The work in the emergency room is always unexpected, leaving doctors scrambling.

Medication was being prescribed to a patient here, and the door to the exam room slammed open from the outside.

The nurse greeted Xie Jianhua, "Dr. Tang, a patient with appendicitis has arrived, and he has to undergo laparoscopic resection." ”

Seeing that the nurse's face was ugly, and she looked like she wanted to speak and stopped, she frowned, "Isn't it just a laparoscopic resection?" What does it look like? ”

The nurse glanced at the patient sitting at the consultation table, "The patient was sent with a high fever, and according to Dr. Shi's physical signs, there was obvious rebound pain in the right lower abdomen, and there was muscle tension in the local area. ”

Tang Yi raised his eyebrows, although he had a rough judgment in his heart, "What does Doctor Shi think?" ”

"Purulent appendicitis, preclusable laparoscopic surgery!" After handing the prescription to the patient's family, after a few words, he asked, "Have you done the auxiliary examination?"

The nurse's face was not very good, "CT and ultrasound were done, and the patient had a hypoechoic area in the right lower quadrant, and the CT examination could see obvious exudative changes around the appendix. ”

Xi Jianhua frowned, "Purulent appendix is not possible for laparoscopic appendectomy, didn't Dr. Shi tell the patient?" ”

The nurse smiled awkwardly, "Can't laparoscopy do purulent appendix surgery?" ”

The Chinese Medical Hall is a traditional Chinese medicine hospital, and most of the medical staff here are studying traditional Chinese medicine.

Although nurses are recruited from nursing schools, they are not doctors after all. Moreover, before Tang Yi came, the Chinese Medical Hall had never performed laparoscopic surgery in the real sense, so naturally he didn't understand.

Wash Lead Hua was angry and laughed at the nurse's rhetorical question, "Do you think you can?" ”

The nurse looked at Xie Xianhua's expression, lowered her head silently, and muttered in a small voice, "It's all appendectomy surgery, why can't laparoscopy do purulent appendectomy surgery." ”

Although the voice was small, Tang Yi heard it clearly, "General laparoscopic surgery for purulent appendicitis can still be done, but if the patient's appendix infection is serious, laparoscopic surgery will sit until the abscess that is completely clear about the lesion is replaced." The infection may spread to the abdominal cavity and cause peritonitis, resulting in increased pain, chills, fever, and even toxic shock, which can be life-threatening in severe cases. Concomitant infection agrees through the portal venous system, causing purulent phlebitis or liver abscess. Therefore, the safest way to treat purulent appendix is open resection. ”

After listening to the explanation, the nurse's face was tangled again, and she said hesitantly, "Then, what should I do?" Dr. Shi has already told the patient that laparoscopic surgery is available. ”

"Nonsense, he can't even do laparoscopic surgery, how can he promise patients indiscriminately, if something really goes wrong, it will be a medical accident, can he Shi Yan bear the consequences?" Wash the lead Hua slapped the table and stood up, "Where is the patient now?" Let's go now. “

As a traditional Chinese medicine hospital, it doesn't matter if the nurse doesn't understand laparoscopic resection, as a resident doctor, he doesn't understand this basic knowledge and theory, which makes Tang Yi sigh in his heart.

In Tang Yi's heart, as a doctor, especially a Chinese medicine practitioner in the emergency department, some Western medical treatment concepts and methods must be proficient, not to mention proficient, but the basic theories must be understood.

Under the leadership of the nurse, the three of them came to the observation room, and on the hospital bed lay a seventeen or eighteen-year-old girl, holding her stomach and tossing and turning on the bed, and her mouth was constantly moaning in pain.

On the side of the bed, a young man of the same age as the woman grabbed the girl's hand, his face full of anxiety, "Xiaomin, you are patient, the doctor will be here soon." ”

"It hurts, ah, it hurts me!"

"Why hasn't the doctor come yet?"

Seeing his girlfriend's painful appearance, the young man turned his head, and his original face of pity became hideous, "Doctor, are they all dead?" ”

Shi Yan, who was standing on the side, heard the young man's words, and his face leaked with displeasure, "What are you talking about?" Am I not a doctor? From the time the patient comes in, he has been inching ......."

Before Shi Yan could finish speaking, the young man looked disdainful, and said without any mercy in his tone, "Just you? Also doctors? What have you done since we been in the hospital for so long? ”

"That's not right, what's the check you're holding? Didn't I drive all of these? "Shi Yanqi doesn't come out in one place.

The corner of the young man's mouth showed a hint of sarcasm, and he raised the inspection report in his hand, "Is this what you said?" Don't you say that I forgot, since it has been judged to be purulent appendicitis through physical examination, and so many tests are prescribed, your hospital's desire to make money is not hidden at all. “

Shi Yan was scolded by the young man pointing his nose, and his temper also came up, "You are a layman who doesn't know medicine, what qualifications do you have to question me!" If you want to be pregnant with my examination plan, you can transfer your girlfriend to the hospital. ”

The young man who was powerless because his girlfriend was lying on the hospital bed, was completely ignited by Shi Yan's words, and he let go of the hand holding his girlfriend and was about to fight with Shi Yan hand-to-hand.

Xiao Min, who was lying on the hospital bed, was already soaked in cold sweat, and still grabbed the young man with both hands, "Jiang Hao, don't, don't be impulsive!" ”

Jiang Hao looked back at his girlfriend on the hospital bed, the pain and anger on his face were intertwined, and he glared at Shi Yan angrily, "MD, when my girlfriend is well, see how Lao Tzu cleans you up." ”

In the face of the threat, Shi Yan didn't care at all, and the mockery in his tone was even more than a few points, "I'm so scared, threaten me?" You still don't know whether to live or die, and your girlfriend's illness has not been cured, so you threaten me? Believe it or not......"

Led by the nurse, she pushed open the door of the observation room, her face was gloomy and terrifying, and a deep and suppressed voice came from her throat, "Believe it or not?" ”

Doctors, first and foremost, are medical ethics. Even if a patient has a thousand faults, as a doctor, you must learn to tolerate and tolerate.

Doctors are also human beings, and they can reject this patient, and perhaps someone will stand on the moral high ground and condemn you. But it also makes sense.

But as soon as the patient takes over, he must be conscientious, and he must not threaten or intimidate the patient because of the patient's excessive words.

Shi Yan heard the sound and saw that it was the deputy director who came over, and hurriedly explained, "Wash, director, I just talked about ......."

Listening to Shi Yan's stumbling explanation, Xi Xianhua looked at the other patients around him, and glared at the other party, "Write a three-thousand-word examination after you go back, and hand it over to me tomorrow morning!" ”

Shi Yan gritted his back molars and nodded reluctantly, "Yes!" ”

Looking at Shi Yan, who had threatened him verbally before, in front of this old man, like a docile kitten, in Jiang Hao's mind, this should be the only doctor in the National Medical Hall who can do laparoscopic surgery.

Like a drowning man who grabbed a life-saving straw, Jiang Hao walked briskly and took the hand of Wash Lead, "Doctor, doctor, please help me take a look at my girlfriend, she has been in pain for almost an hour." ”

After speaking, Jiang Hao didn't forget to make a small report on Shi Yan in front of Xie Xianhua, "My girlfriend was sent to the hospital, in addition to the examination, it is an examination, which hospital to go to to see a doctor does not need to be examined." But you can check it, during this period, my girlfriend is rolling in pain on the hospital bed, can't you use some painkillers to relieve her pain? ”

Shi Yan on the side heard this, and whispered disdainfully, "Idiot! ”

Hearing this, Xi Jianhua, who was standing on the side, glared at the other party fiercely again, with a polite smile on his face, "Painkillers can reduce and relieve most of the pain, and before the patient's condition is determined, taking painkillers will affect the doctor's judgment of the patient's condition." “

Jiang Hao looked at his girlfriend on the hospital bed, "Doctor, I know it's wrong, you see that my girlfriend is in pain like this, hurry up and operate on her!" ”

Xihua waved his hand, "Don't worry, don't worry, I'll take a look at the patient's examination report first." ”

Taking the inspection report from the young man's hand, Xi Xianhua glanced at the girl on the hospital bed, swept a few key items with big eyes, turned around and handed the report to Tang Yi again, "Young man, your girlfriend has purulent appendicitis, you know this!" ”

The young man was a little anxious, with a little impatience, "I know, I know, the doctor has already told me just now." ”

Xi Jianhua nodded, "Your girlfriend's condition is more serious, and laparoscopic surgery cannot completely remove the purulent site, which may cause abdominal infection, which is directly life-threatening." ”

"What? Life-threatening! The young man was shocked, "Doctor, you want to save my girlfriend, how much money, you say, I'll call home and ask them to transfer money." ”

Xi Jianhua shook his head, "Young man, you calm down first." I mean, your girlfriend's condition is not suitable for laparoscopic surgery, and an open resection is recommended, which is safer. ”

When the young man heard this, he looked at Shi Yan next to him and roared, "Just now I said that I should do laparotomy, and your doctor suggested that I do laparoscopy, saying that the window is small and the recovery is fast." Now you say that you recommend an open abdomen, otherwise it is likely to be life-threatening. Are you kidding us patients? Tell me about the level of your hospital? ”

Facing the young man's point, Xi Xianhua explained, "Young man, our hospital has been carrying out laparoscopic surgery for a short time, and many doctors do not know much about this new operation, and apologize for the inconvenience caused to you and your girlfriend." ”

"Sorry, just apologize?" Young people do not give up.

Tang Yi finished reading the report in his hand and looked at the young man who was still arguing, "Is it time to hold accountable?" Your girlfriend is lying in a hospital bed, tossing and turning in pain. The longer it dragged on, the more she suffered. If you want surgery, hurry up, if you don't have surgery, we will give you a transfer or discharge certificate, and you will be responsible for the consequences. ”

The young man was intimidated by the momentum emanating from Tang Yi's body, he was stunned for a while, his eyes fixed on his girlfriend, and he gritted his teeth, "Surgery, arrange surgery now." ”

"Since you agree to the operation, then don't stand there stupidly, quickly contact the patient's family to come over and sign and pay the money!"

When the young man heard the call to contact the family, he said, "Doctor, can I sign?" ”

Looking up and down at the young man's dress and face, he was only seventeen or eighteen years old. Tang Yi said coldly, "Are you her family member?" An immediate family member or spouse is required for the surgery. If neither of the above is the case, do you have a delegation agreement? No, then you are not eligible to sign the surgical consent form. Inform her family as soon as possible, the longer it drags on, the more dangerous it will be. “