Mr. Miao took a look, it was a patient who was hospitalized for appendicitis yesterday and chose conservative treatment.

He said embarrassedly, "Doctor Xiaoji, wait a minute. ”

"Teacher Miao, you're busy." Ji Xiang smiled and stood quietly against the wall, as if he had never existed.

Mr. Miao asked, "What's wrong?" ”

"My mom hurt so badly that I touched it and my forehead was hot."

"Check it out." Mr. Miao strode to the ward.

The patient's condition was not good, and Mr. Miao reached out and touched it, and the temperature was above 38 degrees Celsius. Let the patient lie flat and curl up, and Mr. Miao began to examine the body.

There is no epigastric tenderness, but the patient has significant right lower quadrant pain.

It's just that the patient's fever is obvious, and as soon as the quilt is lifted, she feels a puff of smoke coming out, and her hand can feel hot when she touches her skin.

At least 39 degrees, Mr. Miao frowned and looked at the patient's family, "You come." ”

After speaking, he turned around and was startled when he saw Ji Xiang following him.

"Doctor Xiaoji, you can just go to my duty room and wait."

"Teacher Miao, I'll take a look." Ji Xiang looked at the patient thoughtfully.

Mr. Miao had something at hand, so he didn't be too polite to Ji Xiang, he didn't go far when he got out of the ward, and stood at the door.

"Your mother has a fever, go to the nurse and get a thermometer to take her temperature, don't use a thermometer." Mr. Miao specially advised, "I recommend emergency surgery." ”

"Doctor, my mom is not well......"

The patient's family said with a sad face.

Mr. Miao can't help it, there are many complications that will occur in the elderly in the preoperative explanation and anesthesia notification, but he can't say that there is no.

"In this way, I want a bedside ultrasound look, and if there is a possibility of perforation of the appendix, we will go on stage immediately. Perforation, stool accumulated in the appendix into the abdominal cavity, without surgery. If you wait any longer, you'll die. ”

"Doctor, no, didn't you say it's unlikely?"

"It's really unlikely, but there is an old saying that people are separated from their stomachs, and they can only be referred to with instruments. You should be prepared for emergency surgery, and if there is a problem, we will go to the operating room immediately. ”

Seeing that the patient's family was still hesitating, Mr. Miao said solemnly, "Emergency surgery is not something we can do if we want to, I have to mention the operation sheet, there are anesthesiologists and nurses who are responsible for emergency surgery, if there are a few caesarean sections in front, at least in the afternoon." ”

“……”

Mr. Miao's words seem to have nothing to do with convincing the patient's family, but listening to him say this, the patient's family suddenly has a vague sense of urgency to live in.

It's not something you can do if you want to, you have to queue up.

Mr. Miao was very experienced, and a seemingly unrelated sentence put a weight on one end of the scale.

beckoned the nurse to take the thermometer, but Mr. Miao was afraid that the patient's family would not hear clearly and use the thermometer.

The thermometer needs to be corrected, and Miao always feels that it is not as trustworthy as the old-fashioned mercury thermometer.

"Doctor Xiaoji, I'm sorry, I'll have to be busy for a while." Mr. Miao looked back and saw Ji Xiang, and he said very embarrassedly.

Although it is no problem to take Ji Xiang to his duty room to chat for a while, Miao always feels that the patient with acute appendicitis is very sick, and he is not at ease and wants to see the results of B ultrasound.

"Teacher Miao, there is something wrong with the patient's condition." Ji Xiang didn't care about what Mr. Miao said embarrassedly, but frowned and said, "The tenderness of Mai's point is obvious, but the area is not small, and the pulling pain is also obvious, I always feel that it doesn't look like appendicitis." ”

"......" Mr. Miao was stunned.

The patient's diagnosis was fine, initially metastatic pain, then fixed in the right lower quadrant at the McCere's point, and there was traction pain.

The location is more accurate, at least not like many patients, full of stomach pain, and it is impossible to tell that it is acute appendicitis.

How could Dr. Ji Xiang say that?!

Although he questioned Ji Xiang in his heart, Mr. Miao didn't show it, he just smiled gently, and turned around to contact the color B ultrasound next to the bed.

Just about to make a call, Ji Xiang whispered beside him, "Teacher Miao, can you find Teacher Kong to do a bedside ultrasound?" ”

"Teacher Kong? Which Kong teacher? Mr. Miao was puzzled.

"Director Kong of the B-ultrasound room." Ji Xiang explained.

“！！！”

Mr. Miao looked at Ji Xiang with a surprised gaze.

The bedside color B ultrasound is scheduled, and the doctors who come are ordinary little doctors.

If you call Director Kong by yourself, it is estimated that you will be scolded, or no one will take care of you at all.

Why is Dr. Jixiang opening his mouth is Director Kong.

Mr. Miao was not slow-minded, and after a little thought, he realized that Ji Xiang might have a much closer relationship with Director Kong than himself.

"I can't." Mr. Miao told the truth.

"Let me ask?"

Miao always thinks that Ji Xiang is very strange, just an ordinary patient with acute appendicitis, why does Ji Xiang jump out again and again?

Moreover, it is necessary to find the director of the ultrasound room to do the examination "personally".

If it was an ordinary intern who jumped out to make irresponsible remarks, Mr. Miao had already pulled him aside with a big-eared melon seed and ignored it.

But Ji Xiang is different.

Mr. Miao has watched every episode broadcast in the variety show carefully, and Mr. Miao has also inquired about many things that have been cut, and has a rough understanding.

In my own opinion, it is an "ordinary" acute appendicitis, there is a risk of perforation, the patient's body temperature is very high, and the patient's family is very scared, but Miao always cares too much.

Similar patients are seen in more than 100 cases per year, as long as the treatment after perforation is prompt and sepsis and serious complications do not occur.

Even if there are serious complications, the critical illness of the First Affiliated Hospital is very strong, and if you push it in one breath, you can basically come out alive, and Miao always has this confidence.

But Jixiang "made a big fuss" and thought that the patient had a big problem.

Eccentric.

Mr. Miao didn't speak, but when he saw Ji Xiang take out his mobile phone, he found the phone number marked with Director Kong of the B ultrasound room of the First Affiliated Hospital and dialed it.

"Teacher Kong, hello, I'm Ji Xiang."

"Are you busy? I'm in the Department of Gastrointestinal Surgery, and there is a patient here who is a little weird, I don't think it's like a simple appendicitis, can you come and take a look? ”

"Okay, okay, I'm sorry for you."

Although Ji Xiang was on the phone, his tone and body movements were very humble, and he even held his mobile phone and bowed slightly, as if Director Kong was in front of him.

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Although Ji Xiang was very humble, Miao almost didn't cry.

A phone call can make the boss of the B ultrasound room push the B ultrasound next to the bed, and the general department head does not have this kind of treatment, at least at the vice president level can do this.

If you don't talk about others, you can't do it yourself.

However, how long has Ji Xiang been here? Or a small intern recording a show.

He was able to summon Director Kong.

Mr. Miao had tears in his eyes, and his sadness was inexplicable. Look at others, and then look at yourself, it's really special!

"Teacher Miao, Teacher Kong will come soon, and I feel that there are some minor problems in the physical examination and medical history."

Teacher?

You are the teacher, Mr. Miao said in his heart.