know how to avoid it next time, medicine is an empirical hospital, and it has come from countless failures. I see that all your doctors are here, and none of them have gone home, which shows that your hearts are very aligned, your learning attitude is very good, and they are all good. ”

There was a chuckle in the office.

Professor Tong Shanggao and Professor Wu Mengchao's styles are different, and if Professor Wu was replaced, the surgeon would have already started to scold his mother at this time.

As a result, after listening to the medical report, Professor Tong couldn't laugh anymore.

"Paroxysmal pain...... Spontaneous remission...... It hurts every few days...... Lasts a few years...... None of the positive expressions in the auxiliary examination? ……”

Professor Tong took all the medical records and examination reports, looked at them one by one, thought about it for a long time, recalled all the clinical experiences in his career, and found that none of them were right.

"It's stumbling on me."

Everyone was gloomy, even the father of the gastrointestinal system of Xijing Hospital was stumped, not to mention these little doctors? (Professors, associate professors, and young doctors...... ）

Professor Tong is still relatively experienced, and although he can't see any causes, he can also see some ways:

"The main problem now is that there are too few auxiliary examination methods, and all B-ultrasound X-ray CT scans are body surface examinations, and we can't see with our own eyes what the situation is in the gastrointestinal tract."

Director Liang said helplessly: "The question is what is going on in the intestines, and we don't know." ”

"We don't know, but someone in our country can know, let the patient be transferred."

Professor Tong's words were astonishing, and many doctors in the office were shocked at once.

There has always been a history of transferring patients from all over the country to Xijing Hospital, when did Xijing Hospital transfer patients to other hospitals?

Isn't this a slap in the face? The cards of Xijing Hospital are there.

Even Director Liang was embarrassed:

"Teacher Tong, this, this...... Our Xijing Hospital does not see the patients well, which hospital in the country has the strength to say that it will be able to cure them? Concord? Ruijin? 305？ ”

Professor Tong laughed when he heard this:

"You guys, what do you mean that there are people outside the human world, and there is a heaven outside the sky? Our Xijing Hospital is the top in China, but we are still far from it in terms of the world, confidence is a good thing, but blind confidence is a bad thing. Only by recognizing the shortcomings can we make progress.

I know you don't believe who can surpass us, otherwise, let's organize the two departments of gastrointestinal surgery and go to the Yuezhong People's Hospital to visit and study, and see how the two doctors, Chen Qi and Lan Lijuan, see how the two doctors Chen Qi and Lan Lijuan see patients. ”

Viet Chung People's Hospital?

A local hospital?

Visiting and learning? Learn from them? are you kidding me？

Professor Tong sighed in his heart when he saw the disdain on his disciples and grandchildren, hoping that after Yuezhong returned, they would not be hit and lose confidence.

(End of chapter)