Chapter 34: Ectopic Appendix
The job of the school doctor is quite easy in many cases, as long as you complete the tasks assigned by the school, you can basically sit in the office and drink tea and chat!
At nine o'clock, Tang Yi came to the school infirmary with a little tiredness, and saw Zhang Guanmin sitting alone in the office playing with his mobile phone.
Tang Yi came to his desk and finished breakfast, "Doctor Zhang, I'm going to go to the affiliated hospital in a while, and I'll leave it to you here!" ”
Zhang Guanmin glanced up at Tang Yi, and said in his heart that with you or without you, it's not all me who is busy working alone, "Okay, you are busy with something!" ”
In the morning, Zhao Qing'er called him, and Zhao Kuang's spirit replied well, and he wanted to express his gratitude in person.
For the patient's gratitude, for Tang Yi, it is completely unnecessary.
It is the duty of a doctor to treat diseases and save people, but if he goes, he will make others feel that he wants benefits.
Thinking of Zhao Qing'er's appearance, Tang Yi's heart moved.
Women are used to care for and love, how can you disappoint a beautiful woman as a humble gentleman!
"Doctor, take a look at my roommate, what's wrong?" Liu Hao helped a student into the school infirmary.
Zhang Guanmin immediately stood up and helped help the student to the observation bed.
Tang Yi saw his acquaintance, walked up, and slapped Liu Hao on the shoulder, "When did your friend have abdominal pain?" ”
Liu Haotou didn't reply, his voice was anxious, "After eating in the morning, he said that his stomach was a little uncomfortable, and he thought that he had a cold last night, so he didn't take it seriously!" During the class just now, his condition began to worsen. ”
Tang Yi looked at the student curled up in a ball, "Doctor Zhang, do you see if the student has a scar on the right lower abdomen?" ”
Zhang Guanmin glanced back at Tang Yi and understood what he meant. He bent down and patiently comforted the student.
The student endured the pain, and when he saw that it was the school infirmary, his hand holding his stomach slowly let go.
Zhang Guanmin lifted the student's clothes and took a look, "There is no scar!" ”
Tang Yi looked at the student's pale face because of the pain, "Liu Hao, did your classmate vomit in the morning?" ”
Hearing someone call his name, Liu Hao looked back, only to find that it was Tang Yi who was asking, and he was not surprised to see an acquaintance, "I vomited once on the way here!" ”
Zhang Guanmin stretched out his hand and gently pressed the student's right upper abdomen, and the student, who was already in unbearable pain, snorted in pain and shook his head. "I'll take him to do a B-ultrasound!"
Hearing about doing B ultrasound, Liu Hao was a little skeptical about Zhang Guanmin's medical skills, "Doctor Tang, why do you still have to do B ultrasound?" Isn't this a common form of gastroenteritis? ”
Tang Yi pushed the B-ultrasound machine over from the side, "Gastroenteritis and acute appendicitis, in the early stage of the disease, it is pain in the right upper abdomen, accompanied by nausea, vomiting, and some serious patients will also have fever and even coma. ”
Zhang Guanmin glanced at Liu Hao and shook his head helplessly.
Some patients think that the symptoms are easy to detect by the signs and do not require much examination. However, as everyone knows, in fact, many diseases are basically the same in the early clinical manifestations. If the wrong medicine is used, the patient's family will complain that the doctor is not skilled or something!
The results of the examination came out quickly, and Zhang Guanmin looked at Liu Hao, "The appendix is seriously swollen, and it is recommended to be transferred to the affiliated hospital for excision surgery!" ”
Liu Hao did not hesitate, took out his mobile phone and contacted the emergency center.
The young man was also kind-hearted, Tang Yi couldn't bear to complain about him in the end, "Doctor Zhang, inform the Academic Affairs Office to arrange a personal accompaniment over there!" ”
After the phone call, Liu Hao looked at Zhang Guanming, "Doctor Zhang, don't bother the Academic Affairs Office." I also have some money in my hand, and I will pay for the medical expenses first! ”
"Boy, do you think it's a matter of money?" When he was a student, his thoughts were still simple, Tang Yi sighed, "Surgery requires a sign, and a sign means responsibility." Don't underestimate a small appendectomy operation, some experienced doctors don't dare to guarantee 100% that it will be successfully completed! ”
Looking at Tang Yi's certified look, Liu Hao was a little timid, "Doctor Tang, don't scare me!" ”
Tang Yi shook his head, rubbed it vigorously on Liu Hao's head, and sighed, "Any surgery has risks, I have been practicing medicine for several years, and I have also had appendectomy during this period. On one occasion, I encountered an ectopic appendix, and it took more than three hours to find the location of the appendix. ”
I rub, three hours? That's the time for a major surgery, right? Liu Hao swallowed his saliva.
Soon the ambulance and the teachers from the Academic Affairs Office rushed to the infirmary and put the students in the ambulance with the help of everyone.
Tang Yi looked at the time, "Teacher Zhang, I'm going to the Affiliated Hospital, what's the matter, call me!" ”
Liu Hao heard that Tang Yi was going to the affiliated hospital, and trotted to catch up, "Doctor Tang, I'm still a little worried, why don't I go with you to have a look?" ”
Glancing at him angrily, Tang Yi said, "I went to the affiliated hospital for a follow-up, not to see the student." ”
Liu Hao is really worried about that student, three years in the same dormitory, not to mention closer than his own brother, but it's almost the same, "By the way, by the way!" ”
Who doesn't have a little righteousness? Tang Yi could understand Liu Hao's mood, so he didn't refuse.
By the time the two of them arrived at the affiliated hospital, it had already passed more than half an hour.
After telling Liu Hao, Tang Yi was going to go directly to the Department of Cardiovascular Medicine to see Zhao Qing'er, and by the way, go to see Zhao Kuang!
Liu Hao looked at the teacher waiting at the door of the emergency room, still a little uneasy, "Doctor Tang, why don't you accompany me over to have a look?" I always have no bottom in my heart! ”
"An appendicitis operation, what's there to be nervous about!" Tang Yi didn't want to delay the time to see beautiful women because of a boy.
How could Tang Yi leave so easily, Liu Hao grabbed his arm, "Didn't you say that any surgery is risky?" ”
"I'm telling you not to sign casually!" Tang Yi said angrily, after speaking, he looked at Liu Hao's pleading gaze and sighed, "Okay, I'll go with you to have a look!" ”
At the door of the emergency room, Tang Yi saw that the teacher from the Academic Affairs Office was still sitting at the door of the emergency operating room, and stepped forward to say hello.
Mr. Liu also saw Tang Yi in the medical office, "Doctor Tang, why are you here?" ”
Tang Yi pointed to Liu Hao next to him, "This kid is not at ease, let me accompany him to have a look!" ”
The three of them were chatting, the door of the operating room was pushed open, and a doctor came out with a surgical signature form, "Who is the family of Zhang Jie's patient?" ”
Teacher Liu hurriedly stepped forward, "Doctor, I'm Zhang Jie's teacher, his family is out of town, and he hasn't rushed over yet!" ”
The doctor glanced at Mr. Liu and took the operation signature sheet, "The doctor has done an open abdomen, and he has not found the position of the appendix in the right lower abdomen." It is considered to be an ectopic appendix, and further examination is necessary to determine the location of the appendix. ”
Hearing the doctor's words, Liu Hao was a little anxious, "Doctor, when we were in the school infirmary before, we had an examination, and the appendix was in the lower right abdomen!" ”
The surgeon turned his head, "Before the operation, we looked at the ultrasound you provided, and after confirming the location of the appendix, we did the surgery. But the appendix is oscillating back and forth and is not fixed, so there is a saying that there is an ectopic appendix. ”
Hearing the doctor's explanation, Liu Hao turned his head to look at Tang Yi, "Doctor Tang, I really don't know if you are prescient or a crow's mouth!" ”
Surgery means responsibility, and no one wants to get into trouble.
Teacher Liu looked at Tang Yi, "Tang Yi, is ectopic appendix surgery difficult?" There are no risks! ”
"The outer 1/3 of the line between the navel and the right lower abdominal tip is the position of the base of the appendix, and no matter how the appendix swings, the root is still fixed." Tang Yi leaked a wry smile, who would have thought that his mouth would be opened today, "So the operation is relatively safe." ”
Hearing Tang Yi's words, Mr. Liu sighed, took the pen handed over by the doctor, and signed his name on the notice!
The doctor looked at the stick, confirmed it, and then turned around and went into the operating room again!
Tang Yi scratched his head and glanced at Liu Hao weakly, "I'll go to the cardiology department first, something is in contact!" ”
"Mr. Tang, I always feel uneasy. If you don't have anything important, stay here with me. Liu Hong sat on the bench.
Tang Yi wanted to say that it was very important, the beauties were invited, but just think about it. Open ectopic appendectomy is only one to two hours, just wait!
Time passed minute by minute, and Liu Hao paced back and forth in the corridor!
Teacher Liu Hong stared at the door of the operating room with a pair of eyes.
Tang Yi yawned, "What are you worried about?" If there was a problem, the doctor would have come out and explain the situation a long time ago. ”
"Tang ......" Liu Hao's words were not finished, the door of the operating room opened again, and it was still the doctor from before, "Sorry, we haven't found the appendix yet, it is recommended to close the abdomen first!" ”
Listening to the doctor's words, not only Liu Hong and Liu Hao were confused, but Tang Yi was even more confused.
"Is it that the anesthetic dose is too small, or that he has a history of perforation and adhesion before!" Tang Yi wanted to scold in his heart, you doctors, can you be careful, you can't do a small appendix surgery!
The doctor glanced at Tang Yi, "Well, we've considered what you said, but we still haven't found its location." ”
Liu Hao looked at Tang Yi, "Brother Tang, how did you deal with this situation before?" ”
Tang Yi glanced at Liu Hao, "What else can I do, look for it inch by inch!" ”
When the doctor heard Tang Yi's words, he couldn't hold back and laughed, that is a human intestine, you should be a pig's intestine, you can take it to your hand and find it inch by inch.
Hearing the laughter, Tang Yi glanced at the doctor angrily, "Do you think it's funny?" The patient has already had an open abdomen, so don't close the abdomen just because the appendix is not found, which is very irresponsible. ”
When the doctor heard Tang Yi's admonition, his face was extremely ugly, "Is it really like what you said, looking for it inch by inch?" ”
"What if you don't look for it inch by inch?" Tang Yi's face was cold, "Expect antibiotics and anti-inflammatory drugs to inhibit appendiceal lesions?." ”
The doctor in the emergency department was reprimanded by the side, feeling disgraced, "Are you a doctor or are we doctors, now the appendix cannot be found, and if it continues like this, the patient's life is likely to be in danger!" ”
"Isn't there any danger in shutting up your belly? Suppuration of the appendix causes lesions, and infection of surrounding tissues is still life-threatening! Tang Yi had a gloomy face, "I am also a doctor in this hospital, and for your behavior, it can be treated as medical malpractice!" ”
The doctor was red-faced by Tang Yi's words, and lowered his head, "I'll go find the director!" ”
When Tang Yi heard this, he almost scolded his mother, you don't have the ability yourself, so find the director early. Resist yourself, are you stupid TMD, once you close your abdomen, it will be a medical accident, do you understand!
If you want to revoke your doctor's license, don't implicate the hospital.