A middle-aged woman walked in, followed by a fifteen or sixteen-year-old girl, bent over with a painful look on her face.

"What's wrong?" Meng Qingfei asked.

"My stomach hurts, doctor, you can help me take a look." The woman said.

Meng Qingfei asked the patient to lie on the bed for a simple physical examination.

Acute appendicitis, after the physical examination, Ji Xiang has a judgment.

Very typical signs, right lower quadrant McLean's point tenderness, accompanied by rebound tenderness, whether there is muscle tension is not known, but Ji Xiang probably not.

Meng Qingfei prescribed a list of examinations and asked the patient to go for various examinations.

"Doctor, what's the disease?"

"Now consider it acute appendicitis." Meng Qingfei said, "Come back from the examination to rule out other diseases, and admit them to the hospital for surgery." ”

"Surgery? I don't have time. The woman said without hesitation.

"......" Meng Qingfei frowned.

"My child is going to the United States tomorrow, and I can't delay it." The woman said, "Doctor, can you prescribe some painkillers?" ”

"If you don't have surgery for acute appendicitis, there is a chance of perforated appendix, so it is not recommended." Meng Qingfei said with certainty.

"That's not good, you don't know how troublesome it is to contact the Bronx Science High School in the United States! I was finally able to go, and I definitely can't delay. ”

"No matter how much trouble it takes, you have to treat the disease first." Meng Qingfei was unhappy, and he glanced at the woman.

"No, you must go to Bronx Science High School, and after graduating from this high school, you will be worried about which Ivy League school to go to, not whether you can go to an Ivy League school." The woman is very determined and determined.

"But what about acute appendicitis." Meng Qingfei's tone was already a little unkind, and he made no secret of it, "Once perforated, emergency surgery in the United States?" What if you get a perforation on the plane and get off the plane and get out of the plane, you will get into toxic shock. ”

"Take the medicine first." The woman hesitated slightly, but returned to her previous train of thought.

Sickness is definitely not as important as Bronx Science High School, and she is clear in her heart.

"Let's get tested, we have to get a diagnosis first." Meng Qingfei saw that he couldn't persuade the woman, so he had to see if it was acute appendicitis first.

There is no check, and it is too early to say this.

The woman took the little girl to go for an examination, and Zhao Zhe asked suspiciously, "What is the Ivy League?" ”

"Simply put, it's a good university in the United States." Meng Qingfei said, "I can go to Bronx Science High School, awesome!" No wonder I had to go desperately. ”

"Bronx Science High School ......" Zhao Zhe couldn't talk.

"Brother Zhao, let's say so." Ji Xiang knew that Zhao Zhe's life had nothing to do with this, and he explained, "In our consciousness, the high school graduation examination is the best result, right?" ”

"Yes, Tsinghua University and Peking University, if my child can be admitted, the ancestral grave will have to smoke three feet."

"Some people don't see it that way." Ji Xiang said, "For example, if you go to Bronx Science High School and go directly to the Ivy League school after graduation, the patient's mother said a little exaggerated, but it's okay, not all Ivy League schools are for her to choose." It's really not good, the grades are very poor, and you can come back to Qingbei. ”

“！

！ ”

"There are some formalities, but it's not difficult."

Listening to Ji Xiang's explanation, Zhao Zhe suddenly understood.

If what Ji Xiang said is true, the low point of this kid's bottom line is Qingbei.

In an instant, Zhao Zhe understood the woman's persistence.

But in the face of acute appendicitis and what is the science of high school, how to choose for yourself? Zhao Zhe was a little confused all of a sudden.

"." Meng Qingfei pursed his lips, "Bet that the inflammation of acute appendicitis can go away?" Once the piercing, I still see an emergency room in New York, and I don't know how much it will cost. Without insurance, the life savings of ordinary families are estimated to be insufficient for treatment. ”

"Yes!" Zhao Zhe remembered something, "When I was out of the emergency department in Yuanliao City, I met a patient who was working in Dubai, and he was supposed to be a construction worker, working overseas.

He was almost dead when he was pushed, with a heart rate of 150 and mild symptoms of toxic shock from infection. I put my hand up, I have never touched such a hard belly in my life, especially the typical plate-shaped belly, I guess the real plank may not be so hard. ”

"Intestinal perforation or gastric perforation?" Meng Qingfei asked.

"Later, it was diagnosed as gastric perforation, and I was directly sent to the general surgery department for laparotomy at that time." Zhao Zhe said, "That buddy's expression suddenly relaxed a lot after seeing me, to say that the people are still willing to believe in the doctor." I explained the situation to him after the physical examination, and he said that it was too expensive to afford an operation in Dubai.

So he asked the doctor on that side to prescribe a lot of analgesics, and took the medicine all the way back to China for surgery. When he was admitted to the hospital, he threw the medicine box in the trash, and I felt very uncomfortable at the time. ”

"You ......" Meng Qingfei smiled and wanted to say something unpleasant, but in an instant, he thought that he was not familiar with Zhao Zhe, and these words were a little too much, so he stopped there.

"Teacher Meng, what should I do with this patient?" Ji Xiang asked.

"Xiaoji, what if you do?" Meng Qingfei asked rhetorically.

Ji Xiang thought about it and shook his head.

"We must respect the patient's family and the patient's opinion, they are the guardians, the patient's mother, we are just doctors." Meng Qingfei said, "The diagnosis is correct, if you want to go, sign and leave." All we can do is pray. ”

"What if you don't sign it?" Zhao Zhe asked, "I have encountered people who say that they don't sign to death, and they raise their hands when they are in a hurry." ”

"Isn't that the two of you?" Meng Qingfei laughed, "If I don't sign, I will keep everything, and then write the medical records clearly, if you are not here, I will pull the nurse in to listen and make a proof."

It's really not good, it's okay to suspend my job, is the emergency doctor very good? ”

"It's not easy." Zhao Zhe is very clear about the deep meaning contained in Meng Qingfei's words.

"Doctor Xiaoji, if you encounter this kind of thing in the future, don't be strong. What we think is right is not the same as what patients think. Meng Qingfei advised.

Ji Xiang nodded, this may be regarded as clinical experience.

After waiting for a long time, he helped Meng Qingfei deal with 3 external injuries, and the woman and the patient did not come back.

Meng Qingfei found the test report on the computer, ruled out kidney stones and ectopic pregnancy, and determined that it was acute appendicitis.

Because the patient did not come back for a long time, Meng Qingfei finally wrote an extremely detailed medical record, printed it out, wrote the time and signed it himself, and carefully put it in the locker in the duty room.

Ji Xiang followed and took a look, and saw that Meng Qingfei's locker had at least twenty similar medical records.

"Teacher Meng, so much?" Ji Xiang was a little surprised.

"Actually, some of them I know are fine, but as a doctor, you still have to be careful, if you encounter an unreasonable patient or a patient's family, you can't argue."