427 in case
Zhai Yuhan returned to his duty room after eating and was quiet for a while.
The existence of the program team broke the normal life in the past, and although there was no serious trouble, it made Zhai Yuhan tired. She doesn't like to show her head, and being a star or something is more of a burden.
As for the little intern who kicked his nose and face......
Wait a while to test them first, Zhai Yuhan made up his mind.
Especially Ji Xiang, he "solved" an old and difficult patient by mistake, and really thought he was an old clinician?
Joke!
I don't believe that his basic clinical skills are so good that he can know everything about patients.
After resting for half an hour, Zhai Yuhan walked out of the duty room and came to the doctor's office.
In the office, only Zhao Mengmeng was "face-to-face" in front of the computer screen, lonely and stupid.
"Zhao Mengmeng, where is Ji Xiang?" Zhai Yuhan asked.
"Dr. Ji Xiang said that he was not at ease, and went to the emergency department to see the patient just now." Zhao Mengmeng replied timidly.
Zhai Yuhan frowned, Ji Xiang, this kid is crazy, as long as there is a camera, he has to make some tricks.
Isn't there nothing to do?
Then she noticed that the film crew had also left, and she became more and more sure of her suspicions.
Zhai Yuhan was a little angry.
This is a hospital, not a recording site for running men, and you must not play how you want!
"Emergency department?"
"Yes, Mr. Zhai, the film crew also followed." Zhao Mengmeng gave Zhai Yuhan a positive answer.
Zhai Yuhan turned around angrily and left, striding straight to the emergency department.
In the corridor of the emergency department, Zhai Yuhan saw Ji Xiang standing in front of the patient, as if he was talking something. The film crew was far away, but they were shooting.
Isn't this a lake? Zhai Yuhan thought with disdain in his heart.
Do you want to record profiles of advanced individuals? How could he learn this set of fake things at such a young age, Zhai Yuhan became more and more unhappy.
She strode over and asked in a stern tone, "Doctor Jixiang, what are you doing?" ”
"Teacher Zhai is here." Ji Xiang turned around and gave Zhai Yuhan a warm smile, "I'll take a look at the patient just now." ”
"Patient has a problem?" Zhai Yuhan sneered.
"My stomach started to hurt, I just had a physical examination, and the patient has tenderness in the abdomen, and I recommend the patient to do a CT to have a look."
"What organs are in the mid-abdomen?" Zhai Yuhan asked coldly.
She knew that the camera had followed her, but Zhai Yuhan was not ready to endure it any longer.
No matter how fucked up Ji Xiang's temper is, no matter what he has done before, and no matter what py transactions the program team and the hospital have, within the scope of his ability, he will definitely not let them toss around.
"Generally speaking, the mid-abdomen is the stomach area, and it is not excluded that there is a problem with the intestines." Ji Xiang replied.
He is not worried about the recording of the program team, but he does not want the patients to hear it and cause panic.
Zhai Yuhan felt the meaning of Ji Xiang's action for the first time, but she was still very unhappy and asked, "Doctor Ji Xiang, do you mean gallbladder torsion?" ”
"Probably, yes." Ji Xiang replied like an old doctor, "Intermittent abdominal pain, with obvious tenderness in the stomach area during the pain, is definitely surgical pain." ”
Surgical pain is a clinical saying.
Abdominal pain can be divided into two types, one is pain when you press it, which is the surgical pain that Ji Xiang said, which means that there is inflammation or other diseases.
The other is to press it to reduce the pain, and the patient can press the stomach harder, so that it can feel better. Similar conditions are generally considered to be gastrointestinal spasms, which are internal diseases, and this condition is also called compression.
"Significant tenderness in the stomach area?" Zhai Yuhan asked.
"Yes." Ji Xiang immediately replied, "In the stomach area and upper abdomen, the emergency physician prescribed CT of the upper abdomen and middle abdomen to the patient, and the patient didn't want to do it, I was doing the patient's work." ”
Zhai Yuhan was stunned for a moment, she didn't continue to talk to Ji Xiang, but walked into the emergency department and consulted with the internist about the physical examination at that time.
"Dr. Lin, what's the matter with that patient at the door?" Zhai Yuhan and other emergency physicians immediately asked after seeing a patient.
"I'm going to ask you more." The emergency physician said, "Who the hell is that young doctor?" Is he new? ”
"Our hospital has a reality show ......," Zhai Yuhan reluctantly began to tell his bitter journey.
"Huh? Is the doctor on the reality show? I thought it was a new doctor from your department. The level is quite high, and the physical examination is very neat. The emergency physician said suspiciously.
"It's just an undergraduate."
"He's very sophisticated, and he looks like a clinician." The emergency physician gave it a high rating.
Zhai Yuhan still agrees with the evaluation of emergency physicians.
"Dr. Lin, have you seen that patient?"
"Look, there is tenderness in the stomach area, first collect blood, then ......"
As he was talking, Ji Xiang walked in, "Teacher Lin, hello." ”
The emergency physician looked at Ji Xiang with a smile, "Doctor Ji, have you done the work of passing patients?" ”
"Well, the patient has agreed to do a CT scan." Ji Xiang replied with a smile.
"Doctor Ji Xiang." Zhai Yuhan's tone was serious, "Do you know what cavity organs are?" ”
Hollow organs refer to the stomach, intestines and other organs, most of which need to be examined separately by gastrointestinal endoscopy, and no subtle lesions can be seen with B-ultrasound and CT, unless the malignant tumor is large to a certain extent.
The patient's stomach area is uncomfortable, and Ji Xiang wants to do CT on the patient, which sounds like nonsense to Zhai Yuhan. As for what gallbladder, it's even more nonsense.
Dr. Lin was a little surprised in the emergency department, but she asked kindly, "What do you feel like?" ”
"I don't know."
Dr. Lin of the emergency department smiled, "Call the patient's family." ”
"Great!"
"Dr. Lin, are you going to open a check-up?" Zhai Yuhan asked in surprise.
"yes." Emergency Medicine Dr. Lin has started the procedure.
"Why do you want to check the abdominal CT?"
"Thinking that it may be gallbladder torsion, when I had a physical examination, I felt that it was a disease of your department, and it happened that you came." Dr. Lin of the emergency department said with a smile, "Although I am busy today, I am really lucky." Mr. Zhai, if you are ready, it is estimated that you will have to go to power urgently. ”
Gallbladder torsion!
Zhai Yuhan was speechless.
The disease was rare, and she had only seen one case.
If Ji Xiang said it, Zhai Yuhan would definitely not believe it; But Dr. Lin of the emergency department said so firmly, and he was ready to make an order, which made Zhai Yuhan fall into deep thought.
"Mr. Lin, the patient's family is here."
"Oh, you agree to do the test?" Dr. Lin of the emergency department asked.
"Doctor, what could it be?" The patient's family asked.
"The most likely is fine, but I suggest you do a check-up. In case, let's say in case, in case something goes wrong, it will be of great benefit to you to be able to find out as soon as possible. ”
The emergency doctor said three things in a row, and his tone was very heavy.