The patient is a 16-year-old girl who is in her first year of high school. After doing morning exercises today, I suddenly started to cry out for lower abdominal pain. Nausea and vomiting then begin.

Several resident doctors who were afraid of being stolen by Xia Xingran again, walked over, looked at the patient's painful location, and confirmed after palpating with their hands: "Appendicitis, it must be an acute appendicitis attack. Go get some blood drawn, and we'll get ready for surgery."

Xia Xingran looked at their dragonfly-like palpation operation, and there were no symptoms of back-tenderness, frowned, and couldn't help but step forward.

"Dr. Xia, I've been a resident for three years, so I can't even tell if I have appendicitis." The resident doctor stopped in front of Xia Xingran, and the anger in his tone was faint.

"Then let's go check the blood first." Xia Xingran couldn't, so she had to give up. Xia Xingran walked past the little girl, and suddenly caught a glimpse of red blood stains on her curled inner thighs on her pants, and hurriedly asked, "Little girl, have you come to your menstrual period this month?"

"Not yet, not ......yet," the little girl said intermittently, blushing.

Xia Xingran had some doubts in his heart, tilted his head and thought for a moment before asking, "Is that a delay?"

"Well, it's been a while." The little girl rolled her eyes and counted the days.

Seeing that the resident doctor's face was getting worse and worse, Xia Xingran didn't ask any more questions, and let them push the little girl into the operation preparation room.

After Xia Xingran changed clothes in the changing room, she looked at the vacuum blood collection tube in the nurse's hand, kept an eye on her, and quietly stopped her. "Inform the laboratory department and check the HCG again."

The nurse gave her a strange look, "Dr. Xia, a 16-year-old girl, do you suspect that she is pregnant? It's a little too worrying." After speaking, she glanced at Xia Xingran, shook her head and prepared to leave.

Xia Xingran looked a little annoyed, got up and grabbed the nurse's arm and glared at her, "I will check if I say!" She has always been a gentle and accustomed person, and she is rarely angry, but it is really a little terrifying.

The nurse was stunned, opened her mouth and stammered, "Check, check, check."

An hour later, Xia Xingran, who was sitting in the emergency surgery, called and asked about the laboratory department.

"Doctor Xia, the blood test report has come out, you judged correctly, the white blood cells are not high, the high is HCG, this patient is really pregnant!"

When Xia Xingran heard this, his teeth creaked, and he immediately got up and ran towards the laboratory department. I took the paper report and hurried to the operating room. Look at the book

As soon as she arrived at the operating room, the door opened automatically. Just as she was in doubt, an external force suddenly pulled her in, it was the arrogant resident just now. As soon as she saw Xia Xingran, she immediately shuddered and said, "Xia, Doctor Xia, can you help me?"

It turned out that the resident confidently opened the patient's right lower abdomen and found that her appendix was normal. I panicked and didn't know what to do.

Misdiagnosis + medical malpractice. If such a thing is known by the family and the hospital leaders, the dismissal is inevitable, but I am afraid that it will be difficult for him to practice medicine in the future.

Therefore, he thought of asking Xia Xingran to help. Unexpectedly, as soon as he walked to the door of the operating room, Xia Xingran also arrived.

"HCG is so much higher?! She's pregnant?!" The resident doctor glanced at the blood test sheet handed to him by Xia Xingran, and couldn't help but scream.

Xia Xingran didn't want to say much to her, she went into the side changing room and changed her clothes quickly. Standing in the door of the operating room, he said to the resident who was still in place, "Would you like to help me?"

The resident doctor woke up from a dream and ran over with a blood test sheet.

"The patient had a history of menopause and abdominal pain despite the fact that there was blood on the inner thigh, but not menstrual blood. When you palpate the McCalf dot, you don't see significant tenderness or rebound tenderness. There's only one possibility......

The resident doctor suddenly brightened up, and said in unison with Xia Xingran: "Ectopic/pregnant!"

As soon as the words fell, Xia Xingran had already penetrated the laparoscope into the patient's body, rinsed and sucked out the blood in the pelvis with a irrigator, and found the implantation site of the pregnancy/egg. She lifted her chin and motioned for the resident to look at the screen.

"It's really tubal ectopia/pregnancy." I saw that there was a clear side of the fallopian tube

The apparent mass is swollen, and the resident is convinced.

"Looking at this, I should be about 8 weeks pregnant. The embryo is close to 5 cm, and she is afraid that she will have to have a salpingectomy. It's a shame to have such a young child."

The resident walked over to the screen, took a closer look at the implantation of the fertilized egg and the development of the embryo, and smacked his lips.

"No, I can do a salpingotomy on her." Xia Xingran made a decision immediately. A small, straight inchement is made in the tubal pregnancy site against the edge of the mesangium of the fallopian tube to remove the pregnancy product.

Salpingotomy is more difficult than salpingectomy. The resident doctor was dumbfounded and watched Xia Xingran's dexterous operation like a ballet on ice, and his heart became more and more impressed.

"Alright." It only took 15 minutes for Xia Xingran to complete the tubal ectopy/pregnancy abortation.

"Dr. Xia...... Can you ......" The resident doctor pursed his lips and looked at Xia Xingran.

"I won't say it, don't worry." Xia Xingran smiled lightly, ready to push the patient out.

"No, it's not this!" The resident doctor was a little anxious, brushed his short black hair, made up his mind and walked up to Xia Xingran, and plucked up the courage to say, "I, I mean, can I be your assistant in the future and follow you!"

Xia Xingran looked at him in astonishment. It stands to reason that the three-year residency is far more qualified than her, a hairy boy who has just graduated and worked. Such an unconventional reversal of the cart made Xia Xingran a little confused.

"I'm afraid that's a bit out of place. Thank you for looking up to me." Xia Xingran declined this request.

"Rules are dead, but men are alive. Although Dr. Xia is still young, his abilities are obvious to all. I'm afraid it's not on par with Director Xie and Director Yan." After several surgeries, the determination became more and more apparent.

"Then, aren't you afraid that they will laugh at you?" Although the time to come to Peking Union Medical College Hospital is not long, the people here will be very important according to seniority, Xia Xingran can't help but have some concerns.

"Harm, what's this, it's your own to learn the ability, don't care about what you don't need to do." The resident waved his hand nonchalantly.

Xia Xingran nodded, and agreed to him. The resident doctor hurriedly held Xia Xingran's hand with both hands and said, "My name is Wen Yi, and I will ask Dr. Xia for more advice in the future!"

After Ji Ling was pushed out of the operating room, a woman with short wavy hair, three white eyes, thin lips, crossed hands, and a reluctant face walked over.

As soon as she heard that Ji Ling was ectopic/pregnant (extrauterine/pregnant), the woman's face immediately changed, and she snorted on the ground and scolded, "Shameless thing, I started fooling around with men at such a young age, and I made my belly bigger."

"The child hasn't woken up yet, so let's wait until she's sober and ask." Xia Xingran kindly persuaded him.

The woman glanced at Ji Ling slantedly, as if she was looking at some kind of mud and dead leaves, and was extremely disgusted: "What else is there to explain this?" She snorted several times: "Sure enough, if your parents die, you can't raise anything good."

Xia Xingran and Ji Ling glanced at each other and asked, "Aren't you her mother?"

When the wavy short-haired woman heard this, she seemed to be contaminated with something unclean, and she desperately dusted off her clothes, snorted several times, sneered and rolled her eyes, and said, "How can this shameless prodigal / goods be my daughter, it really dirties the door of my house. She's an aunt whose parents died in a car accident and are fostered in our house."

"Anyway, let's get the child to the hospital room first." Xia Xingran didn't want to argue with it.

"If it weren't for your parents' insurance, I wouldn't have asked you about this." Ji Ling's aunt snorted coldly and sent Ji Ling to the ward with the nurse.

"How can you do this, auntie!" After their backs disappeared from sight, Wen Yi couldn't help but criticize.

Xia Xingran patted him on the shoulder, with a look of relief after going through the world: "Human nature is like this, forget it, there is no need to argue. Let's do things."

"I kind of understand why emergency surgery isn't a place for people." At four o'clock in the afternoon, Xia Xingran, who had already undergone five surgeries, lay on the desk, like a fish out of water, whining and beating himself

legs, whining.

Yan Yue walked in, put a bottle of lemon water on Xia Xingran's table and said with a smile, "Xiao Xia has worked hard."

Xia Xingran immediately straightened up, stood up and said hello to Yan Yue.

Yan Yue shook her head, signaling that she didn't need to be nervous: "Director Xie's group is like this. If you're in my group, you'll plan a lot."

Yan Yue's expression was as usual, but she looked at Xia Xingran with burning eyes.

"It's not a bad thing to learn more." Xia Xingran's smile was pure and harmless, and her starry eyes were as clear as water, clean and clean. Bow your head and avoid Yan Yue.

"Then you have a good rest, I still have something to do." Although Yan Yue was still smiling, her eyes were staring at Xia Xingran, like a wolf dormant in the dark night in the forest, and the dangerous aura was wrapped around Xia Xingran's neck like a vine.

As soon as Yan Yue went out, she met Wen Yi who came to find Xia Xingran, and before she could ask, Wen Yi had already said to Xia Xingran, "Doctor Xia, Ji Ling has woken up. But her aunt was really ...... Oh, come with me."

Xia Xingran remembered Aunt Ji Ling's philistine face in the morning, and hurriedly walked to the emergency ward with Wen Yi.