Chapter 1398 Hard

Yu Yuan walked briskly, like a cowherd who had been away for a long time, and finally came home. She couldn't wait to see her cow, to see if it was hungry and thin, and to see how well it ate grass. If it is not fragrant, see if it sleeps well, and see if it produces a lot of cow dung.

"Has Dr. Zang ever been to an emergency department?" Yu Yuan asked while walking.

"During the rotation, I stayed for about a month. The emergency department of our hospital is not very big, and the beds are also tight, which is normal." Zang Tiangong followed Yu Yuan because he didn't know. To be honest, he was still writing a report at Taiwu Central Hospital this morning, and now he has arrived in Yunhua, and has become a low-status little doctor. It is really difficult to adapt. However, the director arranged to come over, what can he do? Not to mention that he is eager for tumor embolus surgery, but he has no desire. Isn't it rare to force women into prostitution?

And after boarding Doctor Yun's thief ship—or is it called a thief's private jet? Zang Tiangong can't even talk about getting used to it. It can only be said that Zuo Cidian is really a bit fierce, and this little thing in front of him... According to legends in the world, small and strange female characters are huge and extremely dangerous. Zang Tiangong also dare not challenge.

Surgeons all have such contradictory personalities. On the one hand, they are willing to take risks in order to obtain certain benefits. On the other hand, they are extra cautious when facing some things that ordinary people are accustomed to. It's like some surgeons who dare to hide in the office next to their wife's wife during the afternoon tea break to fight with the prostitute, but if the prostitute says "no condom", he will immediately persuade him.

Zang Tiangong looked at Yu Yuan's back and wanted to make friends, so he said again: "I often go to the emergency department in general surgery, and the attending physicians in our hospital are all on duty with the inpatients. I am really tired, but I can do surgery. ..."

According to the general situation, chatting between doctors on duty and surgery is more universal than chatting about the weather. Especially the doctors who have stayed in the hospital for a long time, enjoying the constant temperature and humidity environment day after day, don't even remember what the weather is like.

But Yu Yuan tilted her head back and asked calmly, "Shouldn't the attending doctor be on duty?"

Zang Tiangong suddenly panicked, the little thing holding me is not even an indication? My status is so low?

"You don't have any problems with common operations on the gastrointestinal tract, do you?" Yu Yuan asked again.

"Yes. No problem." Zang Tiangong responded quickly. If it was in this hospital, he would wish to say that he doesn't know anything, so as not to be oppressed by others, but it's always right for people to be humble when they leave their hometowns, and doctors to leave hospitals.

"It's up to you later." Yu Yuan put her hands behind her back again, and walked two steps faster.

Zang Tiangong slowed down a little, so as not to let the former's efforts go to waste.

...

"What's the date of the patient?" Yu Yuan went to the guidance desk, squeezed some alcohol gel and rubbed it, and asked the nurse.

"Number 8." The nurse replied, and said, "There are interns coming today, how many will you pick up?"

"Don't be tall, you look tired." Yu Yuan agreed. Although she has become an attending doctor, Ling's treatment team has a large volume of business, and the number of interns to be accepted will also increase. Moreover, Yu Yuan does not want special treatment for attending.

The nurse smiled lightly and said, "It's been prepared for you a long time ago. There are six people, and the tallest is 1.61 meters. You should report it yourself. You go to the doctor first, and I will ask them to come and find you."

"good."

"Doctor Ling is here." The nurse reminded again.

"I didn't go home. However, his house is also full of patients, and the patients here may be more interesting." Yu Yuan laughed and gave Zang Tiangong a temporary work card of Yunyi, and then entered In the emergency room.

Pushing the door open, an atmosphere like a vegetable market in a market came rushing towards us.

Injured patients, decadent family members, and old men and women carrying thermos bottles flashed all over the world, which is exactly the original appearance of the emergency room.

Yu Yuan pursed her lips, as if explaining, and said to Zang Tiangong, "Doctor Ling wants to be neat and tidy. Therefore, the emergency room and critical room inside are much better, and the outside is the messiest.

Patients and family members do not listen to you. "

"Everyone thinks their illness is the most important." Zang Tiangong made a voice of understanding, and said: "Patients in the emergency department are much more difficult than our elective ones. Sometimes I don't like to go to the emergency department for surgery and treatment. The same patient, In our ward and in the emergency ward, the attitude is different."

"Believe me, we've seen a lot of people with yin and yang faces. Dr. Ling has the ambidextrous attribute." Yu Yuan came to bed No. 8 as she spoke.

When he came to him, he saw a thin middle-aged man leaning against the head of the bed with his eyes closed.

"Li Tanmo?" Yu Yuan confirmed the name.

"Yes." The thin middle-aged man opened his eyes and smiled as if he had lost his lovely stray dog.

"Abdominal pain? What else is uncomfortable?" Yu Yuan came to the bedside and winked at Zang Tiangong.

Zang Tiangong understood for a few seconds, and tried to pull up the curtain around the bed, forming a relatively private space.

Yu Yuan nodded in satisfaction. At the attending level, the IQ is basically online.

The patient was enclosed in an independent space, and his mood became a little more relaxed. He frowned and said, "I still have a little fever...just after eating today, I suddenly felt a severe stomachache. It's different from my usual stomachache." Feel."

"Do you often have a stomachache?" Yu Yuan asked.

"Not at all."

Yu Yuan raised her head: "Then you said just now that your stomach pain is different from usual?"

Patient: "It's different from the previous stomachache. I said it's different. It's just a description..."

Yu Yuan rolled her eyes that no one could see, and said, "I'll check the individual. Has the family come?"

"On the road, it seems to be stuck in traffic. You can call them..."

"Why should I call my family?" Yu Yuan saw that this person's IQ was not too rich, so she commanded the patient to adjust his posture, and then pressed his hand to the lower right side of the patient's anger: "If it hurts, call ..."

"It hurts, hurts..." the skinny man shouted immediately.

"Don't shout too much, what about this side?" Yu Yuan put her hand to the left again.

"pain."

"It's lighter than before, isn't it?"

"You didn't listen carefully, just now three hurt, now one."

Yu Yuan was taken aback by what she said, then she chuckled and took her hands away: "How many are there now?"

"It hurts, it hurts, it hurts..."

Yu Yuan nodded, she was basically sure it was appendicitis. Although the brain seems to be broken, a patient with such obvious rebound pain is still very easy to judge. However, for appendicitis that needs surgery, it is a bit hasty to make such a simple judgment.

"You need to get ready for the surgery. Where are your family members? Let me remind you. I'll give you a few more checkups. After the diagnosis is confirmed, we'll talk..." Yu Yuan procedurally instructed. General anesthesia requires the presence of family members. Like in foreign countries, if you go to the hospital alone for major surgery, you need several procedures in China.

"What is the diagnosis?" asked the patient Li Tanmo.

"Preliminary suspicion is inflammation. You go to check it first, and we'll talk about it when you come back." Yu Yuan paused, and then said: "It shouldn't be a big problem, so you don't need to worry too much."

The patient said uneasy: "You didn't even listen to the pulse, the stethoscope was useless, and the temperature didn't measure. You don't know how to use the good things you used before. You all use instruments for diagnosis, and the fees are expensive... ..."

He was complaining, when someone outside the curtain said: "Doctor Yu, we are new interns..."

"come in."

Yu Yuan replied, and a few short interns opened the curtain and came in.

"Doctor Yu."

"Doctor Yu."

Several people bowed their heads to say hello, and then looked at each other, strange thoughts arose in their minds.

"Exactly, let me touch this patient." After Yu Yuan finished speaking, she said to the patient, "These are interns from our hospital, let them give you a physical examination."

"I don't even have a stethoscope," the patient complained.

Yu Yuan was silent for two seconds: "Well, let them touch it first, and after touching it, I'll measure it with a thermometer for you, and you should be able to confirm the diagnosis."

"Do it without an instrument?"

"You can do two less, just to facilitate the preoperative diagnosis." Yu Yuan finished bargaining, and then signaled the interns to start one by one.

The interns who had just arrived at the hospital felt anxious, a little confused, but also a little enlightened, and groped the man on the bed.

Li Tanmo went from half lying down to fully lying down, and then flattened, gradually calming down.

"Here, take a thermometer." In a trance, Yu Yuan stuffed a thermometer into Li Tanmo's mouth.

"Hmm." Li Tanmo subconsciously held back.

"Stand up again, and take a rectal temperature." Yu Yuan put on the gloves, rechecked the thermometer, and said to herself, "It's not wrong."

Li Tanmo wrote a word, wanted to say something, but couldn't speak because of the thermometer in his mouth.

Yu Yuan slowly but firmly put Li Tanmo into the correct posture, and firmly but slowly poked the thermometer into the correct position.

"Do you know why you measure it like this?" Yu Yuan took off her gloves, threw them into the trash can, and then asked a few interns.

"Because the patient requested it?" an intern asked timidly.

"Because the test is accurate?" Another intern began to think deeply.

Zang Tiangong next to him frowned deeply: "Yes, why?"

The patient was lying on the bed, with a thermometer in his mouth and a thermometer in his mouth, with doubts on his face.

"Before there were various advanced instruments, this method could be used to diagnose appendicitis relatively safely and accurately." Yu Yuan patted the edge of the bed and said, "You guys check it later. If the temperature in the anus is significantly higher than the temperature in the mouth, you should can be diagnosed."

"Pretty salty? Is it heavy?" The thin man spoke vaguely.

"It's not serious, just remove it." Yu Yuan paused for a moment, then said "Oh", and said, "Appendix is ​​not about removing the cecum, it's enough to remove the appendix."

"Isn't that appendicitis?"

"The folks call it this way, but I tell the interns that it has to be more academic." Yu Yuan said with a serious face, and called Zang Tiangong again, asking him to pull the curtain and go out.

Leaving six interns behind, staring at the patient's two thermometers, their thinking gradually broadened:

"The anal temperature is significantly higher than the oral temperature, how many degrees is it obvious?"

"Check it out?"

"By the way, why don't you poke it deeper so it doesn't fall out."

"Just let the patient clamp down."

Li Tanmo's sick expression gradually hardened. 8)